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					   North Somerset PCT - Local Work Programme                                                                                                                                                                         Appendix 5




Work Stream                                    PCT Lead Director    Principal objectives for 2008/09                                        PCT Lead Manager        Deliverables 2008/09                            Delivery Date
                                                                    What do we want to achieve this year?                                                           How will we know that the objective has
                                                                                                                                                                    been delivered?

Be an Competent Commissioner and ensure the Development for a Fit for Purpose Provider Service
World Class Commissioning                   Chris Born             Assess PCT against world class commissioning framework and act           Jeanette George         Assess PCT work programme against WCC                  Jun-08
                                                                   accordingly                                                                                      principles
World Class Commissioning                   Chris Born             Assess PCT against world class commissioning framework and act           Jeanette George         Devise a WCC Action Plan based on findings             Jul-08
                                                                   accordingly                                                                                      of the assessment
World Class Commissioning                   Chris Born             Support at least 3 successful PBC initiatives                            Jeanette George         Prioritise and assess proposals on PBC                Sep-08
                                                                                                                                                                    initiatives (via LDP/PBC)
World Class Commissioning                      Chris Born           Support at least 3 successful PBC initiatives                        Jeanette George            Implement PBC initatives chosen                       Mar-09
World Class Commissioning                      Chris Born           Implement the information management and technology strategy for the Mary Hutton                PCT to agree and sign off Service Level               Apr-08
                                                                    NHS in North Somerset.                                                                          Agreement with AIMTC
World Class Commissioning                      Chris Born           Implement the information management and technology strategy for the Mary Hutton                Chief Information Officier (CIO) to attend            May-08
                                                                    NHS in North Somerset.                                                                          AIMTC bi-monthly strategy group within
                                                                                                                                                                    BNSSG
World Class Commissioning                      Chris Born           Implement the information management and technology strategy for the    Mary Hutton             PCT to sign off work plan                              Jun-08
                                                                    NHS in North Somerset.
World Class Commissioning                      Chris Born           Implement the information management and technology strategy for the    Mary Hutton             Minutes of strategy group to be reported via           Jun-08
                                                                    NHS in North Somerset.                                                                          PCT Governance Groups
World Class Commissioning                      Chris Born           Implement the Darzi recommendations locally in line with strategic      Jeanette George         Run a series of local engagement events on            Aug-08
                                                                    framework for the South West                                                                    the 3 year strategic framework
World Class Commissioning                      Chris Born           Implement the Darzi recommendations locally in line with strategic      Jeanette George         Approve updated PCT Strategic Framework                Oct-08
                                                                    framework for the South West
World Class Commissioning                      Chris Born           Implement the Darzi recommendations locally in line with strategic      Jeanette George         Publish updated PCT Strategic Framework               Nov-08
                                                                    framework for the South West
Emergency Planning                             Max Kammerling       Be prepared to respond in a state of emergency such as an outbreak of   Max Kammerling          Complete Business Continuty Plan                       Jul-08
                                                                    pandemic flu
Emergency Planning                             Max Kammerling       Be prepared to respond in a state of emergency such as an outbreak of   Max Kammerling          Develop enhanced pandemic flu plan in line             Oct-08
                                                                    pandemic flu                                                                                    with national guidance
National Service Frameworks                    Jeanette George      Achieve all SHA priorities for North Somerset from 2007 stocktake       Roger Paynter           Undertake any outstanding actions from RAG            Mar-09
                                                                                                                                                                    assessment on all NSFs
National Service Frameworks                    Jeanette George      Act on the National Stroke Strategy                                     Clare-Louise Nicholls   Develop agreed methodology for unbundling             Sep-08
                                                                                                                                                                    tariffs
National Service Frameworks                    Jeanette George      Act on the National Stroke Strategy                                     Clare-Louise Nicholls   Develop agreed local tariffs for thrombolysis         Sep-08
                                                                                                                                                                    and TIA clinics
National Service Frameworks                    Jeanette George      Act on the National Stroke Strategy                                     Clare-Louise Nicholls   Produce a Stroke Strategy to PEC / OPSG               Mar-09
                                                                                                                                                                    incorporating an action plan that will be
                                                                                                                                                                    informed by the SW SHA review of stroke
                                                                                                                                                                    services
National Service Frameworks                    Jeanette George      Act on the Cancer Reform Strategy                                       Maya Bimson             Develop a PCT cancer strategy Action Plan              Jun-08
                                                                                                                                                                    in line with National guidance
National Service Frameworks                    Jeanette George      Act on the Cancer Reform Strategy                                       Maya Bimson             Professional Executive Committee to sign off          Aug-08
                                                                                                                                                                    PCT strategy
National Service Frameworks                    Jeanette George      Act on the Cancer Reform Strategy                                       Maya Bimson             Implement elements of of the Action Plan              Sep-08
                                                                                                                                                                    relevant to 2008/09
National Service Frameworks                    Jeanette George      Act on the Cancer Reform Strategy                                       Maya Bimson             Achieve key deliverables for 200809 from              Mar-09
                                                                                                                                                                    Cancer action plan
National Service Frameworks                    Jeanette George      Act on End of Life Strategy                                             Clare-Louise Nicholls   Weston area to participate in the Marie Curie          Apr-08
                                                                                                                                                                    Delivering Choices Programme
National Service Frameworks                    Jeanette George      Act on End of Life Strategy                                             Clare-Louise Nicholls   Produce a NSPCT end of life staretgy that              Apr-09
                                                                                                                                                                    supports National strategy and includes the
                                                                                                                                                                    delivering choices programme




