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Business Letter Templates for Poor Performance - Excel

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					2gether NHS Foundation Trust
BUSINESS PLAN 09-10
Detailed Objectives

                  Key Themes
        Getting the basics right
        Legislation & Governance
        Growth & Financial Efficiency
        Seeking Involvement
        Skilled Workforce
        Social Inclusion
        Quality & Safety
        Using better information


Ref     Theme                           SSU/ Directorate        Lead        Objective and outcome required         Target 2008/09 Action Plan to achieve                Supporting Indicators      Key milestones &          SBH Ref   Risk
                                                                                                                  end date objective                                                               Quarter
      1 Getting the Basics Right        Corporate Affairs    Information Preparation for NCRS                      Jun-09 Plan and implement Role Based                 Performance against plan                             C7a       Delay in NCRS implementation
                                                             Governance                                                    Access
                                                              Manager
      2 Getting the Basics Right        Corporate Affairs     Director of   Sound Governance                       May-08      Induct Chairman and new NEDS             Report to Governance                                 C7a       Chair and NEDS unable to
                                                              Corporate                                                                                                 Committee                                                      contribute effectively
                                                                Affairs
      3 Getting the Basics Right        Corporate Affairs     Director of   Sound Governance                       Mar-09      Review Constitution and Standing         Report to Board and                                  C7a       Constitution or Standing Orders
                                                              Corporate                                                        Orders                                   Council of Governors                                           do not keep pace with the needs
                                                                Affairs                                                                                                                                                                of the organisation

      4 Getting the Basics Right        Corporate Affairs       Local    Staff and service user security           Mar-09      Deliver the LSMS annual plan             Performance against                                  C7b,20a   Staff and service users exposed
                                                               Security                                                                                                 plans                                                          to unnecessary risk
                                                             Management
      5 Getting the Basics Right        Corporate Affairs     Specialist
                                                              Complaints Sound Governance                          Mar-09      Improve complaints response times        % achieved within                                    C7a,14    Quality of response could be
                                                             and Records                                                                                                deadlines                                                      threatened
                                                               Manager

      6 Getting the Basics Right        Corporate Affairs     Complaints Sound Governance                          Mar-09      Work toward health record                Accreditation achieved                               C7a       Assurance not received
                                                             and Records                                                       accreditation
                                                               Manager
      7 Getting the Basics Right        Corporate Affairs     Director    Deliver Gloucestershire COIN              1-Sep      Oversee project plan through             The percentage of          Performance against       C7d       Delay in the delivery of Coin
                                                              Internal                                                         countywide group                         establishments             plan                                impacts on RiO project
                                                             Customers                                                                                                  connected to COIN
      8 Getting the Basics Right        Corporate Affairs     Services
                                                             Director for Agree new contract arrangements          Jun-09      Countywide informatics agreement                                    Agreements signed        C7a        Failure to deliver adequate IT
                                                               Internal   with IT services                                                                                                         Monitoring arrangements             services
                                                             Customers                                                                                                                             in place
      9 Getting the Basics Right        Corporate Affairs    Director for Agree a new contract                      1-Jul      Work on contract commissioned                                       Compliance with contract C7a
                                                                                                                                                                                                   Agreements signed                   Failure to deliver adequate
                                                              Internal    arrangements with Estates Service                                                                                        Monitoring arrangements             estates service
                                                             Customers                                                                                                                             in place
  10 Getting the Basics Right           Finance & Commerce      Deputy      Continue to improve the                Mar-10      Continue to use Team Briefing to                                    Compliance with contract
                                                                                                                                                                                                   Ongoing                             Team briefs cancelled due to
                                                              Director of   Directorate's internal and external                bring in external trainers and                                                                          work pressures
                                                               Finance/     communication                                      speakers. Continue Management
                                                              Director of                                                      Briefings. Ensure regular 1:1s for
                                                              Finance &                                                        staff with line managers. Review and
                                                              Commerce                                                         improving use of Budget holder letter.
                                                                                                                               Achieve appraisal and Mandatory
                                                                                                                               training corporate targets
  11 Getting the Basics Right           Finance & Commerce    Assistant     Develop a consistent Tool Kit of       Jun-09      Agree potential contents, develop                                   Process and templates               Adoption by key stakeholders;
                                                              Director      communication plans, feedback                      templates; seek feedback; develop                                   agreed Q1; roll out Q1              resource to ensure tools used
                                                               Comms        forms and checklists for                           comms plan                                                                                              correctly
                                                                            implementation across the Trust

  12 Getting the Basics Right           Finance & Commerce    Assistant     Develop an event management            Sep-09      Agree event process, template                                       Process and templates               Adoption by key stakeholders;
                                                              Director      process for implementation across                  documents and guides                                                agreed Q1; roll out Q2              resource to ensure tools used
                                                               Comms        the Trust                                                                                                                                                  correctly
  13 Getting the Basics Right           Finance & Commerce    Assistant     Develop an external                   Framework    Comms audit; consider results;                                      Framework complete by               Agreement, length of decision
                                                              Director      communications framework with          June 09     devise plan; seek agreement to                                      Q1; Comms Plan roll out             making process; adoption by key
                                                               Comms        full communication plan               Plan: Sept   proceed framework; further staff                                    by end Q2; monitored                stakeholders
                                                                                                                      10       consultation; develop comms plan                                    each Q




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2gether NHS Foundation Trust
BUSINESS PLAN 09-10
Detailed Objectives

                Key Themes
      Getting the basics right
      Legislation & Governance
      Growth & Financial Efficiency
      Seeking Involvement
      Skilled Workforce
      Social Inclusion
      Quality & Safety
      Using better information


Ref   Theme                           SSU/ Directorate            Lead        Objective and outcome required          Target     2008/09 Action Plan to achieve           Supporting Indicators     Key milestones &        SBH Ref         Risk
                                                                                                                     end date    objective                                                          Quarter
  14 Getting the Basics Right         Finance & Commerce        Assistant     Develop an internal                   Framework    Comms audit; consider results;                                     Framework complete by                   Agreement, length of decision
                                                                Director      communications framework with           Jun 09     devise plan; seek agreement to                                     Q1; Comms Plan roll out                 making process; adoption by key
                                                                 Comms        full communication plan               Plan: Sept   proceed framework; further staff                                   by end Q2; monitored                    stakeholders
                                                                                                                        09       consultation; develop comms plan                                   each Q
  15 Getting the Basics Right         Finance & Commerce        Assistant     Develop Corporate and SSU              Jun-09      Agree content, establish relevant                                  Propose format and roll                 Need to redefine and personalise
                                                                Director      specific reports for monthly                       databases and decide consistent                                    out by end Q1                           as reports are embedded
                                                                 Comms        distribution to the SSUs, Executive                format
                                                                              Team and Board
  16 Getting the Basics Right         Finance & Commerce        Assistant     Ensure all Trust developments and      May-09      Ensure each SSU has and                                            Each service director will              Policy not agreed
                                                                 Director     tender responses follow the                        understand the policy. Utilise tender                              have confirmed they
                                                                Business      agreed process and are in line with                management plans which are in line                                 have read and
                                                               Development    policy                                             with the policy for each bid.                                      understood the BD
                                                               & Marketing                                                                                                                          Policy. Produce project
                                                                                                                                                                                                    plan for each
                                                                                                                                                                                                    development in line with
                                                                                                                                                                                                    policy - Q1
  17 Getting the Basics Right         Finance & Commerce         Deputy       Improve budget setting process         Dec-09      More challenging during the budget                                 Agree criteria and           C7d        Risk that savings are not
                                                                Director of   and process for identifying                        setting process, focus on future                                   implement in Q1                         identified early enough; Savings
                                                                 Finance      recurrent savings                                  service delivery and not historic                                                                          may require structural changes to
                                                                                                                                 budgets. Review potential methods                                                                          service provision which may take
                                                                                                                                 of cost improvement. Give guidance                                                                         longer to implement
                                                                                                                                 to Service and executive directors on
                                                                                                                                 identifying and tracking cost
                                                                                                                                 improvements
  18 Getting the Basics Right         Human Resources              CAS        To ensure reward structures are in     Oct-09      1) To review current non pay benefits    1) Considered by the                                   D7         Lower staff morale and impact on
                                                                              place to attract, retain and                       package and identify areas for further   workforce committee Q1.                                           our ability to recruit and retain
                                                                              motivate staff to deliver high                     development. 2) Publicise existing       2) Non-pay benefits                                               staff
                                                                              quality services                                   benefits available to staff              published Q1

  19 Getting the Basics Right         Human Resources              KH         To implement new ways of               Dec-08      1) To review and implement the           1) Awards ceremony Q3.                                 D7         Lower staff morale and impact on
                                                                              recognising and celebrating the                    ROSCAs. 2) Review the retirement         2) Revised retirement                                             our ability to recruit and retain
                                                                              contribution and achievements of                   procedure                                procedure agreed Q1                                               staff
                                                                              staff.
  20 Getting the Basics Right         Human Resources               All       To develop ways of learning from       Mar-10      Continue to develop networks with        Networks maintained and                                D5b        Failure to develop HR practice in
                                                                              others in terms of developing                      other employers                          developed                                                         line with good practice.
                                                                              employment practices within the
                                                                              Trust and sharing Trust good
                                                                              practice
  21 Getting the Basics Right         Human Resources              KH         To develop mechanism of getting        Mar-10      1) Continue to identify regularly      1) Report produced half                                  D5b        Lower staff morale and impact on
                                                                              feedback from staff on practices                   learning from cases. 2) Take account yearly Q3. 2) Any                                                     our ability to recruit and retain
                                                                              and take action to address issues                  of feedback from staff attitude survey additional actions                                                  staff
                                                                              through changes in policy and                                                             included in business plan
                                                                              procedures                                                                                Q1
  22 Getting the Basics Right         Human Resources            NB/KH        To have a working environment          Mar-10      1) Implement well being at work        1) Action plan reviewed                                  C7b, D12a Lower staff morale and impact on
                                                                              which promotes and supports the                    action plan. 2) Implement workplace by Health & Safety                                                    our ability to recruit and retain
                                                                              well being of staff                                inspections and audits and develop     Committee. 2) Report                                               staff
                                                                                                                                 action plan to respond to results      considered by Health &
                                                                                                                                                                        Safety Committee
  23 Getting the Basics Right         Directorate Nursing,         VT         Implement the national policy on       Mar-10      Train to trainers. Audit of            Training records. Case                                   C11c       Trust fails to implement National
                                      Social care and Allied                  Violence & Abuse                                   practitioners training needs. Develop note audits                                                          policy. Service Users are
                                      Health professionals                                                                       and implement a training plan. Put in                                                                      disadvantaged by not having
                                                                                                                                 place supporting mechanisms such                                                                           access to appropriate support for
                                                                                                                                 as access to staff counselling.                                                                            an unidentified area of need.



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2gether NHS Foundation Trust
BUSINESS PLAN 09-10
Detailed Objectives

                Key Themes
      Getting the basics right
      Legislation & Governance
      Growth & Financial Efficiency
      Seeking Involvement
      Skilled Workforce
      Social Inclusion
      Quality & Safety
      Using better information


Ref   Theme                           SSU/ Directorate            Lead     Objective and outcome required         Target 2008/09 Action Plan to achieve       Supporting Indicators      Key milestones &                   SBH Ref    Risk
                                                                                                                 end date objective                                                      Quarter
  24 Getting the Basics Right         Directorate Nursing,     VT/CD/BW    Ensure the Trust has an agreed         Mar-10 1. Agreement of policy. 2.           Training records, audit of                                    C5b        Staff undertake unsupervised
                                      Social care and Allied               model of Supervision for                       Development of training program. 3. supervision                                                              work which could result in an
                                      Health professionals                 practitioners.                                 Delivery of training. 4. Audit of                                                                            inappropriate intervention and
                                                                                                                          access to supervision                                                                                        outcome for service user. Staff
                                                                                                                                                                                                                                       are unable to obtain appropriate
                                                                                                                                                                                                                                       support and as a consequence
                                                                                                                                                                                                                                       may result in higher sickness
                                                                                                                                                                                                                                       levels
  25 Getting the Basics Right         Directorate Nursing,         RD      Ensure physical interventions          Oct-09    Establish working group to review             Minutes from working                              C1
                                      Social care and Allied               undertaken are based on least                    current approaches to physical                group. Revised policy
                                      Health professionals                 restrictive principles and evidence              intervention. Carry out a literature          and procedure.
                                                                           based practice                                   review and research current best
                                                                                                                            practice. Make recommendations on
                                                                                                                            appropriate model of adoption within
                                                                                                                            the Trust. Develop and
                                                                                                                            implementation plan.
  26 Getting the Basics Right         Directorate Nursing,       VT/VP     Ensuring staff are aware of their     Dec-09     1. Ensure Child Protection training           Training programs.                                C2         Failure by staff to recognise
                                      Social care and Allied               safeguarding responsibilities                    takes account of local and national           Serious case review                                          safeguarding concerns which
                                      Health professionals                                                                  serious case reviews. 2. Discuss              action plans. Annual                                         could have a detrimental effect on
                                                                                                                            with JNCC an amendment to job                 report to Trust Board-sub                                    service users. Reputational
                                                                                                                            descriptions to include a specific            committees.                                                  damage through an adverse
                                                                                                                            reference to safeguarding. 3.                                                                              event.
                                                                                                                            Incorporate local safeguarding adults
                                                                                                                            procedures into the mandatory
                                                                                                                            clinical risk training. 4.Provide
                                                                                                                            representation to inter-agency
                                                                                                                            safeguarding groups.
  27 Getting the Basics Right         Human Resources           Service   Implementation of the 'Planning for      Q2       1/ New Clinic Structure                       - Reduced appointment         1/ April 2009, Q1   C3, C4,   Low - Most elements of course for
                                      Occupational Health       Director  Change 2009' Project and the           2009/10    2/ Clear Service Operating Hours              waiting times                 2/ April 2009, Q1   C5, C20b, target dates.
                                                               Chris Woon associated consolidation of            (by July   3/ New Office Layouts                         - Increased satisfaction of   3/ May 2009, Q2     C21
                                                                          consistent, high quality                2009)     4/ Improved Organisation Structure            users, managers,              4/ June 2009, Q1
                                                                          occupational health practice. This                and clearer accounting lines                  commissioners and staff.      5/ June 2009, Q1
                                                                          will ensure that GCOHS becomes                    5/ Standard Operating Protocols               - Reduced duplication in      6/ May 2009, Q1
                                                                          the occupational health service of                (administration)                              workloads                     7/ 2010
                                                                          choice within Gloucestershire.                    6/ Merged Facilities at GRH                   - Improved efficiency and
                                                                                                                            7/ Alternative facility at central off-site   consistency in services
                                                                                                                            (yet to be determined) location which         provided.
                                                                                                                            is more appropriate for service
                                                                                                                            delivery and more appealing to
                                                                                                                            potential and existing clients.
  28 Getting the Basics Right         Learning Disabilities        DF      Ensure that KPI for the service are   Aug-09     Continue to work with commissioners                                                             C6, D2,   KPI data may not be readily
                                                                           identified, appropriate and                      and SQMG and LD planning group to                                                               C17, C18, collected
                                                                           monitored in order to service the                establish the data set. - Once                                                                  D11c, C22
                                                                           needs of the local community and                 established take to SSU Board to set
                                                                           meet the health equality agenda                  out any actions required for SSU.

  29 Getting the Basics Right         Learning Disabilities        SH      To work with partner agencies to      Dec-09     Identify partner organisations. -                                                               C1, C6,    Register may not be as high a
                                                                           ensure a robust Learning Disability              Develop processes for establishing                                                              C9, D6,    priority for other agencies
                                                                           register is developed                            and maintaining register. - Identify                                                            C22a
                                                                                                                            persons responsible for updating and
                                                                                                                            maintaining register.




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2gether NHS Foundation Trust
BUSINESS PLAN 09-10
Detailed Objectives

                Key Themes
      Getting the basics right
      Legislation & Governance
      Growth & Financial Efficiency
      Seeking Involvement
      Skilled Workforce
      Social Inclusion
      Quality & Safety
      Using better information


Ref   Theme                           SSU/ Directorate          Lead      Objective and outcome required        Target 2008/09 Action Plan to achieve          Supporting Indicators   Key milestones &   SBH Ref    Risk
                                                                                                               end date objective                                                      Quarter
  30 Getting the Basics Right         Learning Disabilities      MS       To have a comprehensive audit         Jun-09 Audit plan to be agreed by the                                                     D4, D6,    The SSU may not have audited
                                                                          strategy                                      service governance committee. -                                                   C7a,d,f    highlighted risk areas
                                                                                                                        Engage Audit department if required. -
                                                                                                                        To report progress on audits to SSU
                                                                                                                        Board through Governance
                                                                                                                        Committee minutes.
  31 Getting the Basics Right         Learning Disabilities    MS/DF      To work with CAMHS to ensure          Mar-10 To identify work already completed. - Progress monitored                           C2, C3,    Unclear as to future of children
                                                                          that children with LD receive the             To plan future development building through SSU Board                             D1, D2a,c, services commissioned in
                                                                          appropriate service                           on this work through the               monthly.                                   D5, C18    Gloucestershire. - Is there the
                                                                                                                        Development Committee and SSU                                                                appropriate Skill set within the
                                                                                                                        Board. - To monitor progress through                                                         SSU to carry out and expand on
                                                                                                                        Development Committee and SSU                                                                present work.
                                                                                                                        Board.
  32 Getting the Basics Right         Learning Disabilities   Community Work with commissioners to clarify      Dec-09 To liaise with Commissioners on         Detailed information of                    D2, C7,    Inadequate data available to
                                                               Manager activity including out of county                 accurate data around Out of County Out of County Activity to                      D5, C18,   complete detailed analysis of Out
                                                                        placements                                      Activity. - Report back Out Of County SSU Board Dec-09                            D11, C6    of County Activity.
                                                                                                                        Activity to SSU Board.
  33 Getting the Basics Right         Learning Disabilities   Community To work with commissioners              Mar-10 To discuss with Commissioners our       To have set out                            C5d, C7,   Rio may not work in conjunction
                                                               Manager towards an outcome based service                 present outcome measures and           provisional outcome                        D6         with EKOS. - Keeping the focus
                                                                        measures                                        EKOS. - To agree outcomes relevant measures and be utilising                                 on outcomes rather than activity.
                                                                                                                        for commissioners to monitor. - To     the measures for future
                                                                                                                        use the modified EKOS as a base for planning with
                                                                                                                        agreed outcome measures. - To          commissioners.
                                                                                                                        monitor progress of outcome
                                                                                                                        measures through SSU Board.
  34 Getting the Basics Right         Learning Disabilities   Community To review the CLDT's against           Aug-09    Clarify with Commissioners if review      Review of current                      C3, C5,    Time and resource to carry out
                                                               Manager national guidance and implement                   to be part of Health Inequalities work    services and their                     D2,        thorough review.
                                                                        recommendations                                  or separate. - Identify resources         compliance to national                 C7a,d,e,
                                                                                                                         needed to carry out review. - Identify    recommendations and                    D3, D5,
                                                                                                                         person/persons to do review. - Carry      guidance completed Aug-                C18, D11
                                                                                                                         out planned CLDT review. -                09
                                                                                                                         Feedback findings to SSU Board.

  35 Getting the Basics Right         Learning Disabilities      JT       To ensure that the Gloucestershire   Dec-09    To engage audit department if             Baseline audit                         C3, C5,   Inadequate data available to
                                                                          LD community is appropriately                  required to set audit. - To audit         information of services                D2,       complete detailed review of
                                                                          served with inpatient facilities,              against national guidance and use of      and communities served                 C7a,d,e,  Gloucestershire communities.
                                                                          including vulnerable adults and                the LD in patient pathway submitted       in Gloucestershire Dec-                D3, D5,
                                                                          people with PMLD and any future                regular reports to the Board and          09                                     C18, D11,
                                                                          developments.                                  commissioners. - To feed in                                                      C20, C21
                                                                                                                         information from the Diversity audit. -
                                                                                                                         Findings reported back to SSU
                                                                                                                         Board.
  36 Getting the Basics Right         Learning Disabilities      JT       Reporting facilities to be further   Dec-09    To identify key stakeholders in           Template for reporting to              C7, D4, D6 Commissioners are not fully
                                                                          developed to ensure the most                   process - To agree the most useful        go to SSU Board Dec-09                            informed of service being
                                                                          appropriate use of assessment and              and appropriate reporting template                                                          provided
                                                                          treatment facilities                           for commissioners - To feed back to
                                                                                                                         SSU Board - To decide how best to
                                                                                                                         utilise information to inform future
                                                                                                                         commissioning.




