Review of Regional PlanningGroup Workshop

15/8/12Perth Royal Infirmary

Heather Knox, WoSPG

Mark O’Donnell, Scottish Government

We asked….You said….

Review of Regional Planning

What has worked well?

• Collaborative focus, corporate approach and ability to develop working relationships

• Safe place to develop a common view / reflect• Driving through redesign• Useful role of team – “honest broker” facilitator• Useful to have regional planning perspective – thinking

out with normal boundaries• Clearing house roles of DoFs / DoPs or specialist

services groups

What has worked well

• Valued the input of the workforce perspective around the table

• “Patients don’t recognise boundaries so we need to ensure equity and consistency across the region”

• Medical workforce planning and input from NES• Success across a range of services, cancer, paediatrics,

specialist mental health etc• Collaboration across regions and NSD really positive• Where would we have been if we hadn’t had it

What has got in the way?

• Resource? Although financial climate has sharpened focus

• Agenda may not always target the best / most high value activities

• Doesn’t work it is not mutually beneficial

• Personalities

• Clinical teams local focus – (can also work as a positive force)

• Communication within Boards

• Parocialsim

• Board performance management doesn’t take account of how Boards engage regionally

• Inter Board tensions

What has got in the way?

• Assumption against centralisation• Politics – local & national, but regional planning can also

help• Lack of clarity around medical workforce agenda

nationally• Tension between being an agent of the Boards and also

taking direction from Scottish Government• Not taking the leap around shared services• Disconnect between buy-in at CEO level and middle

managers• Goes against the prevailing organisational culture• Time!!• Competing priorities!!

Links between Regional & National Planning

• Regional planning groups can help to drive the agenda eg TAVI

• NDP specialist Paediatrics – excellent model here re the pan Scotland work

• Regional overview to inform national planning• Boards can choose to use Regional Planning Groups to

develop a common view – this then gives legitimacy to representation on at a national level

• BUT need to be sure that form fits function regional planning not the only game in town. Board representation is key.

• Key role in influencing workforce planning nationally

Role in supporting NPF

• Depends on the issue – form follows function, some topics appropriate for regional approach, other not

• Do we need 14 Boards around the table if TCGP structure is strong enough to support and represent?

• 2 way flow –key role in shaping NPF agenda and also taking away issues to work on them

Role in supporting CEO Group

• CEOs require a clearing house and the ability to commission work more easily than currently

• Filter in and out needs to be strengthened and RGP(s) could be part of this

• Needs clear link to NPF• Horizon scanning – are we behind the curve?• Where are we with national forward planning?• RPGs can be used as a forum to develop a view

Role in supporting the Quality Agenda

• Should be integral, not an add on• Have we got enough focus on outcomes in regional

planning?• Not about performance management but joint

collaborative review• “I’m not feeling the connection”• Not sure where the Quality Alliance Board and the

Strategy Delivery Group fits in?

How would you like to see Regional Planning evolve?

• Build on it• More focussed outcomes• Is there a role for national planning resource and how

would this link to Regional Planning?• Need to consider the implications of the health and social

care integration agenda• Should we develop clinical services review on a regional

basis?• What will the impact be of diminishing resource both

financial and workforce?

Workshop A Questions

1. How can we build upon regional planning?

2. If regional planning is to be more outcome-focused, what needs to happen?

3. Is there a role for a more formal performance framework?

4. How do we create a better two-way flow between National Planning and Regional Planning?

Workshop B Questions

1. What will the impact be of diminishing financial and workforce resource on regional planning and how should we respond?

2. If we are to develop clinical service reviews on a regional basis, how should we go about it / what are the principles?

3. What are the implications of H&SC integration for regional planning and is a response required?