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   North Somerset PCT - Local Work Programme                                                                                                                                                                           Appendix 5




Work Stream                                         PCT Lead Director   Principal objectives for 2008/09                                         PCT Lead Manager      Deliverables 2008/09                           Delivery Date
                                                                        What do we want to achieve this year?                                                          How will we know that the objective has
                                                                                                                                                                       been delivered?

National Service Frameworks                         Jeanette George     Develop plans for improving dementia care following the publication of   Julie Kell            Agree Older Peoples Mental Health action             May-08
                                                                        the Older People's Mental Health Strategy                                                      plan
National Service Frameworks                         Jeanette George     Develop plans for improving dementia care following the publication of   Julie Kell            Formalise and sign off Older Peoples Mental          Dec-08
                                                                        the Older People's Mental Health Strategy                                                      Health Strategy (inc. dementia)
National Service Frameworks                         Jeanette George     Implement the new National Framework for Continuing Health Care          Jane Towler           GAP analysis of PCT and LA provision for             Sep-08
                                                                                                                                                                       people with complex needs
National Service Frameworks                         Jeanette George     Implement the new National Framework for Continuing Health Care          Jane Towler           Explore with LA opportunities for joint              Mar-09
                                                                                                                                                                       commissioning of CHS placements and
                                                                                                                                                                       improve value for PCT.
Financial Balance                                   Mary Hutton         Develop robust and timely contract monitoring information.               Caroline Summers      Set up internal contract group to assess             May-08
                                                                                                                                                                       variations and RUM schemes
Financial Balance                                   Mary Hutton         Develop robust and timely contract monitoring information.               Caroline Summers      Produce local contract reports to present at          Jun-08
                                                                                                                                                                       contract meet with Trust
Financial Balance                                   Mary Hutton         Develop and improve financial planning processes and procedures to       Cathy Costello        Recovery financial plan for 2009/10                  Sep-08
                                                                        produce robust financial plans to deliver the PCTs long term strategy
Development of a fit for purpose Provider Service   Penny Brown         Develop SLA's for all services provided to assure commissioners of the   Kyla Dawe             Over arching SLA to be agreed and signed              Apr-08
                                                                        good value of services by demonstrating costs and quality and having                           off (including RUM schemes)
                                                                        clear service specs
Development of a fit for purpose Provider Service   Penny Brown         Develop SLA's for all services provided to assure commissioners of the   Kyla Dawe              Individual Service Level Agreements to be           Sep-08
                                                                        good value of services by demonstrating costs and quality and having                           completed for each service and signed off by
                                                                        clear service specs                                                                            Provider Board and Commissioners
Development of a fit for purpose Provider Service   Penny Brown         Develop SLA's for all services provided to assure commissioners of the   Kyla Dawe             Set up monitoring schduele of agreed                 May-08
                                                                        good value of services by demonstrating costs and quality and having                           contract and address via monthly provider
                                                                        clear service specs                                                                            performance meeting
Development of a fit for purpose Provider Service   Penny Brown         Develop SLA's for all services provided to assure commissioners of the   Kyla Dawe             Develop a Service Prospectus for Provider             Jun-08
                                                                        good value of services by demonstrating costs and quality and having                           Services
                                                                        clear service specs
Development of a fit for purpose Provider Service   Penny Brown         Develop SLA's for all services provided to assure commissioners of the   Kyla Dawe             Individual service specs to be completed for         May-08
                                                                        good value of services by demonstrating costs and quality and having                           each service and signed off by Provider
                                                                        clear service specs                                                                            Board and Commissioners
Development of a fit for purpose Provider Service   Penny Brown         Building alliances with Social Care, the voluntary sector and other      Neina English/Helen   Develop a model for integration ICT and              May-08
                                                                        providers to further develop service provision                           Banks                 ICRT
Development of a fit for purpose Provider Service   Penny Brown         Develop rapid response and rehab services working with Adult Social      Neina English         Integrate ICRT and ICT teams                          Jun-08
                                                                        services
Development of a fit for purpose Provider Service   Penny Brown         Building alliances with Social Care, the voluntary sector and other      Neina English         Reinstate 24 hour homecare with                      May-08
                                                                        providers to further develop service provision                                                 Independent provider
Development of a fit for purpose Provider Service   Penny Brown         Building alliances with Social Care, the voluntary sector and other      Sue Hinchley/Helen    Establish locality teams as part of POPP (4          Mar-09
                                                                        providers to further develop service provision                           Jefferies             by year end)
Development of a fit for purpose Provider Service   Penny Brown         Building alliances with Social Care, the voluntary sector and other      Helen Jefferies       Integration of OT teams                              Mar-09
                                                                        providers to further develop service provision
Development of a fit for purpose Provider Service   Penny Brown         Building alliances with Social Care, the voluntary sector and other      Diana Low             Establish locality teams as part of the              Sep-08
                                                                        providers to further develop service provision                                                 Childrens Integration Agenda
Development of a fit for purpose Provider Service   Penny Brown         Building alliances with Social Care, the voluntary sector and other      Diana Low             Develop a Common Assessment Framework                Sep-08
                                                                        providers to further develop service provision
Development of a fit for purpose Provider Service   Penny Brown         Building alliances with Social Care, the voluntary sector and other      Jo Hudson             Review of community equipment expenditure            May-08
                                                                        providers to further develop service provision                                                 and priorisation framework working with the
                                                                                                                                                                       Local Authority and Commissioners




