2010/11 BUSINESS PLAN

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2010/11 BUSINESS PLAN

  1. 1. Enclosure 07 1 ANNUAL BUSINESS PLAN 2010-2011
  2. 2. Enclosure 07 2 2010/11 BUSINESS PLAN STRATEGIC OBJECTIVES 1. Prevent Ill Health – Deliver SIP Programme 1 2. Detect Illness Earlier – Deliver SIP Programme 2 3. Improve Primary Care Access and Quality – Deliver SIP Programme 3 4. Improve Value for Money from Acute Services – Deliver SIP Programme 4 5. Improve Community Based Services – Deliver SIP Programme 5 6. Improve Mental Health Services – Deliver SIP Programme 6 7. Deliver Service Transformation – in line with 10/11 Fit for the Future Programme 8. Deliver Improvements in Urgent Care System – in line with the 10/11 Urgent Care Programme 9. Achieve 10/11 financial targets and financial balance 10. Achieve national performance targets and standards – in line with the operational plan/framework 11. Improve quality and patient experience 12. Ensure effective emergency resilience 13. Deliver planned efficiency and better value targets in line with 2010/11 financial plan 14. Deliver effective demand management/strengthened contract management through effective clinical leadership, engagement, in line with PbC Consortium Agreement 15. Develop the organisation: delivering planned improvements in organisational effectiveness in line with WCC 16. Deliver the 10/11 Workforce Plan 17. Deliver 10/11 IT and Informatics Plan 18. Deliver 10/11 Estates and Facilities Plan – in line with Fit for the Future Programme
  3. 3. Enclosure 07 3 1. Section A. Local Priorities Ref Strategic Business Objective Key Deliverables By When Exec Lead Success Criteria Key Other & Governance Structure Risk Rate 1 Prevent Ill- Health: Deliver SIP 1 Supporting dependant drinkers take control March 2011 Director of Health Improvement Reduce the number of hospital admissions achieving planned trajectory SIP 1 Clinical Director Strategic Initiative Programme Board M Improve smoking cessation 4-week quitters rate March 2011 Increase the number of smoking quitters achieving planned trajectory. M 1% reduction in Smoking in pregnancy M Reduce Smoking in Pregnancy March 2011 Increase breast feeding initiation rates by 2% M Increase breastfeeding initiation March 2011 Increase breastfeeding initiation rates by 2% M Reduce childhood obesity Reduce the percentage of obese children in year achieving planned trajectory 2 Detect Illness earlier (Cancer & CVD): Deliver SIP 2 Deliver year 1 of the NHS Health Checks March 2011 Director of Quality & Performance 75% of patients invited will have an NHS Health Check 80% of patients will access further health interventions SIP 2 Clinical Director Strategic Initiative Programme Board M Develop and implement a targeted cancer awareness campaign for the public March 2011 Increase the breast and bowel cancer screening uptake rate M Develop and deliver Cancer March 2011 Reduce the variation in practice referral rates M
  4. 4. Enclosure 07 4 Primary Care Education and Training into the 14 day fast track system 3 Improve Primary Care Access & Quality: Deliver SIP 3 Implement QOF XL March 2011 Medical Director 100% uptake and 80% Achievement of practices SIP 3 Clinical Director Strategic Initiative Programme Board M-L Improve cost effective prescribing March 2011 Saving target achieved and quality indicators in QOF met. H 2010/11 Targeted Primary Care education and training programme Director of Commg Deliver the Programme by March >50% of clinical attendance at education and training events M 4 Improve Value for money from acute services: Deliver SIP 4 Deliver effective Hosp outpatient service improving efficiency March 2011 Director of Commg Reduce outpatient activity to planned trajectory towards regional average. SIP 4 Clinical Director & Strategic Initiative Programme Board PBC Consortium M Reduce elective admissions through effective demand management March 2011 Elective admissions will meet planned trajectory (towards national average 11/12) H Reduce non-elective admissions through effective urgent care models which deliver efficiencies. March 2011 Non-elective admissions will meet planned trajectory (towards national average 11/12) H Deliver planned cost savings programme March 2011 Deliver cost saving programme through delivery of Acute Care QiPPP H 5 Improve Community Based Services: Deliver SIP 5 Commission Integrated Care Teams delivering proactive case management Jan 2011 Director of Commg Respecification of DN services and delivery of Phase 1 Service Changes SIP 5 Clinical Director Strategic Initiative Programme H Commission Specialist Service in place and operational M
