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					                                                                  North Staffordshire Community Healthcare




                                    BUSINESS PLAN 2008/09 - PERFORMANCE AGAINST ACHIEVING DELIVERABLES / OUTPUTS
                                                               SUMMARY - SEPTEMBER 2008


No.                                                                          OBJECTIVE                                                                       SEPT 2008
 1    Deliver contractual and organisational performance targets and related standards
1.1   To identify and confirm all 08/09 contractual and organisational performance targets and establish revised performance framework.                       Green
1.2   To establish an effective systematic performance management system with assurance and risks identified and reviewed with Provider Services Board        Green
1.3   To ensure all services meet waiting time targets                                                                                                        Amber
1.4   To be compliant on an ongoing basis with Standards for Better Health and related national targets                                                       Green
1.5   To measure service improvement                                                                                                                          Amber
 2    Deliver financial targets and value for money
2.1   To secure agreement of the 2008/09 financial baseline with Commissioners which reflect agreed developments                                              Green
2.2   To ensure successful delivery of the 2008/09 financial plan in delivering financial balance.                                                            Green
2.3   To ensure effective budgetary management throughout the whole of the organisation.                                                                      Green
2.4   To deliver the 2008/09 cost improvements and develop a five year cost reduction strategy.                                                               Green
2.5   To undertake detailed service reviews to ensure activity is linked to cost and enable the organisation to shadow cost and volume contracts.             Amber
 3    Be the 'Provider of Choice for community and specialist community healthcare in the area
3.1   Establish 5 year strategic objectives                                                                                                                   Amber
3.2   Outline 5 year Services Strategy                                                                                                                        Amber
3.3   Measure stakeholder satisfaction                                                                                                                        Amber
3.4   Produce a marketing strategy and establish marketing and communications function                                                                        Amber
3.5   Develop a Five Year Estates Strategy                                                                                                                    Amber
 4    Be 'Fit for Purpose' as an autonomous provider organisation
4.1   Deliver financial fitness for purpose                                                                                                                   Green
4.2   Deliver Governance fitness for purpose                                                                                                                  Green
4.3   Deliver Service Improvement Programme                                                                                                                   Amber
4.4   Establish and develop the contracting function to ensure effective contract management                                                                  Green
4.5   Develop and Implement new Corporate and Divisional infrastructure to achieve organisational goals                                                       Amber
4.6   To ensure effective information systems that fully support the objectives of the organisation including tariff readiness.                               Amber
4.7   Establish Information Technology Plan to underpin operational deliverables and business requirements for 2008/09 AND Outline the 5 year requirements    Amber
4.8   Establish integrated business planning across 3 Divisions                                                                                               Amber
4.9   Establish and deliver the Joint Commissioner/Provider Internal Separation Development Plan                                                              Green
 5    Develop and retain a high quality workforce focused on achieving our goals
5.1   Improve Working Lives                                                                                                                                   Green
5.2   Ensure all staff are up to date with Statutory and Mandatory Training                                                                                   Green
5.3   Achieve compliance with KSF requirements across the organisation                                                                                        Green
5.4   Develop a 5 year Workforce Development Strategy                                                                                                         Amber
5.5   Achieve Team based working across all Divisions/ Services                                                                                               Amber
5.6   Develop Workforce Planning function                                                                                                                     Green
5.7   Establish fit for purpose system for staff communications                                                                                               Green
                                                                  North Staffordshire Community Healthcare




                                    BUSINESS PLAN 2008/09 - PERFORMANCE AGAINST ACHIEVING DELIVERABLES / OUTPUTS
                                                               SUMMARY - SEPTEMBER 2008


