Manchester City Council

Collaboration and Integration - the way to a Healthier Manchester

During the course of last year, Manchester's Health and Well-Being Board started the process of developing its Locality Plan, it's route to integrating and improving Health and Care services in the city, as part of proposals to improve services across the whole of Greater Manchester. Our locality plan is built on three pillars, a single commissioning function, a single out of hospital service, and a single hospital service.

On the last of these, we commissioned an eminent clinician and hospital leader, Sir Jonathan Michael, to carry out an independent two stage review, the first to establish the benefits (or not) of a single hospital service, the second to make recommendations on the best organisational arrangements to deliver those benefits. His second report was published yesterday and will be considered by the Health and Well-Being Board next week. Most of the rest of this post consists of quotes from that report.

First the problem we are trying to solve. “The challenges faced by the health and social care system across Manchester are significant. Population health outcomes in Manchester are poor, in some cases the worst in England . Care across the city is fragmented resulting in unacceptable variations in the provision and quality of care provided. Although duplication (and triplication) exists across some clinical services, in other specialities patients struggle to access healthcare that is appropriate to their need."  

How would a single hospital service help address these problems? The report lists six areas of benefit, quality of care, patient experience, workforce, financial and operational efficiency, research and innovation, education and training. This is what the report says about the first two of these;

“A single hospital service would reduce the variation in the quality and effectiveness of patient care and raise it to the standard of the best, reduce variation in the safety of care and raise it to the standard of the best, support the development of highly specialised clinicians and ensure equitable access for all patients to the best technologies and expertise available.”

It would “increase the coordination and efficiency of clinical services being delivered across different sites, enhance the ability of the hospital service to work with the Local Care Organisation to provide more care in the community, improve patient access and choice in respect of hospital service, improve the consistency of the quality and service delivery of diagnostic and therapeutic services available to patients.”  

Powerful stuff.

Single Hospital Service Review Report - stage 1

 Single Hospital Service Review Report - stage 2

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There is one response to “Collaboration and Integration - the way to a Healthier Manchester”

  1. ManRes Says:

    This has got to be good news for the residents of Greater Manchester. Too long these NHS organizations have fought against each other to the detriment of patients, squabbling over petty politics and competition any time service change is afoot and running off to Monitor and the high courts. The result of this has left Manchester hospitals (Salford and the Christie aside) lagging behind those across the UK in terms of outcomes and patient experience. Coming together to provide a consistent brand, skilled workforce, patient care, patient experience, genuine collaboration and partnership has got to be the way forward. I really hope this works - our patients demand better!!!



The blog of the leader of Manchester City Council, Councillor Richard Leese.

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