1. Safely reducing costs in unscheduled care Alan Campbell Director of Strategic Commissioning / Interim Deputy Chief Executive Your leader for health IN Salford

3. Growth in emergency activity

4. Salford information

6. The challenge Your leader for health IN Salford The status quo is not an option’ …….. what we are currently planning…… how we are currently operating is not sustainable

7. What won’t work Growth in supply side solutions are yesterday’s solutions – they are morally and economically unaffordable in the future

8. Solution - partnership Integrated care / urgent care partnership – NHS Salford – Practice Based Commissioning Consortium – Salford Community Health – Salford GPs (as service providers) – Salford Royal Foundation Trust Other partners - NW Ambulance Service, Salford City Council, Greater Manchester West Foundation Trust

9. Solution – service delivery Joint project board Service redesign New payment model with clear incentives / disincentives Discussion with the public Relevant financial arrangements

10. Current projects Urgent Care Centre, Trauma and Resus (A&E triage, A&E assessment and rationalise access) Optimising services and pathways (Frequent flyers, frail patients, end of life care) GP access Chronic disease management “Patient education”

11. Action to date Clinical engagement event (Oct 09) Partnership Board established (Nov 09) Sub groups established (Jan 10) Patient insight work commissioned (March 10) Clinical design event (March 10) Engagement event (April 10) Clinical design event (May 10) OSC discussion (today) Consultation and ongoing engagement (July - Sept 10)

12. Thank you for listening Any comments or questions Alan Campbell Director of Strategic Commissioning / Interim Deputy Chief Executive alan.campbell@salford.nhs.uklan.campbell@salford.nhs.uk 0161 212 4840 Your leader for health IN Salford