salford primary care trust – your leader for health in salford salford primary care trust 5-year...
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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%
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