CARDIFF AND VALE NHS TRUST YMDDIRIEDOLAETH GIG CAERDYDD A’R FRO Programme Project Board 12 July 2006 Agenda Item 3.2 Programme for Health Services Improvement in Cardiff and the Vale of Glamorgan Progress Report – Resources Group Summary and Action Required This brief report seeks to update the Project Board in respect of the Resources Group’s work to date and planned activities. The Resources Group has met once. The Programme Project Board is asked to note this update for information. Background The Resources Group has been set up as a sub-group of the Programme Project Board with the overall objective of ensuring that the programme is taken forward within the wider resource framework within which services must be delivered. Specifically in terms of workforce, information management and technology, estates and finances. Progress to Date The Resources Group has met once on the 15th May where the Terms of Reference were considered and agreed in the light of the overall project structure. These are attached for reference as appendix 1. At this meeting it was agreed that the work of the group would reflect the timescales outlined in Designed for Life, with each of the four subgroups, finance, IM&T, workforce and estates tasked with undertaking two initial work streams, a assessment, using 2005/6 as the year against which baselines would be set, and a piece of work considering the impact of national and local policies on resources over the duration of the project. A workshop is to be held on the 20th July 2006 which will bring together and review the outcomes of the above two elements of work and agree further progress further in supporting the programme. Preparations for the workshop are now underway. Of note the resources group felt that it would be helpful if the OD issues associated with the overall programme could be considered by the Project Board and not confined to the workforce workstream. Programme Project Board Progress Report Resources Group Page 1 of 5 12 July 2006 External Consultancy Support to Cardiff and Vale of Glamorgan Strategic Service Redesign Following a formal fee bid process the Programme Project Board is asked to note the appointment of RKW as external consultancy to support the programme. RKW will work with programme partners and key stakeholders in developing demand and capacity models. RKW have extensive background of working with large organisations, \most recently in Wales with colleagues in Gwent supporting the development of their clinical Solutions work. RKW’s work with the programme within Cardiff and the Vale of Glamorgan will include data collation, benchmarking, service and financial modelling, impact assessment, service optimisation advice and strategic support to the change process. A series of meeting with key individuals and groups associated with the programme is now being co-ordinated in order to begin this work. Action Required The Programme Project Board is asked to: Note the progress made by the Resources Group to date and planned further action. Note the planned workshop on 20th July Paul Davies Interim Chair, Resources Working Group Programme Project Board Progress Report Resources Group Page 2 of 5 12 July 2006 CARDIFF AND VALE NHS TRUST YMDDIRIEDOLAETH GIG CAERDYDD A’R FRO Programme For Health Service Improvement in Cardiff and the Vale of Glamorgan Resources Group Draft Membership and Terms of Reference Role and Responsibility To ensure that the proposals for improving services in Cardiff and Vale are underpinned and informed by a shared understanding of the wider resource framework, including workforce, estate, financial and IM&T. Draft Terms of Reference for the Group are: 1. Establish a baseline to describe the long-term financial, workforce, estates capital planning and IM&T issues facing the community using 2005/06 data. 2. Establish known influences outside the local health community which will impact on resources over the lifetime of the Programme – eg national frameworks and policies, milestones and targets within Designed for Life, emerging commissioning models, workforce changes. 3. Identify the constraints and opportunities identified in (1) and (2) and establish appropriate frameworks to resolve these through improved efficiency, new ways of working etc. 4. Support and challenge the Programme for Health Services Improvement (PHSI) Programme Board by testing the financial, workforce, estate capital planning and IM&T implications of emerging service models / options. 5. Oversee responsibility for commissioning the external consultancy support for strategic service redesign to support the Programme and monitoring of the subsequent contract through liaison with the Programme Director. It is expected that the Group will manage a number of key work streams Capital and Estates Programme Project Board Progress Report Resources Group Workforce Finance and Performance Page 3 of 5 IM&T 12 July 2006 Capital and Estates Work Stream (Lead: Director of Development, Cardiff and Vale NHS Trust) Key Tasks 1. To ensure that existing service and estates strategies for the Trust, LHBs and stakeholders are established as a baseline for the consideration of all future capital investment 2. To identify learning from areas of best practice and innovation relevant to the planning of estate. 3. To identify the framework and opportunities for meeting the clinical models identified by the clinical workstreams. 4. To ensure that appropriate estates and capital investment advice is available to all projects and plans within the programme, including the provision of advice on investment options for the future delivery of proposed service models Workforce Work Stream (Lead: Director of HR, Cardiff and Vale NHS Trust) Key Tasks 1. To provide profiles of the current workforce in terms of numbers, professional group, skill mix, age profile, work location for priority areas on a whole systems basis, including key performance indicators 2. To provide a source of best practice and innovation in workforce advice incorporating national policies and targets. 3. To provide, where appropriate practical support for the development of new and extended roles 4. To provide expert advice to the Clinical Service Planning Group on workforce issues related to new service models – specifically opportunities and constraints Finance and Performance Work Stream (Lead: Director of Finance, Cardiff and Vale NHS Trust) 1. To clarify the long term financial and workforce issues facing the community 2. To provide baseline information on performance, demand and capacity to inform service planning 3. To ensure that the national resource planning agenda and emerging commissioning models are considered as part of the long term financial plans. 4. To identify the framework and opportunities for meeting the clinical models identified by the clinical workstreams. 5. To support and challenge the PHSI Programme Board by testing the financial implications of emerging service models and options IM&T Work stream (Lead: Director of Development, Cardiff and Vale NHS Trust) Programme Project Board Progress Report Resources Group Page 4 of 5 12 July 2006 1. To assess the information and communication technologies currently in place, including planned developments in order to understand existing capacity and to identify areas requiring development; 2. To review existing information systems (collection, storage and access/distribution) in order to understand existing capacity and to identify areas requiring development; 3. To identify and evaluate the resourcing and structural impact of national projects including “Informing Healthcare” and “Making The Connections”; 4. To consider how technology can support future care models, and ensure that this is considered within the proposed service models. Proposed Membership of the Resources Group Chair Director of Finance, Cardiff LHB Deputy Director of Finance Director of Finance Director of Finance Director of HR &OD Director of Development Principal Assistant Finance Director Director of Business & Improvement Director of Operations LHB HR Lead Cardiff LHB Vale LHB Cardiff and Vale NHS Trust 1 Cardiff and Vale NHS Trust2 Cardiff and Vale NHS Trust34 Cardiff and Vale NHS Trust Vale LHB Cardiff and Vale NHS Trust Cardiff LHB Administrative Support to be provided by Chair’s office (Cardiff LHB) Chair – Finance and Performance Workstream Chair – Workforce Workstream 3 Chair – Capital and Estates Workstream 4 Chair – IM&T Workstream 1 2 Programme Project Board Progress Report Resources Group Page 5 of 5 12 July 2006