Greater Manchester Health and Social Care Partnership Chief Officer Report October 2016

Greater Manchester Health and Social Care Partnership Chief Officer Report October 2016

1. Key Messages for October 2. Transformation Programmes 1-5 3. Cross Cutting Themes 4. Finance 5. Communications and Engagement

Key Messages The GM Sustainability and Transformation Plan (STP) was submitted to NHS England on 21st October as part of the financial planning round. This clarified that GM agreed an STP plan in December 2015 Taking Charge. This was submitted as part of the GM submission along with an implementation and delivery narrative and plan, 5 year finance and activity template, an estates submission, a report outlining what has been delivered in the last 6 months and the statement of commitment to Taking Charge from all organisations in GM. Transformation Fund: The first of our Transformation Fund Investment Agreements was formally signed with Salford on 21st October. The work to finalise the Investment Agreements with Stockport and Tameside & Glossop continues and it is hoped that both will be signed by the end of November at the latest. Evaluation of Wigan s Transformation Fund submission has now commenced and a Transformation Fund Oversight Group has been scheduled for the end of November Manchester s submission to the Transformation Fund has now been received and an initial orientation meeting held. We are committed to developing a Memorandum of Understanding over the next couple of months to guide work with the pharmaceutical industry. As part of that process we will be bringing forward a proposal to establish a senior-level GM Medicines Strategy Board to coordinate our work on medicines (and devices) including management, optimisation and innovation. Ian Garlington has started work as the Director of the Provider Federation Board, co-located with the GM Partnership team. Pennine Acute s improvement plan has now been submitted to the CQC. The process of stabilising services continues with further recruitment of key staff groups and process improvements. A specific workshop was held to start developing a clinical services strategy for North Manchester hospital. We have announced the outcomes of our review of oesophago-gastric cancer services in Greater Manchester which has resulted in the decision that major surgery for stomach and gullet cancers will take place in one dedicated specialist centre for Greater Manchester, at Salford Royal Hospital, with outpatient appointments remaining local. As part of the Healthier Together implementation, a new 20 million surgical and medical centre at Stepping Hill Hospital has been opened. The new centre includes spacious, modern facilities and a cleaner environment for better infection control. It will house over 120 beds for patients, replacing facilities in old wards. Working with our national PHE marketing colleagues, funding has been secured to test and develop an integrated marketing campaign to raise public awareness and understanding of anti-microbial Resistance (AMR), and to reduce demand for antibiotics. As TV will be a major part of the campaign, the pilot, going live in late January 2017, will be operational in the Granada TV region. All of GM will be offering behavioural interventions to people at risk of developing type 2 diabetes from April 2017. This follows a successful bid led by the Strategic Clinical Network to incorporate a further eight areas in to the NHS Diabetes Prevention Programme (NHS DPP). Those people identified will be offered to attend an evidence based course that either delays the possibility of developing type 2 diabetes or prevents it altogether.

1. Key Messages for October 2. Transformation Programmes 1-5 3. Cross Cutting Themes 4. Finance 5. Communications and Engagement

