Our Vision

Greater Manchester is on the journey to become an Adverse Childhood Experiences (ACE) aware and trauma-responsive system.


The Greater Manchester Combined Authority (GMCA) and GM Reform Board, VRU and ICB aim to promote a shared understanding of the concept of trauma-responsive care.


Building upon the widespread work of researchers, practitioners, policymakers, and people with lived experience in the field.

Join the Movement for Trauma‑Responsive Practice.


Access the Framework and be part of transforming services across Greater Manchester.


The ACE & Trauma Responsive Framework supports Greater Manchester to become a place where people feel safe, understood and able to thrive.


The Framework invites everyone to get involved, learn, collaborate and help shape a trauma‑responsive Greater Manchester where understanding adversity and responding with compassion becomes part of everyday practice.

Download

Our Principles


Safety


By increasing awareness and understanding ACEs, trauma and their impact, and, cultural competence we can create safe interactions and nurture safe and healing relationships.


Trust


We trust that individuals are the experts on their experience and we support in ways that provide choice, open opportunities for control, and promote autonomy.


Collaboration


Through our efforts we promote individual choice and control, we share power and governance.


Empowerment


Integrating care into all our interactions and efforts we acknowledge that healing and recovery is possible.

Our Approach

For trauma and childhood adversity, we will adopt and adapt the WHO definition of a public health approach to violence prevention: 


  • Define the problem through systematic collection of information about the magnitude, scope, characteristics and consequences of ACEs and trauma and acknowledge that trauma and ACEs exist. 


  • Establish why ACEs and trauma occur using research to determine the causes and correlates of 


  • ACEs and trauma, the factors that increase or decrease the risk for such adversity, and the factors that could be modified through interventions. 


  • Find out what works across Greater Manchester to prevent ACEs and trauma by designing, implementing and evaluating interventions.


  • Implement effective and promising interventions in a wide range of settings. The effects of these interventions on risk factors and the target outcome should be monitored, and their impact and cost-effectiveness should be evaluated.

Our Principles


Safety


By increasing awareness and understanding ACEs, trauma and their impact, and, cultural competence we can create safe interactions and nurture safe and healing relationships.


Trust


We trust that individuals are the experts on their experience and we support in ways that provide choice, open opportunities for control, and promote autonomy.


Collaboration


Through our efforts we promote individual choice and control, we share power and governance.


Empowerment


Integrating care into all our interactions and efforts we acknowledge that healing and recovery is possible.

Our Objectives

To nurture learning and development, together, in order to develop community led responses with strategic support.

Communication & Engagement

Developing a Greater Manchester language and a set of trauma responsive values, principles and standards to create the right environment.

Workforce Development

Building understanding and capacity across services and the systems. 

Evidence Informed Innovation

Understanding what works in practice through mapping and understand the system, and review best practice.

Service User Involvement

Create a social movement across Greater Manchester to engage communities in understanding and co-production of trauma responsive systems.

Service Development

Support for improving policy and practice to change culture.

Neighbourhood and Community

Improving community resilience and creating a social movement for change.

Our Progress

Evaluation of the ACES & Trauma Responsive Greater

Manchester Programme. Final Report: Phase 1

The Public Health Institute (PHI), Liverpool John Moores University (LJMU) was commissioned to undertake a whole systems evaluation to explore and evidence the implementation and impact of phase 1 of the ACES & Trauma Responsive GM Programme (June 2022-December 2023).


The mixed methods evaluation utilises a whole systems approach to evaluation and incorporates three distinct work packages:


  • Formative evaluation
  • Summative evaluation
  • Development of a system focused outcomes framework.


This report details the key findings from the evaluation of the ACES & Trauma

Responsive GM Programme.