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2gether NHS Foundation Trust
BUSINESS PLAN 09-10
Detailed Objectives

                Key Themes
      Getting the basics right
      Legislation & Governance
      Growth & Financial Efficiency
      Seeking Involvement
      Skilled Workforce
      Social Inclusion
      Quality & Safety
      Using better information


Ref   Theme                           SSU/ Directorate       Lead    Objective and outcome required        Target 2008/09 Action Plan to achieve           Supporting Indicators    Key milestones &        SBH Ref   Risk
                                                                                                          end date objective                                                        Quarter
  37 Getting the Basics Right         Mental Health                  Benchmarking and the use of           Dec-09 1. Implement HONOS.              2.      Data collection around   1.HONOS by 1st quarter.                                               3
                                      Services for Older             Outcome Measures                              Develop high quality survey             patient profiles.        2.Quality Survey by 2nd
                                      People                                                                       mechanism for patient & carer                                    quarter. 3.Workstream
                                                                                                                   reported outcome and satisfaction.                               by 4th quarter.
                                                                                                                   3.Develop an outcome measures
                                                                                                                   work stream (indicated in the Trust's
                                                                                                                   Dementia Strategy).
  38 Getting the Basics Right         Mental Health                  Improved inpatient and community     Apr 2010 1.CLC Building Re-development and                                1.Refer to Project Plan.                                              6
                                      Services for Older             staff & patient facilities            March   inpatient service relocation.      2.                            2.Scope feasibility by 1st
                                      People                                                                2011   Re-provide Gloucester community                                  quarter, with a view to re-
                                                                                                                   assessment and treatment facilities                              providing by 4th quarter.
                                                                                                                   (ie Holly House). 3.Establish                                    3.Project Plan by end of
                                                                                                                   community hubs in refurbished                                    1st quarter.
                                                                                                                   facilities in Stroud and Forest
                                                                                                                   Localities.
  39 Getting the Basics Right         Mental Health                  Improved Risk management              Jul-09  Significant risks are documented,                                Risks are identified, with                                            8
                                      Services for Older                                                           assessed, assigned a risk owner, and                             mitigation, and managed
                                      People                                                                       subject to quarterly Board review to                             through a formal
                                                                                                                   ensure actions taken to mitigate risks.                          process, reportable in
                                                                                                                                                                                    full each quarter.
  40 Getting the Basics Right         Child and Adolescent    SD     Review structure of locality teams    Mar-10   Align with CYPD hubs. Service Equity                                                              The CYPD model is not
                                      Mental Health                                                                 model in place.                                                                                   coterminous with present
                                      Services                                                                                                                                                                        arrangements and hub 9
                                                                                                                                                                                                                      (Cotswolds) is vast. There is a
                                                                                                                                                                                                                      risk that realignment will cause
                                                                                                                                                                                                                      confusion for GPs who are still
                                                                                                                                                                                                                      the largest referrers to CAMHS.
                                                                                                                                                                                                                      Staff may also have concerns
                                                                                                                                                                                                                      about team boundaries changing.
  41 Getting the Basics Right         Child and Adolescent   SD/CD   Review role, function model and      Sep-09    JDs completed. 3 month management                               Team managers in post             Financial risk of loss of business
                                      Mental Health                  structure of locality teams. Embed             of change completed. Service model                              and management of                 should 2GT CAMHS not be fit for
                                      Services                       operational line management                    developed. Supervision family tree in                           change process                    purpose.
                                                                                                                    place                                                           completed.
  42 Getting the Basics Right         Child and Adolescent   SD/CD   Introduce activity targets linked     Jan-10   All staff have PDP linked to service                            Activity levels are agreed        Clearly defined standards are
                                      Mental Health                  to/job plans/pdps                              objectives. Clear guidance given to                             & implemented and                 necessary to ensure equity of
                                      Services                                                                      staff about activity targets                                    reflect diversity of roles        service capacity across the three
                                                                                                                                                                                    e.g. supervision, audit,          main teams.
                                                                                                                                                                                    governance leads etc
  43 Getting the Basics Right         Child and Adolescent   SD/CD   Outcome measures and service          Mar-10   Assistant psychologist in post. CORC                            Acorn CORC started                Lack of staff compliance/buy in.
                                      Mental Health                  evaluation                                     rollout to be established in all teams                          01.04.09 all teams                High turn-over with Assistant
                                      Services                                                                      by 31.09.09. annual service                                     completed by 31.09.09.            psychologist post.
                                                                                                                    evaluation audit undertaken. Service                            CORC submission April
                                                                                                                    evaluation in waiting rooms piloted in                          2010.Service evaluation
                                                                                                                    Acorn House                                                     report due by summer
                                                                                                                                                                                    09.Waiting room pilot
                                                                                                                                                                                    project to complete by
                                                                                                                                                                                    31.12.09
  44 Getting the Basics Right         Child and Adolescent    SD     Quality Assure transition             Oct-09   Transition coordinator post in WAA                              Transition post filled.           Funding is not available
                                      Mental Health                  arrangements                                   complete. Work with them to review                                                                recurrently in WAA.
                                      Services                                                                      policy, set audit and develop systems
                                                                                                                    to monitor exceptions.




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2gether NHS Foundation Trust
BUSINESS PLAN 09-10
Detailed Objectives

                Key Themes
      Getting the basics right
      Legislation & Governance
      Growth & Financial Efficiency
      Seeking Involvement
      Skilled Workforce
      Social Inclusion
      Quality & Safety
      Using better information


Ref   Theme                           SSU/ Directorate         Lead      Objective and outcome required           Target 2008/09 Action Plan to achieve                Supporting Indicators       Key milestones &        SBH Ref   Risk
                                                                                                                 end date objective                                                                Quarter
  45 Getting the Basics Right         Substance Misuse       Clinical    prepare service for roll out of CM if    Apr-10 Complete West Glos pilot, share               Clinical board minutes &    Outcome of UK CM
                                                             Director    adopted by NTA                                   practice via protected learning slots,       protected learning time     pilots due April 09
                                                                                                                          develop protocols & patient                  timetable
                                                                                                                          information if adopted into practice
  46 Getting the Basics Right         Substance Misuse       Modern      The SSU will set Benchmarks to           Dec-09 Clinical/ Management board to agree           DOH, Measuring for                                            DOH, Measuring for quality
                                                             matron      measure the Quality Improvement                  benchmarks for community and                 quality Improvement.                                          Improvement. Clarity for
                                                                         of its core business. The SSU will               inpatient teams. Head of nursing to          Clarity for Clinicians of                                     Clinicians of roles. Service user
                                                                         measure itself against other                     work with team managers to set               roles. Service user                                           experience is more positive.
                                                                         services and teams.                              timeline and reporting structure.            experience is more
                                                                                                                                                                       positive.
  47 Getting the Basics Right         Substance Misuse       Modern      The SSU Inpatient Service will           Dec-09    Modern matron to take the lead on          Institute for Innovation                                      Moderate. Together with Deputy
                                                             matron      offer a seamless Interface with the                implementation of The productive           and Improvement , The                                         director of Nursing to be a pilot
                                                                         Community teams. The                               Mental Health Ward. Ward team to           productive mental Health                                      for the Implementation of "the
                                                                         Interventions It provides will be                  work through key stages. Reports to        Ward.                                                         productive Mental Health Ward"
                                                                         consistent and Transparent.                        be given to SSU board bi-monthly.                                                                        Staff Involvement is essential.

  48 Getting the Basics Right         Substance Misuse       Modern      The SSU will develop a website of        Jul-09    Completion of 08.09 objective,             Demonstrable clarity and                                      Moderate, Current IT systems are
                                                           Matron/Clinic all leaflets, assessment tools,                    leaflets, protocols to be entered onto     transparency of SSU core                                      Inadequate and may delay
                                                            al Director policies, procedures and protocols.                 website. Work with IT to set               business. Income                                              implementation.
                                                                         The SSU will be open and                           framework for implementation. Agree        generation, outside
                                                                         transparent in all the interventions               assessments to be incorporated at          agencies have Instant
                                                                         it provides.                                       clinical/management board.                 access to our service.

  49 Getting the Basics Right         Working Age Adults        LT       Trust Wide: Identify and implement       Mar-10    All specialties (via steering groups) to                                                       G         Information system will need to
                                                                         measurement of service outcomes                    devise service outcomes based on                                                                         analyse and report on S.O.s
                                                                         for all services                                   IPR data e.g. all s.u. will have a care
                                                                                                                            coordinator
  50 Getting the Basics Right         Working Age Adults        LT       Trust Wide: Develop and                  Mar-10    Steering groups to agree achievable                                                            G         O.M.s may be selected which are
                                                                         implement outcome measures for                     OM recording process                                                                                     resource intensive or which the
                                                                         all services                                                                                                                                                information system isn't able to
                                                                                                                                                                                                                                     capture
  51 Getting the Basics Right         Working Age Adults        LT       Trust Wide: Continue to develop          Mar-10    Service directors to agree principles                                                          ARC       Areas of provision which are not
                                                                         care pathways for transition                       of transition. Escalator principle                                                                       currently commissioned create
                                                                         between SSUs                                       should highlight areas where further                                                                     transition problems, put s.u. at
                                                                                                                            effort is required.                                                                                      risk and effect professional
                                                                                                                                                                                                                                     accountability
  52 Getting the Basics Right         Working Age Adults        LT       Trust Wide: Communicate with             Mar-10    Maintain log of partners in business                                                           ARC       Disclosure of commercially
                                                                         partner agencies (Outcome                          plan and ensure use of partners is                                                                       sensitive information
                                                                         required?)                                         considered in all relevant business
                                                                                                                            developments
  53 Getting the Basics Right         Working Age Adults        LT       Trust Wide: Agree and implement          Mar-10    1) Maintain a log of patients who do                                                           ARC       Areas of provision which are not
                                                                         process of monitoring to minimize                  not fit into criteria for services. 2)                                                                   currently commissioned create
                                                                         those service users who don't fit                  Develop and implement a pathway for                                                                      transition problems, put s.u. at
                                                                         into existing care pathways                        patients who would previously have                                                                       risk and effect professional
                                                                                                                            been turned away                                                                                         accountability
  54 Legislation & Governance         Corporate Affairs     Complaints Implement complaints policy and            1-Dec     Permanent Complaints Manager           The percentage of               Delivery according to   C14       Non-compliance with regulations
                                                             Manager supporting processes                                   appointed.                             complaints plans                plan
                                                                                                                            Training in place for general          delivered as agreed
                                                                                                                            awareness.
                                                                                                                            Training delivered for Complaints
                                                                                                                            Coordinators.
                                                                                                                            New pamphlets printed and available.
  55 Legislation & Governance         Corporate Affairs       Trust      Deliver new committee structure          1-Jun     As agreed by the board                     Feedback from board         Plan and deliver as     C7        Failure to complete business
                                                            Secretary                                                                                                  members and others          agreed with Chair                 effectively



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2gether NHS Foundation Trust
BUSINESS PLAN 09-10
Detailed Objectives

                Key Themes
      Getting the basics right
      Legislation & Governance
      Growth & Financial Efficiency
      Seeking Involvement
      Skilled Workforce
      Social Inclusion
      Quality & Safety
      Using better information


Ref   Theme                           SSU/ Directorate           Lead        Objective and outcome required         Target 2008/09 Action Plan to achieve            Supporting Indicators    Key milestones &          SBH Ref    Risk
                                                                                                                   end date objective                                                         Quarter
  56 Legislation & Governance         Finance & Commerce       Assistant Ensure each development                    Jul-09  circulate Business Development                                    Recorded risk analysis
                                                                Director  opportunity uses the Trust's risk                 Policy, ensure that risk management                               against every
                                                               Business matrix and mitigates.                               strategy principles incorporated into                             development - Q4
                                                              Development                                                   Business Development processes.
                                                              & Marketing                                                   Actively review risks that are
                                                                                                                            presented as par of strategic
                                                                                                                            assessment. Challenge poor risk
                                                                                                                            analysis from SSUs or directorates
  57 Legislation & Governance         Finance & Commerce        Deputy       Identify and build knowledge and      Sep-09    Assess knowledge gap and have                                    Identify speakers and                Unless knowledge acquired
                                                               Director of   skills around contracts and                     structured learning session where the                            invite, document how                 through training is used/utilised it
                                                                Finance      contracting                                     process of constructing and                                      knowledge will be                    may be lost. Need to actively
                                                                                                                             managing a legally binding contract                              utilised - Quarter 2                 keep abreast of issues
                                                                                                                             can be discussed
  58 Legislation & Governance         Finance & Commerce       Assistant     Work with Counter Fraud Service        Jun-09   Organise follow up meeting with                                  Agree annual agenda                  Budget allocation. Plan not
                                                               Director      to develop then deliver an internal             Fraud to agree and implement plan                                and comms plan with                  agreed
                                                                Comms        tactical communication plan                                                                                      Fraud Team Q1; activity
                                                                                                                                                                                              monitored each Q
  59 Legislation & Governance         Human Resources            KH/CS       To promote equality and to            Dec-09    1) Implement equality scheme action 1) action plans reviewed                               C7e        Failure to provide diverse
                                                                             develop practices that mean equal               plans 2) Produce an annual HR       half yearly quarters 1-4                                          services and also failure to meet
                                                                             treatment for all and eradicate all             equalities monitoring report                                                                          legislative requirements.
                                                                             forms of harassment and
                                                                             discrimination
  60 Legislation & Governance         Human Resources          Associate Continued awareness to new and              Q4      Ongoing objective structured around - Reduced development        April 2010, Q4            C5c        Low - Failure to implement
                                      Occupational Health       Medical    existing legislation related to OH      2009/10   the guidance material review, NHS   feedback from HSE.                                                changes as indicated by
                                                              Director Sue and advise clients accordingly.         (by Apr   Plus involvement, training course                                                                     legislation.
                                                                  Hunt                                              2010)    attendance and engagement of
                                                                                                                             occupational health networks
                                                                                                                             (SWANHOPS), users and managers.

  61 Legislation & Governance         Learning Disabilities    DF/Team       To deliver statutory requirements      Mar-10   Staff to receive training in            Review compliance                                  C5, C6,    Lack of training opportunities for
                                                               Managers      and promote service development                 MHA/MCA/DOLS. - Training linked to      through SSU Board                                  D2,        staff to attend. - Whether this
                                                                             by ensuring governance systems                  KSF through appraisals. -               Quarterly. - Training                              C11a,b,    training is within staff's training
                                                                             are appropriate and responsive to               Compliance to be reviewed through       records to be kept by                                         profiles as part of Stat and Man
                                                                             change                                          SSU Board.                              Collingwood. -                                                training.
                                                                                                                                                                     Assessment of clients
                                                                                                                                                                     who may fall under the
                                                                                                                                                                     DOLS category.
  62 Legislation & Governance         Learning Disabilities    DF/HOP's/     Services to be NICE compliant          Mar-10   All staff to be informed/ have access                                                      C1a, C3,   Staff being able to access
                                                                 Team        where identified as relevant within             to new NICE Guidelines as                                                                  D1,        information re NICE. - Lack of
                                                               Managers      the SSU.                                        appropriate to services. - Utilise                                                         C5a,b,d,   resources to be in line with NICE. -
                                                                                                                             intranet/internet and any local means                                                      D2a,       Adequate skill mix to meet
                                                                                                                             of disseminating information to staff                                                                 guidelines.
                                                                                                                             re Guidelines. - Review NICE
                                                                                                                             Guidelines felt appropriate through
                                                                                                                             SSU committees
                                                                                                                             (Governance/Development). - Teams
                                                                                                                             to set out actions to achieve NICE
                                                                                                                             compliance. - Issues arising from
                                                                                                                             NICE guidance to be taken to SSU
                                                                                                                             Board. - Evaluate actions
                                                                                                                             implemented through Committees
                                                                                                                             and SSU Board.




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2gether NHS Foundation Trust
BUSINESS PLAN 09-10
Detailed Objectives

                Key Themes
      Getting the basics right
      Legislation & Governance
      Growth & Financial Efficiency
      Seeking Involvement
      Skilled Workforce
      Social Inclusion
      Quality & Safety
      Using better information


Ref   Theme                           SSU/ Directorate           Lead      Objective and outcome required         Target 2008/09 Action Plan to achieve           Supporting Indicators           Key milestones &          SBH Ref     Risk
                                                                                                                 end date objective                                                               Quarter
  63 Legislation & Governance         Learning Disabilities     Clinical   To map capacity of SSU services        Mar-10 To work through Diversity                Baseline information                                      D1, C6,     BME communities not accounted
                                                               Manager     to support partner organisations in            Assessment Package (DAP). - Work around Diversity Aug-09                                          D2c, D5a    for in relation to present capacity. -
                                                              Team/Team    ensuring access to 'Healthcare for             with Clinical Manager Team on best                                                                            Accuracy of data from clinical
                                                               Managers/   all'                                           ways of recording and extracting                                                                              manager. - New RIO system
                                                                MG/JT                                                     information around capacity. - Work                                                                           being able to provide information
                                                                                                                          with Health Facilitation Team on                                                                              needed around capacity in order
                                                                                                                          identification of partner organisations                                                                       to help plan future services.
  64 Legislation & Governance         Learning Disabilities       DF       To evaluate evidence based care        Mar-10   To review the implementation and                                                                 D1, C5d, It systems not adequate to
                                                                           pathways and develop outcome                    development of care pathways within                                                              D2c, D5d, provide necessary data. - RIO
                                                                           measures that reflect                           the SSU. - To commission reports on                                                              D6,       package able to collect this
                                                                           commissioner, service user and                  compliance with existing pathways                                                                          information - Staff not recording
                                                                           organisational need for information             using clinical manager/ RiO data                                                                           data in a timely fashion. Staff
                                                                           on service delivery and efficacy.               systems. - To develop capacity                                                                             compliance with Care Pathway.
                                                                                                                           within the SSU to create and modify
                                                                                                                           pathways in response to practice
                                                                                                                           developments.
  65 Legislation & Governance         Learning Disabilities       DF       To engage with other                   Mar-10   To identify partner organisations in      Database on partner                                    C7d, D6,    Time resource in identifying,
                                                                           organisations in the UK to develop              the UK. - To investigate developing       organisations and service                              C22a        developing, engaging with other
                                                                           PLICS (patient level information                PLICS (patient level information and      costings.                                                          partner organisations. - Adequate
                                                                           and costing systems) based on                   costings systems). - To link costings                                                                        IT systems to collate data.
                                                                           best practice care pathways.                    with best practice care pathways. -
                                                                                                                           Work with Business Development
                                                                                                                           Unit on results.
  66 Legislation & Governance         Learning Disabilities   HOP's/ Team To develop a framework of               Mar-10   Teams to identify outcome measures.       Outcome measures                                       D5c, C20, IT systems not able to record
                                                               Managers/ outcome measures and associated                   - To work with Clinical Manager           identified. - Training for                             C21, C23 info/outcomes achieved to
                                                                  DF      tools.                                           Team on how to record measures. -         staff on any new tools                                           adequately monitor and show
                                                                                                                           To identify any associated tools used     identified.                                                      results. - Training being available
                                                                                                                           within LD and evaluate use within                                                                          for staff on new tools/skills.
                                                                                                                           teams.
  67 Legislation & Governance         Learning Disabilities       DF       Identify, implement actions and        Mar-10   Governance Committee to take lead         Risk Register reviewed                                 C1, D1,     Staff having understanding of the
                                                                           review risks to the SSU through                 in updating and setting actions           monthly by Governance                                  C7a,c,d,    Risk Register and it application
                                                                           the LD Risk Register.                           identified through Risk Register. -       Committee. - SSU Board                                 D4          and value. - Training for staff
                                                                                                                           SSU Board to review register              to review Register                                                 being available for any gaps
                                                                                                                           quarterly and provide feedback to         Quarterly. - Register to                                           identified through Register. -
                                                                                                                           Governance Committee. - Staff to          appear on Intranet.                                                Appropriate Skill mix in place to
                                                                                                                           have access to information contained                                                                         act on gaps raised in Register.
                                                                                                                           on Risk Register through Intranet.
  68 Legislation & Governance         Learning Disabilities       DF       To implement evidence based            Mar-10   SSU Board and Governance                 Reporting system to SSU                                 D1, C5d, Clear communication strategy for
                                                                           practice developments and adhere                Committee to receive and review          Board Quarterly.                                        C7a, C12, dissemination of information
                                                                           to research governance, by                      updates on Evidence Based Practice                                                               D3, D6,   externally to trust. - processes in
                                                                           receiving regular reports and                   developments. - To identify any                                                                            place being adequate in order to
                                                                           ensuring oversight of material for              actions from these reports. - This to                                                                      audit and be able to review
                                                                           dissemination outside the                       be fed into Trust reporting systems                                                                        developments.
                                                                           organisation                                    through Board Minutes if appropriate.
                                                                                                                           - SSU Board to review any material
                                                                                                                           for dissemination external to the trust.

