inverclyde community health partnershiplibrary.nhsggc.org.uk/mediaassets/chp inverclyde... · cross...
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Inverclyde Community Health Partnership
Organisational Performance Review
March 2008 – October 2008
Annex 1
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Core Actions from February OPR
• Securing future directions
• Reviewing our key processes
• Achieving Best Value
• Health improving
• Demand managing
• Implementing Mental Health Strategy
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Future DirectionsLook for opportunities for the integration of the CHP
Progress to date :
• Agreed joint head of mental health and plans for single management
• Developed plans for co-location and joint capital ventures
• Reviewed CHCP plan and agreed Future Directions
Next steps :
• Implement agreed plans for mental health & addictions
• Finalise plans to locate all specialist children's’ services in IRH and scope for single manager
• Implement Future Directions paper
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Planning The review of community care planning is key
Progress to date :
• Renewed all planning arrangements for community care, children and health improvement in context of SOA with strengthened strategic leadership and accountability arrangements
• Development of coherent and integrated process to more effectively deliver on shared commitments and to mainstream SOA priorities
• Integration of planning resources into virtual team across health and social care. Creation of Joint Manager post.
Next Steps :
• Launch new arrangements from January 2009
• Contribute to the refinement and confirmation of SOA2
• Participate in new Programme Board to drive delivery of SOA and manage cross cutting themes
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Performance Embedding principles of performance and improvement amongst staff, with clear
accountability and reporting
Progress to date :
Next steps :
• Regular performance monitoring to SMT and Committee
• Six monthly PIR focussed on improving areas of under performance
• Agreement with Council on shared performance reporting
• Engagement with staff teams on core performance measures
• Integrate new HEAT targets with other selected national targets and key local targets into reporting framework for CHP
• Agree performance profile, structure and fit with Heads of Service
• Secure local staff ownership of key targets
• Service performance system with required information
• Explore scope for Public Performance Reporting.
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Youth EngagementProgress with plans to engage young people in the work of the CHP
Progress to date :
• Successful Health Zone run at Youth Festival with diary room to capture the views of young people on health and health services – this is being pulled together into a DVD.
• Over 100 young people visited the diary room during one day of the youth festival and over 40 expressed an interest in joining the Youth Health Forum.
• Plans for Youth Health Forum are based on learning from other similar projects elsewhere in the UK.
Next steps :• First meeting of Inverclyde Youth Health Forum set for January with priorities on health services and alcohol, sexual health and tobacco
• Youth Health Forum to be the health sub group of planned Alliance Youth Health Council
• Research project on young people’s attitudes on alcohol.
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Best ValueLook for opportunities for savings through best value assessments
Progress to date :• Learning from partners’ experience on Best Value, Lean Principles and Value Chain Analysis. Considering application to CHP.
• Work progressing with partners re potential for co-location and joint capital ventures.• Reviewing of CHCP plan and agreement on Future Directions
Next steps :• Demand Management group established – work plan to be identified.
• Developing and delivering shared investment plans.
• Completion of reviews on child health, mental health, addictions and administrative services
• Implement Future Directions paper including core commitments on cost sharing, reduced duplication and aligned budgeting
• Joint review of use of resource transfer
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AlcoholYou will work with partners to achieve a greater focus on tackling alcohol and will be
looking at prevention as well as treatmentProgress to date :
• Influencing Inverclyde Alliance to raise the profile of issues related to alcohol and alcohol misuse
• Development of Alcohol Screening and Brief Intervention programme (SIGN 74)
• Keep Well 2 signposting in place
• Work ongoing to develop and continually improve alcohol treatment services and integrate these with those of other providers (eg social work addictions services and third sector providers).
Next steps :• Working to reinvigorate ADAT
• Establishment of a Youth Alcohol Worker post
• Development of an integrated Alcohol Service and facility
• Full roll out of Alcohol Screening and Brief intervention programme
• Implementation of men’s health service to target hard to reach men.
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Oral HealthWork to target nurseries, deprived areas and non registered patients to address the
population’s experience of dental decay
Progress to date :
• The OHAT is fully established in Inverclyde.
• Work progressing with the OHD to improve intelligence beyond pre 5s.
• Childsmile in 3 GDP practices
Next steps :
• Roll out Childsmile programme across all GDPs in Inverclyde.
• Increase the number of dental health support workers.
• Finalise proposals with OHD for alternative plan to modernise dental services which maximise access.
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SmokingSmoking cessation will be a priority for you this year, particularly targeting SIMD
areasProgress to date :
• Changed over to Maudsley model; all smoking cessation staff now trained, operating new model and promoting new services.
• Smoking cessation at core of Keep Well initiative.
• Reduction in smoking prevalence in Inverclyde in the past 6 years.
• Mainstreamed youth tobacco worker.
• Local Implementation Group on tobacco operational.
• Smoke Free Service in all pharmacies.Next steps :
• Drive up performance with the implementation of the new delivery model.
• Increase our bank of sessional smoking cessation staff.
• Introduce Smoke Free Homes initiative with education and environmental health
• Undertake research on young people attitudes to smoking and accessing hard to reach
• Actively target smoking in pregnancy with IRH.
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Demand ManagementProgress to date:• Local Community and Acute Care Services Group established
• Extended management session held to discuss Demand Management in the context of our services and partnerships
• Initial work undertaken to analyse SPARRA data: shared with all GP practices
• Work underway to analyse profile and care pathways ‘frequent flyers’ at IRH (admissions and A&E presentation)
• Secured improvements in AHP waiting times data and intelligence
• Analysis of access to out of hours community nursing and service activity
• Development of local Health and Homelessness Action Plan to address unmet need / barriers in primary care and mainstream services.
Next steps:• Demand management group to take forward local priorities of dementia care pathways, physiotherapy access and study of A&E presentations / admissions
• Unify SPARRA analysis, housing with care review with balance of core update using JIT predictive tool (expand analysis of SPARRA to include SPARRA mental health and all ages)
• Roll out Diabetes LES to all practices with additional resource for podiatry, specialist nursing and dietetics
• Implement local action plan on maternity
• Further implementation of communications strategy including Council and local media
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Implementing Mental Health StrategyCommitment to relocate staff and patients off the Ravenscraig Hospital Site by 2010
Progress to date :• Public engagement locally around Clyde MH Strategy, with ongoing communication
plan in place to March 2010.
• Specification agreed – relatives and carers fully involved.
• Redesign of SSPU, Mental Health Day Service and ECT suite underway.
• CMHT establishment increased and Primary Mental Health Care team in development.
• State of the art integrated Alcohol and Drugs service buildings commissioned.
• Crown House secured as Health ‘Hub’ to accommodate non clinical staff from Ravenscraig and a range of other staff (160 in total)
Next steps :• FE beds to transfer to IRH, Partnership and Care Home Beds tender to be agreed and location to
be confirmed.
• New Alcohol and Drugs service buildings to be ready for occupation in Dec 2009.
• Move into Crown House in July 2009. All staff and patients fully removed from Ravenscraig site by March 2010.