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   North Somerset PCT - Local Work Programme                                                                                                                                                                              Appendix 5




Work Stream                                         PCT Lead Director    Principal objectives for 2008/09                                         PCT Lead Manager      Deliverables 2008/09                             Delivery Date
                                                                         What do we want to achieve this year?                                                          How will we know that the objective has
                                                                                                                                                                        been delivered?

Development of a fit for purpose Provider Service   Penny Brown          Building alliances with Social Care, the voluntary sector and other      Rose Barker           Progress Valuing People Now action plan for            Mar-09
                                                                         providers to further develop service provision                                                 people with LD
Development of a fit for purpose Provider Service   Penny Brown          Skilling staff to meet a changing work agenda ensuring succession        Eileen Raynes-White   Implement a development programme for                   Apr-08
                                                                         planning                                                                                       Bands 7 and above
Development of a fit for purpose Provider Service   Penny Brown          Skilling staff to meet a changing work agenda ensuring succession        Eileen Raynes-White   Develop and implement workforce strategy               Mar-09
                                                                         planning                                                                                       for Provider Services
Development of a fit for purpose Provider Service   Penny Brown          Skilling staff to meet a changing work agenda ensuring succession        Eileen Raynes-White   Mapping of training needs of Provider staff            Sep-08
                                                                         planning
Development of a fit for purpose Provider Service   Penny Brown          Skilling staff to meet a changing work agenda ensuring succession        Eileen Raynes-White   Recruitment of professional development                May-08
                                                                         planning                                                                                       lead for Provider Services
Development of a fit for purpose Provider Service   Penny Brown          Develop rapid response and rehab services working with Adult Social      Paul Overton          Develop an Single Point of Access                      Mar-09
                                                                         services
Development of a fit for purpose Provider Service   Penny Brown          Develop rapid response and rehab services working with Adult Social      Paul Overton          Implement Single Point of Access                       Mar-09
                                                                         services
Development of a fit for purpose Provider Service   Penny Brown          Ensure services are developed at Clevedon Hospital that meet the         Jo Hudson             Review of OP service provision at Clevedon              Jun-08
                                                                         needs of the PCT capacity plan and reduce reliance on the acute sector
                                                                         (3 work streams)
Development of a fit for purpose Provider Service   Penny Brown          Ensure services are developed at Clevedon Hospital that meet the         Penny Brown           Review of IP service provision at Clevedon              Jun-08
                                                                         needs of the PCT capacity plan and reduce reliance on the acute sector
                                                                         (3 work streams)
Development of a fit for purpose Provider Service   Penny Brown          Ensure services are developed at Clevedon Hospital that meet the         Eileen Raynes-White   Review of MIU service provision at Clevedon             Jun-08
                                                                         needs of the PCT capacity plan and reduce reliance on the acute sector
                                                                         (3 work streams)
Development of a fit for purpose Provider Service   Penny Brown          Ensure services are developed at Clevedon Hospital that meet the         Jo Hudson/Terje       Develop a model for integration of MSK                 Sep-08
                                                                         needs of the PCT capacity plan and reduce reliance on the acute sector   Tondel                services