No.                                                                          OBJECTIVE                                                                 SEPT 2008
5.8   2008/09 Workforce Plan in place to underpin agreed service developments and service improvement programme                                         Amber
5.9   Establish Professional Development Function                                                                                                       Green
 6    Improve health, and reduce inequalities
6.1   To define and implement Provider Services Health Improvement Strategy.                                                                            Green
6.2   To define and implement Provider Services Reducing Health Inequalities Plan.                                                                      Green
6.3   Review partnership working arrangements and ensure that these are fit for purpose to achieve these goals                                          Amber
 7    Develop and deliver new and innovative services which align with commissioner strategies
7.1   Develop and secure innovative service development proposals with commissioners for 2008/09 and outline service development proposals for 09/10    Green
7.2   Delivery of 2008/09 Service Development Programme                                                                                                 Amber
7.3   Establish protocol and processes for development and submission of service change proposals for staff                                             Green
7.4   Ensure effective joint working with PCT, PBC and Joint Commissioners to outline Community Services Strategy                                       Amber
 8    Be a listening and learning organisation
8.1   Develop with patient representatives and key others a NSCH Patient and Public involvement strategy                                                Amber
8.2   Establish and develop NSCH Website                                                                                                                Green
8.3   Establish a programme of ‘Speak Up’ Events with staff                                                                                             Green
8.4   Executive Walk About Programme                                                                                                                    Green
8.5   Ensure staff can celebrate their efforts and successes                                                                                            Green
 9    Improve service quality and safety, patient experience and satisfaction
9.1   Improve Complaints Management and Risk Management                                                                                                 Green
9.2   Deliver the 2008/09 Quality/Safety Improvement Programme                                                                                          Green
9.3   Review and Improve Clinical Audit                                                                                                                 Green
9.4   Measure Patient Experience of Care                                                                                                                Green
9.5   Establish effective Clinical Leadership across the organisation                                                                                   Green
                                                                                  North Staffordshire Community Healthcare




Business Objective 1 - Deliver contractual and organisational performance targets and related standards

                                                                                                                                                        Status Against
                                                                                                                                                        Deliverables /
 Ref                 Business Plan Objective                   Executive Lead   Lead                     Deliverables / Outputs                            Outputs         Performance Commentary
                                                                                       2008/09 Organisational Performance Framework in place
        To identify and confirm all 08/09 contractual and                       ADBD                                                                        Green
                                                                                                                                                                         Establishing a baseline
  1.1   organisational performance targets and establish           ADBD
                                                                                       2008/09 Operational Performance Framework in place linked                         assessment of performance.
        revised performance framework.                                          ADO                                                                         Green
                                                                                       to Divisions
                                                                                       Performance Management system in place and reported to
                                                                                ADBD                                                                        Green
        To establish an effective systematic performance                               PSB                                                                               Work ongoing to ensure that we
  1.2   management system with assurance and risks                 ADBD                Assurance/Risk Reports for non-financial targets managed                          are capturing all target
                                                                                HHCG                                                                        Green
        identified and reviewed with Provider Services Board                           and reported to PSB                                                               perfomance data.
                                                                                ADO    Targets Met                                                          Green
                                                                                       All Service Divisions have data collection systems in place to
                                                                                       manage waiting list activity, highlighting any potential
                                                                                ADO                                                                         Amber
                                                                                       breeches/risks prior to any event and taking corrective action
                                                                                       as necessary                                                                      Work commenced to develop an
  1.3   To ensure all services meet waiting time targets           ADO
                                                                                       Establish new fit for purpose informatics system to monitor                       options appraisal.
                                                                                ADBD   and manage waiting lists and management of performance.              Amber

                                                                                ADO    Targets Met                                                          Amber
                                                                                       All Service Divisions have data collection systems in place to
                                                                                       capture and report progress on standards for better health
        To be compliant on an ongoing basis with                                ADO    highlighting areas of risk and slippage and taking corrective        Green        Reporting & Accountability
  1.4   Standards for Better Health and related national           ADO                 action as necessary                                                               framework presented to EMT 8
        targets                                                                                                                                                          September.
                                                                                       Improvement plan agreed and in place and reporting to
                                                                                HHCG                                                                        Green
                                                                                       Governance and Risk Committee
                                                                                       Service improvement metrics in place and performance                              ADNQ commenced in post 24th
                                                                                       improvement system with reporting framework in place                              July 98. Internal process
  1.5   To measure service improvement                             ADNQ         ADNQ                                                                        Amber
                                                                                                                                                                         commenced and in progress.
                                                                                                                                                                         Plan in development stage.
                                                                     North Staffordshire Community Healthcare



