Agenda Item: 6.6
Wirral Primary Care Trust
Business Plan 2007- 2008
End of Year Review
1. This review confirms the year-end position on the achievement of objectives described in
the PCTs Business Plan 2007 - 2008.
2. The Board approved the Business Plan 2007 - 2008 at its meeting in April 2007 and agreed
regular reporting arrangements through the year, culminating in this review of the year-end
3. This year-end review highlights our key achievements and provides general assurance that
developments were achieved on target, completed within revised timescales, or where
necessary, carried forward into the PCTs Operational Plan for 2008 - 2009.
4. The PCT Executive Performance Dashboard was developed during the year and
complements this review as the vehicle for providing frequent updates to the Board on
progress and variances in performance on Headline Objectives.
Headline Objectives and NHS Operating Framework Targets
5. All Business Plan Headline Objectives and NHS Operating Framework targets were
achieved in 2007-2008 with the exception of targets for MRSA/Clostridium Difficile, which
saw regular reports to the Board confirming progress in year and Strategic Health Authority
(SHA) approval of our health economy improvement plan. Cleanliness and Health Care
Acquired Infection (HCAI) remains a national priority and is accorded a high priority in the
PCTs Operational Plan 2008 - 2009.
6. The organisational systems supporting our Business Planning enabled us to highlight and
focus on the key actions to deliver our target for Community Matrons and Very High
Intensity Users (VHIU) at year end, contributing to our aspiration to develop primary and
community services and reduce avoidable admissions to hospital.
7. We achieved the March 2008 milestones towards the December 2008 target of patients
waiting no longer than 18 weeks from referral by the GP to the start of treatment.
Completing diagnostic tests for patients without unnecessary delay is essential to reducing
overall referral to treatment times and there were significant reductions in waiting times for
key diagnostics tests through the introduction of GP direct referral to services such as
Audiology, MRI, CT Ultrasound & Dexa scanning.
8. All patients with suspected cancer were seen by a specialist within two weeks of urgently
being referred by their GP.
9. We also maintained our position in the top rank of PCTs nationally and top in the North
West with 90% Choose and Book utilisation.
Business Plan 2007- 2008 End of Year Review: Board Meeting 10 June 2008 1/3
Agenda Item: 6.6
10. The Electronic Staff Record (ESR) Project was successfully implemented on time and within
budget and was recognised as one of the most successful waves in the entire national
Strategy and Commissioning Developments
11. We achieved the key objectives of our ‘Fit for Purpose’ Development Plan, providing a firm
foundation for the further development of the PCT’s commissioning role in line with the
expectations of the Department of Health’s (DH) “World Class Commissioning” programme.
12. The Draft PCT Strategic Commissioning Plan 2008 - 2013 ‘Health for All’ was published in
November 2007. It set out seven strategic commissioning objectives for the PCT up to
2013 and is supported by clear financial strategy building on the sound management of
finances in 2007 - 2008 which prioritises investment according to local needs, service
requirements and the values of the NHS. We also conducted a ‘Have Your Say’ Listening
Exercise inviting the views of 270,000 of our GP registered population and running
workshops for all PCT staff that will inform the final version of the Strategic Commissioning
13. The PCT Board approved its Involvement Strategy in September 2007. The strategy
provides clear focus and direction for our strategic aspiration to develop a new focus on
patient and public involvement. The Involvement Strategy has helped coordinate the
development of several important strands of work contributing to systems which give real
time feedback to influence planning and commissioning.
14. The PCT has introduced clinical quality performance indicators into its Service Level
Agreements (SLAs) with all providers. These require a threshold to be set and monitored
and clear consequences, some of which are financial, to be identified for any breach in
performance. Continuous improvements in quality and outcomes now feature in the
monthly contract compliance and monitoring meetings with providers.
15. A whole systems commissioning model for Continuing Health Care was established with our
Local Authority colleagues and local NHS Foundation Trusts. The model and supporting
systems received ‘significant assurance’ from auditors.
16. There were also developments in the PCT’s governance arrangements in the year with
implementation of revised structure for Board Committees and Terms of Reference, a
revised Corporate Assurance Framework underpinned by an updated Risk Management
17. Business Continuity Coordination Plan was approved by the PCT Board in December 2007.
It complements, supports and informs other emergency planning arrangements within the
PCT i.e. Major Incident Plan, Winter Plan and the Pandemic Influenza Plan and has
established consistent systems and arrangements across all PCT directorates and
departments to ensure that appropriate resilience is maintained.
18. Our success has been based on good clinical and staff engagement across the health
economy, supported within the PCT by revised & strengthened role of the PEC, 3 new
primary care locality development groups, incorporating all the health professions working
within the locality to address the clinical modernisation agenda and a variety of service-
based modernisation teams with representation across the whole Local Health Community
Business Plan 2007- 2008 End of Year Review: Board Meeting 10 June 2008 2/3
Agenda Item: 6.6
19. Wirral PCT became a North West flagship for ‘Map of Medicine’ which has supported our
approach to tackle inappropriate referrals and emergency re-admissions with associated
cost-pressures in targeted priority areas. To date there have been twenty pathways
published, including an Acute Macular Degeneration pathway which has seen patient
journey times fall from ten weeks to ten days. Streamlined patient care pathways are
discussed within each modernisation team before being sent out to wider consultation,
allowing the whole LHC to participate in the process.
20. This review confirms the progress and significant achievements made throughout the year
on the objectives described in the PCTs Business Plan in 2007 - 2008. These reflect the
effort and enthusiasm across all PCT directorates to maintain Wirral PCT’s strategic
aspiration as a ‘high performance, high reputation’ organisation.
21. The Board is asked to:
Note the achievement of the Business Plan 2007 - 2008 objectives.
Note that the continued performance management of relevant targets has been
carried forward into the PCT Business Plan 2008 - 2009.
Recognise the efforts of all PCT staff and relevant partners in advancing
developments and meeting Business Plan targets.
Head of Corporate Affairs
Business Planning Manager
24 May 2008
Business Plan 2007- 2008 End of Year Review: Board Meeting 10 June 2008 3/3