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Devolving health and social care: learning from Greater Manchester

What did we do?

We worked to evaluate and understand health and social care devolution in Greater Manchester.


Why was it important?

In February 2015, Greater Manchester secured a ground-breaking deal with the Treasury to take control of the £6 billion currently spent on health and social care for the 2.8 million people of Greater Manchester. The health and social care devolution agreement, commonly described as ‘Devo Manc’, sets out plans for devolving control over health and social care decision-making and funding, bringing together all the local authorities and clinical commissioning groups of Greater Manchester.

This work was co-designed with key local and national stakeholders to contribute to the development and evaluation of Greater Manchester Health and Social Care devolution, and to support the sharing of learning, both regionally and nationally.


How did we do it?

 Phase One (October 2015- March 2018)

Using a range of quantitative and qualitative methods, we explored questions related to three broad topics:

  • Mapping plans for improvements in the way services are delivered. The team identified key initiatives in Greater Manchester looking to improve services and analyse them. They understood what the initiatives entail, how they plan to meet their goals, and set out how their progress can be measured.

  • Understanding policy development and the policy process. As devolution was implemented in Greater Manchester the project team built understanding of how local leaders achieve it, and what they expect from the process.

  • Describing and analysing governance, accountability, and organisational forms – understanding how they change as part of devolution, and the costs associated with making changes.


Phase Two (October 2017- March 2019)

Using quantitative methods, work in this phase focussed on estimating the impact of devolution on the outcomes contained in the GM Partnership’s plans relating to demand, utilisation, and expenditure on services and those on care user and carer quality of life and their satisfaction with care and support.


Who did we work with?

The Health Foundation and the Greater Manchester Health and Social Care Partnership.


More information

More information about this work is available in the associated briefing document or by downloading the briefing on our interim findings.


For any other queries related to this work, please contact Mike Spence, Programme Manager