This meeting of the Health and Adults Scrutiny Panel was scheduled to include an update on the performance of urgent and emergency care services and a briefing from the Salford Integrated Care Partnership (ICP).

Urgent and Emergency Care (UEC) performance

The panel was scheduled to receive a report on the performance of urgent and emergency care services, which would include information on ambulance response times, A&E waiting times, and hospital bed occupancy levels. The report links high levels of deprivation and poverty, and a growing population, with the high acuity of people attending emergency departments. It says

Salford has high deprivation and poverty levels plus a growing population, with more Long-Term Conditions. People attend ED who could be managed by alternative services Access and knowledge of alternatives to ED is needed. There are high acuity levels of people attending ED

It also describes a Call Before You Convey scheme that had been piloted with North West Ambulance Service, in which paramedics called a dedicated number to discuss patients' conditions before deciding whether to take them to hospital. This scheme achieved a 43% diversion rate from the A&E at Salford Royal Hospital.

The report identifies a number of potential improvements to the way services operate, incuding:

• Admission Avoidance - Treating people at home or in the community wherever possible, including the use of Hospital at Home and Virtual Ward services.
• Improved front door streaming - Ensuring that patients are directed to the most appropriate service for their needs.
• ED First Principles - Improving the efficiency of emergency departments so that patients are seen and treated more quickly.

Salford Integrated Care Partnership (ICP) briefing

The panel was scheduled to receive a briefing from the Salford ICP, which is a partnership of organisations that are working together to improve the health and wellbeing of people in Salford. The briefing would include updates on a number of key initiatives, including the Salford Sustainability Plan, the Locality Plan refresh, and the Salford Standard Annual Report. The Sustainability Plan is a five year plan that the ICP says will show how the Greater Manchester system will return a financial balance . The plan is organised into 5 pillars:

• Cost Improvement
• System Productivity and Performance
• Reducing Prevelence
• Proactive Care
• Optimising Care The Locality Plan is a ten year strategy to improve the health and wellbeing of people in Salford. The current Locality Plan is due to come to an end in March 2025, and the ICP is currently developing the plan for 2025-2030. The Salford Standard is a set of standards that all GP practices in Salford are expected to meet. The Salford Standard Annual Report provides an overview of the performance of GP practices against the Salford Standard.

The Committee was also scheduled to receive a report on the financial performance of the Integrated Fund. The Integrated Fund is a pot of money that is used to fund health and social care services in Salford. The report was to show that the Integrated Fund was forecasting an overspend of £2.3m.

Greater Manchester Joint Health Scrutiny Committee minutes

The panel was scheduled to note the minutes of the most recent meeting of the Greater Manchester Joint Health Scrutiny Committee. The minutes of that meeting show that the committee received a presentation on the Greater Manchester Sustainability Plan. The plan is a five-year strategy that sets out how the Greater Manchester health and care system will become financially sustainable.

The minutes show that the committee discussed the importance of localising the Sustainability Plan and ensuring that it meets the needs of local communities. The committee also discussed the need to engage with staff and the public on the plan.