  5. 5. Enclosure 07 5 Improve Community Based Services: Deliver SIP 5 Community Teams for Diabetes, COPD and Heart Failure Jan 2011 Director of Commg Board SIP 5 Clinical Director Strategic Initiative Programme Board Commission Rapid Response Service Oct 2011 Rapid Response Service in place and operational M Commission EOL Improvement Programme March 2011 Reduction in deaths in acute hospital to planned trajectory M Improve Community Based Service Quality and Productivity March 2011 Deliver cost saving programme through TCS QiPPP H Redesign community bed stock to include step up beds March 2011 Redesign proposals approved by Clinical Commissioners L Integration of IC & Enablement (Health and Social Care) Service Integration March 2011 Intermediate Care and Enablement Operational May 2010 L 6 Improve Mental Health Services: Deliver SIP 6 Redesign of inpatient services to deliver LOS efficiency March 2011 Director of JCU Reduced LOS of Stay to planned trajectory SIP Clinical Director Strategic Initiative Programme Board M Improve access to Psychological Therapies) May 2010 Service in place and operational L Reduce avoidable admissions to acute mental health care March 2011 Effective gate keeping by Crisis Resolution / Home Treatment achieves reduction in admission to planned trajectory– H Improve cost efficiency March 2011 Deliver Cost Savings target through MH QiPPP L 7 Deliver Redesign outpatient March 2011 Transfer of 11,250 outpatients into Clinical L
  6. 6. Enclosure 07 6 Service Transformati on: Fit for the Future appointments to deliver planned shift. Director of Commg community setting. (4,636 opthalmology; 4,524 Muskuloskeletal; 2,090 Long Term Care) Commissioning Committee Deliver admission avoidance programme in line with bed reduction plan March 2011 Admission Avoidance Programme delivered to plan – in line with FfF Bed Reduction Plan H 8 Deliver Improvement in Urgent Care System Commission Redesign Front of House Model of Care Oct 2010 Director of Commg Phase I FOH service in operation Clinical Commissioning Committee M Commission an enhanced OOH Service March 2011 Formal procurement process commenced with enhanced service specification aligned to national, local and CQC requirements L Commission same day next day services in line with Front of House model March 2011 Ambulatory care pathway in place for access to same day GP appointments and SDND services L Develop alternative care pathways with WMAS March 2011 10% Reduction in ambulance conveyance to A&E M Section B. National Priorities 9 Achieve financial targets and financial balance Delivering Revenue and Capital Control Targets March 2011 Director of Corporate Resources Achievement of Revenue Control Target Performance EMT M Effective financial management of 10/11 SIPs /cost efficiency programme. March 2011 Achievement of Capital Resource Limit M Establish effective Finance Management framework with with PBC Consortium re practice budgets and monitoring delivery of reward scheme June 2010 PBC Budget setting and financial framework in place with effective monitoring, reporting and support to consortium. Clinical Commissioning Committee L
  7. 7. Enclosure 07 7 10 10 Achieve National Performance Targets and Standards Achieve National Performance Targets and Standards Improve external ratings March 2011 Direct or Quality & Performance Deliver KLoE improvement plan to maintain GOOD (Existing Commitments) and achieve GOOD (National Priorities) Performance EMT L Improve cleanliness & reduce HCAIs March 2011 Director of Nursing Achieve 30% reduction in C Difficile infection (VSA03) QPEMG Deliver 18 weeks referral to treatment target (VSA05) March 2011 Director of Commg Deliver the recovery plan requirements to achieve the agreed targets. QP EMG SCEMG Improve access to General Practice based care (VSB06 & VSB07) March 2011 Increase % GP offering extended opening hours to 80% Improve Dental Access (VSB18) March 2011 Deliver the recovery plan to increase dental access by 5% targeting high need areas. Keep Adults Well: Cancer Deliver the recovery plan requirements for Cancer waiting times. March 2011 Director of Commg Increase bowel screening for 70-75 yrs to 30% (VSA10) 100% women receive test results within 14 days of test (VSA15) L Implement 31 day standard for radiotherapy (VSA12) (94%) of every subsequent radiotherapy treatment delivered within 31 days M Deliver 14 day symptomatic breast referral target (VSA08) 93% of symptomatic breast referrals seen within 14 days M Deliver 62 day waiting time target for treatment 85% of patients receiving first definitive treatment within 62 days on an urgent referral H Keep Adults Well: Stroke March 2011 Director of Commg Deliver the recovery plan to achieve Vital sign trajectory of 60% of higher risk TIA patients treated within 24 hours (VSA14) QPEMG SCEMG H Achieve Vital sign trajectory of 80% stroke patients spend 90% of in stroke unit. (VSA14) L March Director of Nursing Implement guidance from Working Together to Safeguarding Children (2010 Performance EMT M Implement recommendations of SCRs All health related SSCB rec’s to be L