Transformation Programme 1: Radical Upgrade in Population Health Prevention SRO/Director: Wendy Meredith Overall RAG G General: Theme 1 held its first Executive meeting at the beginning of October where it was agreed that a GM Population Health Plan should be developed over the next few months for endorsement and approval at the December Strategic Partnership Board. This plan will set out in more detail the ambition for delivering a radical upgrade in population health as set out in Taking Charge. Starting Well: A gap analysis is being finalised across each locality to determine progress towards delivering the Early Years model across GM. Living Well: Following the production of a GM Framework for Work and Health, work is now taking place to develop in detail a proposal around a service model to be implemented in a number of boroughs across GM aimed at both individuals at risk of falling out of employment and the recently unemployed based on the experiences from similar smaller scale pilots in other parts of Greater Manchester. Ageing Well: Detailed proposals are now being finalised for all areas under ageing well for inclusion in the first draft Population Health Plan for the end of October. This includes a continuation of the work New Economy have been carrying out to develop costs benefit analysis to underpin each of the three proposals. People Powered Health: Workshop held with system stakeholders facilitated by NESTA to understand where the energy is to scale up efforts and approaches around person-centred and asset-based approaches across GM, and consider how we can work to embed good practice in local areas in a way that starts to build critical mass. Work to deliver prevention priorities within the Cancer Vanguard this month includes: Provider commissioned to deliver health equity audits across the 7 cancer screening programmes regarding bowel and breast to help identify barriers to uptake and access, to inform future commissioning and delivery of services. Additional funding secured to widen the scope of the social marketing project beyond bowel cancer to increasing the number of smoking quitters. Project milestones are currently being articulated. Workshops scheduled with cancer-related groups to co-design GM citizen-led social movement project. First meeting of expert reference group held to provide cross system expertise around the project, share learning and ensure alignment to the broader reform agenda. System Reform: A refined social value proposal is currently being worked up following the September stakeholder workshop which is to be included in the first draft of the Public Health Commissioning Plan for discussion A first draft of the GM Population Health Plan will be produced and circulated with the system from 28th October, and discussed in November at a number of meetings including Theme 1 Exec, Reform Board, DPH Meeting, SPB Exec, AGG, WLT, Provider Federation and PMB. Over the next few months the GM team will be utilising the early years gap analysis to inform future GM and locality investment plans. Work will begin in November to define and document the work and health support model which addresses the needs of the identified cohorts as described in the Population Health Plan. Develop the Cancer prevention and screening elements of the GM Cancer Plan. Plans are in place to hold a soft launch event in December to showcase the GM citizen-led social movement for cancer prevention and Cancer/Social Movement Champion recruitment events are scheduled. 28 October 16 28 October 16 1st Draft GM Population Health Plan produced and circulated with the system G 2 November 16 2 November 16 Theme 1 Executive Meeting Endorsement of the first draft GM Population Health Plan G 3 November 16 3 November 16 Theme 1 Whole system event Engagement on development of the GM Population Health Plan G

Transformation Programme 2: Transforming Community Based Care & Support SRO/Director: Warren Heppolette Overall RAG A Using the 4 key areas of appreciative enquiry, an initial programme has been agreed with NW Employers and AQuA to support OD and asset based approaches in Greater Manchester. This will link to other GM work including the PSR H&SC task & finish group and key stakeholder group (facilitated by NESTA) which met 18/10/16 The University of Salford have commenced evaluation into he effectiveness/impact on staff of the asset based approaches primary care training pilot GM primary care engagement event took place on 5/10/16, with over 200 commissioners and providers in attendance. The event focused on the primary care contribution to delivering integrated care across Greater Manchester and the delivery of new models of care Primary Care Strategy for Greater Manchester was ratified at the Strategic Partnership board 20/09/16 Engagement has commenced with each locality to gain a better understanding of the adult social care picture across Greater Manchester against the KLOEs of the transformation programme Commencement of activity to mobilise programme of work around care at home, recognising the fragility of the market Commencement of activity to develop and mobilise programme for residential and nursing home care, with workshop scheduled for 18/11/16 Commencement of paediatric dental managed clinical networks, looking at single clinical service models for dental specialist pathways Exploratory workshop to understand successful integration of place based integration and asset based approaches to establish a set of core principles, leading to the development of a GM approach/framework Further understanding of interdependencies between adult social care, primary care and LCO development. This will inform an overarching programme of development and assurance for the new LCOs Commencement of activity to develop an implementation plan for the primary care strategy Establishment of task & finish group to develop a GM specification for 7 day primary care additional access Identification of what could be done once in adult social care across GM with agreement of key implementation priorities Imminent priorities include development of an adult social care assurance framework that forms part of the broader place based assurance framework Development of strategic plan including social care offer for Greater Manchester Planning underway for final workforce visioning event (18/11/16) and GP Forward View GM engagement event (11/16). Both will inform the development of a GM Primary Care workforce visioning strategy Continued development of primary care standards for dental, optometry and pharmacy providers, moving towards an outcome based model 31 Oct 2016 31 Oct 2016 LCO design principles further developed to support standards based operation G 31 Oct 2016 31 Oct 2016 LCO gateway assurance process agreed with NHSE and operated in line with Transformation Fund assurance G 30 Nov 2016 30 Nov 2016 Alignment of 7 pillars of GM services for children's review to GM implementation plan & in localities G 30 Nov 2016 30 Nov 2016 Clarity on service model overlaps across themes 2 & 3 to inform LCO scope & theme 3 clinical strategies G 30 Nov 2016 30 Nov 2016 Improved alignment of LCO development with wider public service place based integration G