Business Objective 2 - Deliver financial targets and value for money

                                                                                                                            Status Against
                                                                                                                            Deliverables /
  Ref         Business Plan Objective             Executive Lead   Lead              Deliverables / Outputs                    Outputs          Performance Commentary
        To secure agreement of the 2008/09                                Baseline agreed and Heads of Terms                                 All agreements signed off.
                                                                                                                                Green
        financial baseline with                                           signed off
  2.1                                                 ADoF         ADoF
        Commissioners which reflect agreed                                Development proposals agreed and funded                            Business Cases agreed and
                                                                                                                                Green
        developments                                                                                                                         funded.
                                                                          Divisional financial plans are delivered to the                    Financial plans devolved to
        To ensure successful delivery of the
                                                                          Finance & Performance Committee through                            divisons and budgets signed off.
  2.2   2008/09 financial plan in delivering          ADoF         ADoF                                                         Green
                                                                          to the Board on financial
        financial balance.
                                                                          variances/risks/actions to mitigate.
                                                                          Comprehensive divisional and service                               Skills gap analysis of budget
                                                                   ADoF   budgetary assessment completed and                    Green        manager competencies to be
        To ensure effective budgetary                                     reported upon across all services.                                 undertaken.
  2.3   management throughout the whole               ADoF                Training programme undertaken for all
        of the organisation.                                              budget holders.                                                    Training package to be finalised
                                                                   ADoF                                                         Green
                                                                                                                                             by end of Sep 08 with roll out
                                                                                                                                             planned for Oct 08.
                                                                          Systematic approach to the description,
                                                                          authorisation, monitoring and performance
                                                                   ADoF                                                         Green
                                                                          management of cost improvement                                     CIPs approved and agreed with
        To deliver the 2008/09 cost
                                                                          programmes.                                                        Budget Holders and reported
  2.4   improvements and develop a five               ADoF
                                                                          Routine reporting to the Finance &                                 through Finance & Performance
        year cost reduction strategy.                              ADoF                                                         Green
                                                                          Performance Committee.                                             Committee.
                                                                          Reporting also through the Exec team to
                                                                   ADoF                                                         Green
                                                                          track progress.
                                                                   ADoF   Detailed service reviews undertaken.                  Amber        Reference costs and Community
        To undertake detailed service
                                                                          Understanding of activity undertaken in each                       Benchmarking Tool to be
        reviews to ensure activity is linked to                    ADoF                                                         Amber
  2.5                                                 ADoF                service.                                                           completed by end of Oct 08
        cost and enable the organisation to
                                                                                                                                             which will form basis of
        shadow cost and volume contracts.                                 Activity clearly linked to costs.
                                                                   ADoF                                                         Amber        discussions with Commissioners.
                                                                    North Staffordshire Community Healthcare



Business Objective 3 - Be the 'Provider of Choice' for community and specialist community healthcare in the area

                                                                                                                        Status Against
                                                                                                                        Deliverables /
 Ref         Business Plan Objective            Executive Lead   Lead                Deliverables / Outputs                Outputs         Performance Commentary
                                                                 ADBD     Annual Market Assessment completed                Amber
                                                                          Health / care Needs Assessment including
                                                                 ADBD     National Policy review completed                  Amber
                                                                                                                                         Plans to be developed and
  3.1   Establish 5 year strategic objectives       ADBD                  Service Portfolio Risk Assessment completed
                                                                 ADBD                                                       Amber        agreed.

