A healthier . Our vision, your health 3

Where we are now: Where we are now: The city of Manchester

Local councils and NHS Devolution will mean we can The new Manchester Strategy As well as this important organisations in Greater make a bigger impact more has just been launched. This work on those aspects of life Manchester have agreed with quickly on the health of people describes the vision the city has that have a positive impact the Government that decisions in Greater Manchester, by for its future. Manchester will on an individual’s health and affecting local people should working together and by making become a thriving city, which: wellbeing, the strategy also states it ‘will improve the health be made here, instead of the most of the funds we have • creates new jobs for the and wellbeing of the people nationally. This devolution deal been allocated. area, reducing the number of who live in the city, and have means we will control how people who are out of work billions of pounds of public By 2021, we aim to have these more active adults and children’. money is spent in Greater key improvements across • ensur es that everybody This is described in more Manchester. This new way of Greater Manchester: is paid enough to live on – detail in the city’s Health and this is described as a real working will cover areas such • Fewer low birth-weight babies Wellbeing Strategy, which can as policing, housing and living wage be found at manchester.gov.uk/ • Fewer children in Manchester transport – and also health • builds on school results so healthwellbeingstrategy living in poverty and social care. that they are significantly The new Manchester Strategy • Fewer people to die early higher than the UK average The devolution of health and from heart disease can be found at: social care will focus on: • builds well-designed, energy- manchester.gov.uk/mcrstrategy • Fewer people with cancer efficient homes that meet the • Mor e work on preventing • Fewer people with respiratory needs of the people who live people getting ill, being in the city able to look after themselves disease and helping people into • More people to be supported • is recognised for its high employment to stay well and live at home quality of life, with many for as long as possible. parks and green areas, and • Joining up health and social world-class sports, leisure care services, to reduce gaps and cultural facilities in the system and make services work better together • encourages a strong sense of belonging and pride in • Better community-based care the city. near people’s homes • Better care for people with mental health problems, such as depression.

Greater Manchester Map 4 5

Where we are now: Number of people who are obese in Manchester: Life expectancy is The health and wellbeing of Mancunians 25% Higher years lower Health outcomes for people Year 6 8.8 Charlestown living in Manchester are poor for men and... children compared with other parts of Moston the country. For example:

Cheetham &

26% & Clayton 27,000 Adults Nearly people in City Centre Bradford A boy born in Manchester can 27,000 Manchester are recorded 7.years lower 4 for only expect to live 77% of his as having type 1 or 2 women in the North years of life in good health. diabetes. This is 5.9% of most deprived Moss This compares with the Manchester population. areas than the Side Gorton 87% Whalley South of years of life for a boy least deprived Range Fallowfield born in the healthiest areas in the south Old part of . of England. Moat

e time in or ho m s West d p it Manchester is the worst city in n a Didsbury e l Brooklands East p d the country in terms of premature s A girl born in Manchester can u e e mortality from cancer. There l

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This compares with o 84% l of years of life for a girl M improvements in cancer survival born in the healthiest part rates in Manchester mean the of the country. number is expected to rise to 20,000 by 2030. The rate of alcohol-specific hospital admissions in Manchester is over double the England average.

ing-rela pov ok ted hild erty sm d C f e In August 2015, there o a t r h were patients in e s 2,895 b i n Manchester diagnosed m

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r H 3,830 y 21% 16% and over. Nearly 4,000 people aged Manchester has the second Some 350 people under We have the highest number It is recommended that children Manchester has one of the Life expectancy for men Approximately 10% of the 16–64 in Manchester were highest rate of early death the age of 75 die from of smoking-related deaths have at least 60 minutes of highest rates of child poverty in Manchester is 75.5 years population of Manchester long-term unemployed in from respiratory (breathing) cardiovascular (heart) disease in the country. Each year in moderate activity a day, with in the country, with nearly and for women it is 80 years. are aged 65 or older, and it 2014. This was 10.5% of diseases in England. More in Manchester each year. Manchester, there are some vigorous activity on at least 40% of children aged under This is significantly lower is predicted that this figure the Manchester population. than 60% of these deaths are 750 deaths and 1,550 hospital three days a week: 16 living in poverty, and many than the England average will double by 2050. considered to be preventable. admissions due to smoking. live in homes where no-one numbers. 21% of boys and 16% of girls is employed. achieve this. HOI

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Where we are now: Services

Manchester currently has 91 GP We have: practices, three major hospitals, OCI a mental health trust, citywide C social care services, a range of High-quality HH C health improvement services, and many voluntary and services community organisations, and we have much to be proud of. COMMI O OGIIO

