Creating a fairer Salford by:
14.1 A healthy population is an essential component of a sustainable Salford. Good health not only makes a major contribution to quality of life, but also supports a strong economy. Salford currently suffers from very significant health inequalities, and average health levels in the city are generally much worse than the national average. Male life expectancy at birth for Salford residents is 2.5 years less than the UK average, and female life expectancy at birth is 2 years less. Healthy life expectancy (HLE) is the average number of years a person would expect to live in good health. Males in Salford are expected to spend 75.3% of their lives in good health compared to 79.7% for the UK overall. Females in Salford are expected to spend 73% of their lives in good health compared to 77.1% for the UK overall [1]. Average life expectancy in the city’s most deprived areas is 10.9 years lower for men and 7.6 years lower for women than in its least deprived areas [2]. These significant inequalities make it essential that all Salford residents have excellent access to high quality health facilities and have the opportunity to adopt healthy lifestyles.
14.2 Recent years have seen much greater local control over health services and expenditure. In April 2016, Greater Manchester became the first region in the country to take control of its combined health and social care budgets. The Health and Social Care Act 2012 gave local authorities responsibilities for public health, joining up local health policy with all other areas of work. A key aim is to better integrate health and social care services including wider community health services. In Salford, the formation of the Salford Together Partnership brings together the city council, the NHS Salford Clinical Commissioning Group (CCG), Salford Royal Foundation Trust, Salford Primary Care Together and Greater Manchester West Mental Health NHS Foundation Trust, to deliver a clear vision for improved and more integrated health care for the people of Salford. Integrated health, social care and public health commissioning between Salford City Council and the CCG further supports this ambition. The Salford Locality Plan sets out the vision for the improvement of wellbeing, health and care outcomes for residents in the city:
“Salford people will start, live and age well - People in Salford will get the best start in life, will go on to have a fulfilling and productive adulthood, will be able to manage their health well into their older age and die in a dignified manner in a setting of their choosing. People across Salford will experience health on a parallel with the current “best” in Greater Manchester (GM), and the gaps between communities will be narrower than they have ever been before.” [3]
14.3 Salford is also a member of the World Health Organisation global network of Age Friendly Cities and Communities and as such is committed to creating inclusive and accessible urban environments that more effectively meet the needs of an ageing population.
14.4 The Local Plan has a significant role to play in delivering the Salford Locality Plan vision, an age friendly city and supporting health improvements more generally. Health considerations are therefore integrated into all aspects of the plan, for example with it:
14.5 New development has the potential to support significant improvements in human health, but can also have considerable adverse impacts on health if it is inappropriately located, designed, constructed and/or operated. Certain types of use can cause detrimental cumulative impacts as a result of their concentration. It is important that specific consideration is given to the potential overall impact of development on health during the planning process, with individual proposals seeking to maximise their positive contribution as far as practicable, recognising that health requirements and issues can vary between different groups of identity and on an individual basis. Health impact assessments will be an important tool for this.
All development shall support an improvement in public health and a reduction in health inequalities, including by:
Health impact assessments will be required for development proposals that the city council considers would have the potential to have a significant adverse impact on health and wellbeing. Health impact assessments shall:
Development that would have an unacceptable impact on health or wellbeing will not be permitted.
In particular, the location and concentration of the following types of development will be carefully controlled to avoid possible adverse impacts on health and wellbeing:
Where uses identified in points A-D above can be justified, these shall be located away from places that are regularly frequented by younger people such as schools and youth facilities. The proximity to other community uses where the residents can be vulnerable will also be considered, for example refuges and temporary accommodation for the homeless.
14.6 Health and social care facilities in England have traditionally been administered and accessed separately. As a result of people living longer on average, an increasing number of residents require both health and social care services and current policy is focussed on integrating the two services.
14.7 Recent practice mergers have helped to reduce the relatively high proportion of small and sole-practitioner GP practices in the city, and some further consolidation may be necessary to deliver service improvements whilst ensuring that facilities remain easy for residents to travel to. Salford Clinical Commissioning Group (CCG) has identified that whilst a number of neighbourhoods are well-served by modern purpose-built health care facilities, there are parts of the city where improved facilities are required. The vision to transfer all care that does not require hospital facilities to a more accessible neighbourhood setting will need to be taken into account in improving existing and providing new facilities.
14.8 The city council will work with the CCG and health care providers to ensure that the capacity of health and social care facilities in Salford increases in line with growing and changing needs. Improving the overall quality and, where needed, capacity of Salford’s primary care facilities will be important to supporting good health and quality of life, and should also help to reduce pressure on hospital facilities. Maximising the accessibility of facilities to residents will promote their use, and so town and local centres will often be a suitable location for them.
Improvements in the quality and accessibility of health and social care facilities will be supported.
Where it would help to improve health outcomes whilst maintaining an appropriate level of accessibility for local residents, the merging of primary health care facilities such as GP practices, and their amalgamation with other health and social care facilities, will be supported.
