Business Plan 0809 by vivi07

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									Sheffield Primary Care Trust - Final Business Plan 08/09
ID Principal Objective Key Referencing WCC Competency BAF SfBH RR 1 2 3 4 5 6 7 8 9 10 11 Lead Deadline Director Indicators/Key Measures of Success

1 Delivery
1.1 Ensure Auditors Local Evaluation assessment WCC -10 standards are embedded in the PCT and "excellent" scores are achieved; including conversion to new standards within Comprehensive Area Assessment framework 1.2 Ensure the PCT delivers on statutory duties of WCC -10 containing capital and revenue expenditure within relevant resource limits and cash payments within cash limit 1.3 Ensure service contracts procured during 2008/09 WCC -6, 9 including those for the 2009/10 financial year, secure Value for Money for the PCT 1.4 Develop a programme of and implement a systematic WCC -6 review of health services to determine where changes are required BAF-7 SfBH- 3 RR-492 JN Mar-09
2008/09 ALE action plan approved by SMT Regular updates to SMT, Audit Committee and Board Complete Self Final ALE scores Assessment - Jan 09

BAF-7 SfBH- 3 RR-492 BAF-6 SfBH- 4 RR-503 BAF-6 SfBH- 4 RR-503

JN

Mar-09

Annual Accounts

Monthly reports to Up to date Board Sos/SFIs

JN

Feb-09

£ per patient

Contract Performance Indicators

Comparison against national benchmarks

Use PbR indicators eg from Audit Reviews

SK

Mar-09

A number of services are either under review or have been reviewed already. A report describing them and proposing a three year review programme will be completed by the end of quarter one.

1.5 Develop and implement a procurement strategy which meets local needs

WCC -6, 7 & 9

BAF-6 SfBH- 4 RR-503

JN

Oct-08

Procurement Strategy

Supplier Procurement Plan New Suppliers Development Plan brought into local market Finalise project plan template for all developments with C1S by May 08 Establish programme management arrangements for LIFT by July 08 Ensure Capital expenditure matches plan, including timing by March 09

Implement internal development programme Ensure that disability and other impact assessments take place as part of the Capital Programme by March 09

1.6 Ensure the PCT implements its capital programme for WCC -6, 10 & 2008/09 11

SK

Mar-09

Complete service briefs for Darnall, Norfolk Park, Parson Cross developments by June 08

1.7 Ensure that the Commissioning Intentions, Vital Signs WCC 2, 6, 7, 8 and Business Plan for 2009/10 is developed to reflect national and local investment priorities as they develop during 2008/09. 1.8 Ensure robust finance information at PBC and GP WCC -10 practice level to support clinical engagement in delivery of targets and ABH strategy 1.9 Ensure robust activity and benchmarking information at PBC and GP practice level to support clinical engagement in delivery of targets and ABH strategy 1.10 Ensure the PCT meets and delivers on all national and local standards/targets WCC 2, 6, 7, 8

SK

Mar-09

Papers to OCT, DEC and MAR Board

Working with PBC Commissioning and other Matrix teams commissioners

BAF-7 SfBH- 3 RR-492

JN

Aug-08

Budgets issued by monthly reports 30 April 2008 issued including FOT positions

key information summarised on web site

Pro-active enagagement of PBC members by finance leads Group proposals implemented Aug 08

IA

Aug-08

08/09 Budgets Monthly reporting Agreed Consortia reporting available delivered to Information July online. May 08 support PBC. June 08 08 Progress to be reflected in the Performance Report and concerns highlighted to SMT April 08 Appropriate sources of information used, including Finance reports, DPH Report, regional and national reports (inc benchmarking) etc May 08 Performance Indicators Summary available to Board fully populated and accessible via Intranet. May 08

WCC -10

IA

Mar-09

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Principal Objective

Key Referencing WCC Competency BAF SfBH RR

Lead Deadline Director

Indicators/Key Measures of Success

1 1.11 Implement the contract performance management strategy to ensure that all contracts deliver service specifications and compliance with PCT contracts WCC -3, 4, 6, 7, BAF-6 IA 8 SfBH- 3&4 RR-503 May-08
Key service performance targets achieved. March 09 Contract expenditure managed within resources available. March 09

2

3

4

5

6

7

8

9

10

11

1.12 Ensure a robust data infrastructure is developed

WCC -10

IA

Dec-08

Technical Back End: Robust technical Infrastructure in place. Additional data sets available. Review of more frequent data processing completed. Sept 08

Data Quality: Data Quality Management Group 08/09 workplan completed. March 09

User Front end: Single point of access to Corporate data resources in place. Plan for flexible suite of tools for different audiences agreed. Improved access to range of data sets implemented (e.g. C&B, SitReps). Sept 08

1.13 Work collaboratively to produce a Sheffield IM&T plan WCC -10 that supports service transformation and local and national objectives 1.14 Have a knowledge management strategy that supports PBC and all the commissioning and system management functions of the PCT WCC -10

IA

Mar-09

LHC IM&T Board in place. LHC-wide programme agreed. July 08 Assess and make recommendations for a knowledge management framework for the PCT utilising any relevant providers. Report on assessment of current provision produced by end July 08 Proposals for changes to existing model provided by Nov 08 Commence implementation, including any appropriate tendering process to support 09/10 commissioning cycle, by end Dec 08.