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Excellent health and social care staff

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However:

• Our services are not well • Too many people end up enough connected and do not in hospital when they could always share information to be treated at home, or close help treat people effectively to home • We have a complex system • The current system is that makes it difficult for unaffordable in the future. people to know where to go for the most appropriate treatment 8 9

Where we are now: Public opinion

Over the years, we have received lots of feedback, telling us what people who live here want. To know where to turn to with questions, queries or concerns about care

To receive care and what people treatment in a co-ordinated and timely way

The opportunity and time to ask questions

To be treated as individuals

To be seen in an environment that is want. To be given enough accessible and clean information to make informed decisions about care options To be able to access To share their knowledge, skills, services when they expertise and experience of living with medical conditions To be treated with need them dignity and respect

With their carers when appropriate, to be involved in To be able to involve To feel safe and health and social care decisions loved ones and carers in supported health decisions

Access to emotional and A choice To know what services practical support as well about care To not feel are available in their as treatment lonely in their community and how community to use them 10 11

Where we are now: What we will do: Finances Prevent people becoming ill and support them to live healthier lives We currently spend approximately £1.3billion on health and care services in Manchester. Some Addressing the causes of • Improve the uptake of Providing support earlier Managing illness of our key spending areas in ill health childhood immunisation and 2015/16 are: vaccination in the city Sometimes people do not People with long-term conditions We know that certain things receive the right support early or illnesses are often best placed cause ill health. People who • Work with business, enough and this means that to monitor and manage their smoke, drink too much alcohol, housing organisations and their situation worsens. We will: own condition so that they can leisure facilities to develop live lives to the full. We will: take drugs, or are overweight • Identify all carers in the city have a greater chance of getting neighbourhoods that promote physical exercise. and provide them with the • Improve the way health and Hospital a long-term condition and dying support they need to carry care staff care for individuals earlier than they should. We also out the invaluable work by focusing on what people know that broader issues such Spotting illnesses earlier they do for their families need to take control of 374,400,000 as unemployment and poor Care The earlier illnesses are and loved ones their condition and be housing conditions can lead to independent ill health. We will: identified and treated, the • Create three ‘Early Help’ better the outcome for the hubs in the city, which will • Provide people with the • Work in Manchester, and individual. We will: offer proactive support to knowledge, technology and across Greater Manchester, people, and provide it in ways equipment they require to Mental to create employment • Invest in and promote screening programmes to that meet their individual or live as well as they can with opportunities and to connect family’s circumstances their condition 124,900,000 local people to those jobs identify cancer early Health • Make sure that GPs identify • Ensure people with mental • Support people with long- • Design a new Healthy and treat all people on health needs are seen term conditions to find Lifestyles service that will their practice lists who have quickly and receive the best employment opportunities work within communities to treatment for their condition dementia, diabetes, heart • Improve the information we support people to adopt to stop it getting worse disease and breathing provide for people with long- healthier lifestyles problems. • Develop a range of activities term conditions – ensuring Prescribing • Pr ovide a range of grants for for older people who are that it is clear, consistent 91,000,000 lonely or socially isolated. and relevant. community organisations that come up with good ideas to improve health and wellbeing in their communities

If we carry on doing the same The cost of paracetamol Sometimes it is cheaper things in the same way and prescriptions in Manchester for patients and the system We will support do not change anything, we has risen by £120,000. if people buy their own carers to carry out the predict that we will be spending paracetamol under medical invaluable work they do £373million more than we will guidance. for their families and have in funding by 2021. This is loved ones because more people are using £832,000 We aim to save money by health and social care services 9,000 2014/15 keeping people out of costly and the cost of treatment and hospital care, becoming medication is increasing. more efficient and stopping For example: treatment that evidence shows is unnecessary or ineffective. 2 • Ther e were 9,000 more A&E 9 In addition, we will work attendances in 2014/15 than £712,000 with local people to reduce there were in 2013/14. 2012/13 missed appointments and medicine waste.