                                                                         (3 work streams)
Development of a fit for purpose Provider Service   Penny Brown / Mary   Ensure services are developed at Clevedon Hospital that meet the         Wendy Jenkins         Report detailing recommendations of review              Jul-08
                                                    Hutton               needs of the PCT capacity plan and reduce reliance on the acute sector                         to be signed off by PCT
Development of a fit for purpose Provider Service   Penny Brown / Mary   Ensure streams)
                                                                         (3 work services are developed at Clevedon Hospital that meet the        Wendy Jenkins         Development of care pathways for services              Sep-08
                                                    Hutton               needs of the PCT capacity plan and reduce reliance on the acute sector                         at Clevedon
                                                                         (3 work streams)
Development of a fit for purpose Provider Service   Penny Brown / Mary   Fit for Purpose IT system with a robust reporting function               Penny Brown           Work with AIMTC to source an appropriate                Jun-08
                                                    Hutton                                                                                                              short term IT solution for Community
                                                                                                                                                                        Services
Development of a fit for purpose Provider Service   Penny Brown / Mary   Fit for Purpose IT system with a robust reporting function               Eileen Raynes-White   Work with AIMTC to source an appropriate               Mar-08
                                                    Hutton                                                                                                              long term IT solution for Community Services
                                                                                                                                                                        linking in with National Programme for IT

Development of a fit for purpose Provider Service   Penny Brown / Mary   Fit for Purpose IT system with a robust reporting function               Penny Brown           Implement new system with services and set             Sep-08
                                                    Hutton                                                                                                              up monitoring process with provider analyst

Improving Working Lives / Workforce Strategy        Madeline Vaughan      To use advanced selection techniques to ensure we attract a wide Nick Bailey                  All interviews will use a values based                  Jun-08
                                                                         range of applicants and recruit the best candidates who can work in line                       recruitment tool
                                                                         with our stated values.
Improving Working Lives / Workforce Strategy        Madeline Vaughan     To provide an excellent working experience for staff in line with the Marcus Ede               3.48 achieved on job satisfaction responses            Feb-08
                                                                         Improving Working Lives initiative.                                                            to staff survey
Improving Working Lives / Workforce Strategy        Madeline Vaughan     To work closely with our partner organisations over integration issues; Nick Bailey            To recruit Physician Assistants in partnership          Jun-08
                                                                         and to ensure a joined up approach to retain key staff within the local                        with GP Practices
                                                                         health community.




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   North Somerset PCT - Local Work Programme                                                                                                                                                                                   Appendix 5




Work Stream                                    PCT Lead Director   Principal objectives for 2008/09                                               PCT Lead Manager        Deliverables 2008/09                                Delivery Date
                                                                   What do we want to achieve this year?                                                                  How will we know that the objective has
                                                                                                                                                                          been delivered?