  8. 8. Enclosure 07 8 10 Achieve National Performance Targets and Standards Keeping Children and young people safe and well 2011 March 2011 implemented within agreed timescales Deliver of safeguarding training to primary care settings All NS practices to have received training. M Director of Health Improvement 87% Primary school children have height and weight recorded (VSB09) QPEMG M Increase access to and reduce attrition rates for physical activity programmes. Reduce number of obese children (at Primary School) to 12.28% level. 253 increase level of physical activity in Yr 6 (VSB09) M Delivery of NCMP yr 6 programme with 100% coverage rate 87% Yr 6 children have height and weight recorded (VSB09) Reduce no of teenage pregnancies: Increase access for 7day emergency contraception provision. (VSB08) M Improve Maternity and Neonatal services March 2011 Director of Commg 90% of women seen by midwife within 12 weeks of pregnancy (VSB06) QPEMG SCEMG L Director of Health Improvement Deliver the recovery plan to achieve the increase in breastfeeding coverage rate at 6- 8 weeks to 96%. Support 72 percent of women initiate breast feeding at birth, with at least 24.3 percent continuing at the 6 –to 8 week baby check. (VSB11) QPEMG H Improve GUM Services. March 2011 Director of Health Improvement 100% of all new referrals offered an appointment within 48 hours of their referral and at least 90% of the referral seen within QPEMG M
  9. 9. Enclosure 07 9 48 hours. Increase Chlamydia screening coverage for 15-24 year olds (35% target) achieving the recovery plan March 2011 Director of Health Improvement Achieve Chlamydia screening performance target vital sign – 35% of all sexually active young people aged below 25 years old are screened. QPEMG M Reduce delayed transfers of care Aug 2010 Director of Commg Deliver the recovery plan trajectory to achieve further reduction in NS delays Performance EMT H Achieve and sustain 98% A&E wait time target Sept 2010 Director of Commg Recovery Plan agreement with provider to achieve ‘total time in A&E target 98% of patients spending less than 4 hours in A&E’. Performance EMT H 11 Improve Quality and Patient Experience Establish system to effectively capture and utilise patients experience of care Sept 2010 Director of Quality & Performance System in place for ‘real time’ patient experience monitoring for all providers with reports to Trust Board meetings. QPEMG L Improve patients experience of GP provision March 2011 Director of Quality & Performance Improvements in the access/waiting, clean comfortable and friendly environment in the GP survey. QPEMG M Improve patients experience of acute hospital in-patient provision March 2011 Director of Quality & Performance Improvements in the safe high quality care and better info and choice areas of I/P survey. Deliver the vital sign trajectory for 2010/11(VSB15) QPEMG M 12 Ensure effective emergency resilience Sustain effective Emergency Resilience Plans March 2011 Director of Health Improvement 10/11 Plans reviewed and meet national requirements and are tested locally with other partners Performance EMT L 13 Deliver planned efficiency and better value targets in line with Deliver SIP QiPPP Savings Plan in line with financial plan March 2011 Director of Corporate Resources Establish effective system to monitor overall SIP & QiPPP Programme with reports to Trust Board. Performance IMT L SIP Savings plan targets are met H Deliver Non SIP QiPPP Priorities March 2011 Director of Commg Non SIP QiPPP Programme targets are met Strategic Initiative H
  10. 10. Enclosure 07 10 the 2010/11 financial plan Programme Board Medicines management March 2011 Director of Quality & Performance Improved prescribing efficiencies in primary care are achieved. PBC ConsortiumImplementation of a local strategy to reduce waste medicines M Deliver org efficiency & management cost reduction targets March 2011 Director of Corporate Resources Management cost reduction plan approved and delivered in line with target. QPEMG M 14 Deliver Effective Demand Mgt through effective clinical leadership, engagement, in line with PbC Consortium Agreement Strengthened Contract Management aligned with PBC March 2011 Director of Commg PBC Reward Scheme agreed with 95% practices PBC Consortium M Strengthened Contracting Capacity and Capability in place L Implementation of new business management processes aligned to SIP 4, linked to PBC and UHNS. M Clinical Leadership for new Contract levers to deliver reduced elective and emergency demand L Section D. Becoming a World Class Commissioning Organisation (Competencies & System Enablers) 15 Develop the organisation: deliver planned improvement in org effectiveness in line with WCC Improve Public Involvement and Engagement March 2011 Associate Chief Executive Deliver plan to achieve improvements in WCC Competency 3– to Level 3 Performance EMT (WCC Performance) M Improve Knowledge Management and Information Services March 2011 Director of Quality & Performance Deliver plan to achieve improvements in WCC Competency 5 – to Level 3 M Improve Clinical Engagement in line with Strategic Plan March 2011 CCC Chair Deliver plan to achieve improvements in WCC Competency 4 – to Level 3 L Improve Market Management and Procurement March 2011 Director of Commg Deliver plan to achieve improvements in WCC Competency 7 & 9 - to Level 3 L
