Bottom up, top down, middle out: transforming health and care in Greater Manchester

Bottom up, top down, middle out: transforming health and care in Greater Manchester In April 2016, control of Greater Manchester’s £6 billion combined health and social care budget was handed over to local leaders as part of the first devolution deal of its kind. Since then, local NHS and local government leaders, clinicians and wider partners have been working together to develop services suited to the needs of the 2.8 million people who live in Greater Manchester. The King's Fund