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