Table 2

Sample summary Greater Manchester (GM)

Background and descriptionOverarching goalsGovernance structureFinancial systemKey stakeholders
(1) GM area (largely urban setting)
– One of the biggest United Kingdom economies
– High long-term unemployment rates
– Public sector deficit of circa £5m yearly
– Significant health disparity rates
(2) Initiators: local authorities, National Health Service providers, health and social care commissioners
(3) GM MoU* was signed in 2015 by all GM local authorities, Clinical Commissioning Groups and National Health Service England and set out the overarching vision, ambitions and processes for collaborative working between statutory services (e.g. National Health Service and social care providers), the voluntary community and social enterprise sector and wider public sector organizations like the police
  1. Decentralization through the devolution of powers and funds from central government down to Greater Manchester by 2020–2021

  2. GM taking control of circa £6bn yearly budget thereby reducing the yearly budget deficit

  3. Greatest possible improvement to Manchester's health and well-being

  1. GM-level structures: GM governance and management structure, including the GM Combined Authority and the GM Health and Social Care Partnership

  2. Locality-level: Each locality is establishing governance structures by implementing, e.g. single leadership structures, single commissioning structures at locality-level

  1. United Kingdom health system is based on the Beveridge model and is primarily financed through taxation

  2. Currently separate health and care budgets

  1. GM Local Authorities

  2. Health and social care commissioners

  3. Public sector organisations

  4. National regulators and assurance bodies

Note(s): MoU: memorandum of understanding

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