  11. 11. Enclosure 07 11 15 Develop the organisation: deliver planned improvement in org effectiveness in line with WCC Improve system management and contract compliance March 2011 Director of Commg Delivery plan to achieve improvements in WCC Competency 10 – to Level 3 M Improve Efficiency & effectiveness of Spend March 2011 Director of Corporate Resources Delivery plan to achieve improvements in WCC Competency 11 – toLevel 2. M Ensure effective collaborative and delegated commissioning arrangements March 2011 Director of Commg Implementation of revised governance arrangements approved by Trust Board Performance EMT L Deliver the 10/11 OD Plan Work Programme March 2011 Chief Executive Deliver improvements across the 6 OD workstreams Performance EMT M Organisational Redesign in line with national priorities and SHA Cluster arrangements March 2011 Chief Executive Deliver change management plan approved by Board. TBC TBC Deliver 10/11 Comms & engagement work programme March 2011 Associate Chief Executive Internal communication on staff engagement delivered to plan QPEMG MDeliver PCT membership growth plan to 1000 Deliver PCT plan to increase engagement with seldom heard groups (youth and elderly) Increase of 20% 16 Deliver the Workforce Plan Strengthen workforce planning and development capability March 2011 Director of WF&HR Develop and deliver workforce programme for SIPs. Performance EMT M Deliver NStaffs plans for Workforce transition in line with the FfF Programme March 2011 Director of WF&HR FfF Workforce Plan agreed and aligned to LHE Plans. Performance EMT H 10/11 Transition plans delivered M Improve management practice of staff March 2011 Director of WF&HR Increase staff appraisals to 80% as a minimum (VSB17) Performance EMT M
  12. 12. Enclosure 07 12 Improve Staff experience, satisfaction and engagement March 2011 Director of WF &HR Organisational Health Plan in place and implementation plan delivered Performance EMT M Improved KLOE and Staff Survey results Reduce sickness absence rates to 4% 17 17 Deliver IT and informatics Plan Deliver IT and informatics Plan Electronic Prescribing Service (EPS) release 2 March 2011 Director of Corporate Resources 30% of GP practices and 30% pharmacies technically live ISB ISB M Phase 1 Implementation SCR March 2011 90% of practice submitting date to SCR L PAS development – HMYOI Dec 2010 TPP SysmOne clinical system deployed and operational L Radiology order communications in General Practice March 2011 50% of GP Practices enabled radiology order communications L Integrated identity manager March 2011 100% of staff using integrated identity manager IIM L NHS Number standard Dec 2010 NHS number used as unique identifier in GP practice and community information systems L GP2GP record transfer Dec 2010 100% of practices sharing records electronically L Pseudonymisation Project March 2011 All secondary uses data psudonimysed L Implementation of Phase 1 PACS March 2011 Phase 1 10/11 Plan implemented ISB M Providing remote access to clinical systems March 2011 Evaluation of existing pilot and extend service into community provider as appropriate ISB M Access to Map of Medicine March 2011 Continued support of roll out of primary care. 85% of practices by March 2011. All 2010/11 FFtF pathways published with MoM Internal FfF Prog Group M Achieve minimum level 2 against connecting for health IG toolkit March 2011 Develop robust evidence base TBC TBC
  13. 13. Enclosure 07 13 18 Deliver Estates and Facilities Plan Establish and deliver Community Hospital refurbishment plans March 2011 Director of Corporate Resources Refurbishment plans delivered to agreed requirements. NS Logistics Group M Biddulph Primary Care Centre March 2011 Achieve financial close on business case Biddulph Steering Group M PDS and Dental Practice Oct 2010 Building work completed to plan in Leek to enable new dental service to be established. Primary Care Commissg and Development group L
  14. 14. Enclosure 07 14 Glossary CEO Chief Executive Officer Committee SIPB Strategic Initiative Programme Board ACE Associate Chief Executive EMT Executive Management Team DoC Director of Commissioning & Redesign FEMG Finance Executive Management Group DoCR Director of Corporate Resources QPEMG Quality & Performance Executive Management Group DoHI Director of Health Improvement PHEMG Public Health Executive Management Group DOHR/WF Director of Human Resources/Workforce SCEMG Strategic Commissioning Executive Management Group DoN Director of Nursing ECMB Emergency Care Management Board (LHE wide board) DoQP Director of Quality & Performance JCE Joint Commissioning Executive MD Medical Director FFtFPB Internal Fit For the Future Programme Group ISB Informatics Strategy Board CCC PBC Clinical Commissioning Committee Practice Based Commissioning

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