  69 Legislation & Governance         Mental Health                        Implementation of DOLs, MCA,          Sep-09    1.Training needs analysis, and                                         1.Training needs                                                         3
                                      Services for Older                   MHA.                                            supporting plan, to include legislative                                identified to include a
                                      People                                                                               requirements. 2.Training in                                            resource plan and
                                                                                                                           DOLS/MHA Interface. Developing                                         programme of work by
                                                                                                                           paperwork incorporating DOLs &                                         2nd quarter. 2.Ongoing
                                                                                                                           Capacity Act.                                                          training and awareness
                                                                                                                                                                                                  for DOLS.


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2gether NHS Foundation Trust
BUSINESS PLAN 09-10
Detailed Objectives

                Key Themes
      Getting the basics right
      Legislation & Governance
      Growth & Financial Efficiency
      Seeking Involvement
      Skilled Workforce
      Social Inclusion
      Quality & Safety
      Using better information


Ref   Theme                           SSU/ Directorate          Lead      Objective and outcome required           Target 2008/09 Action Plan to achieve              Supporting Indicators      Key milestones &         SBH Ref   Risk
                                                                                                                  end date objective                                                             Quarter
  70 Legislation & Governance         Child and Adolescent       CD       Review cost of implementing NICE         Dec-09 Finance dept work with CD to                                           Production of gap                  Tender process soaks up
                                      Mental Health                                                                        produce costings for NICE technical                                   analysis and action plan           corporate and CAMHS
                                      Services                                                                             appraisals and guidance.                                                                                 management time needed to
                                                                                                                                                                                                                                    complete this task.
  71 Legislation & Governance         Child and Adolescent       CD       Ensure recordkeeping/CPA                Ongoing    Continue monitoring and strategies                                  Aim to be green across             Staff performance issues
                                      Mental Health                       compliance                                         developed in 2008 to ensure                                         all three teams by
                                      Services                                                                               continued improvement.                                              31.12.09
  72 Legislation & Governance         Child and Adolescent       CD       Meet trust S&M training target           Oct-09    Continue monitoring and strategies                                  Aim to hit 70% by                  Staff performance issues
                                      Mental Health                                                                          developed in 2008 to ensure                                         30.10.09
                                      Services                                                                               continued improvement.
  73 Legislation & Governance         Substance Misuse          Neena     Compliance with NICE                     Apr-10    NICE audits via the CSSMS audit          Audit group minutes
                                                               Buntwal                                                       group
  74 Legislation & Governance         Substance Misuse          Neena     Compliance with Orange                   Apr-10    Plan in place via Dr. Williams as        Consultants meeting
                                                               Buntwal/   guidelines                                         clinical governance lead                 minutes
                                                               Clinical
                                                               Director
  75 Legislation & Governance         Substance Misuse          Neena     Improve TOPS compliance from %           Dec-09    Feedback from NTA                        Green report
                                                               Buntwal    to %
  76 Legislation & Governance         Substance Misuse          Neena     Maintain compliance with NDTMS          Ongoing    Feedback from NTA                        Green report
                                                               Buntwal
  77 Legislation & Governance         Substance Misuse         Clinical   prepare service for roll out of CM if    Apr-10   Complete West Glos pilot, share           Clinical board minutes &   Outcome of UK CM
                                                               Director   adopted by NTA                                    practice via protected learning slots,    protected learning time    pilots due April 09
                                                                                                                            develop protocols & patient               timetable
                                                                                                                            information if adopted into practice
  78 Legislation & Governance         Substance Misuse         Neena      Review of adverse incidents             end 2009 Results of SUIs reported to clinical       Clinical board minutes
                                                               Buntwal                                                      board, results of SUIs disseminated
                                                                                                                            to all teams via managers
  79 Legislation & Governance         Substance Misuse          Neena    Peer review of notes                      October 6 monthly audits as part of the trust      Audit group minutes
                                                               Buntwal/                                           and march risk strategy. Results fed back
                                                               Service                                              2010    through Audit group and Quality
                                                             Improvement                                                    Assurance & Care Management
                                                                Lead                                                        department (Steve Ashton is lead)
  80 Legislation & Governance         Substance Misuse          Neena    Peer review of cases                      Jun-09 Case presentation to be part of             Case presentation slots
                                                               Buntwal/                                                     protected learning time twice per year    allocated to protected
                                                             Sarah Welch                                                    with a particular emphasis on difficult   learning time
                                                                                                                            cases (Sarah Welch leads on
                                                                                                                            protected learning time)
  81 Legislation & Governance         Working Age Adults         LT       Trust Wide: Identify the cost of         Mar-10 Requires corporate plan                                                                         CCE       Failure to accurately cost NICE
                                                                          implementing NICE guidelines and                                                                                                                          clinical guidelines and technology
                                                                          auditing                                                                                                                                                  appraisals could adversely effect
                                                                                                                                                                                                                                    ability of organisation to provide
                                                                                                                                                                                                                                    cost effective care.

  82 Legislation & Governance         Working Age Adults         LT       Trust Wide: Develop a system for         Mar-10    Requires corporate plan                                                                      CCE       Implementation in certain areas
                                                                          auditing NICE requirements &                                                                                                                              may be cost prohibitive
                                                                          development of business cases to
                                                                          implement.
  83 Legislation & Governance         Working Age Adults       Service    Acute I/P: AIMS Accreditation for        Mar-10    Programme of implementation                                                                  G         Financial cost associated with
                                                               Director   acute inpatient wards                              established                                                                                            compliance
  84 Legislation & Governance         Working Age Adults       Service    PICU Pilot: Accreditation scheme         Mar-10    Matron manager to work with RC and                                                           G         Delays beyond control of local
                                                               Director   for PICU and LSU in collaboration                  NAPICU and advise acute care forum                                                                     services
                                                                          with RCPSYCH / NAPICU




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2gether NHS Foundation Trust
BUSINESS PLAN 09-10
Detailed Objectives

                Key Themes
      Getting the basics right
      Legislation & Governance
      Growth & Financial Efficiency
      Seeking Involvement
      Skilled Workforce
      Social Inclusion
      Quality & Safety
      Using better information


Ref   Theme                           SSU/ Directorate        Lead       Objective and outcome required          Target 2008/09 Action Plan to achieve      Supporting Indicators            Key milestones &           SBH Ref   Risk
                                                                                                                end date objective                                                           Quarter
  85 Legislation & Governance         Working Age Adults     Service     LSU: Pilot Accreditation scheme         Mar-10 Matron manager to work with RC and                                                              G         Delays beyond control of local
                                                             Director    for PICU and LSU in collaboration               NAPICU and advise acute care forum                                                                       services
                                                                         with RCPSYCH / NAPICU
  86 Legislation & Governance         Working Age Adults     Service     Recovery Teams: Create a               Mar-10    Steering group to commission                                                                  G         Team workload capacity
                                                             Director    Recovery Best Practice Policy
                                                                         Implementation Guide (PIG)
  87 Legislation & Governance         Working Age Adults     Service     PTS: Reviewing and defining the        Mar-10    Programme of review to be designed                                                            ARC       Resource intensive objective,
                                                             Director    range of therapies on offer taking               by steering group                                                                                       could affect clinical work.
                                                                         into account the evidence base,
                                                                         NICE guidelines, identifying and
                                                                         utilising outcome measures for
                                                                         therapies to ensure effective use of
                                                                         resources.
  88 Legislation & Governance         Working Age Adults     Service     CJLS: Examine the Bradley report       Mar-10    Steering group to consider service                                                            G         Current resources may not permit
                                                             Director    due in December 08 to identify any               spec / operational policy in light of                                                                   full compliance
                                                                         impact of the recommendations on                 recommendations
                                                                         local service delivery

  89 Growth & Financial Efficiency    Corporate Affairs      Head of     Best value for capital planning         Jul-08   Review capital planning                 Report to Infrastructure                              C7d       Inefficient capital planning
                                                            Property                                                      arrangements                            Committee                                                       arrangements
                                                           Management
  90 Growth & Financial Efficiency    Corporate Affairs      Head of     Achieve best value for estates         Nov-08    Implement new estates contract          2 monthly report to                                   C4d       Inefficient property management
                                                            Property     contracts                                                                                Infrastructure Committee
                                                           Management
  91 Growth & Financial Efficiency    Corporate Affairs     Facilities   Achieve best value for transport       Dec-08    Review transport and pool car           2 monthly report to                                   C7d       Inefficient use of resources
                                                            Manager      and pool car contracts                           contracts                               Infrastructure Committee
  92 Growth & Financial Efficiency    Corporate Affairs      Head of     Deliver telephony upgrade               Apr-10   Project plan                            Deliver key objectives to Performance against         C7d       Loss of telephony services
                                                            Property                                                                                              the right quality and on  plan
                                                           Management                                                                                             time
  93 Growth & Financial Efficiency    Finance & Commerce    Assistant    Develop Investment processes and        Jun-09   Document detailed investment                                                                  C7d
                                                             Director    maximise on cash deposits                        procedures. Ensure cash forecasting
                                                            Financial                                                     adequate to support. Produce
                                                            Accounts                                                      reporting format for Board and budget
                                                                                                                          holder reporting
  94 Growth & Financial Efficiency    Finance & Commerce    Assistant Develop SLAs with SSUs                     Jul-09   Discuss with DoF and SSU Service                                   Assess first four growth             Unable to reach agreement re.
                                                             Director  regarding roles and responsibilities               Directors what should be in the SLA                                opportunities following              suitable content of SLA.
                                                            Business for growth opportunities                             then produce.                                                      agreement and whether
                                                           Development                                                                                                                       owners and contributors
                                                           & Marketing                                                                                                                       follow their roles and
                                                                                                                                                                                             responsibility.
  95 Growth & Financial Efficiency    Finance & Commerce    Assistant    Drive the development of               Sep-09    Gain understanding of what                                         Follow up appropriate                Recruitment of Customer Liaison
                                                             Director    commissioner based marketing                     commissioners need/want to see in                                  commissioner                         Manager.
                                                            Business     literature for new and existing                  literature.
                                                           Development   services
                                                           & Marketing
  96 Growth & Financial Efficiency    Finance & Commerce    Assistant    Ensure each development                 Jul-09   circulate Business Development                                     Recorded risk analysis
                                                             Director    opportunity uses the Trust's risk                Policy, ensure that risk management                                against every
                                                            Business     matrix and mitigates.                            strategy principles incorporated into                              development - Q4
                                                           Development                                                    Business Development processes.
                                                           & Marketing                                                    Actively review risks that are
                                                                                                                          presented as par of strategic
                                                                                                                          assessment. Challenge poor risk
                                                                                                                          analysis from SSUs or directorates




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2gether NHS Foundation Trust
BUSINESS PLAN 09-10
Detailed Objectives

                Key Themes
      Getting the basics right
      Legislation & Governance
      Growth & Financial Efficiency
      Seeking Involvement
      Skilled Workforce
      Social Inclusion
      Quality & Safety
      Using better information


Ref   Theme                           SSU/ Directorate        Lead        Objective and outcome required          Target 2008/09 Action Plan to achieve               Supporting Indicators   Key milestones &        SBH Ref   Risk
                                                                                                                 end date objective                                                           Quarter
  97 Growth & Financial Efficiency    Finance & Commerce    Assistant Implement the marketing strategy,           Mar-10 Ensure each SSU/Directorate has                                      Marketing strategy                Recruitment of Customer Liaison
                                                             Director  including contact strategy, once                   seen and understands the strategy.                                  approved. Production of           Manager. Approval of marketing
                                                            Business approved                                             Implement strategy as described                                     high level                        strategy
                                                           Development                                                    within it.                                                          implementation plan
                                                           & Marketing                                                                                                                        completed. Customer
                                                                                                                                                                                              Liaison Manager
                                                                                                                                                                                              recruited.
  98 Growth & Financial Efficiency    Finance & Commerce    Assistant     Improve business plan delivery by       Dec-09     Develop Business Planning workshop
                                                             Director     up skilling staff around writing and               in consultations with SSUs, ensure
                                                            Business      using business plans successfully                  that timetable makes time for
                                                           Development                                                       feedback and that this is effectively
                                                           & Marketing                                                       delivered.
  99 Growth & Financial Efficiency    Finance & Commerce    Assistant     Produce general Trust marketing         Jul-09     Engage with corporate directorates                               Literature signed off and
                                                             Director     literature                                         and SSUs re. content. Take to                                    produced
                                                            Business                                                         marketing comms sub committee
                                                           Development
                                                           & Marketing
 100 Growth & Financial Efficiency    Finance & Commerce    Assistant     Develop and implement workshops         Oct-09     Use existing outline as start, involve
                                                             Director     to up skill staff around writing                   NEDs. Source example business
                                                            Business      business cases in line with the five               cases. Plan and deliver workshop.
                                                           Development    case model                                         Develop Electronic Business case
                                                           & Marketing                                                       Library for ongoing support
 101 Growth & Financial Efficiency    Finance & Commerce     Deputy       Support new developments within         Mar-10     Provide the costing and assess the                               Ensure Service Dir                Service directors involving
                                                            Director of   SSUs                                               financial efficiency and economy of                              engage Management                 finance staff too late in the
                                                             Finance                                                         new developments and tenders.                                    accounts early - Quarter          process
                                                                                                                             Offer expert advice to service                                   1
                                                                                                                             directors/budget holders on the
                                                                                                                             financial risk and rewards inherent
                                                                                                                             within each development/tender.
 102 Growth & Financial Efficiency    Finance & Commerce    Assistant Support SSUs with retention of              Mar-10     Encourage review of services in light                            Record any contracts              Lack of capacity within BDU to
                                                             Director  current contracts                                     of commissioning framework                                       lost and why. What                support. Prioritise work
                                                            Business                                                         suggestion of total service review.                              further support could the         commitments, retention of
                                                           Development                                                       Services put out to tender should be                             BDU have offered?                 contracts should be a top priority.
                                                           & Marketing                                                       supported as with all new business.                                                                Bring in further support/capacity.

 103 Growth & Financial Efficiency    Finance & Commerce    Growth &      Finance & Commerce                     Assistant   Support the Trust‟s marketing plan by                    Mar-10 Confirm target markets;            Confirm target audience Q1;
                                                            Financial                                             Director   developing an integrated media and                              agree target                       conduct audit and approach
                                                            Efficiency                                           Communic    reputation management programme                                 publications; approach             editors during Q2
                                                                                                                   ations    for continuous delivery across the                              editors/features; conduct
                                                                                                                             financial year                                                  media audit; develop
                                                                                                                                                                                             synopsis with
                                                                                                                                                                                             contributors; sell-in; edit
                                                                                                                                                                                             and publish




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2gether NHS Foundation Trust
BUSINESS PLAN 09-10
Detailed Objectives

                Key Themes
      Getting the basics right
      Legislation & Governance
      Growth & Financial Efficiency
      Seeking Involvement
      Skilled Workforce
      Social Inclusion
      Quality & Safety
      Using better information


Ref   Theme                           SSU/ Directorate           Lead      Objective and outcome required          Target    2008/09 Action Plan to achieve           Supporting Indicators     Key milestones &    SBH Ref      Risk
                                                                                                                  end date   objective                                                          Quarter
 104 Growth & Financial Efficiency    Human Resources          Service   Ensure financial stability and will         Q4      1/ Sustain current portfolio of NHS      - Monthly surplus         1/ April 2010, Q4   C7d          Low - Failure to meet financial
                                      Occupational Health      Director  target a larger non-NHS income           2009/10    and non-NHS clients to secure a          positions on budget       2/ April 2010, Q4                and service delivery targets which
                                                              Chris Woon generation target of £125k and            (by Apr   baseline income programme.               statements.               3/ April 2010, Q4                may compromise service quality
                                                                         maintain its current client portfolio.     2010)    2/ The SSU will increase income          - Increased number of     4/ Dec 2009, Q3                  and limit growth plans. Initial
                                                                                                                             generation to fund an extended pay       NHS Plus clients through 5/ April 2009, Q1                 forecasts are good.
                                                                                                                             establishment, and ringfence a larger    contracts and             6/ Oct 2009, Q3
                                                                                                                             lease/rental budget intended for a       agreements.               7/ Dec 2009, Q3
                                                                                                                             new leased estate in                     - Extension to current    8/ Dec 2009, Q3
                                                                                                                                                                      client service agreements
                                                                                                                                                                      by establishing extended
                                                                                                                                                                      services (e.g. Health
                                                                                                                                                                      promotion services)
 105 Growth & Financial Efficiency    Learning Disabilities       DF       To set out a strategy for managed      Mar-10     Identify capacity within SSU through                                                   C5c,         Limited tender opportunities in
                                                                           and targeted growth                               information collected presently by IT                                                  D2b,d,       LD. - Accuracy of data through
                                                                                                                             systems and local knowledge. -                                                         C11,         Trust IT systems in order to
                                                                                                                             Identify expertise and skills within                                                   D5a,b, D6,   identify capacity. - Appropriate
                                                                                                                             SSU. - Work with Business                                                                           skills in SSU available to expand
                                                                                                                             Development Unit in exploring                                                                       and develop services. Time and
                                                                                                                             possible tender opportunities. - To                                                                 resource to explore tender
                                                                                                                             work with commissioners on                                                                          opportunities. PAM training taken
                                                                                                                             providing appropriate services, and                                                                 out of LD SSU and brought under
                                                                                                                             plan future service provision. To                                                                   Collingwood.
                                                                                                                             continue development of
                                                                                                                             opportunities for income generation
                                                                                                                             eg. PAM.
 106 Growth & Financial Efficiency    Learning Disabilities                Clarity about basis for competition    Mar-10     Work with Business Development           Quarterly updates to SSU                      C6, D3,      Time and resource not being
                                                                           – minimum requirement of growth                   Unit on exploring possible tender        Board on any Tender                                        available in order to develop
                                                                           hand in hand with acceptable                      opportunities. - To report possible      opportunities.                                             opportunities around tenders. -
                                                                           service quality.                                  tender opportunities to SSU Board for                                                               Having identified process in place
                                                                                                                             agreement. - Allocate appropriate                                                                   in order to review tender
                                                                                                                             time and resources to developing                                                                    opportunities.
                                                                                                                             tenders.
 107 Growth & Financial Efficiency    Learning Difficulties     DF/MS      Identify all Out of County             Sep-09     Work already undertaken to identify      To have full                                  D2,C7a,d, Information not being readily
                                                                           Placements/activity. - Ensure                     out of county activity. - To work with   understanding and                             e         available/accessible on
                                                                           current income received reflects                  commissioners on identifying further     database of information                                 placements and cost. - Ensuring
                                                                           the additional pressure created by                work needed. - Negotiations have         of Out of County                                        information given to
                                                                           this area of activity.                            taken place with some out of county      Placements Sept-09.                                     commissioners is accurate.
                                                                                                                             PCT's. - Inform finance of costing of
                                                                                                                             these placements. - Report back to
                                                                                                                             SSU Board on any arising issues.

 108 Growth & Financial Efficiency    Learning Difficulties     DF/MS      A needs analysis for who, what,        Sep-09     Identify additional financial input,                                                   C7, C18      Being able to provide adequate
                                                                           when and where                                    business development and marketing                                                                  resources to support this activity
                                                                                                                             skills. - Findings be reported to SSU                                                               area. -
                                                                                                                             Board. - Agree any actions arising
                                                                                                                             from findings.




