Item 3 - Herts Integrated Transport Partnership (HITP)

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Agenda Item

No.

HERTFORDSHIRE COUNTY COUNCIL

EFFICIENCIES AND I.T. PANEL

MONDAY 28 NOVEMBER 2005 AT 9.30 A.M.

3

HERTS INTEGRATED TRANSPORT PARTNERSHIP (HITP) - Progress

Report

Report of the Director of Environment

Author: John Sykes/Toby Parsons

Purpose of paper

Tel: 01992 556118

To provide more detailed information on the progress of HITP project since

July 2004.

To identify the priorities for the next stage of the project.

1. The aims of Hertfordshire Integrated Transport Partnership (HITP)

1.1

To promote travel independence, inclusion and accessibility;

1.2

To provide the right transport for the right people;

1.3

To produce efficiencies in service delivery (£1m by September 2006).

From the transport users’ perspective, HITP is working towards making it easy for users to find out about any kind of public and specialist transport and to book specialist transport through one point of contact, such as transport to leisure, day care or health appointments.

From the stakeholders’ perspective, HITP is working towards being clear about who can access what kind of transport service, either free or through making a financial contribution, and how to organise the transport efficiently and effectively.

2. What has HITP achieved since July 2004?

In addition to various internal communication improvements, we have made the following changes from which Hertfordshire residents will directly benefit.

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2.1 Aim 1:

To promote travel independence, inclusion and accessibility

2.1.1

2.1.2

Achievements

Travellink now has its own corporate identity. Access to information on all transport options is now available to all residents by using the web www.hertslink.org/travellink and/or the Customer Services Centre helpline on 01438 737250. This will be supported as part of the

Environment Department’s PTU link to the Centre.

A rural transport project was successfully launched in April 2005, to provide door-to-door transport services into the Lister Hospital from the surrounding areas in Stevenage, Hitchin, Letchworth and Baldock. In order to help satisfy the increasing demand for the service, work is now being undertaken with the East and North Herts Acute Trust to extend the service to the QE11 and Hertford County hospitals.

The project is also supporting the development of a transport strategy for the whole of the Acute Trust in order to identify how this could be mainstreamed as part of their future transport needs.

2.2 Aim 2:

To provide the right transport for the right people.

Achievements

2.2.1

A

“call-off” taxi contract has been set up for all ad hoc journeys procured by ACS or CSF in North Herts and Stevenage, offering the following benefits:

A saving of administrative time in the quadrant;

A reduction in the per journey taxi costs;

Clear quality and performance expectations of contractors.

The outcome of the work will then be disseminated across other quadrant areas.

2.2.2

Eligibility screening for all non emergency patient journeys within the

NHS East and North Herts Acute Trust has now been centralised through a pilot programme, using the Customer Services Centre. This will not only enable the right people to access free non-emergency transport, but also identify how similar centralised eligibility screening techniques could be used across other HCC service areas. A business case is now being developed for consideration by the Acute Trust to enable the service to be permanently funded.

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2.3 Aim 3:

To produce efficiencies in service delivery (£1m by September 2006).

Achievements

2.3.1

An on-going saving of

£450,000 has already being identified through project work relating to looked-after children transport costs in 2004/5.

2.3.2

A further “one off” underspend budget saving of £472,000 was also identified on the home to school transport budget in 2004/5.

2.3.3 Further budget allocations have also been negotiated from key stakeholders to help develop current programme including:

- £15k from North Herts/Stevenage PCT to develop the eligibility screening programme

-

£6k from remaining 3 East/North Herts PCTs to support the screening project

- £36k from the ENH Acute Trust to extend the customer service centre (CSC) eligibility pilot programme to cover acute care patients

- £15k from ENH Acute Trust to develop the Lister Rural

Transport project to serve QE11 hospital

- £150k from HCC to develop appropriate routing and booking software linked to the CSC project

2.3 4 A considerable amount of work has been undertaken in reviewing a range of CSF and ACS transport strategies and policies. In particular those which could yield significant efficiencies have been highlighted in the attached action plan (Appendix B) with corresponding key deadlines, targets and lead officers from CSF and ACS.

3.0 Future Deliverables

The remaining work projected into the next 18 months is illustrated in

Appendix A of this report. Each aspect of the programme has been allocated a short, medium and longer term “stakeholder” lead organisation. This not only helps to identify the scope and targets for the HITP programme but also highlights the exit strategy that needs to be achieved beyond March 2007 when the project funding ceases.

4.0 Conclusion

The project has made considerable progress since April 2004 and has identified a project plan for the remaining 18 months. Changes to the project manager’s role, his interface with the new Herts Integrated Transport Services

Manager and the proposed change of HCC project lead officer within the

Environment Department, should serve to strengthen the programme and help deliver all of the project strands by March 2007.

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Policy

Development

Strategic

Accessibility

Planning

Appendix A

HITP Work Programme

Outstanding

Project Work

Strands

Commissioning

Home to School

Transport

Action

Monitoring and reviewing the non emergency SLA on quarterly basis

Possible market testing of SLA

Develop further opportunistic taxi contracts for other areas of

Hertfordshire

Support the further work identified in the

HCC action plan highlighted under

Appendix B below

Work with broader stakeholder groups - particularly CVS/ACS groups

Short Term

Lead

3- 6months

HITP

HITP/NHS

CSF

As per action plan

HITP

Commission leads facilitate groups

Continue to support

InYH transport strategy and further community hospital plans.