Transformation Programme 3: Standardising Acute and Specialised Services SRO/Director: Rob Bellingham Overall RAG G Progress update - projects in delivery The Joint Commissioning Board has recommended the award of the contract for Greater Manchester s oesophago-gastric cancer service, marking the end of the transformation process of the service. This means that patients using this service will now be treated in a specialist centre for their specialist surgery by specialist staff; have faster access to diagnostic tests; and will be offered the same high quality surgery service irrespective of where they live in Greater Manchester. The governance of the Healthier Together programme has been aligned with the governance of the GM Health and Social Care Partnership, which means that all hospital changes can be managed in the same place (the Theme 3 Delivery Board). This will help programmes to work together to transform hospital services for the benefit of patients. Upcoming Programme Activities: The scope and specification of the recommended priority projects will be finalised in preparation for sign-off. Under Healthier Together commissioners in Greater Manchester have worked together to develop new commissioning intentions and issue these to providers. This means that in 2017/18 trusts will be expected to provide different kinds of services, which includes increasing the numbers of emergency patients who can appropriately be treated on the same day, through there being faster access to diagnostic tests and senior clinicians. Trusts will also be expected to treat high risk abdominal surgery patients at one of the four hub sites (Stepping Hill Hospital, Salford Royal Hospital, the Royal Oldham Hospital, and Manchester Royal Infirmary). This will mean that patients are treated in the right environment at the right time by the right staff. Through the Healthier Together programme a national recruitment campaign has been launched to attract further Emergency Medicine consultants to hospitals in Greater Manchester. In addition to this, new and innovative posts have been developed to allow Emergency Medicine consultants to work between a teaching hospital and a district general hospital, which will broaden their experience and knowledge. This means that there will be a bigger and more experienced workforce to provide expert care to patients in our hospitals.. Progress update - projects in development Work has been ongoing to develop the scope and specification for the recommended priority projects. Project leads have worked collaboratively with provider, commissioner, and clinical colleagues to establish how services can be transformed and how services can involve patients and carers to consistently provide high quality care across Greater Manchester. 18 October 2016 18 October 2016 Theme 3 agenda items at Joint Commissioning Board. G 19 October 2016 19 October 2016 Theme 3 agenda items at Greater Manchester Joint Health Scrutiny Committee. G 31 October 2016 31 October 2016 Project Initiation Documents to be reviewed by Theme 3 Delivery Board. G

