1. Bringing Services Closer to Communities: Developing an Intermediate Tier of Services Kate Lucy – Director of Development Salford Primary Care Trust

2. About Salford About our motivation for reform Focus on new intermediate tier Working with communities Intended and unintended consequences

4. Motivation for Reform Belief that we cant carry on as we are in Salford City Council commitment MAST LIFT breadth of vision Perception of Salford and partner ambition Strategic Health Authority rigour Financial stability

8. Key Enablers LIFT Community Plan Tier 2 Resources Childrens Trust Pilot Practitioners With a Special Interest Local Democracy

9. The Role of LIFT A procurement route for community based facilities Facilities for functions which can be provided away from hospital Focus for integration of service Timetable!

10. Suggested Criteria for Integrated Working Works from the perspective of the customer Centres have corporate (local) identity Local community governance is in place Space is a resource – not territory All functions promote health and well being

11. LIFT Funded Capital Developments

12. Hope Hospital Ordsal Broughton & Blackfrairs Clinical Networks In Salford Little Hulton Irlam & Cadishead Swinton Minor Surgery & diagnostics Walkden Rehab & therapies Eccles Teaching, Learning& Research Pendleton Children& Young people LKAC

13. More About the Intermediate Tier Intermediate diagnostics Intermediate treatments Intermediate recovery

14. Intermediate Diagnostics Bottlenecks Access Procedures Interpreting PCT managed booking

15. Intermediate Treatments Assessing the scope Hospital or local? Minor surgery started Link to provision of urgent care

16. Intermediate Recovery Agreement to one system All ages Integrated workforce Beds and community provision and care packages Managed system being introduced

17. Working with Stakeholders Stakeholders are defined by their interest and may have more than one interest! Geographic Special interest Providing/consuming

18. Who are the Stakeholders – in Salford? Residents Consumers Providers (contracted and independent) Commissioners Private partners

19. Foci for Stakeholders Procurement/evaluation of private partner Service design Building design Commissioning Governance Management Delivery

20. Salfords Approach Establish locality arrangements Ensure standard process through central support Engage practitioners Develop clinical pathways Work on integration Explore what community ownership of privately owned facilities means

21. Key Products Modern hospital facilities Modern health and social care facilities New intermediate tier Regeneration of town centres

22. By Products Redesign not relocation Noise in the system Citizen engagement More than a maintenance agenda Direction New public service ethos