APPENDIX 1 – OUTCOMES, WORK STREAMS AND INDICATORS
Provisional indicators are provided here. For the Aging Well programme, these have already been agreed through the Integrated Care Programme. Further
work is required around Starting Well and Living Well.
Overarching
Priority
Strategic Outcome
Main Work Streams
Outcomes (indicators to be selected from the following)
Starting
Well
I am as good a parent as I
Prevention
can be
Early intervention
I am a child who is
The central hub
physically and emotionally
Specialist provision
2.01 - Low birth weight of term babies
2.04 - Under 18 conceptions
2.04 - Under 18 conceptions: conceptions in those aged under 16
2.06i - Excess weight in 4-5 and 10-11 year olds - 4-5 year olds
2.06ii - Excess weight in 4-5 and 10-11 year olds - 10-11 year olds
2.07i - Hospital admissions caused by unintentional and
deliberate injuries in children (aged 0-14 years)
2.07i - Hospital admissions caused by unintentional and
deliberate injuries in children (aged 0-4 years)
2.07ii - Hospital admissions caused by unintentional and
deliberate injuries in young people (aged 15-24)
3.03i - Population vaccination coverage - Hepatitis B (1 year old)
3.03i - Population vaccination coverage - Hepatitis B (2 years old)
3.03iii - Population vaccination coverage - Dtap / IPV / Hib (1 year
old)
3.03iii - Population vaccination coverage - Dtap / IPV / Hib (2
years old)
3.03iv - Population vaccination coverage - MenC
3.03ix - Population vaccination coverage - MMR for one dose (5
years old)
3.03v - Population vaccination coverage - PCV
3.03vi - Population vaccination coverage - Hib / Men C booster (5
years)
3.03vi - Population vaccination coverage - Hib / MenC booster (2
years old)
3.03vii - Population vaccination coverage - PCV booster
3.03viii - Population vaccination coverage - MMR for one dose (2
healthy and able to cope
with life in a positive way
I am a young person who
will achieve their potential
in life, learning, and
employment
Programme
Areas/
Interventions
Central Hub
Early Years
Process Indicators
No. of 4 week
quitters
DRAFT
1
years old)
3.03x - Population vaccination coverage - MMR for two doses (5
years old)
3.03xii - Population vaccination coverage - HPV
4.02 - Tooth decay in children aged 5
Child Well-being Index: average score
1.02i - School Readiness: The percentage of children achieving a
good level of development at the end of reception
1.02i - School Readiness: The percentage of children with free
school meal status achieving a good level of development at the
end of reception
1.02ii - School Readiness: The percentage of Year 1 pupils
achieving the expected level in the phonics screening check
1.02ii - School Readiness: The percentage of Year 1 pupils with
free school meal status achieving the expected level in the
phonics screening check
1.03 - Pupil absence
1.05 - 16-18 year olds not in education employment or training
Children in care who gained 5 GCSEs at A*-C incl. English and
Maths
GCSE achieved (5A*-C inc. Eng & Maths)
All entered to the youth justice system: rate per 1,000 (10 – 18)
New cases of children in need: Rate of new cases identified
during the year, per 10,000 aged <18
Looked after children in secure units, children's homes and
hostels: % of looked after children
Repeat child protection cases: % of children who became subject
of a child protection plan for a second or subsequent time
Review of child protection cases: % of children under child
protection who were reviewed within the required timescales
2.08 - Emotional well-being of looked after children
Free school meals: % uptake among all pupils
1.01i - Children in poverty (all dependent children under 20)
1.01ii - Children in poverty (under 16s)
DRAFT
2
Living Well
I am able to take care of
Prevention
my own health, wellbeing
Building Resilience
and am able to manages
Early detection
the challenges that life
Wider determinants
gives me
Behaviour Change
My lifestyle helps me to
stop any Long Term
Condition or disability
getting worse, and keeps
the impact of this condition
or disability from affecting
my life
10.01 - Admission episodes for alcohol-related conditions
(Narrow)
7.01 - Alcohol-related hospital admission (Broad)
8.01 - Alcohol-related hospital admission (Narrow)
2.12 - Excess Weight in Adults
2.13i - Percentage of physically active and inactive adults - active
adults
2.13ii - Percentage of physically active and inactive adults inactive adults
2.20i - Cancer screening coverage - breast cancer
2.20ii - Cancer screening coverage - cervical cancer
2.20iii - % of people eligible for bowel screening who were
screened
3.04 - People presenting with HIV at a late stage of infection
All new STI diagnoses (exc Chlamydia aged <25) / 100,000
Obese adults
Smoking attributable deaths from heart disease
Smoking attributable deaths from stroke
Smoking attributable hospital admissions
2.17 - Recorded diabetes
3.03xv - Population vaccination coverage - Flu (at risk individuals)
QOF prevalences for CVD, asthma, BP, diabetes etc etc
Comparison of LA and QOF prevalence estimates
Long-term health problems or disability: % of people whose dayto-day activities are limited by their health or disability
Percentage of Deaths from Cancer, Persons, Aged Under 65 years
Percentage of Deaths from Respiratory Disease, Persons, Aged
Under 65 years
Percentage of Deaths from Circulatory Disease, Persons, Aged
Under 65 years
Mortality rates
Potential years of life lost
A&E attendances
1.18i - Social Isolation: % of adult social care users who have as
much social contact as they would like
DRAFT
I lead a happy, fulfilling and
purposeful life
Health checks
NDPP
Salford
Standard
ICO
Public Health
Interventions
2.22iii - Cumulative
% of the eligible
population aged
40-74 offered an
NHS Health Check
2.22iv - Cumulative
% of the eligible
population aged
40-74 offered an
NHS Health Check
who received an
NHS Health Check