IA

Nov-08

1.16 Ensure sound and effective risk management systems including the risk register are populated and embedded within the organisation

WCC -10

BAF-7 SfBH- 3 RR-492

JD

Mar-09

Update Risk Reg. with BP 08/09 and BAF 08/09 objectives

Ensure risk register is populated with both strategic and operational risks June 2008

RR regularly reviewed by Gov Group and action taken to minimise or mitigate risks and progress monitored

Ensure that good governance and a risk aware culture is established and employees are clear about their roles and responsibilities in relation to risk

Achieve relevant ALE / CAA, S4BH and NHSLA targets to ensure PCT achieves "great"

1.18 Develop an effective estates strategy which allows for WCC -10 understanding of both the medium and long term plans for the organisation

BAF -4 SfBH 1,6 RR 511

JD

Mar-09

Ensure that links with SSDP process made see BP 2.11

Audit of all Audit produces by properties end of 2nd quarter (including those owned, leased and rented and GP premises) commissioned from LIFT partners - see also BP 2.11

Ensure that SSDP includes requirements for estates strategy so that one strategic documents is produced - see also BP 2.11

ensure that all residual estates in Commissioning portfolio are used / disposed of appropriately following move to 722

1.19 Effectively project management the organisations moves to 722 Prince of Wales Rd.

WCC -10

BAF -4 SfBH 1,6 RR 511

JD

end July 2008

robust project plan handover of 1st which covers all floor by end of issues related to May 08 move

handover of ground floor by mid June 08

all PCT staff moved to 722 (excluding some agreed IT staff by end July 2008

Successful completion of transfer to new premises

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Principal Objective

Key Referencing WCC Competency BAF SfBH RR

Lead Deadline Director

Indicators/Key Measures of Success

1 1.20 Emergency planning: Ensure the PCT meets its WCC -1 obligations as a Category 1 responder under the Civil Contingencies Act 2004, leads for the Sheffield Community on the common elements of the Sheffield Pandemic Flu Plans and discharges its responsibility as the lead PCT for South Yorkshire. SfBH 7 JW Continuous
Clarify working arrangements for LRF including CE on call rota

2
Ensure there is an effective emergency plan for the PCT. Ensure table top and communications exercises are undertaken.

3

4
Update the Sheffield PCT pandemic flu plan in line with the revised national guidance by 31 December 2008

5
Discharge delegated responsibility from SHA for NHS emergency planning in SY; particularly the agreed action plan for the revision of pandemic flu plans by 31 May 2008, and the plans by 31 December 2008

6

7

8

9

10

11

1.23 Ensure the PCT meets its responsibilities for Health Protection of Sheffield community

WCC -1

SfBH 7

JW

Continuous

Maintain an Respond to IPPC effective health applications in a protection rota for timely manner. Sheffield (as part of S Yorkshire). PEC OD activities eg 30th April development day; second day to follow approx 6 months later Ongoing review of individual PEC members' objectives and their learning and support needs. PEC memebrs to have agreed PDP and to ensure all take up opportunities for leadership and skills development. Secondment of Prof Philp from STH to undertake joint work on care pathways, wef 1.4.08 for 1 year Secondment of Jane Howcroft from SHA to bring additional managemnt capacity to PEC to maximise use of clinical expertise and time, wef 18.2.08 for 1 year

1.26 Continue to develop a well functioning PEC with clear WCC 1, 4 & 8 roles and contribution areas, through development of clear individual objectives for members and a measurable work plan, by mid May (following on from PEC development day 30th April)

BAF 2, 3 & PEC 6 S4BH 1 2&4

Continuous

1.27 Ensure PEC clinical input and lead PCT development WCC 4, 6 & 8 work in priority areas listed in ABH: clinical pathway redesign; chronic disease management and unscheduled care - to deliver improvements in clinical efficiency, aiming for upper quartile against recognised productivity measures

BAF 2, 3 & PEC 6 S4BH 1 2&4

Continuous

Working with the Improvement Foundation on an ambitious programme of pathway redesign across 10 LTC areas - early proposals being developed by Ian Philp and considered at PEC in April

Zak, Ian and Jane will draw up a project plan which will support delivery of complex change. Project planning phase April - June; implementation from July onwards.

Ensuring that the clinical network is effective in producing revised clinical pathways. Jane to project manage to support timely delivery timesecales will be firmed up in 3 month planning phase.

Ensuring clinicial engagement with delivery of the key PCT / ABH objectives: saving £40m; sustaining delivery of 18 weeks; more appropriate use of secondary care; developemnt of more appropriate services in primary care; reduced F/Us; improved health outcomes and patient satisfactoin.