Improving Working Lives / Workforce Strategy   Madeline Vaughan    To bulid expertise in workforce planning and service redesign                  Nick Bailey             4 recruitment fairs undertaken by July 08                  Jul-08



Improving Working Lives / Workforce Strategy   Madeline Vaughan    To bulid expertise in workforce planning and service redesign                  Nick Bailey             National Apprentice Scheme embedded in                    Mar-09
                                                                                                                                                                          PCT - full recruitment of apprentices


Improving Working Lives / Workforce Strategy   Madeline Vaughan    To build expertise in workforce planning and service redesign                  Nick Bailey             To offer positive action training to support 2 -          Sep-08
                                                                                                                                                                          5 entry level candidatesby September 08
Improving Working Lives / Workforce Strategy   Madeline Vaughan    To develop skill mix targets in consultation with clinical professionals       Nick Bailey             Skill mix targets identified for District Nurses,         Sep-08
                                                                   taking into account clinical governance issues                                                         Allied Health Professionals & Health Visitors


Improving Working Lives / Workforce Strategy   Madeline Vaughan    To manage absence proactively to ensure an overall reduction in                Nick Bailey             Offer a suite of monthly reports and quarterly            May-08
                                                                   absence                                                                                                HR reports to managers on a range of HR
                                                                                                                                                                          metrics. Deliver HRC HR reports and
                                                                                                                                                                          Provider reports
Human Resources / Training Programme           Madeline Vaughan    Training needs identified for staff based on PDR/KSF's. Appropriate            Nick Bailey             Training Strategy ratified and implemented                May-08
                                                                   training programmes made available to staff
Human Resources / Training Programme           Madeline Vaughan    Training needs identified for staff based on PDR/KSF's. Appropriate            Nick Bailey             Training needs identified for all directorates             Oct-08
                                                                   training programmes made available to staff                                                            and appropriate training programmes put in
                                                                                                                                                                          place.
Improving Working Lives / Workforce Strategy   Madeline Vaughan    Training needs identified for staff based on PDR/KSF's. Appropriate            Nick Bailey             To offer positive action training to support 2 -          Sep-08
                                                                   training programmes made available to staff                                                            5 entry level candidates - made available
Innovative Service Redesign
Weston Futures                                 Chris Born          Start a development plan for Weston Hospital                                   Alan Lawler             Project Initation Document (PID) to be agreed              Jun-08
                                                                                                                                                                          by PCT and Trust
Weston Futures                                 Chris Born                                                                                         Alan Lawler             Project plan produced and agreed by joint                 Aug-08
                                                                   Agree the future capacity that Weston Hospital will need to provide.                                   board
Weston Futures                                 Chris Born                                                                                         Alan Lawler             Any consultation with public forum required                Oct-08
                                                                   Agree the future capacity that Weston Hospital will need to provide.                                   undertaken
Weston Futures                                 Jeantte George      Urgent care vision: phase 1 implemented in Weston                              Alan Lawler             Audit review completed                                    Apr-08
Weston Futures                                 Jeantte George      Urgent care vision: phase 1 implemented in Weston                              Alan Lawler             Project Plan developed                                    May-08
Weston Futures                                 Jeantte George      Urgent care vision: phase 1 implemented in Weston                              Alan Lawler             Business case developed                                   Jun-08
Service Redesign                               Jeanette George     Shift of non elective acute activity from Bristol to Weston in line with the   Maya Bimson             Project board to be established                           May-08
                                                                   BHSP
Service Redesign                               Jeanette George     Shift of non elective acute activity from Bristol to Weston in line with the   Maya Bimson             Sign off of activity shifts and appropriate               Sep-08
                                                                   BHSP                                                                                                   notice given
Service Redesign                               Jeanette George     Business plans developed by each Practice Based Commissioner                   Tim Wye / Maya          PBC business plans for all 3 clusters agreed               Apr-08
                                                                   cluster to identify key strategic priorities                                   Bimson                  and included in Operational Plan
Service Redesign                               Jeanette George     Business plans developed by each Practice Based Commissioner                   Tim Wye / Maya          Deliver service design process to make                    Sep-08
                                                                   cluster to identify key strategic priorities                                   Bimson                  informed decisions about what progresses
Service Redesign                               Jeanette George     Business plans developed by each Practice Based Commissioner                   Tim Wye / Maya          Work to plan and implement agreed RUM                     Mar-09
                                                                   cluster to identify key strategic priorities                                   Bimson                  schemes throughout the year.
Service Redesign                               Jeanette George     Development of Rehabilitaion pathways for North Somerset                       Clare-Louise Nicholls   Develop a rehab model based on findings of                 Jun-08
                                                                                                                                                                          scope exercise that complements the POPP
                                                                                                                                                                          integration work stream
Service Redesign                               Jeanette George     Development of Rehabilitaion pathways for North Somerset                       Clare-Louise Nicholls   Establish community based services to                     Dec-08
                                                                                                                                                                          deliver rehab services close to home




