Salford Primary Care Trust

1

• Salford Primary Care Trust
• 5-year Strategic Plan
• 2009 2014
• Briefing to the
• Salford Strategic Partnership Executive

2
Salford Primary Care Trust

• NHS leader in Salford
• Commissioner
• Key partner
• Community services provider
• Performance history

3
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

4
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

5
Context

• National
• World class commissioning assurance
• NHS investment
• NHS Operating Framework
• Next Stage Review

• Local
• Existing partnerships, strategies and plans
• Salfords health indicators
• Healthier Horizons

6
Salford PCTs Strategic Plan

• 3-5 year planning document
• Articulates vision, aims, objectives, etc.
• Public, stakeholder and provider engagement
• Required by October 2008, finalised 2009

7
Strategy development

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

8
Vision and Aims
9
The Life Expectancy gap between Salford and the
rest of England Wales is just that 3 years
1995-7 1995-7 2004-6 2004-6
Life Expectancy Shortfall on EW average Life Expectancy Shortfall on EW average
Men 71.6 3 74.2 3.1
Women 77.3 2.4 78.7 2.8
10
Salfords disease table
Salfords ill-health (2006) Salfords ill-health (2006) Salfords ill-health (2006) Salfords 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
11
And the main causes are..

• The Lifestyle Issues
• Smoking
• Alcohol
• Obesity

12
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

13
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

14
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

15
Mental health a silent problem

• More mentally ill people drawing incapacity
  benefits than unemployed people on Jobseekers
  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

16
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
17
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