Supporting cost effective prescribing would need to link with any PCT wide targets for 0809?

1.28 Ensure the Standards for Better Health framework WCC - 11 underpins and is integral to the objectives of the PCT 1.29 Ensure safe and effective management of the reduction in MRSA and HCAI WCC -10

BAF-7 SfBH- 3 RR-492

PB-C

Mar-09

Action plan developed and agreed for 08/09

Monthly exception Director / performance accountability reporting

Compliance following HCC reviews

Review of internal approach and progress Infection control annual reports

1.30 Ensure Primary Medical Care Access Centre plans are developed and agreed

WCC -6

BAF-1/2/3 PB-C SfBH7/2/5 RR-473/ 476/ 480 BAF-4 PB-C SfBH- 1/6 RR-511

Mar-09

Target set and Monthly agreed For MRSA monitoring of C and C Diff through diff contract process

Weekly Monitoring Implementation of Compliance with of MRSA Infection control the hygiene code programmes

Dec-08

Develop local bidder day appropraite clinical event specification communicated to stakeholders and high attendance acheieved

Appropriate consultation is undertaken

Procurement frame work is implemented

All SHA timesacles are met

Primary care access centre procured

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Principal Objective

Key Referencing WCC Competency BAF SfBH RR

Lead Deadline Director

Indicators/Key Measures of Success

1 1.31 Establish a clear methodology to support pro-active performance improvement, focusing on high priority areas including current poor performance and/or potential high risks to the PCT achieving its key objectives 1.32 Review business continuity plans following move to new offices at 722 Darnell WCC -3, 4, 6, 7, BAF-6 IA 8, 10 SfBH- 3&4 RR-503 Jul-08
Produce proposal for methodology for SMT consideration. April 08 Establish skills profile needed within Performance to deliver agreed change. May 08

2

3
Implement process as agreed. July 08 (first cycle completed by Oct 08)

4

5

6

7

8

9

10

11

ALL SMT

Sep-08

Revised plans to be submitted by September 2008

2 Investing in Achieving Balanced Health
2.1 Coronary Heart Disease WCC -2, 3, 5, 6, BAF-1/2/3 JW 8 SfBH7/2/5 RR-473/ 476/ 480 Mar-09
Establish a CHD planning and commissioning group. Undertake a formal health needs assessment in order to inform commissioning decisions for 09/10 Incorporate Health Equity Audit into health needs assessment. Ensure that new developments in 08/09 are effectively commissioned. Complete review of heart failure pathway ensuring improved referral protocols and improved protocols for diagnosis of HF Recruit additional staff to increase the capacity of the community respiratory team by July 2008 Develop and implement atrial fibrillation pathway

2.2 Chronic Respiratory Disease

WCC -2, 3, 5, 6, BAF-1/2/3 JW 8 SfBH7/2/5 RR-473/ 476/ 480

Mar-09

Establish a respiratory disease planning and commissioning group.

Undertake a formal health needs assessment in order to inform commissioning decisions for 09/10

Undertake asthma Health Equity Audit and incorporate into health needs assessment.

Ensure that new developments in 08/09 are effectively commissioned.

Establish the electronic care record (TPP) by July 2008

Acquire additional telehealth equipment and train staff to use it to monitor patients at home by September 2008

Review the end of life section of the COPD care pathway by March 2009

2.3 Stroke

WCC -2, 3, 5, 6, BAF-1/2/3 JW 8 SfBH7/2/5 RR-473/ 476/ 480

Mar-09

Establish a stroke planning and commissioning group.

Implement the National Stroke Strategy in Sheffield: March 2009

Ensure data are reviewed monthly on percentage of time stroke patients spend in a stroke unit: June 2008

65% of stroke patients spend at least 90% of their time in a stroke unit (national target): March 2009

Ensure ABCD2 score (risk of a fullblown stroke) is assessed as soon as possible for all TIA patients, and time from onset is recorded when scans and treatment commence: June 2008

25% of high risk TIA cases i.e. with ABCD2 score of 4 and above, are scanned and treated within 24 hours (national target): March 2009

Complete a health equity audit for stroke and stroke services; July 2008

Work with primary care to identify and manage previously undiagnosed and/or uncontrolled hypertension: Sept 2008

Review the long term needs and support available for stroke patients in the community and their carers: March 2009

2.4 Tobacco Control and Smoking

WCC -2, 3, 5, 6, BAF-1/2/3 JW 8 SfBH7/2/5 RR-473/ 476/ 480

Mar-09

Targeted EPHPaligned programme in place for 2008/9

LAA target for increased smoking quitter rate in EPHP vs. rest of the city achieved

Agreed NST short term & medium term actions to improve the stop smoking service & tobacco control completed

Local social marketing framework established for tobacco control & smoking

Carbon monoxide testing & advice to stop smoking established for all new pregnancies at booking

Local PCT-LA accord for tackling smuggled tobacco availability in place

2.5 Diabetes

WCC -2, 3, 5, 6, BAF-1/2/3 JW 8 SfBH7/2/5 RR-473/ 476/ 480

Mar-09

Establish Diabetes planning and commissioning group

Undertake a formal health needs assessment in order to inform commissioning decisions for 09/10

Incorporate Health Equity Audit into health needs assessment.