Primary health care facilities [4] shall be co-located with other public facilities where possible, in order to provide a stronger focus of public services for local communities and to promote linked trips.
Areas that are subject to a masterplan/framework under Policy EF2 shall ensure that appropriate provision is made for primary health care facilities. Where satisfactory provision cannot otherwise be made in the local area, other individual developments that would generate additional demand for primary health care will be required to incorporate appropriate primary health care facilities.
Developers should engage with the Clinical Commissioning Group at the earliest opportunity in order to determine the health care requirements associated with new development. Contact details for the NHS Salford Clinical Commissioning Group can be obtained from the local planning authority.
14.9 Salford Royal Hospital is a large and busy teaching hospital, with around 750 in-patient beds. It provides a comprehensive range of services to the population of Salford, as well as a wider range of specialist services for the whole of Greater Manchester and beyond. The hospital is part of the Salford Royal NHS Foundation Trust which employs over 7,000 staff and also provides community, social and primary care services [5].
14.10 A programme of redevelopment has recently been undertaken at Salford Royal Hospital to deliver high quality new facilities. There is an ambition to move a range of services away from the hospital site and into the community, which will support more integrated services locally and enable more specialist services catering for a wider population to be based on the hospital site. It is likely that further improvements to the hospital will be required, and it is essential that these are coordinated so as to ensure that the site functions as efficiently and effectively as possible, high design standards are achieved, and the impacts on neighbouring communities are minimised particularly in terms of traffic generation and car parking.
The further enhancement of the role of Salford Royal Hospital as both a local facility for the city’s residents and a regional centre of excellence will be supported.
Development proposals for the hospital shall:
14.11 The main indicators that will be used to monitor this chapter are:
|
Indicator |
Baseline position |
Target |
|---|---|---|
|
Salford average life expectancy at birth |
Male: 76.7 years [6] Female: 80.8 years [7] |
Increase (2019-2037) |
|
Gap between average life expectancy at birth between wards in Salford |
Male: 10.9 years [8] Female: 7.6 years [9] |
Decrease (2019-2037) |
|
Gap between the UK and Salford average life expectancy at birth |
Male: 2.5 years [10] Female: 2 years [11] |
Decrease (2019-2037) |
|
Percentage of adults (aged 18+) overweight or obese |
66.2% [12] |
Decrease (2019-2037) |
|
Excess weight in reception and year 6 children |
Reception: 24.3% Year 6: 36.3% [13] |
Decrease (2019-2037) |
|
Percentage of children, young people (CYP) and adults in Salford leading active or fairly active lives |
CYP: 17.7% fairly active and 46.2% active [14] Adult: 14.5% fairly active and 61.1% active [15] |
Increase (2019-2037) |
|
Type 2 diabetes prevalence |
4.6% of Salford residents [16] |
Decrease (2019-2037) |
|
Number of off-licences |
44 [17] |
No target |
|
Provision of primary health care facilities
|
GP practices: 43 [18] Pharmacies: 59 [19] Dental practices: 34 [20] Opticians: 33 [21] |
No target
|
14.2 Health is influenced by all aspects of the Local Plan, therefore indicators in other chapters are also relevant to the delivery and monitoring of health improvement, particularly those on recreation, housing, education, accessibility, employment, energy, air quality, climate change, water and pollution and hazards.
[1] Salford City Council (February 2018) Life Expectancy at Birth 2016: Analysis
[2] Public Health England (2018) Salford Health Profile 2018
[3] NHS Salford Clinical Commissioning Group (August 2017) Locality Plan for Salford: Start Well. Live Well. Age Well, p.6
[4] These facilities include general practice, community pharmacy, dental, and optometry (eye health) services.
[5] Salford Royal NHS Foundation Trust (2018) Annual Report and Accounts 1 April 2017 to 31 March 2018, p7 and 31
[6] Salford City Council (February 2018) Life Expectancy at Birth 2016: Analysis
[7] Ibid.
[8] Public Health England (2018) Salford Health Profile 2018
[9] Ibid.
[10] Salford City Council (February 2018) Life Expectancy at Birth 2016: Analysis
[11] Ibid
[12] Public Health England (2017/18) Public Health Profiles
[13] Public Health England (2018) Child Health Profile June 2018
[14] Greater Sport – Greater Manchester Sports Partnership (May 2018-2019) Headline CYP & Adult Active Lives Statistics – Salford overview. ‘Fairly active’ is defined as 30-149 minutes a week and ‘active is defined as 150 minutes + a week
[15] Ibid.
[16] NHS (June 2019) National Diabetes Audit - Report 1 Care Processes and Treatment Targets 2017-18, Full Report. % of Salford population with type 2 diabetes registered with a GP practice 2017/18. Based on the 42 of 45 GP practices which completed the data request.
[17] Salford City Council (June 2019)
[18] NHS Digital (31 May 2019)
[19] Salford City Council (24 June 2019)
[20] NHS Digital (31 May 2019)
[21] NHS Digital (31 May 2019)