However, the simple fact is that the greatest financial savings will be made if local people are able to live healthier lives and require less treatment from health 2013/14 2014/15 services in the future. 12 13

Improving services and Our staff, our buildings and technology the way we work together. Supporting staff and carers

Over the next five years we aim Transforming mental Transforming GP services Transforming housing Across Manchester there are Modern, accessible • Build on the North Manchester We will: General Hospital site to create to make sure that many more health care over 40,000 people who work in buildings • Join up our records to We are changing GP services We are working with housing a new 24-bed intermediate people are cared for outside of health and social care services ensure that health and care We are developing better ways to provide a wider range of organisations to develop new Some of our buildings are care facility (this is for people hospital, closer to where they in the city. On top of that we professionals understand a of helping people with mental services in local communities accommodation to support modern, accessible and already who are ready to be discharged live, and receive services seven have an estimated 60,000 carers person’s circumstances and health needs – spotting issues and to make sure people can people with care needs to live house a range of health and from hospital, but are not well days a week. This will mean who work day and night looking preferences, so people don’t early, reducing waiting times for see a GP seven days a week. as independently as possible. social care services. However, enough to go home) and a we increase the funding of GP after their loved ones. We need to tell their story many services, community health treatment, and ensuring people This is called ‘Extra Care recognise the need to support a large number are not suitable ‘neighbourhood centre’. This have access to the services they housing’ and we are aiming to deliver the services we need times to different staff and social care teams, and the Transforming hospital care all those who work to support, centre will include at least one voluntary sector. The money will need as close to their home to create 1,000 homes of this treat and care for our residents, for the future. GP practice, a pharmacy and • Support individuals to be found by saving money on as possible. We will make sure Our hospitals are working closer type in Manchester. whether they are employed by social care services. view their health and care hospital-based services. that mental health services are together both within the city of our organisations or not. We will: records online no longer separate from those Manchester and across Greater • Identify 12 buildings across • Provide equipment or for people with physical health Transforming commissioning We will: Using technology to keep Manchester. This means that the city to act as health adaptations that support Transforming services problems. We will improve the people well services, doctors and nurses The organisations that plan and • Work with carers’ and social care centres, people to live independently, care for young people who We are joining up hospital, will be shared across hospitals; fund local services will work in organisations to make sure providing a range of health Advances in technology provide and safely monitor and have mental health needs, community health, social care and our hospitals will specialise a more co-ordinated way, pooling that carers receive the and care services for their us with many opportunities to manage their conditions and develop the best possible and GP services so that people’s in different areas to ensure the budgets and simplifying the information, support and local communities and linking help people care for themselves dementia services that keep • Look at how health ‘apps’ can care is managed by a single best services are available to contracting processes. breaks (respite) they need with local GP practices and their families, and to be used now and in the future team containing a range of people safe and well in their everyone across the region. and chemists (pharmacies). improve the care we provide. • Make sure our organisations to provide ongoing help and health and social care staff. own homes wherever possible. This work has started already. Where possible, space will be are healthy places to work support for local people. There will be 12 of these teams On the next page are some offered to local community Transforming learning and support our staff to have across Manchester and they examples of the progress that organisations. Transforming cancer care disability care has been made. healthy lifestyles will provide some services • Develop Withington We are improving the way currently available only in We are improving our services • T rain and develop our staff Community Hospital into an cancer services work in the hospitals, such as outpatient for people with learning to work in new ways that ‘Integrated Care Campus’ city, making sure that GPs and appointments. This will be disabilities by making sure support our aims around with more outpatient and hospital staff provide the best supported by a simple system that there is better care, joined-up care. diagnostic services delivered co-ordinated care for patients to make sure local people can support and accommodation from there, along with a plan Joined-up through diagnosis, treatment easily be connected to the care available locally. to include some GP services and beyond. Cancer charity records will make they require no matter which A simple in there too. service they talk to first. Macmillan is helping us with this sure all professionals through the Macmillan Cancer system connecting understand each Improvement Partnership. people to the care person’s needs they need

Health and social care

HOI professionals like us work together with communities to design better services

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What can you do to help?