Transformation Programme 4: Standardising Clinical Support and Corporate Functions SRO/Director: Steve Wilson Overall RAG G Phase one of the Hospital Pharmacy supply chain review is complete. McKesson are currently analysing data returns from each organisation. Their final report, detailing a series of pharmacy supply options for consideration, will be available before the end of the calendar year. The GM Hospital Pharmacy Transformation Plan (HPTP) has been agreed and will be embedded into Trust submissions to NHSI. HPTP will now inform the strategy for the project. Corporate Functions: The NHSI data templates were completed and returned on schedule for all Trusts. GM appended additional questions to the templates to gauge appetite for collaboration across corporate functions. The templates have also been completed by the CCGs so a full GM health picture has been collated. As required, a Case for Change on Corporate Functions has been submitted to NHSI. This was informed by an initial analysis of the contents of the data templates. The Case for Change set an ambition to reduce costs of Corporate Functions by 20% over five years. The Procurement project has completed the initial analysis of procurement data from all Trusts. This has identified a number of opportunities and a proposal on options to take this forward has been produced The Pathology project continues to make good progress on the analysis phase of the project with excellent clinical engagement from the pathology community. Work is continuing on designing the Radiology project information request that will establish a baseline for the project. The Hospital Pharmacy project will develop plans for the launch of a GM wide Patient Own Drugs campaign to encourage patients to bring their own drugs into hospital with them. This has the benefits of continuity of drug use for the patient, potentially faster discharge as well as avoiding waste and saving costs. Communications to GM pharmacy workforce to be developed and approved. The outputs from the McKesson review will be analysed and a plan of action developed The high level roadmap in the Corporate Functions Case for Change will be further developed, integrating local authorities and CCGs into the plan. A decision will be made on the best means to find the appropriate support to take forward the Procurement project. The analysis phase of the Pathology project will be completed by the end of October and work will then begin on options appraisal and financial modelling. The Radiology information request will go out to all Radiology departments by the end of November. An application for development funding for Theme 4 will be submitted to the Chief Officer as per the recent guidance. 31 Oct 2016 30 Nov 2016 GM Patient Own Drug campaign launched A 31 Oct 2016 31 Oct 2016 Completion of analysis phase of Pathology project G 30 Nov 2016 30 Nov 2016 Radiology project information request to be sent out G 30 Nov 2016 30 Nov 2016 Report of McKesson Pharmacy supply chain study received by GM G 01 Dec 2016 01 Dec 2016 GM HPTP to be developed into a strategy document. Submission and approval by the GM Federation board G

Transformation Programme 5: Enabling Better Care: Commissioning SRO/Director: Rob Bellingham Overall RAG G Further work being developed with JCBEG to enhance system engagement with work to describe anticipated timeline for GM level Commissioning decisions. Commissioning Capacity review data collection template agreed. Data collection to begin with pilot CCG.. Final version of Commissioning for Reform document agreed by JCB on 18 October. Updated draft of paper on Commissioning Co-Design principles to be taken to JCB Executive Group in October. Template for Quarter 2 Commissioning for Reform update circulated to commissioning leads in GM Partnership. Working Group being established to enhance system engagement and participation in development and implementation of GM Mental Health Strategy OG Cancer paper to be presented to JCB on 18 October 2016. Update on development of Health and Work Programme to be presented to JCBEG on 26 October 2016. Social Value proposal updated paper to be presented to JCBEG on 26 October 2016. JCBEG to receive presentation from Association of Greater Manchester Leisure and Cultural Trusts on 26 October 2016. Updated Commissioning capacity review paper under discussion with GM Partnership execs. Updated progress on development of key lines of enquiry in Adult Social care to be presented to JCBEG by December 2016. Quarter 2 draft update report on Commissioning for Reform to be presented to JCBEG on 26 October 2016. Edit and finalise Summary version of GM Commissioning for Reform document following approval of full document by JCB. 26 Oct 2016 26 Oct 2016 GM Principles for Co-Design reviewed and approved by JCB Executive G 30 Nov 2016 30 Nov 2016 Social Value proposal reviewed by JCB Executive G 18 Oct 2016 18 Nov 2016 Updated Commissioning Capacity review paper to be presented to JCB A 26 Oct 2016 26 Oct 2016 Draft Quarter 2 Commissioning for Reform progress report to be presented to JCBEG G

Transformation Programme 5: Enabling Better Care: Incentivising Reform SRO/Director: Anthony Hassall / Helen Ibbott Overall RAG A External support is still being pursued through the NHS England procurement process. The business case is under consideration through the NHS England governance and procurement specification documents are in the process of being drawn up. The external support will: Support the analysis of the baseline exercise Provide a library of national and international best practice examples of how contracting and payment mechanisms have been developed and implemented to support reform Provide a 2-4 year programme plan Template to undertake baseline exercise across all 37 organisations to understand current contracting and payment approaches and activity information systems developed and tested to ensure relevant and appropriate. Process to disseminate and complete this is being considered. November Incentivising Reform meeting to review the role and function of the workstream and refocus the priorities. Procure and direct external support Undertake baseline exercise across all 37 GM organisations to understand current contracting and payment approaches to deliver new models of care June 2016 Dec 2016 Undertake baseline exercise across GM organisations on current contracting and payment approaches March 2016 Dec 2016 Procure external support to the work. A Non set Dec 2016 Develop Programme plan for the next 2-3 years R A