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  North Somerset PCT - Local Work Programme                                                                                                                                                                       Appendix 5




Work Stream                                   PCT Lead Director   Principal objectives for 2008/09                                            PCT Lead Manager   Deliverables 2008/09                            Delivery Date
                                                                  What do we want to achieve this year?                                                          How will we know that the objective has
                                                                                                                                                                 been delivered?

Service Redesign                              Jeanette George     Shaping our Future projects developed and implemented to timetable -        Yvonne Preece      Devolepe specific plans for the take-on of            Aug-08
                                                                  Portishead Primary Care Resource Centre                                                        services within the PCRC
Service Redesign                              Jeanette George     Shaping our Future projects developed and implemented to timetable -        Yvonne Preece      Sign off of PCRC plans by Exec Team and               Sep-08
                                                                  Portishead Primary Care Resource Centre                                                        PCT Board
Service Redesign                              Jeanette George     Shaping our Future projects developed and implemented to timetable -        Yvonne Preece      Agree specification taking into condieration           Jul-08
                                                                  Weston Primary Care Resource Centre                                                            the EAPC programme.
Service Redesign                              Jeanette George     Shaping our Future projects developed and implemented to timetable -        Yvonne Preece      Develop project plan.                                 Sep-08
                                                                  Weston Primary Care Resource Centre
Service Redesign                              Jeanette George     Shaping our Future projects developed and implemented to timetable -        Yvonne Preece /    Sign off of project plan at PEC.                       Oct-08
                                                                  Clevedon Hospital                                                           Wendy Jenkins
Service Redesign                              Jeanette George     Shaping our Future projects developed and implemented to timetable -        Penny Hynds        To place adverts and have Memorandum of                Apr-08
                                                                  Establishment of a new GP-led health centre in Weston Central &                                Information ready
                                                                  Procurement of a new Alternative Provider Medical Service (APMS)
                                                                  Practice in Worle/ West Worle
Service Redesign                              Jeanette George     Shaping our Future projects developed and implemented to timetable -        Penny Hynds        To complete PQQ phase and select bidders               Jul-08
                                                                  Establishment of a new GP-led health centre in Weston Central &
                                                                  Procurement of a new Alternative Provider Medical Service (APMS)
                                                                  Practice in Worle/ West Worle
Service Redesign                              Jeanette George     Shaping our Future projects developed and implemented to timetable -        Penny Hynds        PCTs develop ITT and receive SHA sign off             Aug-08
                                                                  Establishment of a new GP-led health centre in Weston Central &
                                                                  Procurement of a new Alternative Provider Medical Service (APMS)
                                                                  Practice in Worle/ West Worle
Service Redesign                              Jeanette George     Shaping our Future projects developed and implemented to timetable -        Penny Hynds        Contracts awarded and signed                          Dec-08
                                                                  Establishment of a new GP-led health centre in Weston Central &
                                                                  Procurement of a new Alternative Provider Medical Service (APMS)
                                                                  Practice in Worle/ West Worle
Service Redesign                              Jeanette George     Shaping our Future projects developed and implemented to timetable -        Penny Hynds        Contract Awarded                                      Aug-08
                                                                  Tendor of Locality Health Centre
Service Redesign                              Jeanette George     Shaping our Future projects developed and implemented to timetable -        Roger Paynter      Plan to be agreed with rural group                    May-08
                                                                  Acessibility for rural areas
Service Redesign                              Jeanette George     Resource Utilisation Management (RUM) Schemes delivered                     Maya Bimson        Set up monthly RUM performance meeting to              Apr-08
                                                                                                                                                                 include internal key players
Service Redesign                              Jeanette George     Resource Utilisation Management (RUM) Schemes delivered                     Maya Bimson        Agree process for sign off for both                   May-08
                                                                                                                                                                 performance management and finance
                                                                                                                                                                 arrangements for individual schemes
Service Redesign                              Jeanette George     Resource Utilisation Management (RUM) Schemes delivered                     Maya Bimson        Produce monthly RUM performance report                May-08
                                                                                                                                                                 for LDP/PBC and Board meetings
Service Redesign                              Jeanette George     Resource Utilisation Management (RUM) Schemes delivered                     Maya Bimson        Agree action plan formats for                         May-08
                                                                                                                                                                 underperforming schemes and implement as
                                                                                                                                                                 necessary
Service Redesign                              Jeanette George     Mental health primary care service started                                  Julie Kell         Specification which will form the contract to          Apr-08
                                                                                                                                                                 be developed.
Service Redesign                              Jeanette George     Mental health primary care service started                                  Julie Kell         Implementation requirements to be awarded              Jul-08