Prepare and implement a Diabetes Commissioning Plan for 2008/9 onwards.

Ensure DESMOND programme is offered and is accessible to all newly diagnosed people with T2 diabetes

Ensure education sessions are available for primary and community based clinicians and professionals

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Principal Objective

Key Referencing WCC Competency BAF SfBH RR

Lead Deadline Director

Indicators/Key Measures of Success

1 2.6 Alcohol Dependency WCC -2, 3, 5, 6, BAF-1/2/3 JW 8 SfBH7/2/5 RR-473/ 476/ 480 Mar-09
Implement, through the Alcohol Strategy Implementation Group, the Sheffield Alcohol Strategies.

2

3

4

5
Establish PTB for alcohol services

6
Create a commissioning framework for alcohol treatment services

7
Ensure that a programme of SBI alcohol training is developed and commissioned (by DAAT)

8
Co-ordinate a city wide agency alcohol health education campaign, linked to wider alcohol harm reduction campaigning in the City.

9

10

11

Establish baseline Establish baseline Develop a single for numbers in for waiting times point of treatment for treatment assessment and entry into treatment

2.7 Children and Young People

WCC -2, 3, 5, 6, BAF-1/2/3 SK 8 SfBH7/2/5 RR-473/ 476/ 480

Mar-09

Increase breastfeeding by two % points on initiation and at 68 weeks

Have a pathway in place for children who are overweight and obese

Have established a community based obesity intervention service

Implement the Teenage Pregnancy Action Plan in conjunction with the local authority and other partners Increase the proportion of people with medical conditions who have attended a physical activity referral scheme and have become more active. March 2009

Improve access to chlamydia screening for young people

Increase access to contraceptives and STI testing for young people in community and primary care settings Map existing provision for community health education courses and develop four new tailored programmes. March 2009

2.8 Inequalities in Life Expectancy

WCC -2, 3, 5, 6, BAF-1/2/3 JW 8 SfBH7/2/5 RR-473/ 476/ 480

Mar-09

Improve performance across the majority of the 'Basket of indicators' for the EPHP areas at a faster rate than for Sheffield overall.

Review and revise business plans for the trailblazers and Phase 2 areas by July 2008. Phase 3 business plans in place Oct 2008

Evaluation of EPHPs 2005-8 complete and short and medium term actions for improving delivery agreed - June 2008

Provide 8 Introduction to Community Development and Health Courses March 2009

2.9 Mental Health

WCC -2, 3, 5, 6, BAF-1/2/3 SK 8 SfBH7/2/5 RR-473/ 476/ 480

Mar-09

Complete and evaluate a pilot of integration of primary and community mental health services by March 09

Produce an implementation plan for the recommendations of the joint (with SCC and providers) review of day services by Sept 08

Agree an action plan to improve the effectiveness of the crisis service with SCT by June 08

Agree a capacity and activity profile for acute care, including inpatient beds, with SCT by June 08

Produce a commissioning plan for reducing waiting times in gender dysphoria services by August 08

Commission an Increase funding advocacy service to SYEDA by April for older adults 08 with MH problems by Sept 08

Agree an Implement, if "application" to successful by Sept Y&H SHA to be an 08 early implementer of IAPT by April 08

2.10 Ensure the Medium Term Financial Plan (revenue WCC -6 and capital) is updated regularly so that it remains aligned with any changes investment priorities and reflects 09/10 and 10/11 allocations when announced

BAF-1/2/3 JN SfBH7/2/5 RR-473/ 476/ 480 BAF-6 SfBH- 4 RR-503 SK

Jul 08 and March 09

Quarterluy updates to Board

Complete refresh of 5 year plan post publication of Darzi report

Develop investment analysis by clinical area

Review investment proposals in liight of 07/08 Programme Budgetting data

2.11 Deliver the SSDP in support of prioritisation of capital, WCC -4 resource and investment developments, including through the LIFT Programme

Oct-08

Audit of current premises to establish priorities for replacement or refurbishment ( including disability and other equality impact assessments) by June 08

Draft detailed SSDP, setting proposed locations for LIFT developments by Sept 08

2.12 Re-visit Achieving Balanced Health in line with the next stages of NHS reform (Darzi)

WCC -6,10

SK

Sep-08

„Refresh‟ of PCT ABH strategy to be published autumn 08 in line with Operating Framework requirement. To be confirmed following paper to May Board.