Transformation Programme 5: Enabling Better Care: Estates SRO/Director: Steve Wilson / Neil Grice Overall RAG G National MOU and GM MOUs have been agreed with DH and signed of at ministerial level. GM Public Sector organisations are approving through their own governance arrangements. Capital Financing Strategy for Estates: GM is developing a model to clarify and articulate the options available to fund capital developments in GM including options to use private sector capital. GM Pipeline of Capital Projects Pipeline developed and updated regularly be SEGs and Trusts GM Estates Database working with New Economy and GM connect to ensure health and social care estates data is captured as part of Land Commission Database. GM Wide Utilisation Policy working group established to develop policy and agree methodology to implement across GM with buy in from Commissioners, Trusts and Landlords Roll-out methodology for undertaking Neighbourhood Asset Reviews of public sector estate. To be adopted across GM by SEGs. Estates annex to STP submission completed. LA Lead for Estates is Eamonn Boylan. Ann Barnes is NHS Trust Lead for Estates. Lead CCG Chief Officer is Simon Wootton. Procurement of Estates support from framework has commenced. Appointed December. Support the development of OPE 5 Submissions and Transformation Fund Bids for October. 650k bid Progress with NHS Property Services review of NHS Offices across GM agree key projects Workshop with Theme 3 on estates to be organised for November Develop Project Prioritisation Process for Community Facilities by end November Work with Theme 2 to develop GM wide policies to support relocation of GPs. Estates Delivery team finalise proposals for permanent team and put in place interim arrangements for Virtual Estates Team. Organise Strategic Estates Group Forum and Workshop for 18th November Develop Master-planning methodology for Trust sites Work with localities to improve quality of data on GM public sector facilities on SHAPE. 31 July 2016 31 Oct 2016 31 May 2016 31 Oct 2016 GM MOU To be approval by individual organisations. Date has slipped but MOUs agreed and signed by Minister Tender for Estates support Locality Plan development & implementation. NHS E approval timescale slipped. G A

Transformation Programme 5: Enabling Better Care: IM&T SRO/Director: Steve Wilson / Vicky Sharrock Overall RAG A Engagement underway on proposals to establish a GM Architecture, Design and Commissioning Agency (ADCA) for health and social care. Review of IM&T programme governance undertaken to support Implementation aligned to ADCA proposal Work underway to ensure alignment of GM IM&T Implementation with National Improvement Board priorities Salford Royal FT successful in their bid for status as a Global Centre of Digital Excellence. In principle agreement with NHS England for delegated IM&T funding Engagement session with new GM IM&T Clinical Reference Group on 28 th September. Continuing to develop requirements for a Single View of the Resident Record, aligned to Localities and GM DataWell programme Further work to be complete and sign off the Letter of Intention to support GM Delegated funding. Establish interim arrangements for ADCA before December to enable further progression on GM IM&T implementation plan. 20 th October engagement session for ADCA proposals with CIO s, CCIO s and Head of LA ICT across GM. 1 st November - presenting ADCA proposal to AGG 4 th November presenting ADCA proposal to Provider Federation Board 4 th November - presenting ADCA proposal to AGMA WLT 4 th November - presenting ADCA proposal to GM Reform Board IM&T Risk Workshop and Stakeholder Mapping workshop planned for November/December October 2016 November 2016 Letter of Intention approved by GM Governance and NHS Digital & NHSE A November 2016 November 2016 Proposal for GM Architecture Design & Commissioning Agency approved by SPBE G November 2016 November 2016 IM&T Governance Structure aligned to ADCA proposal approved by SPBE G December 2016 December 2016 IM&T Implementation Plan and Business case Final Version produced A