Service Redesign                              Jeanette George     Mental health primary care service started                                  Julie Kell         Service to be operational                             Aug-08
Reduce Health Inequalities and promote health and wellbeing
Health Inequalities - PH Information and Needs Max Kammerling     Review health inequalities plan in the light of the Joint Strategic Needs   Mary Hart                                                                 Oct-08
                                                                                                                                                                 Review new national Health Inequalities
assessment                                                        Assessment
                                                                                                                                                                 Strategy due for publication in Summer 2008.




  5 of 7
   North Somerset PCT - Local Work Programme                                                                                                                                                                             Appendix 5




Work Stream                                      PCT Lead Director   Principal objectives for 2008/09                                         PCT Lead Manager        Deliverables 2008/09                              Delivery Date
                                                                     What do we want to achieve this year?                                                            How will we know that the objective has
                                                                                                                                                                      been delivered?

Health Inequalities - PH Information and Needs   Max Kammerling      Lead on developing a Joint Strategic Needs assessment with North         Max Kammerling /        Work with steering group to agree format -               Jun-08
assessment                                                           Somerset Council                                                         Helen Yeo               complete and publish first needs assessment

Health Inequalities - PH Information and Needs   Max Kammerling      Health equity audits in at least 3 key areas                             Helen Yeo               Agree topics for new health equity audits                Jun-08
assessment
Health Inequalities - PH Information and Needs   Max Kammerling      Health equity audits in at least 3 key areas                             Helen Yeo             Complete new audits review and update                     Dec-08
assessment                                                                                                                                                          previous audits
Health Inequalities - PH Information and Needs   Max Kammerling      Produce the Director of Public Health Annual report                      Max Kammerling /      Agree format of report and process for                     Oct-08
assessment                                                                                                                                    Helen Yeo / Mary Hart completion - Finalise, print and disrtibute
                                                                                                                                                                    report
Health Inequalities - Children Services          Max Kammerling      Establish a local Child Death Overview Panel to respond to all           Pat Richards                                                                     Apr-08
                                                                                                                                                                    To develop an avon wide Service
                                                                     unexpected child deaths
                                                                                                                                                                    Specification for designated doctor for child
                                                                                                                                                                    deaths commissioned from acute trust
Health Inequalities - Children Services          Max Kammerling      Establish a rapid response service for Child deaths                      Pat Richards            Service Specification for Specialist Public              Jun-08
                                                                                                                                                                      Health Nursing Service to deliver a rapid
                                                                                                                                                                      response Team
Health Inequalities - Children Services          Max Kammerling      Tackle Infant Mortality                                                  Dali Sidebottom         Set up a small dedicated team of health                 Sep-08
                                                                                                                                                                      practitioners to identify and target vulnerable
                                                                                                                                                                      parents
Health Inequalities - Local Area Agreement       Max Kammerling      Achieve LAA targets                                                      Mary Hart               Negotiate and sign off targets of agreed                 Jun-08
                                                                                                                                                                      health indicators in the LAA
Health Inequalities - Local Area Agreement       Max Kammerling      Achieve LAA targets                                                      Mary Hart               Monitor health LAA indicators via the National          Aug-08
                                                                                                                                                                      Work Programme - included as 'vital signs'

