Salford Primary Care Trust – your leader for health IN Salford

Salford Primary Care Trust

5-year Strategic Plan2009 – 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 2008 18 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 AimsVision: 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

1995-7 2004-6

LifeExpectancy

Shortfall on E&Waverage

LifeExpectancy

Shortfall on E&Waverage

Men 71.6 3 74.2 3.1

Women 77.3 2.4 78.7 2.8

Salford’s disease table

Salford’s ill-health (2006)Disease Number of Deaths Above England &

Wales rate

Heart Disease & Stroke 847 35%

Cancer 647 26%

Respiratory Disease 367 15%

Digestive Diseases 146 6%

Accidents 73 3%

Mental & Behavioural Disorders

69 3%

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

Goal Outcome Measure

To reduce health inequalities Health Inequalities

To increase life expectancy Life Expectancy

To reduce the rate of teenage pregnancy Under 18 conception rate*

To reduce the number of people who smoke

Smoking quitters

To reduce the risk from hypertension Hypertension prevalence

Reduce deaths from cancer Cancer 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 ages Obesity

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