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, & Partnership What is the Bolton, Salford “The partnership is all & Wigan about NHS organisations Partnership? in Bolton, Salford, and Wigan working more closely together to make specific areas of hospital care the best they can be”

Why do we need it?

Shortage of clinical staff

Money to pay for health services is limited

Services are under increasing pressure with more people needing extra help and support to stay well.

We know 7 day services are safer, but can we run all services 24/7 at all our hospitals?

Our hospitals are performing well but we know they can do even better together! Our aims We want people in Bolton, Salford, and Wigan to have access to high quality hospital care that is…

• Consistently high quality - no postcode lottery! • Fit for the future in terms of money and workforce • Available around the clock, seven days a week • Provided as locally as possible • Part of a wider, joined up plan for Greater .

We plan to make our area a great place for health professionals to work and train so we get the best people - and they want to stay! We set our Partnership up To deliver Healthier Together

Healthier Together looked at how patients across could be offered the best care – focusing on general surgery, urgent and emergency care, medicine and radiology. Bolton, Salford This partnership is closely aligned to & Wigan ‘Theme 3’ work across Greater Manchester Partnership and is also considering how neighbouring hospitals can work better together to deliver; • Benign Urology • Breast services • Paediatrics • Elective Orthopaedics

The sector Partnership is also working to consider Dermatology services What is Dermatology?

Dermatology services diagnose, investigate, treat and manage skin disease, hair and nail complaints such as; ● skin cancer ● eczema ● psoriasis ● severe acne ● alopecia

How is dermatology currently delivered in our area?

Salford Royal is the dermatology specialist hospital for GM and also provides routine dermatology care for local residents.

Bolton Foundation Trust and Wrightington, Wigan and Leigh NHS Foundation Trust provide care for patients but may refer some people with more complex or specialist needs to Salford. What are the issues with dermatology?

• National shortage of 200+ consultant dermatologists

• and not enough people being trained to replace retiring staff

• Growing demand for dermatology services (20% rise year on year).

• Workforce issues regularly reported across Bolton, Salford and Wigan.

• Locally, already becoming reliant on locum doctors to cover gap (costly)

• Long waiting times Our future vision for dermatology is to ensure patients from Bolton Salford and Wigan have access to high quality, resilient dermatology services, delivered in modern buildings by skilled and happy staff.

How will we achieve this vision? By clinicians and officers from Bolton, Salford and Wigan working together in partnership with service users and other stakeholders to explore and develop potential options for improving the delivery of dermatology services. Where are we now? Engaging with stakeholders on the following six service delivery options ;

1. Do nothing 2. Decommission and recommission current services 3. Roll out a workforce strategy (with rota support) 4. Two site model 5. Hub and spoke model 6. Single site model Ensuring the people of Salford have a voice in shaping of our future dermatology service

We have already engaged with various Salford based engagement groups to ensure any suggested plans have been well thought through - including;

•Salford Equality Advisory Panel •Focus groups with dermatology service users (and wider stakeholders) •Bolton, Salford Wigan Partnership Equalities and Experience Reference Group (in partnership with Healthwatch Salford) •Salford CCG Patient Panel

*Similar engagement is also taking place across Bolton and Wigan* Proposed timeline

Further stakeholder engagement (June – July)

Scoring event to determine options to go to consultation (end of July)

Public Consultation (August – mid September)

Consultation results (end of September)

Development of Business Case (October)

*NB – Public Consultation is being led by Salford CCG on behalf of the Bolton, Salford, Wigan Partnership.*

We will continue to work together for the benefit of the whole population of Bolton, Salford and Wigan Any Questions?