NHS spending devolved in Greater Manchester Published duration 1 April 2016

media caption University of Manchester's guide to how health spending will work

Greater Manchester has become the first English region to gain control of its health spending.

From 1 April, the £6bn health and social care budget will be managed by councils and health groups as part of an extension of devolved powers.

The Greater Manchester Strategic Partnership will now make decisions on how to target specific health issues.

Integrating health and social care services will ease the pressure on hospitals, said the government.

The new partnership, chaired by Lord Peter Smith, comprises 37 organisations including hospital trusts, NHS England, the 10 borough councils and GP commissioners.

image caption Lord Peter Smith is hoping improved healthcare will see more people return to work in Greater Manchester

Lord Smith, who is leader of Wigan Council, said: "The big vision is about people and getting people's health in Greater Manchester better.

"We spend £6bn on health and social care but life expectancy in Greater Manchester is not as good as it should be.

"Lots of people suffer from long-term illness and we've got great ambition to do something about their health.

"But it's wider than health we want to do something for the economy.

media caption Mark Easton explains why Greater Manchester is "ditching the lanyards"

"A lot of people can't get into work because they have health problems, so if we can help them there will be more people getting back into work and we will have more wealth created in Manchester."

Politicians and NHS leaders in support of the move say it will enable them to reshape health and social care according to the needs of local people.

But it comes at a time of financial pressure as £2bn needs to be saved from the budget by 2020 due to cuts in government funding and increasing costs.

image caption Dr Zahid Chauhan is concerned about losing £2bn from the budget

Dr Zahid Chauhan, a GP in Failsworth, Oldham, raised questions about how that money will be saved.

He said: "My concerns with all this funding deficit and loss of £2bn is that we might struggle to achieve it and who will be responsible for that?

"Will it mean less doctors, appointments and operations? I don't know, but those are the questions that need to be answered."

New health aims for Greater Manchester

image copyright SPL