                                                                          5 year Strategic Objectives and key
                                                                 ADBD                                                       Amber
                                                                          performance indicators agreed
                                                                          5 year Integrated Business Plan and                            Plans to be developed and
                                                                 ADBD /
  3.2   Outline 5 year Services Strategy            ADBD                  financial model developed and agreed by           Amber        agreed.
                                                                  ADoF
                                                                          Commissioners
                                                                          Establish framework for stakeholder                            Initial discussions have taken
  3.3   Measure stakeholder satisfaction            ADBD         ADBD                                                       Amber
                                                                          engagement and analysis                                        place.
        Produce a marketing strategy and                                  Marketing strategy agreed and approved                         Initial discussions have taken
                                                                 ADBD                                                       Amber
  3.4   establish marketing and                     ADBD                                                                                 place. Options appraisal to be
        communications function                                  ADBD     2008/09 Implementation Plan achieved              Amber        developed and approved.
                                                                          Estates Review undertaken and                                  Baseline assessment to
                                                                          recommendations agreed by Board                                establish current occupancy of
                                                                 ADBD                                                       Amber
                                                                                                                                         estate undertaken. Paper going
  3.5   Develop a Five Year Estates Strategy        ADBD                                                                                 to November PSB.
                                                                          Submit proposals to NSPCT on Asset                             Discussions taken place within
                                                                 ADoF     Transfer                                          Amber        the overall separation agenda.
                                                                          North Staffordshire Community Healthcare



Business Objective 4 - Be 'Fit for Purpose' as an autnomous provider organisation

                                                                                                                         Status Against
                                                                                                                         Deliverables /
 Ref         Business Plan Objective            Executive Lead   Lead             Deliverables / Outputs                    Outputs         Performance Commentary
                                                                        Financial Separation Review completed                             Forms part of the overall
                                                                 ADoF                                                        Green        separation agenda under
                                                                                                                                          workstream 1 which is
                                                                        Financial Separation Action Plan in place
                                                                 ADoF                                                        Green        monitored by the Joint
  4.1   Deliver financial fitness for purpose       ADoF                and achieved
                                                                                                                                          Separation Programme Board.
                                                                        Long term financial plan agreed in line with 5                    This objective is linked to the
                                                                 ADoF   yr business strategy                                 Amber        overall completion of the 5 yr
                                                                                                                                          business strategy.
                                                                        Governance FfP Review completed                                   Forms part of the overall
                                                                 PDPS                                                        Green
                                                                                                                                          separation agenda under
                                                                        Integrated Governance Action Plan in place                        workstream 2 which is
                                                                 PDPS   and achieved.                                        Green        monitored by the Joint
                                                                                                                                          Separation Programme Board.
                                                                        Provider Board Development Plan in place
        Deliver Governance fitness for                           PDPS   and achieved                                         Green        Paper presented to both
  4.2                                               ADoF
        purpose                                                                                                                           respective boards in September.
                                                                        Clinical Governance Development Plan in                           Plan has been developed but
                                                                        place and achieved                                                needs further review and
                                                                                                                                          development. Research
                                                                 ADNQ                                                        Green
                                                                                                                                          governance scoping exercise
                                                                                                                                          underway to establish current
                                                                                                                                          research.
                                                                        Divisional Service Improvement Programme
                                                                 ADO                                                         Amber
                                                                        agreed and implemented
                                                                        Key Performance Indicators in place for
                                                                 ADO    each service to address short and medium             Amber
                                                                                                                                          Initial discussions have taken
                                                                        term improvements
                                                                                                                                          place. Programme of work to be
        Deliver Service Improvement                                     Service Line reporting to be in place in
  4.3                                               ADO          ADoF                                                        Amber        developed and agreed.
        Programme                                                       agreed areas
                                                                        Service Improvement Development
                                                                 PDSI   Programme objectives agreed and achieved             Amber

