Introducing Manchester Local Care Organisation
Leading local care Improving lives in Manchester
With you In April 2018, we launched a new public-sector
organisation in Manchester, which will transform community-based health and care.
For the first time, the organisations that provide community health, primary care, mental
health, and social care services in Manchester, are working together in partnership, to join-up
community-based health and care. This means that we’re bringing teams together,
from different organisations, to work with each other collaboratively. We’re integrating
our services, and building new and better ways to deliver care.
We’re changing the way that community-based health and social care in Manchester is designed
and delivered. We’re bringing services closer to people’s
homes, creating local teams, in each neighbourhood. We’re working together with local people,
and communities, and with local groups, charities and organisations, to help to design the right
services, for each neighbourhood. We’re supporting people to keep well, to
be independent, and to be connected to local support and communities.
We’re putting people at the heart of everything we do.
So, the Manchester Local Care Organisation is a partnership between organisations that
you will recognise. In Manchester, the GP surgeries, the mental
health trust, the council, and the hospitals, have all come together in a partnership for
the good of patients. Making it easier
Providing the support and systems for us all to work together, collaboratively, across
different organisations Reducing duplication and silo working
Making more of the buildings we use Sharing data and improving IT
So, instead of having different bits of information in different parts of the system, we’ll
be able to collect it all together and plan, and organise, new services, in a different
way. So that we don’t have to think about what happens in a GP surgery separately to
what happens in a hospital, separately to what a social worker might do, and separately
to what mental health workers might do. Instead, we can get all of those people together,
in one room, and come up with one plan, for what’s best for the people and patients
of Manchester. To achieve what we want to and to create an
organisation that is able to put people at the heart of their care, 4 big organisations
that already work in Manchester have given us some responsibility in order to be able
to do that. And those organisations are: the local authority, so Manchester City Council,
Manchester Foundation Trust, which is the big hospital trust in the city, the GP federations,
which represent all of the GPs and practices across Manchester, and the mental health trust.
And they have all agreed that they will give us some power to change what is on offer to
people across the city, in collaboration with the voluntary, charity and other sectors,
to create something quite different, that has the power to change some of the way in
which we’ve done things for a long time. The way I’d describe it is, a real strong
partnership between health and social care, primary care, mental health, in its purest
form. But, beyond that, it’s more than that, it’s about working with the voluntary and
community sector, it’s about working with communities, working in peoples’ homes,
being really close in the neighbourhood. But, with the philosophy that it’s a very
much integrated, multi-professional way of working.
Manchester’s got thousands of dedicated health and care workers so we’re building
on a strong platform of people who are committed to the people of Manchester to making a difference
in their lives. We’ve got very strong plans to make a difference,
we’ve seen the biggest ambition for hospitals in the single hospital system. We’ve seen
social care commissioning come together and we’re really the 3rd element of that plan,
developing all of the community and neighbourhood services to be integrated, both to deliver
better care, but also better population health, prevention, and to improve the health outcomes
in Manchester. This is about developing our relationships,
understanding each other’s roles and transforming our care models, with people at the heart
of everything we do, to make sure we’re supporting them to lead better lives, have
more independence and, more importantly, that we’re involving them in all of our plans
going forward. And asking them, what’s important to them.
Simplifying the journey through our health and social care services
working with local people and supporting carers involving people in their care
As a person who uses services in Manchester, it can be very difficult at times.
Things like going to different hospitals, with multiple health conditions, you end up
carrying a filing cabinet around – literally – of your notes.
I want to have a say in what matters to me, and what doesn’t. I want 2-way conversation.
I want to see some better integration; Person-centred care is starting with, what’s
important to the person. So, rather than starting with diseases and problems, and trying to
fix things, it’s starting with: what’s important to you, what are you goals, what
are you trying to achieve – what would being healthy, or having a better quality of life,
look like to you? Locally designed care, delivered in neighbourhoods
Reducing inequalities in experiences, So we know that, a lot of the services that
we provide, people would prefer to have them closer to where they live and accessed in
a way that suits their lives, better. So it doesn’t mean that everything, necessarily
has to be in a hospital and that people have to travel to a big building and park and work
out complex systems, just to see a doctor, or a nurse or another healthcare professional
– it might be that we can bring those people either to your home, or to your GP surgery,
or to your local community venue. I’m really excited because no one agency
and can do this on their own and, really importantly, we have a duty to collaborate,
We have a duty to work together and really, further develop those relationships with people
at the heart of everything we’re doing. And if we do that, we stand a really good
chance of delivering better outcomes for the people of Manchester. Better experiences and
really importantly, we’ll get rid of some of the duplication and we’ll make much better
use of the services across the system. So, I think in my experience for the first
time, working across hospitals and community services, this is the first time we’ve had
the opportunity to work in a much more integrated way, connecting teams in a much more integrated
way and make sure that conversations and support for families and carers and people and patients
are all much more joined-up in the system. And it’s for us to use that knowledge and
information to set out how we can improve services over the next 2-3 years.