We will work our hardest over Help beat loneliness Check your medicines Only use A&E for Live a healthy life Follow the five ways to Keep learning: Try something the coming years to develop emergencies wellbeing new, rediscover an old better services and we will We think as many as one in five It has also been estimated that For information about health interest, or take on a different make sure we invest in the people over the age of 50 visits £300million a year is lost due to A&E departments across conditions and advice on how Connect: Talk to the people responsibility at work. Learning right things, becoming more their GP for problems linked medicines being wasted. This Manchester are becoming very to live healthily, visit: around you – family, friends, new things will make you more efficient and reducing waste with loneliness, which can have can happen when somebody busy because of the number nhs.uk colleagues and neighbours. confident as well as being fun. or duplication in our systems. major mental and physical is no longer ill but still receives of people needing emergency Go for a walk or However, this won’t do the job effects. We need communities medication, or when different care. However, there are still Be active: Give: Do something nice for a Looking after yourself run. Cycle, play a game, do alone. We are asking you to and individuals to rally together medication is required but they many people who attend A&E friend or a stranger. Volunteer gardening, dance or discover a help us in a number of ways: to keep older people included continue to receive their old for conditions that could be For advice and support on how or join a community group. physical activity you enjoy and in society. For more details supply because it may be a just as effectively and more to look after yourself and when Seeing yourself and your that suits your level of mobility of how you can help visit: repeat prescription. If you’re not quickly treated by a GP or to use NHS services, visit: happiness linked to the Volunteer macc.org.uk sure about your medication, ask local pharmacist. For further and fitness. wider community can be your GP surgery to review it to choosewellmanchester.org.uk There are many community manchester.gov.uk/agefriendly information on where to go very rewarding. make sure you are getting the Take notice: Try to be aware of organisations in the city that for different conditions and right medicine for your illness. illnesses, please see: what’s around you and notice are interested in improving Get involved in our work the small things and how you the health of their local area. choosewellmanchester.org.uk are feeling. Many of these organisations The people who use our Turn up to appointments are always on the lookout for services often see where things Most importantly, people need volunteers to help them. To find could be done better and more It has been estimated that to have the information to live our more, please contact the efficiently. There are many over £1billion pounds a as healthy a life as possible. Volunteer Centre at: ways you can get involved, year is wasted by the NHS We will always help people, due to people missing their families and communities to manchestercommunitycentral. from joining planning groups appointments. This is money exercise more, eat healthily, stop org/volunteer-centre- and committees, to simply that could be used to invest smoking, and reduce their drug manchester sending us your thoughts and experiences of local services. in health services or pay for or drinking intake. However, we If you would like to find out particular treatments. know that, ultimately, it has to more about how you can get be a person’s personal choice involved, please see the final If you can’t make an to make changes that will page of this booklet. appointment, please let the increase the chances of them service know as soon as possible living a longer and illness-free so your appointment time can life. Here are some details of be used by somebody else. services that can help: COMMUT CETE ➔ A&E 16 17

nd E nsp Where we will t a me Tra ort en rg id e c n be in 2021: c c A y Working together for Specialist o care something Work and a healthier Manchester. for others health More health and care in our community when Ambulance Surgery we need it, but the biggest changes will come services from things we can do for ourselves Local Social and leisure cultural centres activity Community and voluntary services Healthy tion and a a m d neighbourhoods r v o i f c n e Hospitals lthy ea ea tin olunteering and ambulance H g services

Looking after your mental health g up smo in k iv in g me safe G Practical Ho ty care and support Active social life

at sensib ng le i l k im in r i ysi t h o s P Community nursing Healthy Staying active households d te Learn loo sts Looking after about ourselves, health Health Health our family tion r ica ev Occupational visitors checks d ie and friends e w therapy gno ellb s ia sis d w ei M n ng a h a t d l v a i

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Open harmacy 24/7

Social work 18

Can you speak up for health?

If you or someone you care for You could also consider joining is a user of health services, you your local GP practice Patient could represent your community Participation Group. Speak to on one of the city’s Patient & the receptionist staff next time Public Advisory Groups (PPAGs). you visit your GP practice or look online at your GP practice This group of patients and website for details. carers meets monthly, and provides guidance and Have you been affected advice on decision-making by cancer? You can for Manchester’s Clinical volunteer for our Macmillan Commissioning Groups (CCGs), Cancer Improvement which are responsible for Programme. Interested? planning and buying high- Call 0161 765 4004 or email quality, safe health services [email protected] for Manchester.

If you’re passionate about health and want to represent your community, you can find out more by calling 0161 765 4004, or email [email protected]

How to find out more

If you want to receive a copy of How to tell us what the full Locality Plan or regular you think updates on our progress, please sign up for our Talking Health If you have any comments Bulletin by emailing us at or questions, or any ideas of [email protected] anything else we should be doing, please let us know by: You can also follow Manchester’s CCGs and Manchester City Emailing us at: Council on Twitter for regular talkinghealthmanchester health and social news from @nhs.net across the city: Writing to us at: @manchesterccgs FREEPOST RTGX – CSJT – CTKT @mancitycouncil Manchester CCGs Parkway 3 If you would like to order this Parkway 3 Business Centre document in an alternative M14 7LU format, including large print, Braille, easy read or another language, call 0161 765 4004, or email [email protected]