                                                                        Productivity Improvement Programme in                             All milestones have been met.
                                                                 ADBD                                                        Green
                                                                        place and achieved to agreed milestones
                                                                        Service Specifications in place for all                           Priorities to be decided by end of
                                                                 ADBD   divisions                                            Green        October. Process to be
                                                                                                                                          developed.
        Establish and develop the
                                                                        Service Directory in place and                                    Service Directory to be
  4.4   contracting function to ensure              ADBD         ADBD                                                        Green
                                                                        communicated to agreed plan                                       published imentently
        effective contract management
                                                                        Framework for contract management and                             Framework in development.
                                                                 ADBD   monitoring established and implemented               Green
                                                                       North Staffordshire Community Healthcare



Business Objective 4 - Be 'Fit for Purpose' as an autnomous provider organisation

                                                                                                                    Status Against
                                                                                                                    Deliverables /
 Ref         Business Plan Objective       Executive Lead     Lead            Deliverables / Outputs                   Outputs         Performance Commentary
                                                                     Senior Management Restructuring completed                       Completed.
                                                              MD                                                        Green
                                                                     Divisional Management Structure and                             Delays in recruitment process.
                                                              ADO    Systems Plan delivered and fully operational       Amber

                                                                     Clinical Divisional Leadership agreed and in                    Senior Clinical Leadership in
                                                             ADNQ    place                                              Amber        place but delays in recruiting to
        Develop and Implement new                                                                                                    management support roles.
        Corporate and Divisional                                     Leadership Development Programme                                ADNQ commenced in post 24th
  4.5                                            MD
        infrastructure to achieve                                                                                                    July. Review of staffing levels in
        organisational goals                                                                                                         progress. Clinical JDs to be
                                                                                                                                     progressively reviewed by
                                                             ADNQ                                                       Amber
                                                                                                                                     Heads of Divisioins. Medical
                                                                                                                                     Director role being addressed;
                                                                                                                                     model and time line to be
                                                                                                                                     identified.
                                                                     Communications Plan outlined, approved                          Work undertaken to develop
                                                              ADO                                                       Amber
                                                                     and implemented                                                 plan.
        To ensure effective information                      ADBD    Informatics specification outlined                 Amber
  4.6   systems that fully support the          ADBD                 Fit for purpose Informatics Service agreed
                                                             ADBD                                                       Amber
        objectives of the organisation                               and 08/09 milestones achieved
                                                                     Review of IT requirements undertaken
        Establish Information Technology                     ADoF                                                       Amber
                                                                     alongside review of CfH plans
        Plan to underpin operational
                                                                     NSCH IT Programme Plan 08/09 outlined
  4.7   deliverables and business               ADoF         ADoF                                                       Amber        Work to be progressed Oct - Dec
                                                                     and approved
        requirements for 2008/09 AND
                                                                     NSCH IT Strategy 2008-2013 outlined and
        Outline the 5 year requirements                      ADoF                                                       Amber
                                                                     approved
                                                                     Business Planning Framework outlined,                           Process and plan being
                                                             ADBD                                                       Amber
        Establish integrated business                                approved and implemented                                        developed.
  4.8                                           ADBD
        planning across 3 Divisions                                  Divisional Business Plans outlined and
                                                             ADBD                                                       Amber
                                                                     approved
                                                                     Joint Development Plan in place and                             On target to be achieved subject
        Establish and deliver the Joint                      PDPS    approved by both Boards                            Green        to constraints outlined in Board
  4.9   Commissioner/Provider Internal          PDPS                                                                                 paper.
        Separation Development Plan                                  Provider Organisational Development Plan
                                                             PDPS                                                       Green
                                                                     agreed and achieved
                                                                    North Staffordshire Community Healthcare



Business Objective 5 - Develop and retain a high quality workforce focused on achieving our goals