Transformation Programme 5: Enabling Better Care: Workforce SRO/Director: Nicky O Connor/ Yvonne Rogers Overall RAG A Review underway of the emerging workforce issues from Localities workforce plans Final draft produced of MoU with Health Education England (HEE) Developing draft vision for GM HSC workforce to inform overarching strategy Principles of engagement agreed with Trade Unions through Workforce Engagement Forum Work underway to produce OD strategy, via establishing OD Sub-Group reporting to the GM HSC Strategic Workforce Board. (SWB) Post-Graduate Dean, Jane Mamelock and Professor Alison Chambers (representing Manchester Universities) agreed to join Strategic Workforce Board GM chosen as one of the successful national test sites for a new Nursing Associates role to sit alongside existing nursing care support workers and fully-qualified registered nurses to deliver hands-on care for patients. Developing plans to address key workforce pressures ED, Middle grade Drs, Nursing & Social Work Developing GM approach for delivering a GM Apprenticeship programmes Sub-group established to develop GM OD strategy Scoping out workforce elements of shared services workstream Identify emerging workforce requirements from Transformation themes, Cross Cutting themes and Healthier Together to align with overarching strategy Identification of key OD work-streams to inform development of overarching GM H&SC Strategy 11 th November Presenting workforce high level strategy ambition and vison to SPBE 25 th October GM HSC Strategic Workforce Board Establishing HSC Workforce Steering Group reporting to SWB. Recruitment to posts in GM Workforce Strategic Delivery Unit. December 2016 December 2016 GM HSC workforce strategy - Final version produced A December 2016 December 2016 GM HSC Organisational Development strategy - 1 st draft A December 2016 December 2016 MoU with HEE and GM HSC Partnership - agreement signed G December 2016 December 2016 GM HSC Apprenticeship strategy - 1 st draft A

1. Key Messages for October 2. Transformation Programmes 1-5 3. Cross Cutting Themes 4. Finance 5. Communications and Engagement

Cross-cutting Themes: Cancer (including GM Cancer Vanguard) SRO/Director: Adrian Hackney Date: 18 October 2014 Overall RAG G First meeting of Greater Manchester Cancer Board took place on 23 rd September The Greater Manchester Cancer Board is reflective of the entire cancer system it will meet monthly and is chaired by Richard Preece, Executive Lead for Quality Greater Manchester Cancer Board reviewed an early draft of a cancer plan for GM and approved its further development The GM Cancer Vanguard is accountable to both the Greater Manchester Cancer Board and to NHSE New Care Models Team Cancer Vanguard National Oversight Group (GM + London partners) meeting took place on 22 nd Sep prior to successful NHSE Q2 review of the National Cancer Vanguard 30 th Sep Challenge sessions held with KPMG and Royal Marsden Partners to discuss key principles underpinning the proposed development of the accountable cancer network model Meeting held with acute cancer providers to develop solution for collection and reporting of common, real-time system-wide patient outcomes and experience information Second meeting of the new Greater Manchester Cancer Board on 21 st October, with a focus on current and future activities for achieving earlier diagnosis Further development of the Greater Manchester cancer plan by lead authors for each area engaging with all relevant parts of the system Creation of defined work programme of board, to be known as Greater Manchester Cancer, with identity/website etc. Board to agree base level of programme infrastructure and appoint Programme Director Development of a submission to NHS England for year 2 of cancer vanguard programme funding Planning under way to hold a national engagement event involving the three National Cancer Vanguard partners, for up to 150 guests in the autumn November 2016 November 2016 Draft Greater Manchester cancer plan considered by Greater Manchester Cancer Board G November 2016 November 2016 National cancer vanguard partners submit proposals to NHS England New Care Models Team for funding for 2017/18 December 2016 December 2016 Future options for accountable cancer network outlined to Greater Manchester Cancer Board (part of vanguard programme) January 2017 January 2017 Proposed Greater Manchester Cancer plan presented to SPB for approval G G G