2.13 Deliver the strategy for Unscheduled Care

WCC -4

BAF-6 SfBH- 4 RR-503

SK

Oct-08

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Principal Objective

Key Referencing WCC Competency BAF SfBH RR

Lead Deadline Director

Indicators/Key Measures of Success

1 2.14 Deliver the strategy for Older Peoples Services/Intermediate Care WCC -11 BAF-7 SfBH- 3 RR-492 SK Apr-08
PBC leads

2
Produce the draft recommendations for recommissioning intermediate care, for consideration by PEC and PBC colleagues by April 08

3
Produce the final recommendations for action on I.C., agreed with PBC and SCC, for consultation and implementation by June 08

4
With procurement colleagues, market test the service specification and performance framework for intermediate care with existing providers (short term objective for 08/09) by August 08

5
Following formal consultation of three months, produce a firm 3-5 year implementation plan for intermediate care in conjunction with SCC by Oct 08

6
Produce a commissioning plan for FMI in Older Adults, jointly with SCC by July 08

7
Develop business cases for investment in FMI and dementia as set out in the commissioning plans by Nov 08

8
Produce a commissioning plan for end of life care following publication of the Darzi review and the local baseline assessment by Dec 08

9
Ensure there is a robust plan for sustaining those elements of the POPPS initiatives that evaluation demonstrates should be continued by May 08

10

11

2.15 Ensure the End of Life Care strategy is developed and implemented

BAF-1/2/3 SK SfBH7/2/5 RR-473/ 476/ 480

Dec-08

April-June preparatory work (as per April Board paper) in readiness for national strategy publication in June, following which milestones will be identified.

2.16 Ensure an appropriate strategy is developed and disseminated for Maternity Matters including improvement of access, choice and service

WCC -1, 3, 8

BAF-1/2/3 SK SfBH7/2/5 RR-473/ 476/ 480

Sep-08

Establish an effective commissioning framework

Ensure contractual mechanisms, including tariff, support the commissioning and provision of high quality services

Establish a framework for ensuring national standards are met for maternity services

Establish a monitoring framework for maternity services

WCC -7, 9 2.17 Minor surgery - work proactively with the PBC consortia and appropriate primary care clinicians to explore opportunities to provide minor surgery closer to home for a range of specialities. WCC -11 2.18 Ensure the timely assessment of eligibility for continuing healthcare and timely placement of eligible people

BAF-7 SfBH- 3 RR-492 BAF-7 SfBH- 3 RR-492

SK

Dec-08

Agree redesign opportunities

agree consortia leads

Agree timescales

develop programmes

SK

Dec-08

complete the first assessments for CHC of current FNC patients by Sept 08

Ensure all eligible people (or their funders) are reimbursed appropriately by Nov 08

Complete recruitment to the new structure for the CHC team by Sept 08

Establish a framework for procurement of CHC placements, aligned with SCC processes by Dec 08 Produce draft recommendations for recommissioning the health respite services for people with learning disability taking into account the projected 25% increase in the population of people with more severe impairment, challenging behaviour and autism. July 08

Ensure that all reviews of CHC funded patients are completed within national framework guidelines by Dec 08 Following consultation, produce a firm implementation plan for reprovision of respite care and challenging behaviour Assessment and Treatment services in conjunction with SCC. Oct 08

Establish terms of reference for the CHC eligibility and placement panels by June 08

Establish a framework for assessing and placing people with complex LD needs by May 08

2.19 Improving the health of people with Learning Disabilities

WCC -2, 3, 5, 6, BAF-1/2/3 SK 8 SfBH7/2/5 RR-473/ 476/ 480

Dec-08

To develop a health services commissioning strategy for specialist services, and to improve equity of access to primary and secondary health care by learning disabled people, to address health inequalities and improve life expectancy. Sept 08

Produce a commissioning plan for complex needs including epilepsy, autism and Aspergers syndrome, in the context of the Sheffield Good Life learning disability strategies around challenging behaviour, respite care, and community teams with a clear identification of the joint commissioning aspects of the service. April 08

Produce draft recommendations for recommissioning the Assessment and Treatment Unit, in line with the Sheffield challenging behaviour strategy. July 08

Develop a joint commissioning plan with SCC for aspects of the Good Life Strategy. April 08

Develop business cases for investment as set out in the commissioning plans. Nov 08

Ensure contractual mechanisms, including tariff, with the new foundation trust support the commissioning and provision of high quality services based on client focussed outcome indicators. Dec 08

To review the Learning Disability Partnership Boards and workstream subgroups in order to provide a framework for ensuring “Valuing People-From Progress to Transformation” priorities are progressed. May 08

To work with colleagues in Continuing Care, SCC and children‟s disability services and commissioning to develop reinvestment plans for delivering better local services to improve outcomes for people and their families, and to reduce the spend on continuing care/out of town placements. July 08

To agree the preferred reconfiguration option for learning disability accommodation jointly with SCC, and develop an implementation project plan to achieve the necessary reconfiguration. June 08