                                                                                                                      Status Against
                                                                                                                      Deliverables /
 Ref          Business Plan Objective          Executive Lead    Lead              Deliverables / Outputs                Outputs          Performance Commentary
                                                                      Joint Action Plan with staff side agreed and                     Plan agreed and approved.
                                                                HHRWF                                                     Green
                                                                      approved
  5.1   Improve Working Lives                     HHRWF
                                                                      Action Plan implemented in line with                             Plan being implemented and on
                                                                HHRWF                                                     Green
                                                                      priorities identified from Staff Survey                          target to be achieved.
                                                                      ESR system in place with effective
        Ensure all staff are up to date with                          monitoring and reporting                                         ESR system in place but
  5.2                                             HHRWF         HHRWF                                                     Green
        Statutory and Mandatory Training                                                                                               requires refinement to
                                                                                                                                       monitoring and reporting process.
                                                                      Divisional Workforce Development Plans in
                                                                HHRWF                                                     Green
        Achieve compliance with KSF                                   place and achieved                                               High percentage of KSF oulines
  5.3                                             HHRWF
        requirements across the organisation                          Audit of compliance with KSF undertaken                          completed.
                                                                HHRWF                                                     Green
                                                                      and reported
                                                                      Workforce Strategy outlined and approved                         ADNQ commenced in post 24th
                                                                 ADNQ                                                     Amber
        Develop a 5 year Workforce                                                                                                     July. Meeting to be held 9th
  5.4                                              ADNQ
        Development Strategy                                             2008/09 milestones achieved                                   September to discuss the skills
                                                                ADNQ                                                      Amber
                                                                                                                                       escalator.
                                                                         Implement Service Line Management                             Workstreams need to be
                                                                 ADO                                                      Amber
                                                                                                                                       developed.
        Achieve Team based working across
  5.5                                              ADO                Divisional workforce plans in place with                         Divisonal structures being
        all Divisions/ Services
                                                                 ADO  implementation of team based working                Amber        formulated and workforce plans
                                                                      requirements                                                     will then be developed.
                                                                      Undertake a review of workforce planning                         HR duties and responsibilities
  5.6   Develop Workforce Planning function       HHRWF         HHRWF requirements to be reported to PSB                  Green        aligned to feature workforce
                                                                                                                                       planning.
                                                                         Staff Communications Plan developed with                      Plan is being developed and
        Establish fit for purpose system for
  5.7                                              ADO           ADO     our workforce is in place and 2008/09            Green        progress made with staff
        staff communications
                                                                         implemented                                                   communications.
        2008/09 Workforce Plan in place to                               Annual workforce plan approved and                            Plans being formulated by
        underpin agreed service                                          implemented                                                   ADNQ who commenced 24th
  5.8                                              ADNQ         ADNQ                                                      Amber
        developments and service                                                                                                       July.
        improvement programme
                                                                ADNQ     Professional Leadership in place                 Green
                                                                         Professional Development Function                             ADNQ now in post.
                                                                ADNQ                                                      Green
                                                                         established
        Establish Professional Development
  5.9                                              ADNQ                  Professional Development Strategy outlined                    Initial discussions taken place.
        Function
                                                                         and approved                                                  Plan to be developed with
                                                                ADNQ                                                      Amber
                                                                                                                                       deliverable objectives for
                                                                                                                                       2008/09.
                                                                   North Staffordshire Community Healthcare



