Salford Primary Care Trust – your leader for health IN Salford

Friday 12th December 2008

Salford Primary Care Trust Strategic Plan

Overview and Scrutiny Committee

Leading the NHS in Salford

Commissioner of services

Partnerships

Community services provider

Review of the context for the Strategic Plan

The Strategic Plan

3-5 year planning document

Articulates vision, aims, objectives, etc.

Identifies priority areas for attention and

investment

PCT progress on priorities will be

assessed.

Strategy development

Understanding health needs – to

support needs-led investment

Review current investments

Anticipating availability of resources

Implementation Plan over next 5

years

An Introduction to health In Salford

There's a lot of variation in health….

Between Salford and rest of England &

Wales: Salford

Deaths from Liver Disease

(Women)

Salford

And within Salford – eg local deaths

Health is closely linked to poverty

What memorable things have happened to you in the last three years?

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

How many memorable things are people missing for their 3 lost years?

And now the good news:

People in Salford are already living longer

And they will continue to live longer in the future

BUT

They may have additional years of ill health NOT good health

The Premier League of ill health in Salford

Salford Premier League for Health (2006)Disease Number of Deaths Above E&W 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

People can make a choice to change their Lifestyle

BUT

The environment needs to support the choice

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

How to tackle these health issues?

Identify initiatives Scope Scale Likely impact

Plan implementation Direct resources

Current position

Strategic Plan remains as ‘final draft’ World Class Commissioning

assurance panel held Awaiting confirmation of the PCT’s

financial allocation and affordability Initiatives developing Business Cases

for proposed investment

Question: In which service area would you

want to invest more money?

Coronary Heart Disease services – out-

patient services and in-patient interventions.

Diagnostic services – more capacity.

Smoking cessation support.

Exercise 1

Question: From which service area would

you want to disinvest?

Coronary Heart Disease services – out-

patient and in-patient services.

Diagnostic services – more capacity.

Smoking cessation support.

Exercise 2

Question: From which service area would

you want to disinvest?

Coronary Heart Disease services – out-

patient and in-patient services.

Diagnostic services – more capacity.

Smoking cessation support.

Exercise 2