2.22v - Cumulative
% of the eligible
population aged
40-74 who received
an NHS Health
check
No of pre-diabetics
identified
3
1.18ii - Social Isolation: % of adult carers who have as much social
contact as they would like
2.23i - Self-reported well-being - people with a low satisfaction
score 2.23ii - Self-reported well-being - people with a low
worthwhile score 2.23iii - Self-reported well-being - people with a
low happiness score 2.23iv - Self-reported well-being - people
with a high anxiety score
2.23v - Average Warwick-Edinburgh Mental Well-Being Scale
(WEMWBS) score
4.10 - Suicide rate
Overall satisfaction of carers with social services
Overall satisfaction of people who use services with their care
and support
Proportion of people who use services who have control over
their daily life
Proportion of people who use services who say that those
services have made them feel safe and secure
1.11 - Domestic Abuse
.19ii - Older people's perception of community safety - safe in
local area after dark
1.19iii - Older people's perception of community safety - safe in
own home at night
1.16 - Utilisation of outdoor space for exercise/health reasons
3.01 - Fraction of mortality attributable to particulate air
pollution
Deprivation score (IMD 2010)
1.17 - Fuel Poverty
1.09i - Sickness absence - The percentage of employees who had
at least one day off in the previous week
1.09ii - Sickness absence - The percent of working days lost due
to sickness absence
Disability allowance claimants (per 1000)
Long term unemployment
Working status - Paid work or full-time education
Working status - Unemployed
DRAFT
4
Aging Well
I am an older person who is
Community
assets Reduce emergency admissions and re-admissions
looking after my health and
network
delaying the need for care
Neighbourhood
Reduce permanent admissions to residential and nursing care
Improve Quality of Life for users and carers
Connectors
If I need it, I will be able to
access high quality care
and support
Ambition for Aging
Integrated
Programme (ICP) for Increase satisfaction with care & support provided
I know that when I die, this
Older People
will happen in the best
End of Life Care
possible circumstances
Care
Increase the proportion of people that feel supported to manage
own condition
Increase flu vaccine uptake
Increase proportion of people that die at home/in usual
residence (or their preferred place of dying)
Reduction in the number of falls in the over 65s OR over 80s
DRAFT
2.24i - Injuries due to falls in people aged 65 and over
2.24ii - Injuries due to falls in people aged 65 and over - aged 6579
2.24iii - Injuries due to falls in people aged 65 and over - aged 80+
4.14i - Hip fractures in people aged 65 and over
4.14ii - Hip fractures in people aged 65 and over - aged 65-79
4.14iii - Hip fractures in people aged 65 and over - aged 80+
4.15i - Excess Winter Deaths Index (Single year, all ages)
4.15ii - Excess Winter Deaths Index (single year, ages 85+)
4.15iii - Excess Winter Deaths Index (3 years, all ages)
4.15iv - Excess Winter Deaths Index (3 years, ages 85+)
4.16 - Estimated diagnosis rate for people with dementia
ICP
End of Life
Care
19.7% reduction in
non-elective
admissions (from
315 to 253 per
1000 65+ ppn): a
reduction of 2,071
against a 2011/12
baseline of 10,521
(for 65+ ppn).
Reduce
readmissions from
the baseline of
19.6%: absolute
readmissions to be
lower than the
2011/12 baseline of
2,062.
26% reduction in
care home
admissions (from
946 to 699 per
100,000 65+ ppn): a
reduction of 84
admissions, against
a 2011/12 baseline
of 322 admissions
Feeling supported
to manage a
condition Maintain or
improve ranking
position (or
equivalent) from
2011/12 baseline
Increase flu uptake
5
rate to 85% (from
baseline position of
77.2% in 2011/12).
Preferred place of
dying - Increase to
50% (from baseline
of 41% in 2011/12).
Worked example
Smoking cessation has been shown to be cost-effective, and will have an impact on both mortality and morbidity rates. The return on investment as seen
below would potentially be significant and it has historically been a valued service. There are also a range of measures that we could commission in terms of
illegal tobacco, and GM work on awareness raising and education, licensing initiatives and second-hand smoke reduction.
Despite a fall from 28.4% in 2010 to 22.9% in 2013, smoking rates in Salford are high compared to the England average (18.4%). We know that we are
improving quicker than the England rate (1.6% improvement per year from 2010 – 2013). So, if we continued at our current trajectory, we would see a bigger
reduction per year than in England, thus narrowing the gap between us and the rest of the country. So, by 2021 we would have gone from 42,000 smokers in
2013 to 21,068 in 2021. However, if we improved at the rate of the best performing area in Greater Manchester (Stockport at 2.1% annual improvement),
we would have a further 7,369 people who had quit smoking. Given that that evidence from 2010 suggested that smoking accounted for 5 per cent of adult
hospital admission costs, 4 per cent outpatients, 11 per cent GP and 8 per cent practice nurse consultations and 12 per cent of prescription costs, as well as
24 per cent of respiratory disease hospital admission costs and 16 per cent of cancer and cardiovascular disease costs (people aged 35 years and over)1, the
extra savings that could be released by an additional 7,500 smokers could be significant.
DRAFT
Smoking rates can also be measured by overall smoking prevalence, smoking among routine and manual groups and smoking in pregnancy. The locality plan
outcome could therefore have a suite of outcomes, or choose one indicator. There would also be a number of process indicators such as number of 4-week
quitters.
1
http://www.hscic.gov.uk/catalogue/PUB14988/smok-eng-2014-rep.pdf
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