Business Objective 6 - Improve health, and reduce inequalities

                                                                                                                    Status Against
                                                                                                                    Deliverables /
 Ref         Business Plan Objective           Executive Lead    Lead               Deliverables / Outputs             Outputs         Performance Commentary
                                                                         Health Improvement Plan developed and
                                                                 ADO                                                    Green
                                                                         agreed 2008/09 milestones achieved
        To define and implement Provider                                 Health Improvement Plans submitted to
                                                                 ADO                                                    Green
  6.1   Services Health Improvement                ADO                   Committee for 09/10
        Strategy.                                                        Divisional Health Improvement Plans
                                                                 ADO     approved and implemented with clear            Green
                                                                         metrics agreed
        To define and implement Provider                                 Framework for assessment of inequalities
                                                                 ADBD                                                   Green        Review to be undertaken by 30
  6.2   Services Reducing Health                   ADBD                  outlined
                                                                                                                                     September
        Inequalities Plan.                                       ADBD    Outline proposals approved by Board            Green
                                                                 ADO /   Stakeholder Assessment undertaken.
                                                                                                                        Amber
                                                                 ADBD
        Review partnership working                                       Review of Children’s Partnership
                                                                 ADO /
        arrangements and ensure that these                               Arrangements with recommendations to           Amber
  6.3                                              ADO           ADBD
        are fit for purpose to achieve these                             Board
        goals                                                            Review of Adult Services Partnership
                                                                 ADO /
                                                                         Arrangements with recommendations to           Amber
                                                                 ADBD
                                                                         Board
                                                                  North Staffordshire Community Healthcare



Business Objective 7 - Develop and deliver new and innovative services which align with commissioner strategies

                                                                                                                    Status Against
                                                                                                                    Deliverables /
 Ref          Business Plan Objective          Executive Lead   Lead             Deliverables / Outputs                Outputs         Performance Commentary
        Develop and secure innovative                                  2008/09 Service Development Programme                         Business Cases developed and
        service development proposals with                      ADBD   agreed and detailed business plans to            Green        approved and funding secured.
  7.1   commissioners for 2008/09 and              ADBD                agreed standard in place
        outline service development                                    2009/10 outline Service Development                           Linked to Commissioners
                                                                ADBD                                                    Green
        proposals for 09/10                                            Programme                                                     intentions/strategy
                                                                       Implementation of agreed service changes                      Linked to Objective 4.8.
                                                                ADO    via approved project plans                       Amber        Resources in place to
                                                                                                                                     programme manage.
        Delivery of 2008/09 Service
  7.2                                              ADO                 Effective system for Risk Assessment and
        Development Programme
                                                                       Risk management in place and reported                         Process and system in place but
                                                                ADO                                                     Green
                                                                                                                                     need to be further embedded
                                                                                                                                     into the organisation.
                                                                       Annualised Business Cycle agreement in
                                                                       place which underpins both annual business
        Establish protocol and processes for                    ADBD                                                    Green        Draft plan developed but
                                                                       development cycle and in year proposals
  7.3   development and submission of              ADBD                                                                              requires documenting and
        service change proposals for staff                                                                                           formulisation.
                                                                       Protocol and Processes outlined and
                                                                ADBD                                                    Green
                                                                       embedded across organisation
        Ensure effective joint working with                            Process for joint working is outlined and
                                                                ADBD                                                    Amber        Draft process developed but
        PCT, PBC and Joint Commissioners                               agreed
  7.4                                              ADBD                Timetable agreed and implemented                              requires documenting and
        to outline Community Services
                                                                ADBD                                                    Amber        formulating.
        Strategy
                                                                    North Staffordshire Community Healthcare



Business Objective 8 - Be a listening and learning organisation

                                                                                                                         Status Against
                                                                                                                         Deliverables /
  Ref        Business Plan Objective           Executive Lead   Lead                Deliverables / Outputs                  Outputs         Performance Commentary
                                                                ADNQ     Strategy outlined and approved by Board             Amber
        Develop with patient representatives                                                                                              Current position to be
  8.1   and key others a NSCH Patient and          ADNQ                  Annualised Plan agreed and 2008/09                               established to develop Provider
        Public involvement strategy                             ADNQ     milestones achieved                                 Amber        strategy by January 2009.