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2gether NHS Foundation Trust
BUSINESS PLAN 09-10
Detailed Objectives

                Key Themes
      Getting the basics right
      Legislation & Governance
      Growth & Financial Efficiency
      Seeking Involvement
      Skilled Workforce
      Social Inclusion
      Quality & Safety
      Using better information


Ref   Theme                           SSU/ Directorate       Lead    Objective and outcome required     Target 2008/09 Action Plan to achieve           Supporting Indicators   Key milestones &         SBH Ref   Risk
                                                                                                       end date objective                                                       Quarter
 109 Growth & Financial Efficiency    Mental Health                  Service growth and re-structure            1. Implementing the Trust's Dementia                            1.Key workstreams                                                      9
                                      Services for Older                                                        Strategy e.g. Memory Assessment,                                established against each
                                      People                                                                    Sessional Treatment, ACI Monitoring,                            key area.         2. Key
                                                                                                                Pre-Senile Dementia Services,                                   individuals assigned and
                                                                                                                Hospital Liaison Services, Alcohol &                            reporting to clinical
                                                                                                                Drugs Services, Input into Primary                              board on corporate
                                                                                                                Care Training and Consultancy.                                  initiatives.
                                                                                                                2.Engage and support corporate
                                                                                                                initiatives for: a) the introduction of
                                                                                                                PbR, b) market forces c) effective
                                                                                                                use of PLICS d) review the need for
                                                                                                                service-line reporting.

 110 Growth & Financial Efficiency    Mental Health                  Improved service performance                1.Extend use of VSM/Lean                                       1.VSM Lean                         9 Compromised data quality
                                      Services for Older                                                         Management (linked to objective 5).                            Management Programme               crucial to inform our core
                                      People                                                                     2.Continued monitoring and                                     established by 1st                 business.
                                                                                                                 management of DToCs with                                       quarter, linked to PLICS
                                                                                                                 introduction of RAG system. 3.                                 initiative.    2.Achieve
                                                                                                                 Complete capacity management                                   national target.
                                                                                                                 review of community services and                               3.Capacity Management
                                                                                                                 monitor performance, for example                               Project underway by 3rd
                                                                                                                 Waiting Times. 4. Establish a clinical                         quarter.       4.Clinical
                                                                                                                 care pathway programme. 5.                                     care pathway
                                                                                                                 Establish and deliver cost                                     programme underway by
                                                                                                                 improvement plans (linked to                                   4th quarter.
                                                                                                                 corporate).                                                    5.Annual.
 111 Growth & Financial Efficiency    Child and Adolescent   SD/CD   Secure current business and        Mar-10   Prepare for local tenders. Develop                             PQQ completion. Service            The managerial capacity to
                                      Mental Health                  identify new business                       innovative, C&YP friendly, cost                                model template is                  deliver on this project will need to
                                      Services                                                                   effective model of service delivery                            established. Tender                be found
                                                                                                                 which meets national standards.                                timelines are
                                                                                                                 Develop business expertise within the                          incorporated into work
                                                                                                                 SSU and develop other business                                 plans and service
                                                                                                                 opportunities.                                                 improvement projects are
                                                                                                                                                                                developed and
                                                                                                                                                                                managed.
 112 Growth & Financial Efficiency    Child and Adolescent    SD     Improve Responsible                Oct-09   Develop a system to ensure                                     CAMHS management                   There is a risk that this process
                                      Mental Health                  commissioner payments                       responsible commissioner monies are                            accountant investigates
                                      Services                                                                   captured effectively and feed back                             similar LD processes
                                                                                                                 into clinical time.                                            and reports to CAMHS
                                                                                                                                                                                board on the financial
                                                                                                                                                                                viability of recovering
                                                                                                                                                                                this money and the
                                                                                                                                                                                ability to convert it to
                                                                                                                                                                                clinical time.. Team
                                                                                                                                                                                processes are in place to
                                                                                                                                                                                identify LAC and
                                                                                                                                                                                responsible
                                                                                                                                                                                commissioner and
                                                                                                                                                                                effective escalation
                                                                                                                                                                                processes are
                                                                                                                                                                                embedded to
                                                                                                                                                                                management team.




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2gether NHS Foundation Trust
BUSINESS PLAN 09-10
Detailed Objectives

                Key Themes
      Getting the basics right
      Legislation & Governance
      Growth & Financial Efficiency
      Seeking Involvement
      Skilled Workforce
      Social Inclusion
      Quality & Safety
      Using better information


Ref   Theme                           SSU/ Directorate       Lead       Objective and outcome required        Target 2008/09 Action Plan to achieve              Supporting Indicators          Key milestones &   SBH Ref   Risk
                                                                                                             end date objective                                                                 Quarter
 113 Growth & Financial Efficiency    Substance Misuse      Service     Development of a service model        Aug-09 1. Development of a team of people          Development of team to
                                                            Director    for tenders.                                  with the skills required to tender for     tender for services.
                                                                                                                      services. 2. Identify and develop          Identification of partner(s)
                                                                                                                      relationship with potential partners for   and development of a
                                                                                                                      tenders. 3. Developing business            strategy for tendering
                                                                                                                      skills within the team through learning    with partner(s).
                                                                                                                      through tender process. 4.                 Development of
                                                                                                                      Tendering for contracts. 5.                appropriate skills
                                                                                                                      Developing a portfolio of completed        especially related to
                                                                                                                      tenders to enable further tenders to       tendering within the team.
                                                                                                                      be completed more easily. 6. Out of        Costings for services
                                                                                                                      the experience formulate a service         based on value for cost
                                                                                                                      model for future tenders.                  completed. Tenders
                                                                                                                                                                 completed. Portfolio of
                                                                                                                                                                 tenders. Service Model.

 114 Growth & Financial Efficiency    Substance Misuse      Service   Development of robust contracting       Aug-09    1) Agree appropriate contract format     Contract format and
                                                            Director/ mechanisms fro in-patient beds                    with finance 2) agree appropriate        process in place
                                                            Finance                                                     process with finance 3) implement
                                                           Department                                                   process 4) review process
 115 Growth & Financial Efficiency    Substance Misuse      Service   Ensuring robust contract                Aug-09    1) Identify all premises we use, 2)     contracts in place
                                                            Director/ arrangements fro premises we use                  identify those with no contracts
                                                            Estates   and do not own                                    attached 3) agree contracts and
                                                           Department                                                   appropriate financial arrangements 4)
                                                                                                                        Implement contracts
 116 Growth & Financial Efficiency    Substance Misuse      Service     Develop the capacity for mobile       Dec-09    1) Identify appropriate vehicles to     vehicle available
                                                            Director/   clinics                                         use. 2) Identify modifications required
                                                            Estates                                                     3) identify necessary finance 4)
                                                                                                                        purchase vehicles and complete
                                                                                                                        modifications. 5) Agree protocol for
                                                                                                                        using vehicles
 117 Growth & Financial Efficiency    Working Age Adults       LT       Trust Wide: Video conferencing to     Mar-10    Estates strategy                                                                           CCE       High capital investment required
                                                                        be incorporated in to all new
                                                                        developments and refurbishments
                                                                        to improve efficiency.
 118 Growth & Financial Efficiency    Working Age Adults       LT       Trust Wide: Identify new business     Mar-10    I) All teams to suggest at least one                                                       ARC       Clinical imperatives likely to
                                                                        opportunities                                   business development idea ii) Follow                                                                 obscure more strategic
                                                                                                                        up tendering opportunities with the                                                                  developments
                                                                                                                        business development team

 119 Growth & Financial Efficiency    Working Age Adults       LT       Trust Wide: Identify the potential    Mar-10    DToC board meets fortnightly to                                                            ARC       Access to suitable
                                                                        impact of the Belfast Model on the              clinically review all cases.                                                                         accommodation will affect number
                                                                        SSU to tackle delayed transfers of                                                                                                                   of DToCs
                                                                        care.
 120 Growth & Financial Efficiency    Working Age Adults       LT       Trust Wide: Improve payments          Mar-10    BDGM developing a process in                                                               ARC       Administrative reporting may not
                                                                        process re. responsible                         conjunction with clinicians                                                                          be given same level of scrutiny as
                                                                        commissioner                                                                                                                                         clinical, leading to inadequate
                                                                                                                                                                                                                             data for invoicing purposes
 121 Growth & Financial Efficiency    Working Age Adults       LT       Trust Wide: Activity Costing &        Mar-10    Engage in ongoing lean management                                                          CCE       Staff feeling threatened by
                                                                        Coding - Payment by Results                     work (Value Stream Mapping) to                                                                       changing culture
                                                                                                                        identify Resource Implications of
                                                                                                                        Core Services




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2gether NHS Foundation Trust
BUSINESS PLAN 09-10
Detailed Objectives

                Key Themes
      Getting the basics right
      Legislation & Governance
      Growth & Financial Efficiency
      Seeking Involvement
      Skilled Workforce
      Social Inclusion
      Quality & Safety
      Using better information


Ref   Theme                           SSU/ Directorate      Lead       Objective and outcome required           Target 2008/09 Action Plan to achieve              Supporting Indicators   Key milestones &             SBH Ref   Risk
                                                                                                               end date objective                                                          Quarter
 122 Growth & Financial Efficiency    Working Age Adults   Service     ACT: Currently the assertive             Mar-10 Steering group and CSM to ensure                                                                 CCE       Lack of suitable referrals may
                                                           Director    outreach overall team caseload is                capacity targets are in place and                                                                         indicate that either inclusion
                                                                       184 against an expected caseload                 monitored through dashboard data                                                                          criteria need reviewing or that
                                                                       size of 188. The Gloucester /                                                                                                                              team should have lower capacity.
                                                                       Forest of Dean and Cheltenham /
                                                                       Tewkesbury / North Cotswolds
                                                                       assertive outreach teams are over
                                                                       capacity. Therefore for the target
                                                                       to be meet the Stroud / Cirencester
                                                                       assertive outreach team is
                                                                       required to increase its caseload
                                                                       capacity from 32 to 50 through
                                                                       active recruitment of referrals (from
                                                                       Recovery teams).
 123 Growth & Financial Efficiency    Working Age Adults   Service     Day Services: To have clarity from      Mar-10    WAMB to feedback to stakeholders                                                               CEA       Commissioning intentions beyond
                                                           Director    the commissioners (Local Authority                as soon as possible                                                                                      control of 2FT
                                                                       and PCT) regarding the service
                                                                       specification and funding available
                                                                       for the future of day and vocational
                                                                       services.
 124 Growth & Financial Efficiency    Working Age Adults   Service     Day Services: To instigate the new      Mar-10    Detailed project plan in place                                                                 ARC       Uncertainty around intended
                                                           Director    model of day and vocational                                                                                                                                model
                                                                       service delivery so that improved
                                                                       services can be provided equitably
                                                                       across the county to all vulnerable
                                                                       groups.
 125 Growth & Financial Efficiency    Working Age Adults   Service     EI: To sustain a caseload of 211        Mar-10    caseload management via CSM and                                                                CCE       The target could prove untenable
                                                           Director    service users.                                    active recruitment strategy                                                                              due to lower need than
                                                                                                                                                                                                                                  anticipated
 126 Growth & Financial Efficiency    Working Age Adults   Service     Recovery units: Develop a leaflet /     Mar-10    Steering group to commission                                                                   CCE       Need for such a leaflet needs
                                                           Director    brochure to describe 3 units and                  creation of the leaflet in consultation                                                                  scoping
                                                                       act as a sales brochure to attract                with the information department
                                                                       out of county referrals
 127 Growth & Financial Efficiency    Working Age Adults   Service     Recovery Teams: To design a             Mar-10    Steering group to commission                                                                   CCE       Accessing suitable expertise
                                                           Director    website and leaflet for marketing                 creation of the leaflet / website in
                                                                       purposes                                          consultation with the information
                                                                                                                         department
 128 Growth & Financial Efficiency    Working Age Adults   Service     EDS: Implement new service              Mar-10    Project plan to be devised once                                                                ARC       Finalisation of service spec
                                                           Director                                                      commissioned service agreed
 129 Growth & Financial Efficiency    Working Age Adults   Service     CJLS: To develop police custody         Mar-10    Steering group to devise action plan                                                           ARC       Team workload capacity
                                                           Director    service
 130 Growth & Financial Efficiency    Working Age Adults   Service     CJLS: Look at integrating into          Mar-10    CSM to consider most effective                                                                 CCE       Co-location could prove
                                                           Director    prison inreach team                               management of service                                                                                    operationally ineffective
 131 Growth & Financial Efficiency    Working Age Adults   Service     Accommodation services:                 Mar-10    Need to be scoped and business plan                                                            CCE       Cost effectiveness and
                                                           Director    Specialised Packages within the                   to be formulated accordingly.                                                                            competitiveness needs
                                                                       accommodation service                                                                                                                                      establishing
 132 Seeking Involvement              Finance & Commerce   Assistant   Develop and deliver overhaul of          Jul-09   Develop PiD; recruit PM; engage                                   Develop PiD and present                Budget allocation. Plan not
                                                           Director    Trust internet and intranet                       designers; agree staff consultation                               to Marketing                           agreed
                                                            Comms                                                        meetings; pilot site (user testing);                              Communications
                                                                                                                         launch                                                            Committee Q1; recruit
                                                                                                                                                                                           PM Q1; Pilot site
                                                                                                                                                                                           available for user testing
                                                                                                                                                                                           Q2




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2gether NHS Foundation Trust
BUSINESS PLAN 09-10
Detailed Objectives

                Key Themes
      Getting the basics right
      Legislation & Governance
      Growth & Financial Efficiency
      Seeking Involvement
      Skilled Workforce
      Social Inclusion
      Quality & Safety
      Using better information


Ref   Theme                           SSU/ Directorate            Lead        Objective and outcome required           Target 2008/09 Action Plan to achieve      Supporting Indicators              Key milestones &           SBH Ref   Risk
                                                                                                                      end date objective                                                             Quarter
 133 Seeking Involvement              Finance & Commerce        Assistant     Improve business planning                Jun-09 Ask Members what they would like to                                    Members consulted.
                                                                 Director     processes by involving Governors                 see differently. Use Business                                         Process discussed at
                                                                Business      and members in the design of the                 Development Committee to review                                       Business Development
                                                               Development    processes as well as to influence                the processes and agree                                               and Governor feedback
                                                               & Marketing    the content                                      improvements. Encourage Governors                                     given.
                                                                                                                               to talk to members about the
                                                                                                                               Business Plan and feedback
 134 Seeking Involvement              Finance & Commerce        Assistant     Improve perception of the               Mar-10    Discuss with existing customers what                                 Assess changing                      Recruitment of CLM. Customers
                                                                 Director     organisation and its services by                  they would like to see. Support SSUs                                 opinions over time                   not willing to discuss.
                                                                Business      external customers and                            to develop processes for optimising                                  through discussion with
                                                               Development    stakeholder                                       PBC changes.                                                         Customer Liaison
                                                               & Marketing                                                                                                                           Manager and AD
                                                                                                                                                                                                     Bus.Dev.
 135 Seeking Involvement              Finance & Commerce         Deputy       More engagement from budget             Dec-09    Increase budget holder confirmation                                  Raise profile of finance   C7d       Low stakeholder engagement and
                                                                Director of   holders and improved ownership of                 returns, increase budget holder input                                at SSU boards, DOF to                interest, clinical/operation issues
                                                                 Finance      budgets                                           into forecast outturn process, ensure                                attend - Quarter 2                   considered more important at
                                                                                                                                that finance staff are represented at                                                                     SSU boards
                                                                                                                                SSU boards
 136 Seeking Involvement              Finance & Commerce        Assistant     Support communications to Trust         Mar-10    Develop comms plan to include:                                       Comms plan and                       Budget allocation. Plan not
                                                                Director      members through regular                           redesigned newsletter and event                                      membership committee                 agreed
                                                                 Comms        communication campaigns                           calendar                                                             approval Q2
 137 Seeking Involvement              Human Resources              SH         To work in partnership with staff        Oct-09   To work with each SSUs/Directorate Draft Workforce plan                                         D5a       Failure to recruit and retain the
                                                                              and service leaders, to predict and               to develop individual workforce plans. considered by Workforce                                            right number, with the right
                                                                              identify the workforce impact of                                                         Committee in Quarter 1.                                            competencies to deliver high
                                                                              changes to the delivery of                                                               Plan reviewed on a 6                                               quality services
                                                                              services.                                                                                monthly basis.

 138 Seeking Involvement              Directorate Nursing,       VT / DF      Responding to Healthcare for all.       Aug-09    Work with SSU colleagues in LD to     LD Nursing Strategy, Link                                 C7        People with a learning disability
                                      Social care and Allied                                                                    develop a LD Nursing Strategy. Work workers in place, traffic                                             do not experience equitable
                                      Health professionals                                                                      with colleagues in Healthcare in      light assessments in use                                            services which is not just poor
                                                                                                                                Gloucestershire to promote positive                                                                       practice but a breech of the
                                                                                                                                practice with regard to services with                                                                     equalities legislation.
                                                                                                                                people with a learning disability

 139 Seeking Involvement              Human Resources            Service      Improved communications with            Q3 2009   1/ The service will continue dialogue - Positive feedback from       1/ April 2009, Q1          C17       Medium - Failure to be
                                      Occupational Health        Director     staff, users and commissioners          (by Oct   with its workforce to ensure that they staff, users, mangers and     2/ Oct 2009, Q3                      responsive to the requirements of
                                                               Chris Woon     both internally and externally to the    2009)    are aware and can input into the       purchasers.                   3/ June 2009, Q1                     customers and staff. Expectations
                                                               Assoc. Med.    Trust.                                            service direction by establishing      - More effective planning     4/ June 2009, Q1                     from clients are high and the
                                                               Director Sue                                                     formal internal communication          and forecasting of                                                 service needs to embrace
                                                                   Hunt                                                         mechanisms of bi-monthly team          services to ensure that all                                        technology and a customer
                                                                                                                                meetings, monthly senior meetings, bi- parties are getting the                                            focused approach to ensure
                                                                                                                                monthly service                        most from partnerships.                                            continued success.
                                                                                                                                                                       - Improved recruitment
                                                                                                                                                                       and retention rates.
                                                                                                                                                                       - More training exercises




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2gether NHS Foundation Trust
BUSINESS PLAN 09-10
Detailed Objectives

                Key Themes
      Getting the basics right
      Legislation & Governance
      Growth & Financial Efficiency
      Seeking Involvement
      Skilled Workforce
      Social Inclusion
      Quality & Safety
      Using better information


Ref   Theme                           SSU/ Directorate         Lead      Objective and outcome required         Target 2008/09 Action Plan to achieve            Supporting Indicators         Key milestones &           SBH Ref     Risk
                                                                                                               end date objective                                                              Quarter
 140 Seeking Involvement              Learning Disabilities    HoPs/     To engage service users and            Jun-09 To ensure joint working between                                                                    C6, D2,   Training not available, due to
                                                              Managers   carers in the service review                   service users and staff regarding                                                                 C7, D9,   resource pressures, to train
                                                                         process. Meaningful involvement                recruitment within the SSU. - Both                                                                C13, C18, service users in recruitment
                                                                         in appointing staff and providing              staff and service users to undertake                                                              C22
                                                                         outcome and experience data                    joint training to provide this
                                                                                                                        recruitment process. - To liaise and
                                                                                                                        work with the HR department to
                                                                                                                        formulate an appropriate recruitment
                                                                                                                        procedure. - To further develop
                                                                                                                        service user and carer satisfaction
                                                                                                                        questionnaires in a variety of formats
                                                                                                                        according to the individual needs of
                                                                                                                        service users and to utilise them in all
                                                                                                                        areas of clinical delivery.
 141 Seeking Involvement              Learning Disabilities    HoPs/     To provide accessible information      Mar-10   To provide information on all services                                                                       Information not accessible to Key
                                                              Managers   describing services and function of             in the SSU which explains the patient                                                                        Stakeholders in appropriate
                                                                         the LD SSU.                                     journey experience in a variety of                                                                           format. - Internet not updated with
                                                                                                                         accessible formats and media                                                                                 relevant information. - Care
                                                                                                                         including talking website/interactive                                                                        pathways not set and available.
                                                                                                                         web presence and DVD. Ensure that
                                                                                                                         full and appropriate assessments of
                                                                                                                         capacity are carried out in
                                                                                                                         compliance with MCA and that where
                                                                                                                         decisions are made in service users
                                                                                                                         best interests, they are involved as
                                                                                                                         fully as possible in all interventions.

