Who we are

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Manchester Local Care Organisation is a pioneering new type of public sector organisation that is bringing together NHS community health and mental health services, primary care and social care services in Manchester. We’re here to improve the health of local people in the city, working as one team across traditional organisational boundaries.


MLCO was formed on 1 April 2018. We are part of the public sector and a partnership organisation powered by Manchester University NHS Foundation Trust, Greater Manchester Mental Health, Manchester City Council, Manchester Health & Care Commissioning and the Manchester Primary Care Partnership.

We are a pioneering new type of organisation bringing together the teams from these organisations that provide community-based care (also known as out of hospital care) in the city in a new way. Over 2,700 staff from Manchester’s adult and children's NHS community teams and adult social care teams have now been deployed to MLCO. They include nurses, social workers, health visitors, therapists, support staff and many other health and care professionals.

These teams are now working together as part of one single organisation for the first time. You shouldn’t notice any difference in how you access the services, but behind the scenes changes are happening to ensure that they are the best they can be and that care is better coordinated around your needs. This includes the development of a range of new ways of working in the community using the latest evidence and technology. There are plans to deploy further teams to MLCO over the coming years.


What we are doing - our mission

Our mission statement is leading local care, improving lives in Manchester, with you. We think that sums up what we want to do and how we want to do that by working with local people. In simple terms, there are two main things that MLCO has been set up to do:

  • Make a positive contribution to help people in Manchester live longer and enjoy better health than many do now

  • To improve community and neighbourhood care for people in the city.

So whilst we manage your community health and care services, we are here to do much more that by ensuring that we work in new ways and do things differently in the city.

Where we want to be - our vision

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.

Four key ways we are working

To do what we need to do, there is a focus on four clear ways of working which guide how we work and how we structure our services. These are:

  1. Promoting healthy living - helping people to stay well through prevention, supporting them to lead healthier lives and tackling health issues before they escalate

  2. Building on vibrant communities - using all the resources available in the wider communities people live in and identify with in a true neighbourhood approach, improving population health and wellbeing.

  3. Keeping people well in the community - helping people who have existing health needs and complex health issues to stay as well as possible in their homes through 12 integrated neighbourhood based teams and citywide services.

  4. Supporting people in and out of hospital - ensuring community-based care helps people to avoid unnecessary hospital admissions; or to discharge them from hospital care, quickly and safely, as soon as they are ready if they do need time in hospital.

By working as one team for the first time, under the single MLCO management structure, we have the opportunity to do these things better than we have ever been able to do before in Manchester.

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What we want to do is ambitious, but necessary. Manchester has poor health outcomes compared to the national average. Making it work will make huge difference to health and wellbeing in the city.


What do we aim to achieve in our first year?

There are a wide range of activities that we plan to deliver in our first year which include welcoming our teams to MLCO and making the transition as smooth as possible. We will also make progress on programmes to improve care such as improving seven-day access to services and rolling out High Impact Primary Care, falls prevention, reablement and Home From Hospital (which helps people who may need extra support after a hospital admission).

Our six key deliverables for 2018/2019 are to:

1.   Ensure a safe transition and a safe start

We will ensure that the services that transfer into MLCO from our partners are done so safely, and that delivery and quality of services is maintained for local people.

2. Improve lives through population health and primary care

MLCO is taking a whole population approach through our 12 neighbourhoods. During the year we will focus on making sure we function effectively in those neighbourhoods, understanding the needs of people in the communities we work in.

3. Redesign core services

MLCO delivers services across neighbourhoods, localities and city-wide. We will continue the work to further improve existing services and ensure new models of care are developed and put in place.

4. Ensure financial sustainability

MLCO is a platform to drive system change and ensure health and social care in the city is sustainable. We will ensure that we deliver the anticipated financial benefits in our first year and also produce a longer term financial plan.

5. Create our organisational strategy

MLCO has brought staff together from a range of organisations to work collectively to deliver services on behalf of the people of Manchester. We will create an organisation that staff, residents and stakeholders are proud to be associated with.

6. Prepare for 2019/20 and beyond

More services will transfer to MLCO over the coming years. We will focus on a number of critical tasks to embed the operational structures needed to realise the benefits of integrated working and ensure we are ready for this growth.