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Principal Objective

Key Referencing WCC Competency BAF SfBH RR

Lead Deadline Director

Indicators/Key Measures of Success

1

2

3

4

5

6

7

8

9

10

11

3 Patients and the Public driving our agenda
3.1 Ensure patients and the public are consulted with WCC -3 appropriately on all relevant documentation and plans BAF-6 PB-C SfBH- 3&4 RR-503 Ongoing
Evidence of complaints consultation recieved re lack of events and consultation diaglogue with patients and public Working with the Comms team develop communication action plan Summary care record project group developed Evidence of communication process regarding commissioning intention Action plan developed and agreed Evidence of changes made following consultation Review of progress

3.2 Ensure the Commissioning Intentions of the PCT are fully communicated and transparent in decision making

WCC -10

PB-C

Ongoing

Feedback from stakeholders regarding commissioning intentions Consultation/ communication plan agreed and implemented develop the NHS "brand" Evidence of consultation/ dialogue with Patients positive and proactive relationship with local media established Review of progress

3.3 Ensure that the Sheffield Population are consulted and involved in the implementation of the national care summary record 3.4 Further develop the communications strategy and plan to promote a positive organisation culture

WCC -2,3

PB-C

Dec-08

BAF-7 SfBH- 3 RR-492

JD

Dec-08

establish vision for Review current comms over next capacity both in12 months house and external and submit business case

Annual report developed and delivered within timescales which meets statutory requirements and is tailored to target audience

Deliver on the comms action plan over the next 12 months

4 Influencing the System
4.1 Work proactively with the PBC consortia to ensure the WCC -2, 4 Sheffield community gains the maximum benefits of investment and reform BAF-6 SfBH- 4 RR-503 SK Ongoing
Robust system in place for developing PBC business cases June 08 Structured programme of reviews in place for all consortia by June 08 provide programme of organisational development by April 09 provide programme of organisational development by April 09 supportive Implement Matrix perfromance commissioning managemnent model by July 08 system in place by June 08 3rd Tier Regular Reports to Commissioning Board Matrix group meet monthly new entrants to market encouraged as appropriate Half Year and Annual Reviews with Consortia QOF Input

4.2 Work proactively with the PBC consortia to WCC -7, 9 appropriate clinical care is redesigned and provided closer to home 4.3 Develop and implement a supplier development plan to stimulate the market WCC -9

BAF-7 SfBH- 3 RR-492 BAF-7 SfBH- 3 RR-492

SK

Dec-08

Agree Programme agree Clinical of redesign areas Leads by May 08 bby May 08

JN

Jun-08

Complete market diagnostic

Board approval of run supplier plan development events

4.4 Ensure 2009/10 draft contracts are based on WCC -1, 7, 9 implementation of the national model contract frameworks for all appropriate providers 4.5 Complete a Joint Strategic Needs Assessment in WCC -4, 5, 6 collaboration with City Council Director of Adult Social Services and Director of Children's Services

JN

Mar-09

Performance indicators agreed

Activity profiles agreed

Penalties and incentives agreed

4.6 Develop and roll out a robust Sheffield PBC delivery WCC -2, 4 framework

BAF-1/2/3 JW SfBH7/2/5 RR-473/ 476/ 480 BAF-6 SK SfBH- 4 RR-503

Sep-08

Preliminary JSNA Full JSNA sept 08 to be published by May 08

Mar-09

Ensure robust 3 year PBC consortia plans by May 08

Structured programme of reviews in place for all consortia by June 08

Structured programme of practice visits in place by May 08

4th tier PBC QOF Input matrix teams meet monthly

Good relationship good relationship with confederation with LMC

Consortia Annual Reports by May 09

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Principal Objective

Key Referencing WCC Competency BAF SfBH RR

Lead Deadline Director

Indicators/Key Measures of Success

1 4.7 Support the further development and bedding in of practice based commissioning WCC 4, 6 & 8 BAF 2, 3 & PEC 6 S4BH 1 2&4 Ongoing
Supporting the consortia with their lead areas for service redesign.

2
Offering constructive, clincially led review of where practices are outliers eg on referral rates, in order to drive perfromance towards the best. Contributing to the development of an effective "commissioning matrix" with colleagues in Strategy, PBC consortia and the PBC Confederation. Supporting the PCT‟s commissioning team in holding consortia to account for delivery of redesigned pathways; agreeing corrective action whre required.

3

4
Continuing to work with PCT provider services and with PCT consortia to deliver ABH targets relating to non elective activity

5

6

7

8

9

10

11

PEC members linking in with consortia to ensure that workstreams are progressing in line with corporate priorities as well as meeting local need Embedding systems for multi professional input

4.8 To prepare and implement a Dental Commissioning Plan for 2008/9 onwards, aimed at improving access to high quality dental services and reducing oral health inequalities.