HITP/

HITS

CSF

Medium Term

Lead

6-12months

HITP/BHAPS/

NHS

HITP/NHS

Long Term

Lead

12-18 months

BHAPS/NHS

NHS

CSF

Jointly monitored through

CSF/ACS/PTU

HITP/CVS/

ACS

Environment

Dept

Jointly monitored through

CSF/ACS/PTU

CVS/ACS

Environment

Dept

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Lister Hospital

Project

Single Point of

Access

HITP

HITP/ENH

Acute

Trust/BHAP

HITP/CSC

HITP/West

Herts Acute

Trust/CSC

HITP/HCC/

NHS/

Stakeholder

Groups

HITP/HCC

NHS

Stakeholder groups

HITP and

Project

Steering

Group

HITP and

Project

Steering

Group

HITP

HITP and

Project

Steering

Group

Develop a transport strategy for the ENH

Acute Trust

Monitor and review

Lister project

Develop extension of pilot across to QE11 and Hertford County

Hospital

Work with district councils to pump prime project at

QE11 and Hertford

Look to mainstream project with stakeholders support

Continue to develop the CSC pilot with

Acute Trust

Agree long term strategy with new

CSC provider

Dovetail West Herts

Trust application into

CSC

Develop routing and planning software application into CSC programme

Continue to develop broader application of eligibility screening programme with other stakeholders

ENH Acute

Trust

HITP/Steering

Group

HITP/Steering

Group

HITP/PTU

Project

Steering

Group

ENH Acute

Trust

HITP/Acute

Trust

HITP/ Acute

Trust /CSC

HITP/ West

Herts Acute

Trust/CSC

HITP/HCC/

NHS/

Stakeholder

Groups

HITP/HCC

NHS

Stakeholder groups

Groups

Acute Trust

Acute

Trust/CSC

West Herts

Acute

Trust/CSC

HCC/ NHS

Stakeholder

Groups

HCC/NHS

Stakeholder

ENH Acute

Trust

ENH Acute

Trust

PTU/Acute

Trust

Key stakeholders

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Communication

Strategy

National/Regional

Benchmarking

Budget Monitor

Provide further training support to

CSC

Agree/circulate

“newsletter”

Coordinate members scrutiny programme

Continue to seek opportunities with

PR/Marketing team for further Travellink publicity

Continue to share good practice and identify opportunities to create additional funding

Manage monthly monitor of HITP budget

Key BHAPS

CVS

CSC

CSF

ACS

HITS

PCT

Monitor/review HITP/HCC

Stakeholder

HITP/CSC

HITP/ HCC

Marketing

HITS/

HITP/CSF

HITP/HCC

Marketing

HITP

HITP/North

Herts PCT

Beds and Herts Paramedic and Ambulance

Community Volunteer Services

Customer Service Centre

Adult Care Services

Herts Integrated Transport Services

Primary Care Trust

HITP/HCC

Key

Stakeholder

HITP/CSC

HITP/ HCC

Marketing

HITS/

HITP/CSF

HITP/HCC

Marketing

HITP

HITP/North

Herts PCT

Services

HCC/Key

Stakeholders

CSC

HITP/HCC

Marketing

HITP/HCC

Marketing

HITP

HITP/North

Herts PCT

Children, Schools and Families

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Appendix B

Summary of Actions of HCC aspects of HITP Work Programme.

No. Project strand Actions

1 SEN Transport

Policy

To produce the final transport policy.

2. ACS Transport

Policy / Strategy

Development

To identify what transport options will / will not be provided to support the assessment outcomes for all client groups in

ACS.

3. Development of new models of transport for ACS clients.

4. Provision of

Transport to

Faith Schools.

To develop a new model of transport to meet the needs of developing day services in line with ‘Valuing

People’.

To produce a project plan to take forward this work.

Who

Debbie

Orton(CSF)

Sue

Darker(ACS)

Draft strategy to be presented to ACS

Transport Strategy

Group on 9 th September

Final date for completion is 30 th

September

Gill Borg(ACS) Models currently being costed.

These will be included in paper to ACSMB by

30 th September.

Sarah

Vize(CSF)

By When

1 st November

Draft project plan to be developed. Awaiting legal advice prior to further action

5. Delegation of home to school transport to individual schools.

6. Consortia Travel schools or groups of

No action. This work will be picked up as a part of a wider exercise on delegation of other budgets to schools. i) To produce unit cost data and analyse qualitative issues. ii) Plan and deliver a stakeholder workshop in

September-

November

Mike Griffin, supported by

Tim

Parlow(CSF) i) Deadline 30 th

September 2005 and discussion held with quadrant managers. ii) Series of stakeholder workshops planned to identify range of possible options to deliver service

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7.

Opportunistic

Taxi Contract

8.

9.

10.

Service level

Agreements

ACS Budget

Management

CSF Budget

Management

Ensure the contract starts. i) Monitor the effectiveness of the contract. ii) Assess the feasibility of rolling out the contract process to other areas.

Sign off both CSF and ACS SLAs.

Mike Benaim supported by

Tim Parlow and

Gill Borg

(CSF/ACS)

Contract started on 7 th

July. Ongoing monitoring, with three month assessment on

1 st October

Produce ACS unit costs by care group on a budgeted or average basis.

Produce a monthly budget monitor for all transport expenditure for

CSF.

David Ayres for

CSF and Gill

Borg for ACS

David Leigh with Gill Borg

(ACS)

Dean

Langsdon(CSF)

CSF SLA agreed and signed.

ACS SLA waiting signature at next quarterly meeting in

August

Preliminary work on unit costs for 03 - 05 complete. Waiting for

05/06 figures.

Delayed until end of

September

First monitor produced on 31 st July.

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