Cross-cutting Themes: GM Services for Children Review SRO/Director: Jim Taylor Overall RAG A Final Devolution proposals including financial ask submitted to DfE in order to progress implementation stage of the Services for Children Review Draft GM Early Help Strategy has been developed and reviewed by DCSs Agree funding envelope with ministers to support implementation phase Develop materials and engagement plan for wider consultation on GM Early Help Strategy November 2016 November 2016 Decision by DfE on total funding allocated to GM To support implementation of the proposals in the GM Services for Children Review. A November 2016 November 2016 Consultation on GM Early Help Strategy to commence G

Cross-cutting Themes: Learning Disabilities SRO/Director: Teresa Grant / Caroline Kurjeza Overall RAG A Progress Update Upcoming Activities GM Fast-track Board agreed proposal to revise GM LD programme Governance arrangements. Successful Early intervention and prevention research workshop 11 th October completed Successful CLTD/Professional Conference 17 th October with over 110 participants completed Report to GM Fast-track Board which gives a overview of the current performance of the programme completed LD Provider Development Group MOU revised and circulated for comments Project Initiation meeting for Ethical Commissioning Framework Task and Finish Group Learning Disability Professional Advisory group established through Strategic Clinical Network, with individual LD professional groups committed to be fully engaged in support of Transforming Care programme delivery Initial GM Personalisation and PHBs workshops completed New GM Integrated Custody/Liaison and Diversion Service 5.5m tender process completed Follow up from CLDT/Professional Conference and priorities agreed GM Provider MOU finalised and sign process agreed Planning for GM Provider Event 30 th November to begin GM LD Governance Paper and Ethical Commissioning Framework to be agreed by Joint Commissioning Board Executive 26 th October GM LD Governance Paper and Ethical Commissioning Framework to be agreed by Association of Clinical Commissioning Groups 1 st November GM LD Fast-track system performance data and reporting systems to be revised Planning for CTR follow up event on 16 th November Public Consultation on the Proposed Redesign of Learning Disability Services in the Northwest Oct 2016 Nov 2016 GM Provider MOU finalised and sign process to be agreed G Oct 2016 Nov 2016 GM LD Fast-track system performance data and reporting systems to be revised G Oct 2016 Nov 2016 GM LD Governance Paper and Ethical Commissioning Framework signed off by Joint Commissioning Board Executive 26 th October Sep 2016 Nov 2016 Public Consultation on the Proposed Redesign of Learning Disability Services in the Northwest A G

Cross-cutting Themes: Mental Health SRO/Director: Warren Heppolette Overall RAG A Community, Voluntary and Faith sector conference held on 26 September Initial approach to developing an investable proposition to the Transformation Fund taken to GM MH Implementation Executive Draft Suicide Prevention Strategy developed currently being circulated for wider input and engagement First draft GM suicide audit available for sharing GM Suicide Executive Further work undertaken to develop new model for Enhanced Street Triage this is due to be completed in November Work to take forward the development of a mental health commissioning framework has begun building on the consistent specifications already developed for ADHD and Eating Disorder services Survey distributed and 130 responses received so far to understand what is currently in place across GM in 24/7 community and crisis support. Visit to Durham has been undertaken to review their crisis service Development of implementation plan for the system redesign elements of the GM Mental Health Strategy to be developed through the Implementation Executive Further work to be undertaken with JCB to take forward the commissioning framework Visit to Bradford to review 24/7 mental health crisis service arranged for end of October. Analysis of survey and visits to take place to identify best practice. Configuration of GM beds including specialist Eating Disorder beds and role of community eating disorder services to support young people stepping down from inpatient services. Development of a multi-agency ADHD stepped care pathway Dementia United Executive holding a One Year On celebration event on the 11th November 2016. Tameside and Wigan GP referral pathways due to go live this quarter NHSE Assurance Audit underway across GM Meeting arranged for 31 st October to scope out work required to produce a GM Parent Infant Mental Health Pathway (which will include perinatal mental health and will be a whole system approach) January 2017 January 2017 Investable Proposition to the GM Transformation Fund (dates to be reviewed following detailed implementation plans being developed) January 2017 January 2017 Delivery of the initial priority actions highlighted within the strategy G A