WCC- 1,5,7,9

BAF 2/3 SfBH 5

JW

Jun-08

Discussions with Local Dental committee on Priorities and commissioning principles

Prepare draft Agree final draft commissioning with Dental JPG plan incorporating: and SMT 1) Health equity Audit 06/07; 2) Updated Oral health Strategy; 3) Report of consultation event Feb 08.

Agree final plan at Briefing events for PCT Board June Dental 08 practitioners and commence implementation and negotiation of new contract values - summer 08.

4.9 To review 'provider type' functions within the Public Health Directorate with a view to transferring them to the provider arm of the PCT or alternative, as appropriate.

JW

Sep-08

Determine a protocol for review of 'provider type' functions with in PH

Undertake review either in house or through external consultancy.

Ensure that any consequent organisational changes can be implemented from April 09.

5 World Class Commissioning Enablers
5.1 Revise Organisational Development Plan which supports World Class Commissioning competencies for Sheffield PCT WCC -10 JS Sep-08
Assessment of commissioning against WCC competencies by Oct 08 Provider arm to develop own independent infrastructure (corporate support etc) Talent plans developed by each aspect of the organisation Review OD plans Revise OD plan in against findings of light of review by assessment by Dec 08 Nov 08 Measures and review process for assessment of delivery by Provider arm

5.2 Develop a strategic service model for provider WCC -1 services including Public Health provider, that demonstrates the 'at arms length' relationship with the Provider Arm to ensure transparency and fairness 5.3 Implement a talent plan - allowing for evidence that plans are in place across the healthcare system WCC -10, 11 BAF-7 SfBH- 3 RR-492

JS

Sep-08

JS

Sep-08

Links established across the healthcare system to support talent development

5f0d7166-f998-4f85-9c40-8ae3b873f6fc.xls

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ID

Principal Objective

Key Referencing WCC Competency BAF SfBH RR

Lead Deadline Director

Indicators/Key Measures of Success

1 5.4 Undertake annual review of the governance structure, WCC -11 systems and processes of the PCT JD Nov-08
systems reviewed to ensure a robust approach to governance is maintained and developed

2

3

4

5

6

7

8

9

10

11

Governance Annual review of arrangements SO/SFIs to Board reviewed to ensure both the commissioner and provider functions have robust governance structures which comply with national requirements

5.5 Ensure agreement of robust annual plans with internal WCC -11 and external audit and undertake annual review of effectiveness of Audit and Integrated Governance Committee 5.6 Support and work in line with the Yorkshire and Humber Service Improvement and Innovation collaborative

BAF 7

JN

April 08 and Nov 08

Audit Plans Progress against agreed April Audit Audit Plans Committee monitored at each Audit Committee

Regular updates Annual Review of on red/amber risk Audit Committee actions from audit completed reports to Audit Committee

Annual Report produced by Audit Committee and submitted to Board

SK

Mar-09

Y&H Collaborative work programme is in the process of being finalised so specific indicators not yet available. Interim measure could be confirmation of continuing engagement with the Collaborative‟s work programme.

5.7 Identification of gaps and development areas within people and management practices and identification of strengths on which to build in the future in line with the organisations consideration of Investors in People Standard 5.8 Examine and implement greater integration of WCC - 2,5,10 performance management for cross health and social care indicators arising from Comprehensive Local Assessments and Joint Needs Assessments

JS

Mar-09

Board agreement Agree to overall direction implementation (June) plan with timescales (July)

Review all services within agreed framework (Sept)

IA

Nov-08

Engage with key partners on establishing a cross organisational performance network. Sept 08

Views of key partners established and alternative model for cross organisational working proposed to SMT. Nov 08

5.9 Ensure all Staff have complied with all statutory and local requirements for training and Personal Development Plans

JS

Mar-09

Establish baseline Review progress and inform quarterly with managers of Directors requirements

6 Provider Services
6.1 Agree and implement Provider Services Strategy in context of PCT's overall strategic aims n/a BAF-1,2,3 SG SfBH7,2,5 RR473,476, 480 BAF-1,2,3 SG SfBH7,2,5 RR473,476, 480 Sep-08
Board agreement Agree to overall direction implementation (June) plan with timescales (July) Review all services within agreed framework (Sept)

6.2 Develop appropriate relationships with all commissioners, including Practice Based Commissioning consortia

n/a

Jul-08

Agree marketing and communications strategy (May)

Directory of Robust services published partnership (Sept) arrangements with GPs/PBC and key stakeholders (Sept)

5f0d7166-f998-4f85-9c40-8ae3b873f6fc.xls

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ID

Principal Objective

Key Referencing WCC Competency BAF SfBH RR

Lead Deadline Director

Indicators/Key Measures of Success

1 6.3 Deliver agreed range of responsive and high quality n/a health care services in context of the above (including 18 Weeks and other agreed access targets) BAF-1,2,3 SG SfBH7,2,5 RR473,476, 480 Oct-08
Work programme agreed to deliver requirements within SLA with SPCT (May)

