1. Health and Well Being in Salford Melanie Sirotkin Director of Public Health

2. Main features of the year Keeping the show on the road Preparing for the health gain/Make Every Contact Count programme Programmes to tackle early diagnosis/cancer prevention – “Don’t be a cancer chancer” etc Infant feeding strategy launched Mental well being strategy in development New Pathfinder health and well being board in place to be supported by an Integrated Commissioning Board A background of major change Health and Social Care Bill – paused and reviewed by the Future Forum Major restructure of the NHS – development of NHS Greater Manchester (the cluster) GP Consortium prepares to become an authorised clinical commissioning group – Hundreds Health Salford Public sector reform programme – supporting integrated working including development plans for an Integrated Commissioning Hub Think Local Act Personal - further roll out of personalisation in social care

3. How do we compare with our neighbours within AGMA and other similar authorities? Performing well on – life expectancy, immunisations and vaccinations, smoking quits –Life expectancy gap is narrowing – on target –Smoking performance is on track –Healthy weight – 9.8% of 4-5 year olds are obese – but this doubles by year 6 More to do on: alcohol admissions, vascular screening programmes, bowel cancer screening roll out –Infant feeding – off track on breastfeeding initiation and 6-8 weeks –Alcohol – narrowly missed 2010-2011 target – considering relationship between availability and consumption –Teenage conceptions – down but still a challenge

4. What are the issues and risks?

5. Underlying challenges Poverty Ageing population work transport Leading cultural change as much as system change crimeParenting

6. What about the future? Joint Strategic Needs Assessment approved and local neighbourhood profiles in place Using more asset based approach in future JSNAs Confirming health and well being priorities and a Joint strategy for Health and Well Being Roll out of Making Every Contact Count programme, continuation of lifestyle programmes Launch of Way to Well Being portal City Council leading for public health within an integrated commissioning hub