1. Key Messages for October 2. Transformation Programmes 1-5 3. Cross Cutting Themes 4. Finance 5. Communications and Engagement

Finance SRO/Director: Steve Wilson Overall RAG A LOCALITY FINANCIAL PLANS: The main focus has been the submission of the GM STP to the prescribed deadlines in September with revisions to the plan following new guidance. In order to submit a plan that is reflective of all locality plans in terms of do nothing gap and do something solutions, locality plans have been further revised to align to provider and commissioner control totals as notified by NHSI and NHSE. Deadline for STP submission: 21/10/16 Locality submissions for the STP and clarification of the level of savings derived from Transformation Themes 3 & 4 will be used to update the GM financial model. TRANSFORMATION FUND: Investment Agreements and metrics have been agreed with Salford locality and are in progress for Stockport and Tameside localities and Manchester locality for Development funding. Locality applications have been received from Wigan (internal assessment underway) and Manchester and Development funding from themes. PLANNING & BUSINESS RULES: The Partnership has produced guidance on the application of the national planning guidance to the specific circumstances within GM. In conjunction with NHSI, indicative control totals and STF have been notified to GM providers. Following national notification of drawdown, control totals have been notified to commissioners. FINANCE EXECUTIVE GROUP: Following the commencement of the Executive Lead for Finance and Investment and discussion with the Chief Officer, the FEG considered the Terms of Reference, membership, remit and work plan of the group. A revised set of governing documents is being written for consideration by SPBE. GMH&SC PARTNERSHIP BUDGET: The mechanics of the funding, recruitment and employment of the posts contained within the SPBE approved budget is being operationalised. Executive Leads are considering the structures and immediate recruitment priorities for the their areas of responsibility. Advisory meetings have been held with a number of localities with bids anticipated in the next month. Investment metrics to be drawn up with the locality in parallel to the evaluation to reduce the time from assessment to sign off of the Investment Agreement. Two year (2017/18 and 2018/19 Operational Plans are due on 23/12/16 and organisations are working towards producing robust plans for this date that align to their five-year STP plans. Revised documents to be presented to SPBE for November committee cycle. It is anticipated that structures will be agreed and posts will be recruited to over the period to the end of the calendar year. 21 October 2016 21 October 2016 Submission of STP return G End Oct 2016 End Oct 2016 Revision of the GM financial model A

1. Key Messages for October 2. Transformation Programmes 1-5 3. Cross Cutting Themes 4. Finance 5. Communications and Engagement

Communications SRO/Director: Nicky O Connor Overall RAG G World Mental Health Day GM wide social media campaign to encourage people to wear yellow in support. Briefing for GM MPs at Westminster Launch of GM Cancer Board comms support GM mental health interfaith conference 170 organisations present and Key 103 media coverage. Primary Care strategy launched comms support Workforce GM chosen as a national pilot for 230 nursing associates to be trained BBC Radio Manchester enquiry re waiting times for children who need a general anaesthetic for dental procedures. Stoptober Campaign Tameside and Glossop awarded Transformation fund money press release Support for GMPCC 'Sitting Right with You domestic violence campaign Salford Transformation Investment Fund signing GM Leadership programme comms support Further comms work on winter preparation and animated film to support. Six month review document GMHSCP nominated for CIPR NW Public Sector Campaign Award GM suicide prevention conference (4 th Nov) Interview with Jon Rouse for Public Health Executive (4 th Nov) HSJ summit Jon Rouse to speak 11 th Nov Stay well this winter - 5 GM areas to receive roadshows in November Self care week (14 th Nov) GM CAMHS School engagement conference (24 th Nov) Comms and engagement participation in Performance and Delivery Board and Transformation Portfolio Board Comms support for antibiotics awareness week. 19 th October 28 th October Public facing six month Partnership Review Document G 1 st November 30 th November Stay well this winter - 5 GM areas to receive roadshows in November G