Health issues and priorities

1. Health issues and priorities Gary Raphael Director of Finance IHiM Conference

2. 76.9 England 72.5 Manchester Male life expectancy (years) IHiM Conference

3. Least deprived wards 296 Most deprived wards 461 Inequalities within Manchester– mortality rates per 100,000 IHiM Conference

4. 1.0 England 1.37 Manchester Long-term limiting illness IHiM Conference

5. National NHS Priorities • Max 18 weeks from referral to treatment • MRSA and C. Difficile – cleaner hospitals • Extended opening times for primary care • A&E waiting time < 4 hours • Community services to be commissioned • Clinical quality/better patient experience • More choice for patients in secondary and primary sectors IHiM Conference

6. PCT leadership issues • Develop robust and effective partnerships • Reduce health inequalities within 2 years • Tackle discrimination in all its forms • Care closer to home • Commission primary care services • Commission for quality • Support Practice based commissioning • Lead strategic change programmes, for instance, ‘Making it Better’ IHiM Conference

7. Resource picture • Stabilise or reduce percentage spending on acute hospital treatment • Reductions in urgent hospital admissions, to enable more elective operations, to reduce waiting times • Increase spending on staying healthy initiatives • Increase spending on primary care • Increase spending on community services • Improve mental health services/achieve better value for money • Increase spending on continuing care IHiM Conference

8. Conclusion • Early indications of how the agenda is shaping-up • Transparency – say what we think so it can be questioned and influenced • PCT has signalled its role • Director of PH will explain the specifics • Management of expectations, what is realistic? IHiM Conference