 142 Seeking Involvement              Learning Disabilities    HoPs/     Engage with all interested             Mar-10   Identify and develop appropriate          Death by Indifference                                  C6, D2,     Accurate data and information on
                                                              Managers   stakeholders, people with LD of all             forum for the evaluation of existing      (Mencap 2007); Joint                                   C7, D9,     LD population within county.
                                                                         ages and level of need, carers,                 services, consultations on proposed       Committee on Human                                     C13, C18,   Conclusion of review of Health
                                                                         trust governors, commissioners                  service developments and open             Rights inquiry into the                                C22         Inequalities Project needed to
                                                                         and professionals providing                     exchange of views on innovative           rights of adults with LD                                           provide clearer direction for
                                                                         generic health and social care, to              approaches. - To ensure the               (July 2007) and DH                                                 services. Information accessible
                                                                         ensure that existing services and               meaningful engagement of all              independent inquiry into                                           for Service users and carers.
                                                                         future developments in service are              stakeholders working in conjunction       the provision of
                                                                         focussed on the specialist needs of             with LD Partnership Board.                healthcare to people with
                                                                         people with LD.                                                                           LD (Oct 2007).
 143 Seeking Involvement              Mental Health                      Improve engagement with Staff,                  1. Establish User & Carer reference                                   1.Set up by 2nd quarter.                                                 6
                                      Services for Older                 Service Users, & Carers                         group for National Dementia                                           2.VSM Lean
                                      People                                                                             Strategy. 2.Continue with                                             Management Programme
                                                                                                                         development of VSM/Lean                                               established by 1st
                                                                                                                         management. 3.Annual Away Days                                        quarter, linked to PLICS
                                                                                                                         for Staff Teams. 4.Development of                                     initiative. 3.Each team
                                                                                                                         Therapeutic & Sessional treatments,                                   to have one Away Day
                                                                                                                         involving Carers and patients.                                        by 4th quarter.
                                                                                                                                                                                               4.Sessional treatments,
                                                                                                                                                                                               project and workstream
                                                                                                                                                                                               established by 3rd
                                                                                                                                                                                               quarter.




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2gether NHS Foundation Trust
BUSINESS PLAN 09-10
Detailed Objectives

                Key Themes
      Getting the basics right
      Legislation & Governance
      Growth & Financial Efficiency
      Seeking Involvement
      Skilled Workforce
      Social Inclusion
      Quality & Safety
      Using better information


Ref   Theme                           SSU/ Directorate           Lead      Objective and outcome required           Target 2008/09 Action Plan to achieve              Supporting Indicators        Key milestones &         SBH Ref           Risk
                                                                                                                   end date objective                                                               Quarter
 144 Seeking Involvement              Mental Health                        Strengthen partnership working                   1.Identify opportunities to provide         2.Scope current and         1.Operational                                                               9
                                      Services for Older                   with statutory and voluntary                     integrated services with other             future needs for neuro-      policies/contracts will
                                      People                               agencies.                                        agencies. 2. Formalise links with          imaging in 1st quarter.      describe formal links.
                                                                                                                            Geriatric Medicine & neuro-imaging                                      2.Secure consultant
                                                                                                                            services provision.                                                     geriatrician ward round
                                                                                                                                                                                                    at CLC by 2nd quarter.
                                                                                                                                                                                                    Formal neuro-imaging
                                                                                                                                                                                                    service provision by 4th
                                                                                                                                                                                                    quarter.
 145 Seeking Involvement              Child and Adolescent   Comms/SD/D Launch communication strategy to           Nov-09    Agree comm strat with comms dept.                                      CAMHS comms strategy                       Comms capacity has not been
                                      Mental Health          eputy Admin support tender and communicate                      Create timeline for 09/10. Aim to find                                 paper produced and                         guaranteed.
                                      Services                Managers effectively with stakeholders and                     12 good news stories to share.                                         presented to CAMHS
                                                                         partner agencies etc.                               Ensure leaflets are distributed and                                    board with actions and
                                                                                                                             referrers pack developed.                                              timelines for
                                                                                                                                                                                                    implementation. Deputy
                                                                                                                                                                                                    admin managers develop
                                                                                                                                                                                                    referral's pack.
 146 Seeking Involvement              Child and Adolescent        SD       Create stronger community links          Mar-10   NCH participation programme.                                           Estbl of children's board                  NCH are providing this service for
                                      Mental Health                                                                          Children's boards, carer's forum, links                                and reporting structure.                   us externally. Funding is secure
                                      Services                                                                               via CDW, waiting room                                                  Mystery shoppers.                          for 2009/10 but needs to be found
                                                                                                                             improvements, community parenting                                      Waiting room service                       for longer term involvement.
                                                                                                                             groups.                                                                evaluation.
 147 Seeking Involvement              Child and Adolescent        SD       Communicate service vision to           Nov-09    Trust road shows. CAMHS away                                           13.05.09 1st CAMHS                         There is a risk that some part
                                      Mental Health                        CAMHS staff                                       days. CAMHS briefing. Team                                             away day. CAMHS                            time staff may not be able to
                                      Services                                                                               consultation.                                                          briefing delivered by                      attend team meetings or away
                                                                                                                                                                                                    30.5.09. Team                              days.
                                                                                                                                                                                                    consultation rolled out by
                                                                                                                                                                                                    30.09.09
 148 Seeking Involvement              Substance Misuse       Ollie Bennet to improve service user and carer         Jun-09   Hold separate service user and carer      attendance at meetings -                                  C1,5,6,8,1    the risks are that monthly
                                                                          involvement at all levels of the                   meetings - appoint service user           minutes-the appoint of s/u                                3,14,16,17,   meetings and work pressures
                                                                          SSU to improve outcome                             champion- audit satisfaction levels-      champion-audit                                            D2,4,5,8,9,   within the SSU and externally
                                                                          measures for s/user and carers                     develop closer working relationships      completed-strategies                                      11            need to be considered to prevent
                                                                                                                             with service user and carer               completed-joint working                                                 risk of non attendance and
                                                                                                                             representatives and advocates             relationships that are                                                  detachment.
                                                                                                                                                                       able to effect change
 149 Seeking Involvement              Substance Misuse       Ollie Bennett involve all refers in the process of    Nov-09    consult with refers about the current     joint audit completed                                     C5,6,7,18 uptake for extra work might be
                                                                           referral into and out of the service.             effectiveness of the processes                                                                      D1,2,4,5,1 difficult - but not impossible
                                                                           To facilitate better working                      (currently being reviewed MOCLIG)                                                                   1,
                                                                           relationships and systems.                        audit

 150 Seeking Involvement              Working Age Adults       Service     Trust Wide: Create strong links to       Mar-10   Requires corporate plan                                                                             ARC           Requires infrastructure and
                                                               Director    service users, carers and agencies                                                                                                                                  systems which may be resource
                                                                                                                                                                                                                                               intensive
 151 Seeking Involvement              Working Age Adults       Service     SSU Wide C/F: Acting on Patient/         Mar-10   Ensure user and carer involvement is                                                                PF            Social exclusion and poor
                                                               Director    Service User Views/ Experience,                   embedded in the CPA process.                                                                                      engagement with key
                                                                           involving governors & members in                  Review models of user/carer                                                                                       stakeholders including 2GT
                                                                           service change, productive                        involvement in the planning,                                                                                      employees and governors.
                                                                           partnerships, equality & diversity                development, monitoring & evaluation
                                                                                                                             of services and pilot as appropriate.
                                                                                                                             Engage Governors in positive
                                                                                                                             dialogue.




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2gether NHS Foundation Trust
BUSINESS PLAN 09-10
Detailed Objectives

                Key Themes
      Getting the basics right
      Legislation & Governance
      Growth & Financial Efficiency
      Seeking Involvement
      Skilled Workforce
      Social Inclusion
      Quality & Safety
      Using better information


Ref   Theme                           SSU/ Directorate            Lead        Objective and outcome required         Target 2008/09 Action Plan to achieve           Supporting Indicators        Key milestones &           SBH Ref    Risk
                                                                                                                    end date objective                                                            Quarter
 152 Skilled Workforce                Finance & Commerce         Deputy       All Finance staff have active CPD      Dec-09 Ensure that training needs are
                                                                Director of   plans for the year                             identified and documented for all staff
                                                                 Finance                                                     and that all potential cost-effective
                                                                                                                             sources for training are explored and
                                                                                                                             utilised.
 153 Skilled Workforce                Finance & Commerce        Assistant Identify training needs within             Aug-09 Ensure training needs are discussed                                   Compile database of                   Work pressures prevent training
                                                                 Director  Business Development team                         as part of appraisals. Use Lessons                                   training needs - Quarter              opportunities being pressures
                                                                Business                                                     Learned to build on training needs                                   2
                                                               Development                                                   required. Complete training needs
                                                               & Marketing                                                   analysis and identify sources of
                                                                                                                             training
 154 Skilled Workforce                Finance & Commerce         Deputy       Improve responsiveness &               Dec-09 Ensure standardised and IT efficient                                  Design form and                       Low stakeholder engagement,
                                                                Director of   flexibility of financial management            methods used for routine work to free                                publicise - Quarter 3                 making time for debating possible
                                                                 Finance                                                     up capacity for responsiveness.                                                                            avenues for improvement
                                                                                                                             Implement and build on regular
                                                                                                                             customer feedback surveys.
 155 Skilled Workforce                Finance & Commerce        AssistantSupport best practice by                    Mar-10 Gather feedback from SSUs; develop                                    Develop topics Q2;                    Availability of staff and buy-in by
                                                                Director developing and implementing a                       topics; arrange and plan events                                      rollout Q3                            SSU Directors
                                                                 Comms   series of formal and ad hoc
                                                                         education programmes based on
                                                                         assessed individual needs
 156 Skilled Workforce                Human Resources           CS/KH/MR To embed the values and style into          Mar-10   1) Continue to run and develop staff    1) programme in place for                              D7         lower staff morale
                                                                         the Trust‟s structures, practices                    surgeries and case reviews. 2)          year. Quarter 1. 2)
                                                                         and training.                                        Continue to run briefing sessions for   programme in place for
                                                                                                                              managers. 3) Develop further trust's    year. Quarter 1. 3) agree
                                                                                                                              approach to staff engagement            way forward with Execs
                                                                                                                                                                      and JNCC quarter 2
 157 Skilled Workforce                Human Resources              SH    To equip staff with the skills,             Mar-10   Develop and implement a training        1) Training plan agreed                                C8b,C11a, Failure to ensure staff have the
                                                                         knowledge and competencies to                        plan based on statutory and             quarter 1 2) half yearly                               C11b,C11c right competencies to deliver
                                                                         deliver person centred, socially                     mandatory training requirements and     report considered quarter                                        services
                                                                         inclusive services and to realise                    other needs identified at               3
                                                                         their potential for the future.                      organisational and individual level.
 158 Skilled Workforce                Human Resources             ALL    To ensure staff have the                    Mar-10   1)Ensure 100% of staff have             1) 100% compliance                                     C7f,D7     Failure to ensure staff have the
                                                                         appropriate Continuous                               appraisals and PDPs linked to their     quarter 4 2) half yearly                                          right competencies to deliver
                                                                         Professional Development to                          KSF outlines 2) ensure staff have       training plan report                                              services and their performance is
                                                                         enable them to maintain their                        received professionally mandatory       quarter 3                                                         linked to organisational objectives
                                                                         professional registration.                           training appropriate to their role
 159 Skilled Workforce                Human Resources             ALL    To foster a climate of continuous           Mar-10   Implement protected learning time
                                                                         learning.                                            policy
 160 Skilled Workforce                Human Resources           KH/CS    To harness the talents of all and          Dec-09    1) Develop a single equality scheme     1) single equality scheme                              C7e        Failure to provide diverse
                                                                         ensure that it is focused and                                                                agreed quarter 3                                                  services and also failure to meet
                                                                         developed to deliver high quality                                                                                                                              legislative requirements.
                                                                         services
 161 Skilled Workforce                Human Resources          NB/SH/MR/ To develop leading edge and                 Mar-10   1) agree a list of policies and         1) list agreed by JNCC                                 D5b        Failure to become an employer of
                                                                CAS/KH   innovative employment practices                      procedures that need to be reviewed     and Workforce Quarter 1                                           choice and develop processes
                                                                                                                              2) implement the agreed list 3)         2) implementation by                                              that create the environment in
                                                                                                                              consider applying for Investors in      quarter 4 3)Agree if the                                          which staff can work effectively.
                                                                                                                              People Standard                         standard will be pursued
                                                                                                                                                                      quarter 1
 162 Skilled Workforce                Directorate Nursing,        VT/CJ       Enhancing professional                Nov-09    Develop and delivery a supervisory      Training program.                                      C5         Failure to develop leadership
                                      Social care and Allied                  leadership.                                     training program for band 5 staff       Evaluations                                                       skills in Junior Practitioner staff
                                      Health professionals                                                                                                                                                                              could lead to workforce
                                                                                                                                                                                                                                        succession difficulties.




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2gether NHS Foundation Trust
BUSINESS PLAN 09-10
Detailed Objectives

                Key Themes
      Getting the basics right
      Legislation & Governance
      Growth & Financial Efficiency
      Seeking Involvement
      Skilled Workforce
      Social Inclusion
      Quality & Safety
      Using better information


Ref   Theme                           SSU/ Directorate            Lead        Objective and outcome required         Target 2008/09 Action Plan to achieve               Supporting Indicators       Key milestones &         SBH Ref    Risk
                                                                                                                    end date objective                                                               Quarter
 163 Skilled Workforce                Directorate Nursing,         VT         Developing new ways of working         Mar-10 1. Continue to support the                   Number of Associate                                  C11
                                      Social care and Allied                                                                 development of Associate                    Practitioners in post and
                                      Health professionals                                                                   Practitioners. 2. Build on the              NMP
                                                                                                                             successful model of non medical
                                                                                                                             prescribing. 3. Review the model of
                                                                                                                             AMHP and which discipline is best
                                                                                                                             suited to this role.
 164 Skilled Workforce                Human Resources            Service      The SSU will employ and retain        Q3 2009 1/ The service will recruit and retain    - Improved recruitment         1/ August 2009, Q2        C7, C11   Low - Failure to deliver high
                                      Occupational Health        Director     the best staff, qualified and          (by Oct skilled and experienced staff           and retention rates.            2/ April 2009, Q1 then at           quality OH services. Recent
                                                               Chris Woon     experience to the levels                2009)  members by continuing its               - Improved satisfaction         M6 & 12                             recruitment has reduced this risk
                                                               Assoc. Med.    appropriate to provide high quality            succession plan to develop existing     and feedback from staff,        3/ October 2009, Q3                 level.
                                                               Director Sue   occupational health services.                  employees and extending its             and in turn users.
                                                                   Hunt                                                      investment in employee training,        - Better response to
                                                                                                                             development at both a specialist and    tender opportunities
                                                                                                                             non-specialist level and                when they arise.
                                                                                                                                                                     - Appraisals / CPDs.
 165 Skilled Workforce                Learning Disabilities        JT         To ensure that staff are able to       Mar-10   That all staff are subject to a yearly HPC Standards of                                         C5, D2,    Training to not available. Clarity
                                                                              maintain and develop their skill                KSF which will highlight development proficiency 2a, 2b, 2c, 3a;                                D7, C8,    needed with CLDT and Health
                                                                              base through appropriate training               objectives.                            HPC Standards of                                         C10, C11   Inequalities review. Same
                                                                              opportunities (agreed as part of                                                       conduct, performance                                                process followed across SSU for
                                                                              KSF process in line with service                                                       and ethics 5, 6 HPC                                                 Appraisals.
                                                                              development.                                                                           standards for CPD pages
                                                                                                                                                                     2-3;CSP care standards
                                                                                                                                                                     4, 7, 10, 19, 20, 21, 22;
                                                                                                                                                                     Valuing People sub
                                                                                                                                                                     objective 5.3, para 6.28,
                                                                                                                                                                     6.29, Professional
                                                                                                                                                                     Standards for

 166 Skilled Workforce                Learning Disabilities        JT         To be more responsive to staff and     Mar-10   To liaise with HR on maintain an up        That a profile of skills                             C7f, D5a, Ensuring all KSF Appraisals are
                                                                              service requirements by                         to date information on the current         within the service have                              C8b, D5b, carried out using same process. -
                                                                              developing systems and                          workforce. - Identify skills within the    been collated. To                                    C11c      Appraisal training for all staff
                                                                              procedures with HR that are                     current workforce. - Pinpoint training     establish educational                                          carrying out Appraisals.
                                                                              innovative and efficient.                       needs and possible succession              needs inline with SSU
                                                                                                                              planning                                   business plan. To
                                                                                                                                                                         influence training
                                                                                                                                                                         availability within the
                                                                                                                                                                         trusts training
                                                                                                                                                                         department.
 167 Skilled Workforce                Learning Disabilities        JT         Establish clear models of practice.    Mar-10   Each profession connected to the LD                                                             D1, C5,    Direction of clinical intervention
                                                                                                                              SSU has an established strategy that                                                            D2a, C7a   not clear for all professions to
                                                                                                                              reflects the models of practice that                                                                       work towards. - Outcome
                                                                                                                              will be undertaken. - This strategy will                                                                   measures not being firmly rooted
                                                                                                                              reflect local and national                                                                                 in the SSU.
                                                                                                                              recommendations and guidance. - To
                                                                                                                              review care pathways where needed
                                                                                                                              to reflect these models.




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2gether NHS Foundation Trust
BUSINESS PLAN 09-10
Detailed Objectives

                Key Themes
      Getting the basics right
      Legislation & Governance
      Growth & Financial Efficiency
      Seeking Involvement
      Skilled Workforce
      Social Inclusion
      Quality & Safety
      Using better information


Ref   Theme                           SSU/ Directorate           Lead       Objective and outcome required          Target 2008/09 Action Plan to achieve             Supporting Indicators        Key milestones &             SBH Ref     Risk
                                                                                                                   end date objective                                                              Quarter
 168 Skilled Workforce                Learning Disabilities        JT       Education reflects the objectives of    Mar-10 To establish the training needs of the     Trust currently has no                                    C7f,         Inability to provide direction of
                                                                            the strategy.                                   workforce. - This to be done via KSF,     specific LD trainer within                                D5a,b,      clinical travel. - Appropriate
                                                                                                                            appraisals and current workforce skill    the training department                                   C11c,       training identified but not
                                                                                                                            profile. - To work with HR and                                                                                  available. - No LD specific trainer
                                                                                                                            Training Department on collating this                                                                           to help with direction of education
                                                                                                                            information. - Work with the training                                                                           for staff in SSU.
                                                                                                                            department in producing training that
                                                                                                                            meets the educational needs of the
                                                                                                                            SSU.
 169 Skilled Workforce                Learning Disabilities        JT       Creating/promoting professional         Mar-10 Work with Social Services to ensure                                                                  C7f, D5a, Back filling posts may be difficult
                                                                            opportunities locally.                          that the vocational training required                                                               C8b, D5b, with right skills. - Establishing
                                                                                                                            for LD services are developed locally.                                                              C11c      opportunities with partner
                                                                                                                            - To identify/establish opportunities                                                                         organisations. - Process of
                                                                                                                            for promoting professional                                                                                    carrying out Appraisals standard
                                                                                                                            opportunities through appraisals etc. -                                                                       across SSU.
                                                                                                                            This would include such things as
                                                                                                                            secondments into developmental
                                                                                                                            positions.
 170 Skilled Workforce                Learning Disabilities        JT       To forecast any possible workforce      Apr-09 To establish with HR an accurate                                                                     C7f,        Failure to maximise efficiency of
                                                                            issues in the future so that                    data base on the workforces profiles.                                                               D5a,b,      human resource use due to
                                                                            appropriate actions can be taken,               This will include things such as the                                                                C11c,       Employment law /Trust Policy
                                                                            e.g. number of staff near to                    age and skill set of staff. - 6 steps                                                                           /Individual staff issues.
                                                                            retirement age.                                 methodology for workforce planning
                                                                                                                            be implemented. - Workforce plan
                                                                                                                            produced for next 3 years - This
                                                                                                                            information fed into SSU Board to
                                                                                                                            decide on appropriate action plan.