2
Ensure robust contract arrangements are in place for all services provided/commissi oned (July) Review unscheduled care / out of hours provision in context of evolving commissioner strategy (Sept)

3
Performance framework in place which includes measurement of quality and activity (Sept) Complete review/appropriate reconfiguration of GP Collaborative / Walk-in Centre (including relocation) in context of above (Dec)

4
Ensure all appropriate services deliver 18 week target (Oct)

5

6

7

8

9

10

11

6.4 Develop and deliver appropriate services (as agreed) n/a in context of PCT unscheduled care strategy

BAF-1,2,3 SG SfBH7,2,5 RR473,476, 480

Oct-08

Prepare response to competitive tender process in respect of enhanced primary care (July)

6.5 Develop and deliver appropriate services as part of PCT strategic approach to intermediate care/older people's services

n/a

BAF-1,2,3 SG SfBH7,2,5 RR473,476, 480

Mar-09

Agree and prepare to implement plans for enhanced capacity 2008/09 (June)

Review all services with stakeholders (PBC and Social Services) in context of strategy

Develop robust patient pathways that are transparent and seamless with partners to ensure progress towards target of no delayed discharges (April 2009) Staff guide to risk/governance (Sept) Programme to meet all external scrutiny standards and statutory requirements (June – review quarterly)

6.6 Ensure robust governance and risk management arrangements in place

n/a

BAF-1,2,3 SG SfBH7,2,5 RR473,476, 480

Jul-08

High level risk audit completed (May)

Risk/governance process reviewed (May)

6.7 Agree and implement programme for enhancing engagement with patients, users and the public

n/a

6.8 Ensure recruitment and retention of a workforce that can deliver the business plan

n/a

BAFSG 1,2,3,4 SfBH7,2,5,1,6 RR473,476, 480,483 BAF-1,2,3 SG SfBH7,2,5 RR473,476, 480

Oct-08

Draft plan for Implementation patient, user and plan at service public involvement level (Oct) (Sept)

Assess establishment of citizen‟s panel for Provider Services (Dec)

Mar-09

Agree and implement annual HR business plan (March 09)

Assess potential in Provide HR external support to accreditation organisational process (IIP or development Chartermark) programmes for (Sept) commissioning and provider arms (Sept) Ensure role, responsibility and accountability is clearly understood by all budget managers (June) Review all skills and training requirements for budget holders with action plan to improve where required (Sept) Establish database of all building where services/staff are located and ensure all are safe and fit for purpose (June) Develop an estates and transport strategy with implementation plan (Sept)

6.9 Ensure robust financial and resource management n/a systems and processes in place, including agreement and implementation of Estates Strategy

BAF-1,2,3 SG SfBH7,2,5 RR473,476, 480

Mar-09

Ensure finance review framework at all levels is appropriate and timely in context of varying risk (June)

6.10 Agree and implement OD Strategy for Provider Services

n/a

BAF-5 RR- SG 497

Mar-09

Develop business orientation (development project) (Sept)

Newchurch provider programme (Sept)

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World Class Commissioning 1 2 3 4 5 6 7 8 9 10 11 Locally Leas the NHS Work Collaboratively with community partners Engage with the public and patients Collaborate with clinicians to inform strategy, service design and resource utilisation Manage knowledge and assess current and future needs Identify and prioritise investment requirements and opportunities Stimulate the market to meet demand and secure outcomes Drive continuous improvement in quality and outcomes through innovation Secure procurement skills that ensure providers have appropriate contracts Performance manage Manage finances

Enablers 1 2 3 4 5 6 7 Clinical Engagement / PBC Staff Satisfaction / team working Knowledge Management Market Management Innovation Partnership Robust Procurement

Our NHS, Our Future / Darzi 1 Fair: equality available to all, taking full account of personal circumstances and diversity Personalised: tailored to the needs and wants of each individual, especially the most 2 vulnerable and those in greatest need, providing access to services at the time and place of their choice 3 Effective: focused on delivery outcomes for patients that are among the best in the world Safe: as safe as it possibly can be, giving patients and the public the confidence they need in 4 the care they receive Locally accountable: so that staff are empowered to lead change and innovate locally, ensuring that this is based on the best clinical evidence, meets local needs, and is the 5 product of engagement with patients and the public

Board Assurance Framework (07/08) To improve the health of the people of Sheffield by promoting a healthy Lifestyle and reducing 1 health inequalities 2 To ensure Sheffield Patients receive services which are clinically effective 3 To ensure equal, prompt and effective access to health services 4 To ensure Sheffield patients are treated in safe and secure environments 5 To ensure an effective, fully trained workforce To provide leadership and support to ensure health care is commissioned and services 6 delivered that are focused on patients and their carers needs 7 To ensure sound clinical, corporate and financial governance throughout the organisation Standard for Better Health 1 Safety 2 Clinical and Cost Effectiveness

3 4 5 6 7

Governance Patient Focus Accessible and Responsive Care Care Environment and Amenities Public Health


								
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