Achieving the Best Health for All

The Strategic Plan of Bradford and Airedale tPCT, 2008-2013

The strategic plan of Bradford and Airedale tPCT identifies the health inequalities faced by the district, current now and anticipated future priorities, to be addressed over the next five years. It sets out a comprehensive commissioning plan to tackle the key outcomes, including a review of potential providers. Below is summary of the strategy.

See also; Achieving the Best Health for All, Implications for the sector

Health Inequalities
The strategy identifies the health inequalities in the Bradford district, highlighting the most disadvantaged groups;

• Young people
• Ethnic Minorities inc. New Eastern European migrants
• Those living in areas of deprivation
• Those on low income
• Those in poor housing and in fuel poverty
• Older people aged 65+

Trends and future priorities
Population over 65 is forecast to increase over the next 20 years increasing the need for services to manage long term conditions and prevent admissions through self care agenda.

The local population under the age of 15 is set to increase by around a 5th over the next 20 years and will result in an increased demand on obstetric and paediatric services and opportunities to establish healthy behaviour in the young.

Anticipated growth in specific communities of migrants and asylum seekers will require an approach that is tailored to the differing language, cultural and health requirements of those communities.

Preventative Health Services and Addressing Health Inequalities
• All age, all causes of mortality by concentrating on the biggest killers
• Prevent uptake of smoking, increased physical activity and healthy diet particularly in the young to prevent cardiovascular disease
• Minimise the prevalence and impact of diabetes, with a focus on diabetes caused by obesity
• Early detection of cancer though equitable access to screening and treatment
• Empower and inform people, in particular young people, to practice safer sex. Address cultural barriers.
• Reducing obesity levels by commissioning weight loss programmes from the independent sector, developing a tiered model of obesity interventions, and social marketing initiatives
• Smocking cessation and prevention by increasing referrals to stop smoking services, making nicotine replacement therapy (NRI) available, and social marketing initiatives
• Expanding the range and volume of services available for dealing with alcohol misuse, developing a tired model of services including screening for alcohol misuse, brief interventions, community detoxification programmes, and rehabilitation programmes

Relationship with other Plans and Priorities, Bradford and Airedale tPCT:

Practice Based Commissioning (PbC) Priorities
Bradford has four PbC Alliances, each with a manager, consisting of GP practices within the geographical boundary of the alliance. Priorities reflecting the needs of their locality are identified by the clinicians.

• Airedale and Wharfedale PBC Alliance
10 practices + 2 independents. Population 93,000 + 11,000
• Yorkshire Primary Care Alliance
15 practices. Population 118,000
• Citycare Alliance
35 practices. Population 146,000
• South and West Commissioning Alliance
23 practices. Population 167,000

Existing targets from central government
• Achieving a maximum wait of 18 weeks from referral for hospital waiting times
• Achieving 24/48 hour targets for access to primary care professionals/GPs
• Achieving ambulance response time targets
• Performance against mental health access targets
• Patients who are offered choice and use the choose and book system (use is currently above national average)
• Access to substance misuse services which is currently excellent
• Reduction in mortality rates from cancer and cardiovascular disease (inc. smoking and obesity)
• Reduction in infant mortality rates (inc. breastfeeding and smoking during pregnancy)
• Providing effective sexual health services

Relationship with other Plans and Priorities, Local Strategic Partnership:

The Big Plan and Local Area Agreement
The Big Plan is the district’s Sustainable Community Strategy which all districts must have. It is the overarching plan for the district and sets out long term ambitions, and short term priorities with some indicative actions for how these will be achieved. Health is a chapter within the Big Plan. Many of the outcomes identified in the plan are similar to those in the tPCT strategy. To access the document see; http://www.bradford.gov.uk/government_politics_and_public_administration/local_government/bradford_district_partnership/what_is_the_big_plan.htm

The LAA is the way in which the district can measure progress towards achieving the Big Plan. It consists of 51 National Indicators which have specified targets to be achieved over the next 3 years. This package of indicators and targets is negotiated and agreed by the partners with central government.

Providers
Key providers currently of PCT services are identified and strength, weaknesses and opportunities as future providers has been assessed.

• GP practices
• General dental practitioners
• Bradford Teaching Hospitals NHS Foundation Trust
• Airedale NHS Trust
• Bradford District Care Trust
• Bradford and Airedale tPCT
• Care homes
• Ophthalmic practices
• Pharmacies
• Voluntary and Community Sector

This brief overview assesses each provider’s current position and suitability for delivering parts of the strategy. The voluntary sector is identified as having a key role in the provision of preventative community based health services.

Commissioning
The strategy briefly outlines the commissioning programme under the ten key delivery areas;

Maternity and newborn
Children
Staying healthy
Acute care
Planned care
Long term conditions
End of life care
Mental health
Learning disabilities
Primary and community care

Including what projects and outcomes they intend to commission, the lead officer and timescales. Check the prospectus for potential commissioning opportunities for your organisation.

For a free downloadable copy of Achieving the Best Health for All see;
http://www.bradford.nhs.uk/besthealthforall/Pages/default.aspx