 171 Skilled Workforce                Mental Health                         Building capable teams.                           1.Achieve Trust compliance for        Linking with Trust KPIs        1.KPIs achieved for                                                            6
                                      Services for Older                                                                      Mand/Stat training.                   and KSF for staff.             Stat/Mand training .
                                      People                                                                                  2.Establish & implement a 'Training &                                2.Training and education
                                                                                                                              Professional Development Needs                                       needs analysis by 4th
                                                                                                                              Analysis and Strategy.        3.                                     quarter. 3.A&C Staff
                                                                                                                              Ensure A&C Staff have necessary                                      skills and capacity
                                                                                                                              skills and capacity 4. Establish team                                identified by 4th quarter.
                                                                                                                              building programme.                                                  4.Team building
                                                                                                                                                                                                   initiative/plan completed
                                                                                                                                                                                                   by 4th quarter.
 172 Skilled Workforce                Child and Adolescent       SD/CD      Support staff in managing change        Mar-10    HR dept will assist with CAMHS                                       Regular change briefing                  The tender process destabilises
                                      Mental Health                                                                           management team to ensure                                            in place. Staff innovation               staff, creates low morale and
                                      Services                                                                                communication re change is                                           forums established.                      creates a culture that is resistant
                                                                                                                              organised and regular. Embed Staff                                   Good practice away day                   to change.
                                                                                                                              Charter. Regular line management.                                    scheduled for autumn
                                                                                                                              Celebrate good practise. Good                                        2009.
                                                                                                                              communication.
 173 Skilled Workforce                Child and Adolescent       SD/CD      Maximise development of staff           Mar-10    Roll out CAMHS training budget and                                   Away day cycle set.                      Failure to maximise staff potential
                                      Mental Health                                                                           series of away days. Develop                                         NICE CBT training days                   can result in poor standards of
                                      Services                                                                                CAMHS specific training with                                         undertaken. Conflict                     clinical care and practise.
                                                                                                                              Collingwood House.                                                   resolution training for
                                                                                                                                                                                                   CAMHS is produced by
                                                                                                                                                                                                   Collingwood House.
 174 Skilled Workforce                Substance Misuse          Service   Review all job descriptions for staff      July     Service Improvement Project             Ensure role profiles                                                  NTA requirement
                                                              Improvement within SSU.                                                                                 expressed in terms of
                                                                 Lead                                                                                                 DANOS/KSF



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2gether NHS Foundation Trust
BUSINESS PLAN 09-10
Detailed Objectives

                Key Themes
      Getting the basics right
      Legislation & Governance
      Growth & Financial Efficiency
      Seeking Involvement
      Skilled Workforce
      Social Inclusion
      Quality & Safety
      Using better information


Ref   Theme                           SSU/ Directorate        Lead       Objective and outcome required           Target 2008/09 Action Plan to achieve               Supporting Indicators       Key milestones &   SBH Ref   Risk
                                                                                                                 end date objective                                                               Quarter
 175 Skilled Workforce                Substance Misuse       Service     Complete Training Needs Analysis          July   Service Improvement Project                 Training needs/deficits
                                                           Improvement   [TNA]                                                                                        identified
                                                              Lead
 176 Skilled Workforce                Substance Misuse       Service     SSU to agree on core interventions         July    Service Improvement Project               Agreed interventions                                     SSU needs to have a "CPA
                                                           Improvement   to be provided for service, so that                                                          identified - compliant to                                compliant" care co-ordinating
                                                              Lead       a consistent and equitable service                                                           DANOS/NTA Models of                                      process - or in breach of DoH
                                                                         is delivered across the county, that                                                         Care/ DoH CPA                                            guidelines
                                                                         meets requirements of NTA                                                                    Compliant/ Clinical
                                                                         Models of Care, Care Planning                                                                Guidelines
                                                                         and Care Co-ordination

 177 Skilled Workforce                Substance Misuse       Service   Develop training package that can            July    Service Improvement Project               DANOS/NTA/DoH
                                                           Improvement be delivered to all staff that reflects                                                        [CPA]/KSF
                                                              Lead     deficits/needs identified / core
                                                                       interventions
 178 Skilled Workforce                Substance Misuse       Service   Develop an in-house training                 July    Service Improvement Project               DANOS/KSF/
                                                           Improvement program to allow band 4                                                                        Competencies and Job
                                                              Lead     development [for current band 3                                                                Descriptions to be agreed
                                                                       staff]
 179 Skilled Workforce                Substance Misuse       Service   Develop an audit plan and cycle              July    Service Improvement Project               C SSMS audit group -                                     Need to monitor improvements
                                                           Improvement that will monitor improvements                                                                 Links with Legislation -
                                                              Lead     following implementation of service                                                            Audit Group minutes
                                                                       improvement project - and
                                                                       continue to audit process and
                                                                       systems after the life of the project

 180 Skilled Workforce                Substance Misuse       Dr Sarah    Protected Learning Time for staff        In place - PLT group                                ?
                                                              Welch      [of all grades and disciplines]         ongoing bi-
                                                                         within SSU. Evidence shared and           monthly
                                                                         based learning time                         mtg
 181 Skilled Workforce                Substance Misuse       Clinical    Ensure all staff in SSU are trained      Ongoing   All staff to be trained - arrangements
                                                             Director    in CRA                                             for new recruits to SSU to be trained
 182 Skilled Workforce                Working Age Adults     Service     Trust Wide: Building capable             Mar-10    I) Confirm appropriateness of Stat &                                                     CCE       Training burden may be resource
                                                             Director    teams                                              Man training to post ii) Achieve 100%                                                              intensive and may prohibit full
                                                                                                                            compliance on appropriate stat &                                                                   compliance in this period.
                                                                                                                            man training iii) Undertake training
                                                                                                                            needs analysis to identify gaps in
                                                                                                                            provision.
 183 Skilled Workforce                Working Age Adults     Service     Trust Wide: Support staff in             Mar-10    360 degree appraisals to fit with staff                                                  PF        Further additions to appraisal
                                                             Director    managing change and promote                        charter                                                                                            process may make meeting all
                                                                         'can do' attitude                                                                                                                                     expectations untenable
 184 Skilled Workforce                Working Age Adults     Service     Trust Wide: Maximise                     Mar-10    Maximise appraisal compliance.                                                           CCE       Recruitment and retention
                                                             Director    development of staff                               Complete TNA for all areas.
 185 Skilled Workforce                Working Age Adults     Service     SSU Wide C/F: Ensure Mandatory           Mar-10    CSM's and Matron Manager to                                                              CCE       Risk of litigation through failure to
                                                             Director    & Statutory training and associated                continue working with Collingwood                                                                  provide safe working conditions.
                                                                         best practice is kept up to date.                  Hse to ensure training data is
                                                                                                                            accurate and up to date and where
                                                                                                                            standards apply, ensure everything is
                                                                                                                            done to achieve them therefore
                                                                                                                            achieving compliance targets.
 186 Skilled Workforce                Working Age Adults     Service     CRHT: Skill Mix review                   Mar-10    Matron Manager and Steering Group                                                        CCE       Capacity of managers to
                                                             Director                                                       to progress                                                                                        undertake work.




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2gether NHS Foundation Trust
BUSINESS PLAN 09-10
Detailed Objectives

                Key Themes
      Getting the basics right
      Legislation & Governance
      Growth & Financial Efficiency
      Seeking Involvement
      Skilled Workforce
      Social Inclusion
      Quality & Safety
      Using better information


Ref   Theme                           SSU/ Directorate      Lead      Objective and outcome required         Target 2008/09 Action Plan to achieve        Supporting Indicators   Key milestones &   SBH Ref   Risk
                                                                                                            end date objective                                                    Quarter
 187 Skilled Workforce                Working Age Adults   Service    Acute I/P: Develop pool of Nursing     Mar-10 TNA completed to utilise internal and                                            ARC       Backfilling staff to ensure training
                                                           Director   staff trained in recognised                    higher ed. Courses                                                                        takes place
                                                                      psychological intervention
                                                                      therapies
 188 Skilled Workforce                Working Age Adults   Service    Acute I/P: Ensure full MDT            Mar-10    Benchmark against AIMS standards                                               ARC       Recruitment and Retention
                                                           Director   structure
 189 Skilled Workforce                Working Age Adults   Service    PICU: Develop pool of Nursing         Mar-10    TNA completed to utilise internal and                                          ARC       Backfilling staff to ensure training
                                                           Director   staff trained in recognised                     higher ed. Courses                                                                       takes place
                                                                      psychological intervention
                                                                      therapies
 190 Skilled Workforce                Working Age Adults   Service    PICU: Ensure full MDT structure       Mar-10    Benchmark against AIMS standards                                               ARC       Recruitment and Retention
                                                           Director
 191 Skilled Workforce                Working Age Adults   Service    LSU: Develop pool of Nursing staff    Mar-10    TNA completed to utilise internal and                                          ARC       Backfilling staff to ensure training
                                                           Director   trained in recognised                           higher ed. Courses                                                                       takes place
                                                                      psychological intervention
                                                                      therapies
 192 Skilled Workforce                Working Age Adults   Service    LSU: Ensure MDT structure             Mar-10    Benchmark against AIMS standards                                               ARC       Recruitment and Retention
                                                           Director
 193 Skilled Workforce                Working Age Adults   Service    Liaison: Develop teaching/training    Mar-10    Steering Group to liaise with Training                                         ARC       Capacity within team, further staff
                                                           Director                                                   dept.                                                                                    resource may be required
                                                                                                                                                                                                               depending on demand for training
 194 Skilled Workforce                Working Age Adults   Service    Day Services: To devise a team        Mar-10    Detailed project plan in place                                                 ARC       Uncertainty around intended
                                                           Director   training programme to prepare                                                                                                            model
                                                                      existing staff for new model of
                                                                      service delivery.
 195 Skilled Workforce                Working Age Adults   Service    EI: Ensure full staffing compliment   Mar-10    CSM and Team manager to devise                                                 CCE       National recruiting situation
                                                           Director                                                   recruitment plan
 196 Skilled Workforce                Working Age Adults   Service    EI: To market GRIP service            Mar-10    Steering group to implement                                                    PH        Availability of evidence base as
                                                           Director   amongst stakeholders including                  programme of communication with                                                          basis for strategy
                                                                      GPs, schools, colleges,                         these groups
                                                                      universities and youth clubs
 197 Skilled Workforce                Working Age Adults   Service    EI: Implementation of family work.    Mar-10    Steering group to set and monitor                                              ARC       Team workload capacity
                                                           Director   Two training days for the whole                 target of FW uptake
                                                                      team in November and hope that
                                                                      Thorn trained staff will take the
                                                                      lead on its implementation with the
                                                                      support of other team members

 198 Skilled Workforce                Working Age Adults   Service    Recovery units: To develop a care     Mar-10    Steering group to commission the                                               G         Changing needs of service may
                                                           Director   pathway for the 3 units                         care pathway in collaboration with the                                                   affect content of care pathway
                                                                                                                      "Head of Quality Care Management"

 199 Skilled Workforce                Working Age Adults              Recovery Units: Review of             Mar-10    CSM/,RMOs and Unit Managers to                                                           Requires integration with other
                                                                      capacity to be undertaken, with a               work with BDGM to undertake review                                                       areas of accommodation strategy
                                                                      view to establishing if there is a
                                                                      need for additional residential
                                                                      provision
 200 Skilled Workforce                Working Age Adults   Service    Recovery Teams: Re-engage             Mar-10    TNA to be undertaken. Standards                                                ARC       Cultural shift required regarding
                                                           Director   disillusioned staff regarding                   set, training commissioned and                                                           the importance of this work
                                                                      training opportunities such as                  monitoring.
                                                                      CBT, DBT, and Family work




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2gether NHS Foundation Trust
BUSINESS PLAN 09-10
Detailed Objectives

                Key Themes
      Getting the basics right
      Legislation & Governance
      Growth & Financial Efficiency
      Seeking Involvement
      Skilled Workforce
      Social Inclusion
      Quality & Safety
      Using better information


Ref   Theme                           SSU/ Directorate        Lead        Objective and outcome required         Target 2008/09 Action Plan to achieve             Supporting Indicators      Key milestones &            SBH Ref   Risk
                                                                                                                end date objective                                                            Quarter
 201 Skilled Workforce                Working Age Adults     Service      PTS: Skill mix review of staff to      Mar-10 Steering group to commission skill                                                                ARC       Resource intensive objective,
                                                             Director     ensure we have staff with                      mix review                                                                                                 could affect clinical work.
                                                                          appropriate skills and
                                                                          competencies to deliver a quality
                                                                          and cost effective service
 202 Social Inclusion                 Corporate Affairs     Assistant     Support governors to deliver          Mar-10    Membership plan                          Delivery according to                                  C7        Failure to deliver membership
                                                            Director of   membership strategy                                                                      plan                                                             objectives
                                                             Comms.
 203 Social Inclusion                 Finance & Commerce    Assistant     Ensure that Charitable funds are      Sep-09    Develop strategy on Charitable                                                                  C7d
                                                             Director     widely used to promote social                   Funds Use. Communicate funds
                                                            Financial     inclusion                                       available. Run awareness sessions
                                                            Accounts                                                      on applying for funding. Prompt
                                                                                                                          managers during Business Planning
                                                                                                                          to consider use of charitable funds to
                                                                                                                          promote social inclusion.

 204 Social Inclusion                 Finance & Commerce    Assistant     Ensure that Petty Cash procedures     Dec-09    Revise and fully document                                                                       C7d
                                                            Director      are clearly documented and use of               procedures, involving petty cash float
                                                            Financial     Petty Cash for ward/ community                  holders and clinicians.
                                                            Accounts      activities is adequately supported

 205 Social Inclusion                 Finance & Commerce    Assistant     Develop a county wide social          Mar-10    Agree content of campaign with                                      Agree content and                     Budget allocation. Plan not
                                                            Director      marketing campaign, aimed at                    Social Inclusion Director/CEO;                                      approach partners Q1;                 agreed
                                                             Comms        reducing the level of stigma based              develop campaign plan including                                     develop campaign plan
                                                                          on the results contained within the             measurable objectives. Implement                                    for implementation in Q2;
                                                                          Lake research 2008/9 attitudinal                                                                                    monitor each activity
                                                                          survey.                                                                                                             monthly
 206 Social Inclusion                 Finance & Commerce    Assistant     Support the implementation of the     Dec-09    Agree content of campaign with                                      Agree content Q1;                     Budget allocation. Plan not
                                                            Director      SI Conference                                   Social Inclusion Director; develop                                  Implement plan Q3                     agreed
                                                             Comms                                                        event plan
 207 Social Inclusion                 Finance & Commerce    Assistant     Support the development and use        Apr-09   Agree use of available footage for                                  Website project Q2;                   Available proactive resource for
                                                            Director      of SSU based video‟s and Social                 business development, the trust                                     monitor potential use of              Bus Dev opportunities;
                                                             Comms        inclusion interactive presentation              website, campaigns                                                  footage monthly                       technological manipulation of
                                                                                                                                                                                                                                    presentation for other uses
 208 Social Inclusion                 Finance & Commerce    Assistant     Support the SSUs in ensuring          Mar-10    Identify areas in ITTs that identify
                                                             Director     developments are responsive to                  Service User involvement and
                                                            Business      the identified needs of service                 highlight to SSUs
                                                           Development    users
                                                           & Marketing
 209 Social Inclusion                 Human Resources          CS         To have a set of values which          Jun-09   Publish Staff Charter                    Staff Charter published.                               D7        Lower staff morale
                                                                          have been developed in                                                                   Quarter 1.
                                                                          consultation with staff.
 210 Social Inclusion                 Human Resources        KH/CS  To develop a workforce that is              Dec-09    review profile as part of the Trusts'    annual report quarter 3                                C7e       Failure to provide diverse
                                                                    representative of the local                           annual HR Equalities report                                                                               services
                                                                    community in which it delivers
                                                                    services
 211 Social Inclusion                 Human Resources      MR/KH/CS To develop employment processes             Mar-10    1) Explore how the Trust can further                                                            D12a      Failure to meet the aim of the
                                                                    and practices which remove                            develop its approach towards the                                                                          social inclusion agenda and
                                                                    barriers, promote positive attitudes                  employment of people who have or                                                                          model good practice
                                                                    and equality of opportunity towards                   have had mental ill health.2) To
                                                                    the employment of people who                          continue to implement the aims of
                                                                    have or have had mental ill health.                   mindful employer initiative.




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2gether NHS Foundation Trust
BUSINESS PLAN 09-10
Detailed Objectives

                Key Themes
      Getting the basics right
      Legislation & Governance
      Growth & Financial Efficiency
      Seeking Involvement
      Skilled Workforce
      Social Inclusion
      Quality & Safety
      Using better information


Ref   Theme                           SSU/ Directorate           Lead        Objective and outcome required          Target    2008/09 Action Plan to achieve             Supporting Indicators         Key milestones &   SBH Ref     Risk
                                                                                                                    end date   objective                                                                Quarter
 212 Social Inclusion                 Human Resources           Service      The service will ensure that it is        Q4      GCOHS will promote working with            - Increased training and      April 2010, Q4     C7e         Low - Lack of social inclusion for
                                      Occupational Health       Director     socially inclusive in line with 2G‟s   2009/10    disability (including mental health)       engagement/ feedback                                         sick staff.
                                                              Chris Woon     Social Inclusion „Life Domains‟.        (by Apr   and aim to increase the employment         from managers.
                                                              Assoc. Med.                                             2010)    numbers of people with disabilities.
                                                              Director Sue
                                                                  Hunt
 213 Social Inclusion                 Learning Disabilities      JC/BC       We will have trained a number of       Mar-10     Provide training for a representative                                                       C6, D2,   Not being able to provide time
                                                                             service users so they can be                      group of 12 PWLD in recruitment                                                             C7, D9,   resource in training individuals.
                                                                             partners in staff recruitment. We                 (“PWLD Advisory Group”)                                                                     C13, C18,
                                                                             will have made some staff                                                                                                                     C22
                                                                             appointments where the
                                                                             recruitment process involved
                                                                             service users.
 214 Social Inclusion                 Learning Disabilities       BC         Initial and ongoing training for all   Mar-10     Identify training needs of staff          Death by Indifference                             C6, D2,   Service users are excluded from
                                                                             healthcare, social care and                       through Appraisal and service review. (Mencap 2007); evidence                               C7, D9,   being partners in their care due to
                                                                             medical professionals to                          - To work with training Department on and recommendations                                   C13, C18, difficulties in communication
                                                                             understand how to communicate                     provision of training needs identified. - submitted by RCSLT to                             C22
                                                                             appropriately with people with                    Robust Clinical and caseload              the Joint Committee on
                                                                             Learning Disabilities                             management systems in place to            Human Rights' inquiry
                                                                                                                               ensure ongoing quality monitoring.        into the rights of adults
                                                                                                                                                                         with learning disabilities
                                                                                                                                                                         (July 2007) and DH
                                                                                                                                                                         independent inquiry into
                                                                                                                                                                         the provision of
                                                                                                                                                                         healthcare to people with
                                                                                                                                                                         LD
 215 Social Inclusion                 Learning Disabilities                  Service Users and carers be            Mar-10     Work with HR and the “PWLD                                                                  C10, C11, lack of training for service users
                                                                             involved in future Recruitment                    Advisory Group”, to produce                                                                 D5, D7    and carers. Engagement with LD
                                                                             developments and activity.                        accessible and relevant Job                                                                           Partnership Board.
                                                                                                                               Descriptions and Person
                                                                                                                               Specifications for all new posts within
                                                                                                                               LDSSU
 216 Social Inclusion                 Learning Disabilities       DF          We will have employed at least                   Identify potential roles at new HQ and                                                      C11, D7,    Financial resources in funding
                                                                             one person with a Learning                        recruit. - Involve HR in process.                                                           C17         roles. Identifying appropriate
                                                                             Disability.                                                                                                                                               support to enable this happen.
 217 Social Inclusion                 Learning Disabilities       DF         To work with the “PWLD Advisory        Mar-10     We will have implemented a                 Death by Indifference                            D3,         Possibility some communities not
                                                                             Group”, in business planning for                  mechanism that allows service-users        (Mencap 2007); evidence                          D4a,b,c,    presently engaged with LD
                                                                             the LDSSU                                         to give consent for us to contact them     and recommendations                              C14a,       Services (eg. BME communities).
                                                                                                                               in order to get their views on             submitted by RCSLT to                            C16, C22a
                                                                                                                               services. - Comments to be fed into        the Joint Committee on
                                                                                                                               Development Committee and SSU              Human Rights' inquiry
                                                                                                                               Board. - To identify actions required if   into the rights of adults
                                                                                                                               appropriate for business plan.             with learning disabilities
                                                                                                                                                                          (July 2007) and DH
                                                                                                                                                                          independent inquiry into
                                                                                                                                                                          the provision of
                                                                                                                                                                          healthcare to people with
                                                                                                                                                                          learning disabilities (Oct.
                                                                                                                                                                          2007)




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2gether NHS Foundation Trust
BUSINESS PLAN 09-10
Detailed Objectives

                Key Themes
      Getting the basics right
      Legislation & Governance
      Growth & Financial Efficiency
      Seeking Involvement
      Skilled Workforce
      Social Inclusion
      Quality & Safety
      Using better information


