Table 5

 Summary of health impacts in the public service category of health determinants

Category of influencePositive impactsCommunity plan theme groups linked to each impact
Abbreviations as in table 1.
Public services, security, policing, leisure, health trends• Opportunity to bring together health, social care, and community facilities to improve health overall.SCI
• Access to healthcare pathways and protocols to all services limits referrals.EP, SCI
• Need for patients to attend SRHT as outpatients reducedEP
• Service and buildings integrated and complemented with other initiatives taking place in Salford through the Community Plan and the Green Transport PlanEP
• Benefits of seamless service and reduced diagnosis timesSG
• More people centred services at the central and local health and community centres.SG, SCI, VC
• Better access to services for children and young people relating to support, counselling, therapeutic, creative areas and exercise in the primary care and social centres and in linked local community centres.VC, LC
• Provision of modern multi-purpose healthcare centres across the city with local accessSG
• Better health information for young people and reduction in teenage pregnancies through targeted school and primary care centre based education and provision of local contraceptive services.VC, LC
Negative impacts
• Significant increases in traffic over both phases impede local public transport in Salford.SCI
• Insufficient guards and policing of the sites. Police not visible and no obvious crime reduction strategy.SFC, SCI, VC
• Insufficient links with non-statutory agencies and services.SCI
• Insufficient street cleansing around the main hospital and the new centres.SG
• Levels of affordable childcare facilities and low provisions impede return to work.EP, SCI
• Lack of community and social facilities in the new centres as the service follows the strict bio-health model.SCI
• Lack of improvement in physical fitness because of the low level of services at the centres and they are priced prohibitively high and unaffordable.SFC, SCI, VC
• Some Salford estates and communities are still not linked to the main public transport routes.SFC, SCI, VC