Salford Primary Care Trust – your leader for health IN Salford Salford Primary Care Trust 5-year Strategic Plan 2009 – 2014 Briefing to the Salford Strategic Partnership Executive

NHS leader in Salford Commissioner Key partner Community services provider Performance history Salford Primary Care Trust

Some facts Serves a population of c.232,000 In 2007/08 will spend more than £320m commissioning and providing services Already commissions from a range of providers, from Third Sector organisations to specialist hospitals Is one of two teaching PCTs in NHS North West Many more specialist services are jointly commissioned Rated ‘Excellent’ for Use of Resources and ‘Good’ for Quality of Services in the 2006/07 Annual Health Check – the highest rated PCT in the North West Currently compliant with the December week target Strong financial history

And trends… Emphasis shifting to managing health and wellbeing, rather than delivering illness services Supporting more preventative services and providing care closer to home Striving to achieve ‘World Class Commissioning’

Context National: World class commissioning assurance NHS investment NHS Operating Framework Next Stage Review Local: Existing partnerships, strategies and plans Salford’s health indicators Healthier Horizons

Salford PCT’s Strategic Plan 3-5 year planning document Articulates vision, aims, objectives, etc. Public, stakeholder and provider engagement Required by October 2008, finalised 2009

Strategy development Understanding health needs – to support needs-led investment Scenario planning Programme budgeting Partnership working Stakeholder engagement

Vision and Aims Vision: That the people of Salford will live longer, healthier lives supported by a world class health system Aim: To deliver improvement in health and well-being for all in Salford Aim: To optimise the delivery of quality healthcare in the most appropriate setting Aim: to commission services to world class standards

The Life Expectancy gap between Salford and the rest of England & Wales is just that – 3 years Life Expectancy Shortfall on E&W average Life Expectancy Shortfall on E&W average Men Women

Salford’s disease table Salford ’ s ill-health (2006) DiseaseNumber of DeathsAbove England & Wales rate Heart Disease & Stroke84735% Cancer64726% Respiratory Disease36715% Digestive Diseases1466% Accidents733% Mental & Behavioural Disorders 693%

And the main causes are….. The “Lifestyle” Issues Smoking Alcohol Obesity

Smoking 550 deaths a year 30% of adults smoke Over 2,500 smokers need hospital treatment each year Costs more than £3m/year Cost to industry of smoking related ill health £9m Total Cost to Salford £53M

Alcohol One of worst performing areas in the country 6th highest rate of alcohol-related hospital admissions 40,400 people drink more than daily guideline 13,200 experiencing harm to health 4,200 dependent drinkers

Obesity 39,000 obese adults 68,000 overweight 5,500 Obese Children 5,700 Overweight Cost to local economy about £10m/yr Links to Heart Disease, Cancer, Diabetes etc

Mental health – a silent problem More mentally ill people drawing incapacity benefits than unemployed people on Jobseeker’s Allowance Nearly 1 in 10 people in Salford being treated for depression Anxiety and depression a big issue for elderly people Dementia and an ageing population

GoalOutcome Measure To reduce health inequalitiesHealth Inequalities To increase life expectancyLife Expectancy To reduce the rate of teenage pregnancyUnder 18 conception rate* To reduce the number of people who smoke Smoking quitters To reduce the risk from hypertensionHypertension prevalence Reduce deaths from cancerCancer mortality rate To utilise patient experience in commissioning decisions Self reported experience of patients and users To reduce the impact of alcohol-related harm Rate of hospital admissions per 100,000 for alcohol related harm* To reduce the social and economic impact of mental health problems Out of work due to Mental Health problems To reduce obesity in all agesObesity

Next Steps and priorities Build on existing partnerships and strategic plans, e.g. LAA New approaches, underpinned by World Class Commissioning Identify initiatives Scope, scale and likely impact Implementation Plan