Trust Programme Board
15 July 2013
Transforming Services
1
2
Summary status
Comments
Programme structure updated to better align
care pathways and workforce with
transformation
3
Transforming Augmenting Services
Benefit / Measure
Quality improvement
measures
Sustainability
measures
TBC
£0
TBC
Target
TBC
£11.8M
TBC
Being scoped
Care Pathways & Packages
Workforce
Not yet started
Transforming Corporate
4
Key Risks and Issues
Risk/Issue
Baseline
Comment
1 month delay
Augmenting Service programme initiated 8
July
Safety Programme; Leadership and CISK
Status
PCP
Transforming Specialist Care
Key Benefits & Measures
Cost reduction
measures 13/14
Key programme / project
PCP reporting 1 month delay
Transforming Corporate programme yet to be
agreed and initiated
Linked
programmes
Key Programme Status
Mitigating Actions
Progress
TBC
TSP13: PCP does not reduce
demand on inpatient services to
deliver a ‘425 bed model’
Develop target bed
model for Oct BoD
– work started
£5.8M
TSC02/09: Financial delivery of
TSC this and subsequent years
Monitor in year
Develop 5 year
strategy by Sep 13
WKF09: Timescale and capacity to
develop PCP workforce needs
Early feed of partinformation from
PCP
TBC
Status
Transforming Services – PCP Programme
1
2
Summary status
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
Key Milestone Status
Milestone
Status
Target
Forecast
Clinical processes design complete
start 22nd July
End
End
Aug 13 Sept 13
Non-clinical design complete
Oct 13
Nov 13
End of design stage – Tranche 1
Oct 13
Nov 13
Mitigating Actions
Status
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
3
CPP; Workforce; Leadership; CIS; Augmenting
Baseline
Target
Key Risks and Issues
Risk/Issue
Key Benefits & Measures
Benefit / Measure
4
Progress
Benefits plan to be complete and baseline measures
established by August 2013
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
Transforming Specialist Care – Programme Update
1
Comments
Linked
projects
3
2
Summary status
• 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.
Transforming Community Services
Principal Community Pathways
Baseline
Target
Neuro
Bed occupancy
90% W3&4
89% for
12/13
90%
Tyne Occupancy
Levels 95%
47% for
12/13
65% July 13
95% Oct 13
Milestone
Status
Neuro-Services – medical & AHP
staffing stabilised.
Neuro Services – review of Heppell
House – options appraisal complete
Autism Assessment and Treatment
Unit – Business Case consideration by Board
Forensics - Tyne occupancy levels
achieved (95% of 22 beds)
4
Progress
Ytd 91%
at July 13
51%
June 13
More benefits and measures to be determined
Target
Forecast
Nov 13
Nov 13
June 13 July 13
Transforming Specialist Care – 5
year strategy produced.
Key Benefits & Measures
Benefit / Measure
Key Milestone Status
May 13
July 13
Oct 13
Oct 13
Sept 13 Sept 13
Key Risks and Issues
Risk/Issue
TSC.02 – transformation work does
not release financial delivery in
13/14
TSC.08 – Transforming Community
Services capacity of mobile
solution rollout
TSC.01 – Large changes in
commissioning across SCG
Mitigating Actions
Financial delivery
meetings (monthly)
Seek to appoint to
roll asap.
Seek to understand
changes asap.
TSC.09 – Ability to deliver financial Financial delivery
delivery plans for 2014/15 onwards meetings (monthly)
Status
Transforming Services – Care Pathways Programme
1
2
Summary status
Comments
Milestone
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
3
Principal Community Pathways; Workforce
Augmenting Services
Base
line
Target
Progress
Status
Delivery of Q1 CQUIN 7
Delivery of e-pathways functionality
on Rio
Draft specification for augmenting
packages
Delivery of Q&O Implementation
plan
4
Key Benefits & Measures
Benefit / Measure
Key Milestone Status
Target
Forecast
30 Jun
30 Jun
1 Apr 14
NK
1 Aug
1 Aug
30 Sept 30 Sept
Key Risks and Issues
Risk/Issue
Mitigating Actions
Consistent way of describing
type and level of demand for
services.
CPP01 – Lack of capacity for
financial modelling impacts on
delivery against national timeframe
Information to support financial
modelling for move towards PbR
CPP15 – Poor data quality impacts
Weekly monitoring
on PCP demand planning and
of data quality
financial modelling
Standardised information about
quality and outcomes of services
provided
Workforce with skills to deliver
care their patients require
CPP09 – Delay to e-pathways
functionality – impact on PCP and
evidence of care package delivery
Further capacity
being resourced
Director Informatics
negotiating with
CSE
Status
Transforming Services – Workforce Programme
1
2
Summary status
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
3
Key Milestone Status
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
Principal Community Pathways; Leadership
4
Key Benefits & Measures
Benefit / Measure
Close skills gap
by 50%
Baseline
0
Target
50% by
Mar 2014
Progress
Key Risks and Issues
Risk/Issue
WKF09: Timescale and capacity to
develop PCP workforce needs
WKF01: HR process for PCP will be
different – risk re: staff and staff-side
relations
Mitigating Actions
Status