Ref   Theme                           SSU/ Directorate          Lead     Objective and outcome required          Target 2008/09 Action Plan to achieve            Supporting Indicators   Key milestones &              SBH Ref    Risk
                                                                                                                end date objective                                                        Quarter
 218 Social Inclusion                 Learning Disabilities      TL      To work with the “PWLD Advisory         Mar-10 We will have implemented a                                                                      C5, C7,    Possibility some communities not
                                                                         Group”, in reviewing in patient and             mechanism that allows service-users                                                            D2, D4,    presently engaged with LD
                                                                         community services provided by                  to give consent for us to contact them                                                         C17        Services (eg. BME communities)
                                                                         LDSSU and drawing up quality                    in order to get their views on                                                                            allowing comprehensive review.
                                                                         improvement action plans                        services. - Comments to be fed into
                                                                                                                         Development Committee and SSU
                                                                                                                         Board. - To identify actions required if
                                                                                                                         appropriate for business plan.
 219 Social Inclusion                 Learning Disabilities      JT      To involve the “PWLD Advisory           Mar-10         To work with Training department on                                                     C11, D5,    Not having a clear understanding
                                                                         Group”, in all training provided by                    agreeing how this to be achieved. -                                                     C17        of direction forward and skills
                                                                         the LDSSU                                              Agree actions through SSU Board.                                                                   required to enable this.
 220 Social Inclusion                 Mental Health                      Non-discriminatory access to            Apr 2010       1.Establish and begin to implement a                      1.Strategic Review                                                           9
                                      Services for Older                 appropriate services                  ..           .   'Strategic Review of Functional                           completed with 3-year
                                      People                                                                     .       .      Mental Health Services for Older                          plan. N.B. access to
                                                                                                                     .          People' with reference to Equality in                     Crisis Intervention to be
                                                                                                               .           .    Later Life .     to include: a)                           formalised by 4th
                                                                                                                     .          Establish access to Crisis                                quarter.
                                                                                                                .         .     Intervention and IAPT.
                                                                                                                     .          b)Open MHSOP to WAA service-
                                                                                                                                users where appropriate.
                                                                                                                                c)Establish exchange of work
                                                                                                                                placements across SSUs. d)
                                                                                                                                Establish with other SSUs clinical
                                                                                                                                care pathways based on need rather
                                                                                                                                than age.
 221 Social Inclusion                 Child and Adolescent    SD/TAMHS Increase community awareness              Mar-10         Leaflet distribution. Comms strategy.                     Leaflets distributed to all              Stakeholder opinion is a key
                                      Mental Health              lead                                                           Work with schools to promote                              major stakeholders.                      agent of change and business
                                      Services                                                                                  'Healthy Minds Matter'                                    Comms strategy in                        retention. Without positive
                                                                                                                                                                                          place. Healthy Minds                     engagement with the community
                                                                                                                                                                                          Matter promotes 2GT in                   2GT CAMHS runs the risk of
                                                                                                                                                                                          schools via information                  alienating customers, partner
                                                                                                                                                                                          pack.                                    agencies and commissioners.
 222 Social Inclusion                 Child and Adolescent       SD      Enable positive access to CAMHS        Ongoing         Maintain low wait times of under 8                        indicators of 100% seen                  Referrals have increased 23%
                                      Mental Health                                                                             weeks to CHOICE. Equity of access                         within 8 weeks for                       from Jan 08-Jan 09. Positive wait
                                      Services                                                                                  to long term psychological therapies.                     CHOICE, 80% seen                         times cannot be sustained if this
                                                                                                                                                                                          within 5 weeks. 100%                     volume uplift continues at such a
                                                                                                                                                                                          seen for PARTNERSHIP                     pace. Low capacity in long term
                                                                                                                                                                                          within 18 weeks, 90%                     psychological therapies may
                                                                                                                                                                                          seen within 15 weeks.                    create inequitable secondary
                                                                                                                                                                                                                                   waiting lists.

 223 Social Inclusion                 Child and Adolescent       SD      Continue cultural competency            Mar-10         Roll out a further 2 rounds of cultural                   June training completed.                 As this training is not mandatory
                                      Mental Health                      training                                               competency training. Undertake                            OCCA results to board.                   staff may opt out.
                                      Services                                                                                  OCCA tool to assess organisational
                                                                                                                                competency.
 224 Social Inclusion                 Child and Adolescent       SD      Create stronger links with BME                         Use CDW feedback and link to help                         Strengthening families                   CDW is not line managed by
                                      Mental Health                      groups                                                 influence service redesign. Distribute                    pilot delivered by                       CAMHS and has additional Trust
                                      Services                                                                                  CAMHS leaflets in 5 languages.                            30.10.09. Leaflets                       work to complete. CAMHS' needs
                                                                                                                                Deliver BME specific parenting group                      available by 30.9.09.                    in relation to the tender will need
                                                                                                                                in community. Deliver BME focus in                                                                 to be communicated clearly and
                                                                                                                                'Health Minds Matter'                                                                              agreed with line manager of
                                                                                                                                                                                                                                   CDW.




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2gether NHS Foundation Trust
BUSINESS PLAN 09-10
Detailed Objectives

                Key Themes
      Getting the basics right
      Legislation & Governance
      Growth & Financial Efficiency
      Seeking Involvement
      Skilled Workforce
      Social Inclusion
      Quality & Safety
      Using better information


Ref   Theme                           SSU/ Directorate          Lead        Objective and outcome required        Target 2008/09 Action Plan to achieve           Supporting Indicators            Key milestones &          SBH Ref       Risk
                                                                                                                 end date objective                                                                Quarter
 225 Social Inclusion                 Child and Adolescent       SD         Lead on Targeted Mental Health in     Mar-10 Deliver services to the target 22                                         Service evaluation                      2GT reputation is at risk if project
                                      Mental Health                         Schools                                       schools. Undertake outcome and                                           completed and reported                  fails to deliver, however
                                      Services                                                                            service evaluation which will feed into                                  on. Positive story linked               conversely 2GT reputation will
                                                                                                                          national data for DCSF.                                                  into comms strategy.                    greatly benefit from being an
                                                                                                                                                                                                   Work begins on securing                 early implementer if successful.
                                                                                                                                                                                                   service for 2011.

 226 Social Inclusion                 Child and Adolescent   SD/IMH TM Launch Infant Mental Health               Sep-09    Deliver IMH services to targeted                                        Recruit staff. Align new                Managing expectations from
                                      Mental Health                    Service                                             children's centres, with an emphasis                                    service to children's                   stakeholders and commissioners
                                      Services                                                                             on early intervention and prevention.                                   centres. Innovate referral              whilst service develops.
                                                                                                                                                                                                   process. Ensure strong
                                                                                                                                                                                                   governance is in place.
 227 Social Inclusion                 Substance Misuse       Social Care To promote social inclusion and         Sep-09    1) research similar                        1)Information gathered       3rd quarter                  C6,7 D2,5 Time/cost may be unproductive if
                                                              Specialist recovery and reduce stigma by                     schemes.2)Discuss widely with              and discussion at                                         & 8.      not feasible. Not finding suitable
                                                                         exploring the potential for a garden              stakeholders.3)Consider potential          C.Board Minuted.                                                    site. Time factor involved in
                                                                         work based project, involving the                 site options.4) Establish feasibility of   2)Meetings and people                                               setting up project and losing the
                                                                         community, the SSU, other                         project eg. Cost, environmental, etc.,     signing up to the project.                                          initial momentum in bureaucratic
                                                                         partners and agencies service                                                                3) Potential sites being                                            systems.
                                                                         users and carers.                                                                            identified 4)Discussions
                                                                                                                                                                      with relevant bodies/
                                                                                                                                                                      letters
 228 Social Inclusion                 Working Age Adults       Service      Trust Wide: Increase awareness in     Mar-10   Requires corporate plan                                                                                         Highly resource intensive
                                                               Director     the community
 229 Social Inclusion                 Working Age Adults       Service      Trust Wide: Enable non-               Mar-10   IAPT implementation plan                                                                             ARC        Require cross / inter SSU
                                                               Director     discriminatory access to generic                                                                                                                               cooperation
                                                                            psychiatric services
 230 Social Inclusion                 Working Age Adults       Service      Trust Wide: Development of user &     Mar-10   Requires corporate plan                                                                              PF         Ensuring that views obtained are
                                                               Director     carer board to draw upon and be                                                                                                                                representative of the majority of
                                                                            answerable to.                                                                                                                                                 users and carers
 231 Social Inclusion                 Working Age Adults       Service      Liaison: Expand to look after 16 –    Mar-10   Work collaboratively with CAMHS                                                                      ARC        Development of protocols and
                                                              Director      18 year old                                                                                                                                                    training
 232 Quality & Safety                 Corporate Affairs       PPI Lead      Support for Carers                             Co-ordinate Carers Strategy                Progress against plan                                     C17,22     Failure to deliver agency-wide
                                                                                                                           Implementation                                                                                                  strategy to support carers
 233 Quality & Safety                 Corporate Affairs         Head of     Effective property management.        Mar-09   Six facet survey of properties             Performance against plan                                  C7d        Inefficient property management
                                                                Property    Informed Estates Strategy
                                                             Management
 234 Quality & Safety                 Corporate Affairs         Head of     Oversee delivery of new PICU          Apr-10   Project plan                               Deliver key objectives to    Performance against          C20a       Project delay, cost overrun
                                                                Property                                                                                              the right quality and on     plan
                                                             Management                                                                                               time
 235 Quality & Safety                 Corporate Affairs         Head of     Oversee delivery of Charlton Lane     Apr-10   Project plan                               Deliver key objectives to    Performance against          C20a       Project delay impacts upon Holly
                                                                Property    project                                                                                   the right quality and on     plan                                    House transfer to PCT
                                                             Management                                                                                               time
 236 Quality & Safety                 Corporate Affairs       Information   Maintain Connecting for Health-       Mar-10   Project plan                               Deliver key objectives to    Performance against          C7a        Breach of authorisation- serious
                                                             Governance     Statement of Compliance                                                                   the right quality and on     plan                                    gap in control
                                                               Manager                                                                                                time
 237 Quality & Safety                 Finance & Commerce       Assistant    Develop interactive brand             Jun-09   hold agency briefing meeting; agree                                     Brief agency Q1; roll out               Chosen design falling within
                                                                Director    guidelines                                     design and costs                                                        Q2                                      budget
                                                                Comms
 238 Quality & Safety                 Finance & Commerce       Assistant    Support the organisation in           Mar-10   Develop pricing policy. Specific
                                                                Director    submitting quality tender bids                 development Costings. Financial
                                                               Business                                                    analysis to support contract
                                                             Development                                                   variations. Annual market
                                                             & Marketing                                                   assessment. Identifying and leading
                                                                                                                           on tenders. Business case support.


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2gether NHS Foundation Trust
BUSINESS PLAN 09-10
Detailed Objectives

                Key Themes
      Getting the basics right
      Legislation & Governance
      Growth & Financial Efficiency
      Seeking Involvement
      Skilled Workforce
      Social Inclusion
      Quality & Safety
      Using better information


Ref   Theme                           SSU/ Directorate            Lead       Objective and outcome required         Target 2008/09 Action Plan to achieve          Supporting Indicators         Key milestones &   SBH Ref   Risk
                                                                                                                   end date objective                                                            Quarter
 239 Quality & Safety                 Finance & Commerce        Assistant Improve quality of tender                 Aug-09 Project approach to tender                                            Training session
                                                                 Director  submissions                                      management. Implementation of                                        completed.
                                                                Business                                                    staged approach in Business
                                                               Development                                                  Development policy. Session on
                                                               & Marketing                                                  commercial thinking for Strategic
                                                                                                                            Service Units. Evaluate skills of team
                                                                                                                            and consider how to improve bid
                                                                                                                            writing. Source examples from others
                                                                                                                            and analyse gaps in our submissions.
                                                                                                                            Use debriefs to gauge where
                                                                                                                            improvement most effective
 240 Quality & Safety                 Human Resources            KH/CB       To have visible and competent          Mar-10   1) Review and continue to run          1) programme in place                           D4c       Failure to deliver key targets
                                                                             leaders capability to deliver high              management development                 Quarter 1 2) programme
                                                                             quality services.                               programme 2) develop in house          in place. Quarter 1. 3)
                                                                                                                             programme for supervisory staff. 3)    programme in place,
                                                                                                                             Develop a programme for middle         Quarter 2.
                                                                                                                             managers.
 241 Quality & Safety                 Human Resources              ALL       To create a culture in which staff     Mar-10   1) encourage the further use of lean   1) monitoring the                               C8b       Lower staff morale and impact on
                                                                             feel valued and involved in the                 thinking methodology 2)consult staff   continued use of lean                                     our ability to recruit and retain
                                                                             development and delivery of                     on changes in services                 quarter 3 2) analyse the                                  staff
                                                                             services.                                                                              results from the annual
                                                                                                                                                                    staff survey quarter 4
 242 Quality & Safety                 Human Resources              CS        To develop employment practices        Mar-10   Review the current range of flexible 1) review considered                              D5b       Lower staff morale and impact on
                                                                             to enable staff to work flexibly to             working procedures and identify how quarter 1 2) action plan                                     our ability to recruit and retain
                                                                             meet service and personal needs.                well they are being used 2) develop agreed quarter 1                                             staff
                                                                                                                             an action plan to fill any gaps
                                                                                                                             identified
 243 Quality & Safety                 Human Resources              KH        To create and environment in           Jun-09   Analyse the results of the staff       1) actions incorporated                         D7        Lower staff morale and impact on
                                                                             which staff feel supported and                  attitude survey and include any        into business plan quarter                                our ability to recruit and retain
                                                                             motivated to work in more flexible              actions in the business plan for 09/10 1                                                         staff
                                                                             and innovative ways.
 244 Quality & Safety                 Human Resources            SC/KH       To develop staff who are willing       Mar-10   1) ensure vision and values included   1) included in programme                        C8b       Failure to have the right staff with
                                                                             and able to embrace change.                     in induction 2)Ensure staff are kept   quarter 1 2) programme                                    the right competencies to deliver
                                                                                                                             abreast of known and future            of road shows and                                         high quality services
                                                                                                                             developments                           learning events in place

 245 Quality & Safety                 Directorate Nursing,     VT / LF / HE Facilitating holistic care.             Feb-10   1. Continue current training program   Training records.                               C5        Due to lack of knowledge of
                                      Social care and Allied                                                                 for current staff. 2. expand           Competency sign off                                       physical observations staff fail to
                                      Health professionals                                                                   community training program across      sheets. Case note audits.                                 identify the clinical need which
                                                                                                                             all teams and SSUs. 3. Consider the    Patient experience                                        could have an adverse effect on
                                                                                                                             model best suited to deliver level 2   reports                                                   the service users.
                                                                                                                             clinical skills.
 246 Quality & Safety                 Directorate Nursing,       GB/ JL      Ensure the Trust implements NICE      ongoing   NICE manager keeps a log of all        NICE compliance                                 C5        Failure to comply with NICE
                                      Social care and Allied                 guidance                                        issued NICE guidance. Project group    spreadsheet. Audit                                        guidance and therefore
                                      Health professionals                                                                   reviews for relevance to the Trust.    reports.                                                  implement evidence based care
                                                                                                                             Lead SSU identified for those                                                                    which could result in a determent
                                                                                                                             relevant. SSU alerted and requested                                                              in Service User Care.
                                                                                                                             to action implementation. Monitoring
                                                                                                                             of compliance via audit.




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2gether NHS Foundation Trust
BUSINESS PLAN 09-10
Detailed Objectives

                Key Themes
      Getting the basics right
      Legislation & Governance
      Growth & Financial Efficiency
      Seeking Involvement
      Skilled Workforce
      Social Inclusion
      Quality & Safety
      Using better information


Ref   Theme                           SSU/ Directorate            Lead        Objective and outcome required        Target 2008/09 Action Plan to achieve             Supporting Indicators        Key milestones &   SBH Ref    Risk
                                                                                                                   end date objective                                                              Quarter
 247 Quality & Safety                 Directorate Nursing,         VT         Development of the Trust Quality      Mar-10 In partnership with SSU Directors and      KPI dashboard, patient                          C17
                                      Social care and Allied                  Accounts                                      taking account of commissioners           survey results, complaint
                                      Health professionals                                                                  intent. Identify the key clinical         reports, SUIs
                                                                                                                            performance indicators and develop
                                                                                                                            the quality account framework.

 248 Quality & Safety                 Directorate Nursing,          LF        Ensure the Trust complies with the   ongoing   Work with DIPSI and Infection            Minutes of Infection                            C4         failure to comply with the Health
                                      Social care and Allied                  Health and Social Care Act 2008                Control Specialist Nurse to carry out    Control meeting, annual                                    and Social Care Act 2008 would
                                      Health professionals                                                                   annual Infection Control audits,         audits. MRSA/C-diff                                        result in the Trust being placed
                                                                                                                             deliver Infection Control training as    infection rates.                                           on special measures
                                                                                                                             part of Corporate Induction. Promote
                                                                                                                             and monitor Infection Control
                                                                                                                             practices through the Modern
                                                                                                                             Matrons and provide reports to
                                                                                                                             DLH/SHA as required.
 249 Quality & Safety                 Human Resources            Service                                             Q4      1/ The service will operate and          - Customer surveys to                           C11b, c    Medium - Reduced quality of care
                                      Occupational Health        Director                                          2009/10   maintain a robust Clinical               obtain qualitive and                                       and service to customers.
                                                               Chris Woon                                          (by Apr   Governance system. This will ensure      quantitive feedback on
                                                               Assoc. Med.                                          2010)    GCOHS is accountable for                 services.
                                                               Director Sue                                                  continuously improving the quality of    - Regular internal service
                                                                   Hunt                                                      its services and safeguarding high       audits to evaluate the
                                                                                                                             standards of care, by creating an        quality and standards of
                                                                                                                             environment in which clinical            the services provided
                                                                                                                                                                      (e.g. KPIs).
 250 Quality & Safety                 Learning Disabilities       JT/     To Utilise the LD Risk Register as       Mar-10    To identify a leadership and             Monthly monitoring of                           C1, C7,    Failure of staff to understand
                                                               Governance a tool to manage risk within the                   accountability structure for all         register through                                C11, D4,   application and value of the Risk
                                                               Committee SSU.                                                identified areas of risk in the SSU. -   Governance Committee. -                         D6, C14a   Register. - Where actions
                                                                                                                             Governance Committee to receive          Quarterly Monitoring of                                    identified are there the
                                                                                                                             regular reports/updates re Risks         register by SSU Board.                                     appropriate knowledge and skills
                                                                                                                             identified. - Governance to agree any                                                               in SSU. - Additional training may
                                                                                                                             action plan for identified Risks on                                                                 be identified possible resource
                                                                                                                             Register as and when required. - Risk                                                               issue. - Adoption and
                                                                                                                             Register to be monitored at SSU                                                                     implementation of Risk Register is
                                                                                                                             Board quarterly.                                                                                    in line with rest of Trust.

 251 Quality & Safety                 Learning Disabilities    HOP's/ Team To implement processes to identify      Dec-09    To commission an audit of             have baseline information                          C1, D1,    Support required from audit
                                                                Managers/ and remedy poor practice and                       supervision activity across all teams outlining supervision                              C5b, C7,   department to implement SSU
                                                                   DF      implement evidence based                          within SSU. - Engage audit            activity sept-09.                                  C8, D4     wide audit.
                                                                           practice including; clinical                      department in this piece of work. -
                                                                           supervision, managerial                           Identify issues raised through audit
                                                                           supervision and development                       and set out action plan. - SSU Board
                                                                           activities                                        to agree action plan. - SSU Board to
                                                                                                                             monitor progress on any actions set.
 252 Quality & Safety                 Learning Disabilities                                                        Dec-09    To review statutory and mandatory        Training profiles to be                         C5c, C7,   Resource may not be available
                                                                                                                             training and practioner mandatory        agreed by SSU Board                             C11b,c,    for LD Training lead. -
                                                                                                                             training profiles with Collingwood to and available for all staff                        D4, D7
                                                                                                                             ensure reflects governance priorities. - within LD by Dec-09.
                                                                                                                             To link with Professional standards
                                                                                                                             where required and be in line with
                                                                                                                             Appraisals. - Profiles to reflect
                                                                                                                             Governance priorities. - SSU Board
                                                                                                                             to review with Collingwood the
                                                                                                                             requirement for an LD specific
                                                                                                                             training lead.