Health Inequalities - Tobacco Control            Max Kammerling      Increase the number of homes that are smoke free                         Loretta Ingram          Launch smoke free homes campaign to                      Jul-08
                                                                                                                                                                      increase number of smoke free homes
Health Inequalities - Smoking                    Max Kammerling                                                                               Loretta Ingram          Agree roles with new providers of Locality               Oct-08
                                                                     Target smoking cessation activity at groups with highest smoking rates                           Health Centre practice
Patient and Public Involvement                   Julie Clatworthy    Establish a strong working relationship with the new LINk.               Mary Adams              Develop an programme of support in working               Jun-08
                                                                                                                                                                      with LINk
Patient and Public Involvement                   Julie Clatworthy    Establish a strong working relationship with the new LINk.               Mary Adams              Agree programme of support in working with              Sep-08
                                                                                                                                                                      LINk
                                                 Julie Clatworthy    Develop a pool of lay people who wish to be involved in PCT              Mary Adams              Establish Core Involving People Group                    Apr-08
Patient and Public Involvement                                       committees, projects and initiatives                                                             (committee)
Patient and Public Involvement                   Julie Clatworthy    Develop a pool of lay people who wish to be involved in PCT              Mary Adams              Establish wider team of Involving People                 Apr-08
                                                                     committees, projects and initiatives                                                             Group
Patient and Public Involvement                   Julie Clatworthy    Develop a pool of lay people who wish to be involved in PCT              Mary Adams              Allocate roles and respocibilities to Lay               May-08
                                                                     committees, projects and initiatives                                                             individuals
                                                 Julie Clatworthy    To monitor activity of PPI activities through the development of a       Mary Adams              Functional database in place                             Jun-08
Patient and Public Involvement                                       database
                                                 Julie Clatworthy    Develop formal engagement and consultation policy                        Andrew May              Draft policy circulated to IPG and key players          May-08
Patient and Public Involvement                                                                                                                                        within the PCT
Patient and Public Involvement                   Julie Clatworthy    Develop formal engagement and consultation policy                        Andrew May              Sign-off of policy by the Governance and                 Jun-08
                                                                                                                                                                      Riak Committee
Patient and Public Involvement                   Julie Clatworthy    Raise staff awareness on PPI implications for service change with at     Mary Adams              Roll out programme of training on the new                Jun-08
                                                                     least one event per directorate                                                                  PPI structure - Board
                                                 Julie Clatworthy    Raise staff awareness on PPI implications for service change with at     Mary Adams              Roll out programme of training on the new               Sep-08
Patient and Public Involvement                                       least one event per directorate                                                                  PPI structure - Wider Staff
                                                 Julie Clatworthy    Provide support and advice to practices on establishing Patient          Lynne Liptrot           Develop a workshop (sharing the learning) for            Oct-08
Patient and Public Involvement                                       Participation Groups                                                                             PPI in Primary Care




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   North Somerset PCT - Local Work Programme                                                                                                                                                             Appendix 5




Work Stream                                PCT Lead Director   Principal objectives for 2008/09                                       PCT Lead Manager   Deliverables 2008/09                           Delivery Date
                                                               What do we want to achieve this year?                                                     How will we know that the objective has
                                                                                                                                                         been delivered?

Patient and Public Involvement             Julie Clatworthy    Provide support and advice to prviders on establishing Patient         Lynne Liptrot      Roll out workshop to other Providers                 Mar-09
                                                               Participation Groups
Inequalities                               Julie Clatworthy    Act on patient satisfaction levels amongst black and minority ethnic   Mary Adams         Best Practice Guide and Directory for Blcak          Sep-08
                                                               groups                                                                                    and minority ethnic communities
Inequalities                               Julie Clatworthy    Act on patient satisfaction levels amongst black and minority ethnic   Mary Adams         Annual report for inclusion in Annual                Mar-09
                                                               groups                                                                                    Integrated Governance Report.
Be a Good Partner to work with
Partnerships                               Chris Born                                                                                 Lynne Liptrot      Baseline satisfaction survey to be completed         Sep-08
                                                               Increase satisfaction from stakeholders in the way we work together
Partnerships                               Chris Born                                                                                 Lynne Liptrot      Follow - up satisfaction survey to be                Mar-09
                                                               Increase satisfaction from stakeholders in the way we work together                       completed




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