Services in the community

The Local Care Organisation

The way we plan to deliver services in the community is through a partnership called a Local Care Organisation (LCO). This is a way of bringing community health, adult social care, mental health and primary care services together.

Its main aim will be to keep people healthy in their own homes and out of hospital as much as possible. It will do this through 12 neighbourhood teams, led by GPs and covering the whole of the city of Manchester.

It will also concentrate on developing a service that focuses on those people most at need, to prevent hospital admissions and reduce any delays in care.

It will be contracted to provide all out of hospital and urgent care services in Manchester.

Neighbourhood teams

Illustration of Community servicesThis new model of working is called One Team because experts from different professions will all be working together to help patients.

In total, there will be 12 of neighbourhood teams across the city made up of health, primary care and social care professionals based in the community.

The teams will be led by the 91 GP practices across the city and will include mental health nurses, social care workers, physiotherapists, occupational therapists, optometrists, pharmacists and voluntary, community and social enterprise organisations. Where possible these teams will work together in hubs.

Key parts of the LCO

There are four main parts to the Manchester LCO:

  • Neighbourhood teams. These 12 integrated neighbourhood teams, led by GPs and containing a whole range of health and social care professionals. These teams have already started to go live and will be fully established across the city by March 2017.
  • A centralised system – which will link the city’s GPs, neighbourhood teams and citywide clinics. This system is designed to avoid unnecessary hospital admissions by having a greater focus on keeping well in the community. It will also help to prevent delays for those people who are waiting to be discharged from hospital.
  • Single points of contact for adults and children’s service – which can be used by both the public and professionals to manage demand and help with the flow of patients through the system.
  • Greater use of digital services – so that information and records can be shared across the system quickly and efficiently (see more in the Care Records section following).

Priority patient groups

In particular, the LCO will work with these priority groups:

  • Frail older people
  • Children and young people
  • Adults with complex lives
  • People with long-term conditions or at the end of their lives
  • People with mental health issues, dementia or learning disability

These groups currently represent 14% of the people who live here – almost 93,000 people. These patients also represent 44% of hospital care and 95% of residential and nursing care.

Patient benefits

The LCO will improve health while keeping local people independent and able to take more control of their own conditions. Patient experience will be better as there will be simpler to access services, more joined up care and better use of resources. It will:

  • Reduce the length of stay in a hospital bed
  • Reduce the number of A&E admissions for people whose conditions have got to crisis point
  • Reduce duplication in the system and make it easier for patients to navigate
  • Reduce the number of people being admitted into residential and nursing homes because more suitable settings in the community could be used
  • Focus on preventative approaches to help people manage existing conditions
  • Help those who are nearing the end of their lives to have more chance to die where they want to.