SHREWSBURY STREET COLLABORATION IN ACTION. Rodger Cairns MD Independent Living THT Abdul Razzaq - Director of Public Health Trafford Council

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1 SHREWSBURY STREET COLLABORATION IN ACTION Rodger Cairns MD Independent Living THT Abdul Razzaq - Director of Public Health Trafford Council

2 A BIT ABOUT US Trafford is a metropolitan borough of Greater Manchester with an estimated population of about 211,800 in It covers 41 square miles THT Create 46m social value annually through Landlord with 9000 Homes &18000 customers Developing 600 homes over 3 years Range of care and support services including telecare, meals, home care Invest 750k annually in the community Trafford Council spending will be 167m Since 2010 found 96m savings with a further 20m required next year 51% - Children, Families & Wellbeing services 22% - Economic Growth, Environment & Infrastructure 16% will be used on council-wide budgets 11% will be used on Transformation & Resources Focus on economic growth and investment libraries, 5000 homes in Carrington, investment in town centres

3 WHAT S IT LIKE IN OLD TRAFFORD? Old Trafford and the electoral wards comprising Old Trafford are in the top 10% of most deprived areas in England Lower life expectancy in both men and women High levels of childhood poverty and obesity High prevalence within the BME population of developing long term conditions such as diabetes and heart disease High incidence of lung alcohol and smoking cancer associated with Poor uptake of screening, disease prevention and early diagnosis with significantly higher than average levels of referrals to secondary care, non-elective (emergency) admissions and prescribing rates which have significant impacts upon Primary Care resources

4 WHAT S IT LIKE IN OLD TRAFFORD?

5 OLD TRAFFORD VISION In 2008 The Council and The Trust decided to work in partnership to develop the Old Trafford Masterplan which aimed to "create a vibrant, sustainable community, with quality housing, excellent environment, and good connections to employment opportunities together with improved retail and community facilities"

6 WHAT DOES TRAFFORD HOUSING TRUST WANT? We strive for a society transformed, free from poverty, inequality and injustice, where people Take responsibility Have information to make choices Are healthy and happy And where everyone makes a valuable contribution We d like Old Trafford to be better - Shrewsbury Street is key to achieving our vision

7 WHAT DO HEALTH WANT IN GREATER MANCHESTER?

8 WHAT DOES TRAFFORD S CCG WANT? Consistently achieve local and national standards Increased delivery from primary and community services Reduce gap in health outcomes between most and least deprived communities in Trafford Ensure a financially sustainable health economy TCCG has, as a Level 4 Co-Commissioner, committed to develop and improve integrated pathways of care based upon a hub model and which the Shrewsbury Street Village Project will form the north hub. The Shrewsbury Street Village Project is being viewed as the key element to the delivery of TCCG strategies within the north of the Borough and Old Trafford.

9 WHAT DOES PUBLIC HEALTH WANT IN TRAFFORD? Promote individual lifestyle changes by offering a choice of wellbeing services NHS Health Checks, sexual health services, drugs and alcohol advice Engage with and encourage communities which are less likely to access services Ensure individuals and their families are engaged and make informed decisions about participation in national screening programmes and to ensure inequalities are addressed Promote wellbeing by treating individuals holistically in both mental and physical ill health Promote effective self-management for people who experience long term illness Improve the management of co-morbidities by addressing the causes of early mortality

10 SHREWSBURY STREET VISION AND VALUES Affordable Integrated Welcoming Sustainable Accessible Safe Flexible Inclusive

11 DOING THINGS DIFFERENTLY Combining community centre with extra care, GP surgery, health and wellbeing services and much more. Working in partnership with TMBC, NHSE, CCG and St Brides Church Co-producing the development with the local community

12 TO CREATE 80 flats of Extra Care Housing Community Centre Library Café Sports facilities Pharmacy Church

13 HEALTH OFFER Total Floor Area 1052sqm 13 Consulting Rooms GP surgeries, podiatry, diabetes, physio etc 4 Treatment Rooms District nursing, phlobotmy etc 2 Minor Ops Rooms Ground floor pharmacy CQC compliant Fully DDA compliant Expansion opportunities

14 WHAT S THE AIM? Reduce the gap in life expectancy Reduce childhood poverty and obesity Increase access to preventative care and screening for Diabetes Heart disease Lung cancer Reduce incidence of lung cancer associated with drinking and smoking

15 ASPIRATIONS Work with the local community to have a positive impact on health and wellbeing Reduce the health inequalities between the north and south of the borough Achieve the five ways to wellbeing Deliver a space that will have an impact on social and economic issues in Old Trafford Offer local older and vulnerable people the opportunity to live independently Support local businesses, other community spaces and service providers Ensure training and employment is at the heart of what we do Create a space that will appeal to young people Liaise with existing partners to ensure most appropriate service delivery

16 UNDERSTANDING THE SOCIAL VALUE AT SHREWSBURY ST 20m to build Negative Net present value of 4m So why do it? How much difference will we make? Are we creating as much value as we can?

17 SOCIAL RETURN ON INVESTMENT

18 WHO MIGHT BENEFIT FROM SHREWSBURY STREET? Trafford Housing Trust State EC Housing Tenants Health Outcomes Local Community Families Church 18

19 Outcomes for Extra Care Housing Tenants Access to health services Opportunities for exercise / healthy living Actual Security / Safety Dealing with acute health conditions Maintaining general health Safe environment for tenants People are there if something happens Not dependent on family Trips, evening activities, classes Perceived Security / Safety Independence & Autonomy Self worth Opportunities to interact with staff, other tenants Opportunities to interact with wider community Family relationships Relationships, with: Scheme Manager Tenants Wider Community Services (e.g. social care) Occupation (fun!) Feel part of Community Trust & Belonging Mental health: Depression Isolation Anxiety Financial savings Learn new things Entertainment Pride in the community Legend: Aspect of THT EC Housing Security Social Physical Health Mental Health & Well-being = Material Outcome

20 Outcomes for Local Community Things to do Things for kids Teaching facilities Family relationships Free time for parents Learn new things More people using library and children s centre Exercise / dance Health activities Fitness Access to health services and health benefits Positive well-being Somewhere to meet friends Community connectedness / less isolation Reduction in crime / ASB Pride in the area Sense of safety Social hub Somewhere to have a drink Stronger friendships Community events, e.g. weddings New friendships Legend: Aspect of Community Centre Community Outcomes Activity Outcomes Social Outcomes Family Outcomes = Material Outcome

21 Stakeholder Outcomes Stakeholder Engagement ECH Tenants Community Perceived Security/Safety Actual Security/Safety Independence & Autonomy Self-worth Maintaining general health Dealing with acute health conditions Family relationships Family relationships Free time for parents Fitness Learn new things Access to library and children s centre Positive well-being Relationships with Scheme Manager, tenants, wider community Feel part of community / trust and belonging Occupation Financial savings Community connectedness Less crime / ASB Pride in area Sense of safety Stronger relationships New relationships Health Service Users Better health through increased use of health services More convenient health services reduced travel time / expense State Reduced residential care costs Reduced health / social care costs for ECH tenants Reduced healthcare expenditure for local residents 21

22 VALUING THE OUTCOMES

23 OUTCOMES FROM SROI 23m value created

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