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NHS GM Structures

Our staff are our greatest asset.

They have the opportunity to contribute to improving every part of health and care and wider public services across Greater Manchester – from giving children the best start in life; to preventing illness and tackling inequalities; to supporting people with health problems into work; to providing the highest quality clinical care; and to ageing well.

In December 2022, the Secretary of State for Health and Social Care, Rt Hon Steve Barclay MP, wrote to all integrated care board (ICB) chairs and chief officers asking that they publish an organogram, including the breakdown of staffing numbers and costs, by Friday 6 January 2023.

An organogram for NHS GM has been published which you’ll find in the links below. As we continue to develop as a new organisation and the models for each function within NHS GM are confirmed through our complex transformation programme our organogram will change considerably.

Our organisation

On 1st July 2022, 11 organisations plus 2 other hosted groups of staff came together to form NHS GM:

  • 10 Clinical Commissioning Groups,
  • Greater Manchester Shared Services,
  • Greater Manchester Health and Social Care Partnership
  • Greater Manchester Joint Commissioning Team

Overall, 1,653 whole time equivalent (WTE) employees transferred into the new organisation.

This includes approximately 330 staff transferred from GM Shared Services, an organisation which evolved following the close down of North West Commissioning support Unit in 2016 and which provides significant corporate support to GM. In other ICBs these services are bought in, so these roles and costs will not feature in most.

Since July 2022, we have been reviewing and restructuring the teams to make sure that we are set up to deliver our statutory responsibilities and strategy in the most efficient and effective way possible.

This work takes time and it is ongoing.

Progress so far includes:

  • All the board members and executive team are appointed, including 10 place leads in the GM’s ten boroughs and cities.
  • We have reviewed and redesigned the senior leadership structure.
  • There has been a full review of all our functions and teams, with proposed new models and ways of working being developed.
  • The workforce consultation, engagement and organisational change arrangements have been agreed and are in place.
  • Each of the ten places have had their financial allocations provided with target efficiencies.
  • We have opened a Mutually Agreed Resignation Scheme (MARS) which will lead to initial cost savings in our workforce.  Staff who have their application for MARS approved will leave us on 31st March 2023.
  • Currently, there is a pause on all recruitment other than business critical roles.

Immediate cost savings of £8m were achieved through the reduction in organisational costs in July 2022. We currently have 1,581 WTE staff at a cost of £73.3m. The intention is to complete the transition programme in July 2023.

Executive Structure

Our executive structure is currently being updated and will be published here again soon.

Staff Numbers and Costs

Click on the link below to view how many staff came from each organisation, what Agenda for Change grade they are at and the associated costs.

Read more

Notes on the data above:

  1. The data was extracted from Electronic Staff Record (ESR) on 30th November 2022.
  2. The transition programme in NHS GM is complex due to the number of organisations coming together. The majority of NHS GM staff are currently recorded in ESR against their previous employer as we have not yet implemented new structures. This means, other than the senior leadership which has been restructured and recruited, we can only show an organogram based on the proposed functional arrangements under the GM executives and people’s positions on July 1, 2022. The final organogram will be complete when the transition programme finishes in July 2023.
  3. To ensure accurate and evidence-based information, staff are summarised by WTE and total cost in the NHS GM organogram.
  4. To support the request for information on staff bandings, leadership roles are shown by WTE for Band 8a and above. Operational and business support staff (Bands 7 and below) are also summarised.
  5. GM NHS England (NHSE) and Strategic Clinical Strategic Network staff are excluded as they are NHSE employees.
  6. Vacancies, and staff on external secondments and career breaks are excluded. Those seconded in to NHS GM are included.
  7. We have used WTE rather than headcount as salary cost is also for WTE. ESR does not include on-costs so we have not included this.
  8. Employees were transferred in to NHS GM on a “lift and shift” basis in accordance with the national employment commitment.
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