Over the next 10 years, that plan has to take account of the requirement to improve public
health outcomes in Manchester, to improve daily living, to improve access to good advice
on health, nutrition, sport, exercise and things that we all know ultimately
enable better public health outcomes for the people of Manchester.
We are going to lead and challenge some of the ways in which services are delivered,
to improve them for the population of Manchester, working together and we have plans to do those
very much at a neighbourhood level. We have 12 identified neighbourhoods in Manchester.
We’ve developed neighbourhoods that will encompass around 9 or 10 GP practices across
the city, those neighbourhoods will come together and will support patients and individuals
with the greatest level of need, will improve the way in which they get access to care.
So mostly, individual people, patients, will access services in the way in which they do
now. Sitting behind that though, is a much more joined-up approach to how we plan your
care and how we deliver that care across the city.
The LCO in Manchester is seeking to support hospitals by speeding up the processes around
which patients leave hospital. We can look at patients’ requirements who
might not need hospital and can access directly care in the community, so we need to have
those interventions in place So we very much rely on the teams that already
exist, so one of the things we don’t want to do with this new way of working is to duplicate
anything that’s already there. We recognise we’ve got some very good teams and very
good services that work very well at the moment – it’s more around how that communication
is shared, so we very much link up with those teams in the hospital
a patient will tell me about the difficulty they’ve had getting a hospital appointment,
or a letter from the mental health trust, or accessing some piece of social care that
they need for themselves or it might be for their elderly relatives , or for someone else
in their family. And joining all these bits of the jigsaw takes a lot of time for GPs;
those areas where communication falls down or people don’t work together with one collective
aim – they’ll be improved by the local care organisation.
In my experience working as a physiotherapist, in both community and the hospital, you see
a lot of breakdown in communication from different services and it always affects the person
and they always end up being the one coming out worse from it, so improving communication
and improving that continuity of care from hospital to home is absolutely vital and to
see it happening makes me really proud. Helping people stay independent, in their
own homes, and be connected to local support and community groups
Shifting the focus of care away from hospitals and into our communities
I think we’re on a journey in Manchester, about changing the way we think about public
services. We know that for peoples’ health and wellbeing, staying at home, close to family
and friends, when they need care or support, is the best thing for them, and that really
people should only be going in to hospital, or residential came or nursing care, if that
is the only option. So what we’re trying to build at neighbourhood
level are a range of different options that people can choose from and we want to support
that by giving people some personalised budgets, so some money they can use, to buy that for
themselves, and to have the power to change their own lives, as opposed to a service model
that just looks at the difficulties that people are having.
coming to a door near you soon, will be a neighbourhood partnership that you can get
involved in, either by being involved in an annual planning event for your neighbourhood,
or working with people who do provide services in that area, by having a new kind of conversation
about what’s important to you, about what will make a real difference in your life,
about what’s working well in your community that you think there should be some more of,
or where you think there’s something that you really need that isn’t there and how
you might be able to work with other people to make it happen.
There’s absolutely a clear model developing with our colleagues in the voluntary, community
services sector around how we connect people who live in neighbourhoods to help and support.
At the moment it can be really difficult, even for professionals in the health and social
care system to navigate, for relatives for example, we aim to make that much simpler
in the City of Manchester. Through access to public buildings, information,
websites… a better description of how we’ve joined up our services across the whole.
The things that influence people’s health and keep them healthy – a big part of that
is about having really good health and care services and medicines and nurses and doctors,
and they’re really important – but what has even more of an influence are eating healthily,
having family, friends and being connected in your community, having green spaces that
you can enjoy being active in and going for walks and running.
Having a safe, warm house that’s secure – those are the kind of things that really
keep us healthy and well. But for health and social care organisations to have an influence
on those things, we need to work with housing associations, and the people that run the
transport and the voluntary and community groups in our neighbourhoods that run all
sorts of different activities and things that can help people make friends and keep well
in their communities. Where the LCO can really make a difference
is facilitating those connections and those relationships and especially, within those
neighbourhoods, providing the spaces for people to get together and build relationships and
have conversations. and once we start bringing people together
in a neighbourhood with a focus on what’s going to keep us healthy, lots of creative
solutions are going to emerge, that we wouldn’t have thought about if the LCO hadn’t been
there. We believe that, by working together, we can
help the people of Manchester to: Have equal access to health and social care
services Receive safe effective and compassionate care,
closer to their homes Live healthy, independent, fulfilling lives
Be part of dynamic, thriving and supportive communities
Have the same opportunities and life chances – no matter where they’re born or live.
What I believe is that, through enabling lots of people to talk about what they need; through
capturing a real diversity of voice and of people’s preferences and experiences, we
can really build something that is really incredible.
Leading local care, improving lives in Manchester, with you