                                                                         Website improvement plan agreed and
                                                                  ADBD   achieved                                            Green        Structure in place. Information
        Establish and develop NSCH
  8.2                                              ADBD                                                                                   required to be populated.
        Website
                                                                         Stakeholder evaluation completed and                             Questionnaire developed. Data
                                                                  ADBD                                                       Green
                                                                         reported                                                         requires to be analysed.
                                                                          2008/09 Speak Up Programme achieved                             Executive roadshows held
        Establish a programme of ‘Speak                                  and lessons learnt translated into an action                     throughout organisation in order
  8.3                                              ADO            ADO                                                        Green
        Up’ Events with staff                                            plan communicated to staff                                       to engage and communicate
                                                                                                                                          with staff.
                                                                                                                                          Draft programme to be finalised
                                                                         Walk about programme plan achieved with                          September with a start date of
  8.4   Executive Walk About Programme             ADNQ         ADNQ     specific assessment re patient and relatives        Green        October. Feedback to clinical
                                                                                                                                          teams, patients, relatives, EMT
                                                                         Annual Awards Event undertaken with                              Event organised and will take
        Ensure staff can celebrate their                                 showcasing of key successes and                                  place in November.
  8.5                                              ADNQ         ADNQ                                                         Green
        efforts and successes                                            identification of contribution of individuals
                                                                         and teams.
                                                                   North Staffordshire Community Healthcare



Business Objective 9 - Improve service quality and safety, patient experience and satisfaction

                                                                                                                         Status Against
                                                                                                                         Deliverables /
  Ref        Business Plan Objective         Executive Lead     Lead                Deliverables / Outputs                  Outputs          Performance Commentary
                                                                        New Complaints Management System in                               Paper to be presented to
                                                               ADNQ     place and approved by Governance and                 Green        December Governance & Risk
        Improve Complaints Management                                   Risk Committee                                                    Committee.
  9.1                                            ADNQ
        and Risk Management                                             Clinical Risk Management System in place                          Establish basline & key
                                                               ADNQ     with clear senior clinical leadership in place       Amber        milestone is implementation of
                                                                                                                                          Datix.
                                                                        Quality Improvement Programme achieved
                                                                                                                                          Baseline needs to be
                                                               ADNQ                                                          Green        established. Plan to develop
        Deliver the 2008/09 Quality/Safety                                                                                                Draft programme by Oct 08 for
  9.2                                            ADNQ
        Improvement Programme                                           System of robust monitoring and reporting is                      consultation with aim to produce
                                                                        in place                                                          final agreed programme in Nov
                                                               ADNQ                                                          Green
                                                                                                                                          08. Linked to 9.1.

                                                                        Review of Clinical Audit Capacity and
                                                                        recommendations to Governance and Risk                            Scoping exercise commenced,
                                                                        Committee                                                         running concurrently with review
  9.3   Review and Improve Clinical Audit        ADNQ          ADNQ                                                          Green
                                                                                                                                          of research activity. Paper to be
                                                                                                                                          presented to Governance & Risk
                                                                                                                                          Committee Nov 08.
                                                                        Establish an effective local system to
                                                               ADNQ                                                          Green
                                                                        measure patient experience                                        Scope baseline, set direction,
                                                                        Agree and deliver 2008/09 action plan which                       source the options and present
  9.4   Measure Patient Experience of Care       ADNQ
                                                                        includes:                     Inpatient Care –                    paper outlining strategy in draft
                                                               ADNQ                                                          Green
                                                                        All Wards                    Physiotherapy                        Dec 08.
                                                                        Services / Physio-direct
                                                                        Establish and implement a clinical leadership
                                                                        development plan                                                  ADNQ commenced in post 24th
                                                                                                                                          July. Review of staffing levels in
        Establish effective Clinical                                                                                                      progress. Clinical JDs to be
  9.5                                            ADNQ          ADNQ                                                          Green
        Leadership across the organisation                                                                                                progressively reviewed by Heads
                                                                                                                                          of Divisions. Medical Director
                                                                                                                                          role being addressed; model and
                                                                                                                                          time line to be identified.

				
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