trust programme board 15 july 2013
DESCRIPTION
Trust Programme Board 15 July 2013. Transforming Services. 1. 2. Summary status. Key Programme Status. 3. 4. Key Benefits & Measures. Key Risks and Issues. Transforming Services – PCP Programme. 1. 2. Summary status. Key Milestone Status. 4. Key Risks and Issues. 3. - PowerPoint PPT PresentationTRANSCRIPT
Trust Programme Board 15 July 2013
Transforming Services
Key Programme Status2
Key Risks and Issues4Key Benefits & Measures3
Summary status1
Risk/Issue Mitigating Actions Status
TSP13: PCP does not reduce demand on inpatient services to deliver a ‘425 bed model’
Develop target bed model for Oct BoD – work started
TSC02/09: Financial delivery of TSC this and subsequent years
Monitor in yearDevelop 5 year strategy by Sep 13
WKF09: Timescale and capacity to develop PCP workforce needs
Early feed of part-information from PCP
Key programme / project Status Comment
PCP 1 month delay
Transforming Specialist Care
Transforming Augmenting Services Being scoped
Care Pathways & Packages
Workforce
Transforming Corporate Not yet started
Benefit / Measure Baseline Target Progress
Quality improvement measures TBC TBC TBC
Cost reduction measures 13/14 £0 £11.8M £5.8M
Sustainability measures TBC TBC TBC
Comments Programme structure updated to better align care pathways and workforce with transformation
PCP reporting 1 month delay
Augmenting Service programme initiated 8 July
Transforming Corporate programme yet to be agreed and initiated
Linked programmes
Safety Programme; Leadership and CISK
Transforming Services – PCP Programme
Key Milestone Status2
Key Risks and Issues4Key Benefits & Measures3
Summary status1
Risk/Issue Mitigating Actions Status
PCP10: Failure to develop sustainable ‘425’ bed model takes resources out of PCP
Develop outline model by Jul 13
(Augmenting Services)
PCP03: Not getting stakeholders engaged in available timescales
Engagement plan
Milestone Status Target Forecast
Clinical processes design complete start 22nd July
End Aug 13
End Sept 13
Non-clinical design complete Oct 13 Nov 13
End of design stage – Tranche 1Oct 13 Nov 13
Benefit / Measure Baseline Target Progress
Benefits plan to be complete and baseline measures established by August 2013
Comments Requests for support to Certified Leaders - only one workshop not covered
Partners invited to all workshops. SU+C covering all workshops, still some gaps with partners
Medic attendance being progressed
First 2 workshops (22nd / 29th July sorted)
Plan for Non – clinical design to be developed by Friday 19th July
Linked projects CPP; Workforce; Leadership; CIS; Augmenting
Transforming Specialist Care – Programme Update
Key Milestone Status2
Key Risks and Issues4Key Benefits & Measures3
Summary status1
Risk/Issue Mitigating Actions StatusTSC.02 – transformation work does not release financial delivery in 13/14
Financial delivery meetings (monthly)
TSC.08 – Transforming Community Services capacity of mobile solution rollout
Seek to appoint to roll asap.
TSC.01 – Large changes in commissioning across SCG
Seek to understand changes asap.
TSC.09 – Ability to deliver financial delivery plans for 2014/15 onwards
Financial delivery meetings (monthly)
Milestone Status Target Forecast
Neuro-Services – medical & AHP staffing stabilised.
Nov 13 Nov 13
Neuro Services – review of Heppell House – options appraisal complete
June 13 July 13
Autism Assessment and Treatment Unit – Business Case - consideration by Board
May 13 July 13
Forensics - Tyne occupancy levels achieved (95% of 22 beds)
Oct 13 Oct 13
Transforming Specialist Care – 5 year strategy produced.
Sept 13 Sept 13
Benefit / Measure Baseline Target Progress
NeuroBed occupancy
90% W3&4
89% for 12/13
90%Ytd 91%
at July 13
Tyne Occupancy Levels 95%
47% for 12/13
65% July 1395% Oct 13
51%June 13
More benefits and measures to be determined
Comments • Neuro Services - largest transformation project that we have on-going. Parts of delivery are on track. Occupancy plans on track for neuro-rehab but challenges remain regarding neuro-psychiatry pathways
• Forensics –no financial delivery attached to this project for 13/14. Tyne and Hebron occupancy levels are the focus for 2013/14. Financial delivery expected in 14/15.
• Changing commissioners have increased risk of establishing ADHD service.
Linked projects
Transforming Community Services Principal Community Pathways
Transforming Services – Care Pathways Programme
Key Milestone Status2
Key Risks and Issues4Key Benefits & Measures3
Summary status1
Risk/Issue Mitigating Actions Status
CPP01 – Lack of capacity for financial modelling impacts on delivery against national timeframe
Further capacity being resourced
CPP15 – Poor data quality impacts on PCP demand planning and financial modelling
Weekly monitoring of data quality
CPP09 – Delay to e-pathways functionality – impact on PCP and evidence of care package delivery
Director Informatics negotiating with CSE
Milestone Status Target Forecast
Delivery of Q1 CQUIN 7 30 Jun 30 Jun
Delivery of e-pathways functionality on Rio
1 Apr 14 NK
Draft specification for augmenting packages
1 Aug 1 Aug
Delivery of Q&O Implementation plan
30 Sept 30 Sept
Benefit / Measure Baseline
Target
Progress
Consistent way of describing type and level of demand for services.
Information to support financial modelling for move towards PbR
Standardised information about quality and outcomes of services provided
Workforce with skills to deliver care their patients require
Comments Progress mostly on track
Some concern around timescales for PbR and internal capacity to do financial modelling.
Recognised need to improve data quality and sharing / embedding information at team level. Action plan with Operational Groups being taken forward to address MHCT under-scoring.
LD Cluster report has been delivered – working up implementation plan.
Linked projects
Principal Community Pathways; WorkforceAugmenting Services
Transforming Services – Workforce Programme
Key Milestone Status2
Key Risks and Issues4Key Benefits & Measures3
Summary status1
Risk/Issue Mitigating Actions Status
WKF09: Timescale and capacity to develop PCP workforce needs
WKF01: HR process for PCP will be different – risk re: staff and staff-side relations
Milestone Status Target Forecast
Staff equipped with skills for PCP go-live in Sun & STy
Mar 14 Mar 14
PCP workforce designed for Sun/ STy: skills, jobs, structure, OD
Oct 13 Nov 13
HR process/principles in place to establish PCP community team
Oct 13 Oct 13
Benefit / Measure Baseline Target Progress
Close skills gap by 50%
050% by
Mar 2014
Comments Programme is on track but there is risk later in the programme due to the dependencies on systems & processes part of PCP.
Need to develop the programme for non-PCP areas
Linked projects
Principal Community Pathways; Leadership