FOI 2025/1532

Please could you provide me with the following information under the Freedom of Information Act 2000

1. The ICB’s total spend on the following areas of care for each of the financial years 2022/23, 2023/24 and 2024/5

1. Hospice care (for both children and adults)
2. Community Health services – District Nursing
3. Community Health services – Children’s Health Services
4. Community Health services – Community Speech and Language Therapy
5. Community Health services – Falls prevention services
6. Community Health services – School health services
7. Community Health services – Sexual Health services

2. The ICB’s Budgetedspend on the following areas of care for the financial year 2025/6

1. Hospice care (for both children and adults)
2. Community Health services – District Nursing
3. Community Health services – Children’s Health Services
4. Community Health services – Community Speech and Language Therapy
5. Community Health services – School health services
6. Community Health services – Sexual Health services

NHS Greater Manchester ICB (NHS GM) was formed on 1^st July 2022 following the merger of the 10 former NHS Clinical Commissioning Groups (CCGs) in Greater Manchester, in addition to Greater Manchester Health and Social Care Partnership (GMHSCP, previously hosted by NHS England) and Greater Manchester Shared Services (GMSS, previously hosted by the Northern Care Alliance NHS Foundation Trust). The ten former CCGs were NHS Bolton CCG, NHS Bury CCG, NHS Heywood, Middleton & Rochdale CCG, NHS Manchester CCG, NHS Oldham CCG, NHS Salford CCG, NHS Stockport CCG, NHS Tameside and Glossop CCG, NHS Trafford CCG and NHS Wigan Borough CCG. Commissioning responsibility for the ten former CCGs transferred to NHS GM effective 1^st July 2022, with the exception of patients registered with a Glossop based GP, for whom commissioning responsibility transferred to NHS Derby and Derbyshire ICB instead. Therefore, as the period 2022/23 covers the final 3 months of the CCGs, plus the first 9 months of NHS GM, it should be noted that data for this year consists of 3 months which contains costs in respect of Glossop patients, and 9 months in which the costs of Glossop patients are not included.

The majority of Community Health services are delivered through block contracts with the NHS Foundation Trusts in Greater Manchester. These block contracts do not allow NHS GM to separately identify specific services within the blocks, which would typically relate to items b-g within your request. Such information may be available from the NHS Foundation Trusts themselves. These FT providers of Community health services within Greater Manchester are:

• Bolton NHS Foundation Trust – Freedom of information – Bolton NHS FT (boltonft.nhs.uk)
• Northern Care Alliance NHS Foundation Trust – Freedom of Information Requests :: Northern Care Alliance
• Manchester University NHS Foundation Trust – Freedom of Information – Manchester University NHS Foundation Trust (mft.nhs.uk)
• Stockport NHS Foundation Trust – Freedom of Information – Stockport NHS Foundation Trust
• Tameside and Glossop Integrated Care NHS Foundation Trust – Freedom of Information Requests :: Tameside and Glossop Integrated Care (tamesideandglossopicft.nhs.uk)
• Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust – WWL Teaching Hospitals NHS Foundation Trust | FOI Disclosure Log

Data has been presented in the tables below.

The total NHS GM expenditure in respect of Community services has been included, however, elements of this are not able to be allocated to the categories included within the question. For example, Neurorehabilitation contracts, reablement contracts and audiology expenditure (amongst others) are considered by NHS GM to be Community expenditure but cannot be allocated against the expenditure lines included in your request. In these instances, NHS GM has included these as a reconciling category, in the table below:

1.

Expenditure recorded in the above table reflects only items classified on the NHS GM (and 10 CCGs before that) ledgers in line with how those organisations classified the expenditure. This is only a proportion of the total spend for each organisation (e.g. it excludes acute spend, primary care spend amongst others) and there may be classification differences between organisations and between years that results in different values being presented year on year, most notably between 2022/23 and 2023/24, following the merger of the CCGs into NHS GM.

2. Budgets included in the table below are those as reported as at the end of November 2025 for the 2025/26 financial year.

Note, during the 205/26 financial year, NHS GM implemented a new Financial Ledger system which enabled a greater proportion of non-trust expenditure (and budgets) to be categorised against the Childrens Health Services category. This spend was not previously reported under a Childrens Health category by NHS GM, and was instead included within wider Community expenditure.