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2gether NHS Foundation Trust
BUSINESS PLAN 09-10
Detailed Objectives

                Key Themes
      Getting the basics right
      Legislation & Governance
      Growth & Financial Efficiency
      Seeking Involvement
      Skilled Workforce
      Social Inclusion
      Quality & Safety
      Using better information


Ref   Theme                           SSU/ Directorate      Lead      Objective and outcome required      Target 2008/09 Action Plan to achieve           Supporting Indicators          Key milestones &          SBH Ref   Risk
                                                                                                         end date objective                                                              Quarter
 253 Quality & Safety                 Mental Health                   Develop a Research & Audit                  1.Establish and implement a research                                   1.Strategy in place by                                 6
                                      Services for Older              Programme                                   and audit strategy (linked to Trust                                    1st quarter 2010,
                                      People                                                                      Strategy). 2.Secure & monitor                                          including DENDRON.
                                                                                                                  compliance with NICE guidance.                                         2.Compliance reporting
                                                                                                                  3. Yearly audit against Health Record                                  available by 2nd quarter.
                                                                                                                  Policy Standard - Trsutwide initiative.                                3.Trust Report to inform
                                                                                                                  4. Ensure compliance with Care                                         workplan.
                                                                                                                  Management arrangements + review                                       4.Programme of work
                                                                                                                  and develop procedures to support                                      undertaken to support
                                                                                                                  service-user/carer needs.            5.                                and manage Care
                                                                                                                  Monitor, benchmark & address                                           Management ongoing.
                                                                                                                  incidence of healthcare acquired                                       5.Audit information
                                                                                                                  inflection, falls and timescales for                                   available with plan, and
                                                                                                                  treatment.                                                             by 4th quarter.

 254 Quality & Safety                 Mental Health                   Quality & Governance                Dec-11   1.Establish an Inpatient Service                                      1.Review and plan in                                   9
                                      Services for Older                                                           Review, and implement action plan.                                    place by 1st quarter
                                      People                                                                       2.Achieve AIMS accreditation for                                      2010.       2.AIMS
                                                                                                                   Inpatient Services.       3.Design &                                  accreditation achieved
                                                                                                                   implement a revised Board and sub-                                    by 1st quarter 2011.
                                                                                                                   Board structures to include Delivery,                                 3.New Board structure in
                                                                                                                   Development and Governance.                                           place by end of 1st
                                                                                                                   4.Review service provision with                                       quarter.    4.Plan in
                                                                                                                   reference to the End of Life Care and                                 place by 1st quarter
                                                                                                                   Stroke Strategies.                                                    2010.
 255 Quality & Safety                 Substance Misuse     Service    Objective: Development of           Jan-10   The objective will be met by: 1.          Work group put together
                                                           Director   measures to indicate service                 Working collaboratively with staff,       with representatives from
                                                                      quality and safety within the                carers and service users to identify      staff, carers and service
                                                                      service.                                     the aspects of quality and safety they    users. Aspects of quality
                                                                                                                   would like measured. (The measures        and safety to be
                                                                                                                   they feel will describe a quality, safe   measured and identified.
                                                                                                                   service). 2. Developing outcomes          Outcomes finalised. Data
                                                                                                                   for the items identified. 3.              collection method
                                                                                                                   Developing a method of data               finalised and approved.
                                                                                                                   collection to provide the outcomes        Data collected. Data
                                                                                                                   required. 4. Collecting the data. 5.      analysed, reported and
                                                                                                                   Analysing, reporting and                  disseminated.
                                                                                                                   disseminating data. 6. Using data         Information used to
                                                                                                                   for future service developments.          develop service further.
                                                                                                                   Responsible Person: Audit
                                                                                                                   representative for the SSU.
 256 Quality & Safety                 Substance Misuse      Team      Audit to establish whether           2009    Premises: In conjunction with the         Completed audit of
                                                           Managers   premises used by workers within              safety and security department            premises. Completed
                                                                      the SSU are safe and fit for                 (Judith Morris) audit the safety of       audit on staff safety
                                                                      purpose and if working practices             staff working in each of our
                                                                      promote safety of staff.                     community venues. Staff Safety
                                                                                                                   Audit staff working practices to
                                                                                                                   evaluate if staff work in line with Trust
                                                                                                                   policy on staff safety.




                                                                                         D:\Docstoc\Working\pdf\52160e1d-fc71-4429-898d-863ec2177a02.xls                                                                            30 of ]36
2gether NHS Foundation Trust
BUSINESS PLAN 09-10
Detailed Objectives

                Key Themes
      Getting the basics right
      Legislation & Governance
      Growth & Financial Efficiency
      Seeking Involvement
      Skilled Workforce
      Social Inclusion
      Quality & Safety
      Using better information


Ref   Theme                           SSU/ Directorate       Lead      Objective and outcome required         Target 2008/09 Action Plan to achieve               Supporting Indicators         Key milestones &   SBH Ref   Risk
                                                                                                             end date objective                                                                 Quarter
 257 Quality & Safety                 Substance Misuse     S. Harvey   Audit to establish whether workers      2009   Baseline Child Protection risks             Baseline Documentation
                                                                       within the SSU are taking                      arising from a parents misuse to be         demonstrating the risks
                                                                       adequate steps to protect and                  recorded in their treatment notes           arising from parents
                                                                       improve the well being of children             identifying the level of child protection   misuse of drugs and
                                                                       with parents who are misusing                  surveillance required. Monitoring,          alcohol for their children.
                                                                       alcohol and/or drugs.                          Recording of the steps taken to             Audit of a random sample
                                                                                                                      provide protection and ensure the           of notes to ensure the
                                                                                                                      well being and health of children of        steps described to protect
                                                                                                                      parents who misuse drugs and                children in 2gether
                                                                                                                      alcohol. Evaluation of effectiveness.       Partnership Trust Policy
                                                                                                                      The audit needs to describe whether         were taken. A description
                                                                                                                      the actions taken protected children        of the effectiveness of the
                                                                                                                      from harm.                                  actions taken by staff in
                                                                                                                                                                  protecting children.


 258 Quality & Safety                 Working Age Adults   Service     Trust Wide: Ensure smooth              Mar-10    SSUs to be engaged in IAPT                                                                 ARC       Transition negotiation
                                                           Director    introduction of IAPT                             implementation plan
 259 Quality & Safety                 Working Age Adults   Clinical    SSU Wide C/F: Review existing          Mar-10    Ensure that caseload management                                                            G         Inconsistent expectations placed
                                                           Director    caseload management practices to                 forms part of the appraisal and                                                                      on staff in terms of agreed
                                                                       assess caseload expectations,                    supervision process. Review the                                                                      caseload. Failure to discharge
                                                                       continuity of practice, DNA's and                impact of DNA's on team capacity                                                                     appropriately. Failure to address
                                                                       impact on capacity, data collection              and develop process to minimise lost                                                                 DNA resulting in inefficient use of
                                                                       and analysis and clinical                        clinical time due to these occurring.                                                                resources and some patients
                                                                       supervision                                                                                                                                           having to wait longer than
                                                                                                                                                                                                                             necessary for treatment.

 260 Quality & Safety                 Working Age Adults   Clinical    SSU Wide C/F: Review the               Mar-10    Fill appropriately banded vacancies                                                        ARC       Lack of consensus as to required
                                                           Director    balance of Social Care staff                     in teams with social worker                                                                          skills across teams
                                                                       against the model of health and
                                                                       social care integration throughout
                                                                       the organisation
 261 Quality & Safety                 Working Age Adults   Service     SSU Wide C/F: Implementation of        Mar-10    Ensure that CPA is applied                                                                 G         Timeframes for the
                                                           Director    NICE guidance, CPA goes                          consistently across the Care Group                                                                   Implementation of refocusing the
                                                                       personal, Care Pathways                          and that all service users are aware                                                                 CPA approach. Unclear process
                                                                                                                        of their Care Plans, who their Care                                                                  for management of existing and
                                                                                                                        Co-ordinator is, and have a signed                                                                   forthcoming NICE guidance.
                                                                                                                        copy of these plans. Ensure that the
                                                                                                                        SSU complies with Health and Social
                                                                                                                        Care Guidelines
 262 Quality & Safety                 Working Age Adults   Service     Undertaking an estate review to        Mar-10    Service Director to work with Estates                                                      ARC       Cost of sourcing completely
                                                           Director    ensure appropriate environments                  team                                                                                                 suitable facilities.
                                                                       to support effective care.
 263 Quality & Safety                 Working Age Adults   Service     CRHT: Open and operative s136          Mar-10    136 steering group established.                                                            ARC       Recruitment and retention of staff.
                                                           Director    Suite inline with agreed Policy and              Matron manager has operational                                                                       Capacity of team to respond if
                                                                       Protocol                                         responsibility                                                                                       there is a rise in the no. of s136
 264 Quality & Safety                 Working Age Adults   Service     CRHT: Establish a single point of      Mar-10    CRHT needs to feed into trustwide                                                          ARC       detentions
                                                                                                                                                                                                                             Whole telephony review of trust,
                                                           Director    contact (0800 phone number) for                  telephony review                                                                                     may cause delays.
                                                                       service users in response to the
                                                                       Service User feedback
 265 Quality & Safety                 Working Age Adults   Clinical    Liaison: Secure access to              Mar-10    Steering Group to report to WAMB                                                           ARC       Agreeing source of funding for
                                                           Director    Consultants                                      and WAMB to progress                                                                                 (part) post




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2gether NHS Foundation Trust
BUSINESS PLAN 09-10
Detailed Objectives

                Key Themes
      Getting the basics right
      Legislation & Governance
      Growth & Financial Efficiency
      Seeking Involvement
      Skilled Workforce
      Social Inclusion
      Quality & Safety
      Using better information


Ref   Theme                           SSU/ Directorate        Lead       Objective and outcome required           Target 2008/09 Action Plan to achieve         Supporting Indicators   Key milestones &   SBH Ref   Risk
                                                                                                                 end date objective                                                     Quarter
 266 Quality & Safety                 Working Age Adults     Service     Liaison: To ensure that the Care         Mar-10 Steering group to devise policy and                                               PF        Geographical dispersal of other
                                                             Director    Plans of all frequent attendees are              implement                                                                                  teams
                                                                         reviewed in conjunction with the
                                                                         service users existing care
                                                                         coordinator, GP, Probation
                                                                         workers etc (as appropriate).
 267 Quality & Safety                 Working Age Adults     Service     Liaison: To offer                       Mar-10    Steering Group to scope need and                                                ARC       Additional resources may be
                                                             Director    assessment/follow up to all                       implement policy                                                                          required
                                                                         patients (16-no upper age limit)
                                                                         who present with DSH
 268 Quality & Safety                 Working Age Adults     Service     Liaison: To take a lead in              Mar-10    Steering group to scope need and                                                ARC       Cooperation of GHNHST
                                                             Director    addressing the inadequate support                 implement action plan
                                                                         from other specialist mental health
                                                                         teams of patients in GHNHST
 269 Quality & Safety                 Working Age Adults     Service     Day Services: For service users         Mar-10    Detailed project plan in place                                                  PF        Delays in revealing
                                                             Director    and staff to be led positively                                                                                                              commissioning intentions,
                                                                         through the change management                                                                                                               causing frustration, anxiety and
                                                                         process.                                                                                                                                    dis-enfranchisement with process
 270 Quality & Safety                 Working Age Adults     Service     Recovery units: To develop an out       Mar-10    Steering group to scope need and                                                ARC       Needs coordinating with
                                                             Director    of hours telephone contact at the                 draft policy accordingly                                                                  organisational telephony strategy
                                                                         Vron for GRIP team service users
 271 Quality & Safety                 Working Age Adults     Service     Recovery Teams: To establish            Mar-10    Steering group to commission                                                    G         Team workload capacity
                                                             Director    Recovery Best Practice Forums
 272 Quality & Safety                 Working Age Adults     Service     PTS: Identifying packages of            Mar-10    Steering group to commission the                                                ARC       Resource intensive objective,
                                                             Director    treatment to give clarity to staff,               drafting of treatment packages                                                            could affect clinical work.
                                                                         clients and commissioners about
                                                                         length of treatments. This will be in
                                                                         preparation for PBR and will be
                                                                         negotiated with commissioners
 273 Quality & Safety                 Working Age Adults                 Prison In-reach: Deliver focused        Mar-10    Team to scope need and devise a                                                 ARC       Cooperation with prison regime
                                                                         group work for clients with dual                  programme of group work.
                                                                         diagnosis with identified outcome
                                                                         measures
 274 Quality & Safety                 Working Age Adults                 Prison In-reach: Review                 Mar-10    Team to implement programme of                                                  G         Team workload capacity
                                                                         operational policy                                review
 275 Quality & Safety                 Working Age Adults     Service     EDS: Reduce waiting list                Mar-10    Steering group to formulate action                                              ARC       Changes to service specification
                                                             Director                                                      plan with targets
 276 Quality & Safety                 Working Age Adults     Service     Accommodation services: Quality         Mar-10    Programme of quality monitoring                                                 G         May not be possible within
                                                             Director    of Accommodation and Support                      against agreed standards to be                                                            existing resources
                                                                                                                           commenced
 277 Quality & Safety                 Working Age Adults     Service     Accommodation services: Review          Mar-10    Review process in line with                                                     G         Full compliance may necessitate
                                                             Director    the Operational Policy                            supporting people requirements to be                                                      review of resources
                                                                                                                           initiated
 278 Using Better Information         Corporate Affairs      Head of     Workforce equipped with basic IT                  500+ receive basic IT training       % achieved                                 C11c      Full benefit of information
                                                           Information   skills                                                                                                                                      systems is not achieved.
                                                           Management
                                                            /Training
                                                            Manager
 279 Using Better Information         Corporate Affairs      Head of     Improve use of information in           Mar-08    Implement IM&T Strategy action plan Performance against                         C7f       Clinical care and management
                                                           Information   managing services                                 2008/09                             plans                                                 decisions are insufficiently
                                                           Management                                                                                                                                                supported by local information
 280 Using Better Information         Corporate Affairs      Head of     Full implementation of Clinical         Sep-08    Continue roll-out of Clinical Manager. Performance against   C7a                C7a       Single information system not in
                                                           Information   Manager                                           Run down George                        plans                                              place before NCRS
                                                           Management                                                                                                                                                implementation


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2gether NHS Foundation Trust
BUSINESS PLAN 09-10
Detailed Objectives

                Key Themes
      Getting the basics right
      Legislation & Governance
      Growth & Financial Efficiency
      Seeking Involvement
      Skilled Workforce
      Social Inclusion
      Quality & Safety
      Using better information


Ref   Theme                           SSU/ Directorate        Lead        Objective and outcome required         Target 2008/09 Action Plan to achieve       Supporting Indicators                Key milestones &          SBH Ref   Risk
                                                                                                                end date objective                                                                Quarter
 281 Using Better Information         Corporate Affairs      Head of      Stable PAS system                      Oct-08 Delivery of PAS merger and migration Performance against                  C7a                       C7a       PAS system collapse. Delay in
                                                           Information                                                   project plan                        plans                                                                    NCRS delivery
                                                           Management
 282 Using Better Information         Corporate Affairs    Director For   Deliver objectives under Rio           Apr-10   Deliver IT shared service elements of Deliver key objectives to         Performance against       C9        failure to deliver key elements
                                                             Internal     project plan                                    plan                                  the right quality and on          plan                                impacts on Rio project
                                                            Customer                                                                                            time
                                                             Services
 283 Using Better Information         Corporate Affairs    Information    Deliver RBAC                           Oct-09   Project plan                               Deliver key objectives to    Performance against       C9        failure to deliver key elements
                                                           Governance                                                                                                the right quality and on     plan                                impacts on Rio project
                                                            Manager                                                                                                  time
 284 Using Better Information         Corporate Affairs    Information    Deliver information warehouse          9-Nov    Project plan                               Deliver key objectives to    Performance against       C9        failure to deliver key elements
                                                            manager                                                                                                  the right quality and on     plan                                impacts on Rio project
                                                                                                                                                                     time
 285 Using Better Information         Finance & Commerce    Assistant     Improve ability to utilise cash        Dec-09   Document existing cash forecasting                                                                C7d
                                                            Director      balances available for capital or               procedures. Analyse predicative
                                                            Financial     revenue investment                              ability on cash for accuracy and
                                                            Accounts                                                      precision. Make recommendations for
                                                                                                                          improvement.
 286 Using Better Information         Finance & Commerce    Assistant     Co-ordinate an organisation wide       Jun-09   Research national and local awards,                                     Q1; activity monitored              Resource - copy writing, planning
                                                             Director     awards programme, supporting                    develop calendar, devise and deliver                                    each Q                              and allocation. Communicating
                                                             Comms        written nominations                             comms plan                                                                                                  value
 287 Using Better Information         Finance & Commerce    Assistant     Develop and implement the             May-09    Meet with RiO project Mgr to discuss                                    Q1; activity monitored              Appropriate guidance and
                                                             Director     communications plan for RiO                     plan, revise and submit to project                                      each Q                              assistance from project Board to
                                                             Comms                                                        board                                                                                                       complete plan
 288 Using Better Information         Finance & Commerce    Assistant     Develop method for analysing           Aug-09   Customer Liaison Manager to identify                                    Information sources                 Recruitment of Customer Liaison
                                                             Director     market to identify future health                areas to access information.                                            identified. Reports                 Manager
                                                            Business      care needs. Pass on information                 Produce update report quarterly.                                        produced
                                                           Development    to relevant SSU.
                                                           & Marketing
 289 Using Better Information         Finance & Commerce    Assistant     Develop method for horizon             Aug-09   Customer Liaison Manager to identify                                    Information sources                 Recruitment of Customer Liaison
                                                             Director     scanning for DH upcoming areas                  areas to access information.                                            identified. Reports                 Manager
                                                            Business      of focus. Pass on relevant                      Produce update report quarterly.                                        produced
                                                           Development    information to SSUs and Director
                                                           & Marketing    of Operations.
 290 Using Better Information         Finance & Commerce     Deputy       Improve use of financial               Mar-10   Explore linking financial and activity                                  Agree information needs             Activity & other non-financial
                                                            Director of   information                                     information for performance                                             and requirements -                  information may not be ready in
                                                             Finance                                                      management reports. Further develop                                     Quarter 2                           time to be incorporated into
                                                                                                                          predictive reference costs, by using                                                                        reports, need to ensure that the
                                                                                                                          budgeted activity. Use benchmarking                                                                         messages are consistent, need to
                                                                                                                          information to identify areas for action                                                                    ensure that information and not
                                                                                                                          and financial efficiency. Make more                                                                         data is provided
                                                                                                                          use of ESR reporting facilities

 291 Using Better Information         Human Resources        KH/SH        To continue to integrate service,      Oct-09   1) To input establishment into ESR.        1) Establishment in ESR                                D5a       Inaccurate information available.
                                                                          workforce and financial planning                2) to develop a process to maintain        Q1. 2) written process
                                                                          systems                                         and report on establishment.               agreed. Q2.
 292 Using Better Information         Human Resources          SH         To develop robust workforce           Mar-10    1)Implement OLM/TM 2) Develop and          1) Implement OLM/TM                                    D6,C9     Maximise the benefits from the
                                                                          information and intelligence                    implement project plan and time table      quarter 1 2) agree PID for                                       information system to support
                                                                          systems to enable the Trust to plan             for self service                           quarter 1                                                        management of the delivery of
                                                                          its workforce needs for the future                                                                                                                          services
                                                                          and to effectively manage its
                                                                          current workforce.




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2gether NHS Foundation Trust
BUSINESS PLAN 09-10
Detailed Objectives

                Key Themes
      Getting the basics right
      Legislation & Governance
      Growth & Financial Efficiency
      Seeking Involvement
      Skilled Workforce
      Social Inclusion
      Quality & Safety
      Using better information


Ref   Theme                           SSU/ Directorate            Lead       Objective and outcome required          Target 2008/09 Action Plan to achieve           Supporting Indicators            Key milestones &            SBH Ref    Risk
                                                                                                                    end date objective                                                                Quarter
 293 Using Better Information         Directorate Nursing,         JW        Ensure access to learning               Mar-10 Meet objectives set out in library       Audit of compliance via                                      C5c        failure to maintain current levels
                                      Social care and Allied                 resources thereby supporting staff              strategy under the following themes StHA                                                                        of funding leading to reduced
                                      Health professionals                   with CPD life long learning,                    1. accessibility 2. integration 3. user                                                                         access to learning resources
                                                                             evidence based practice and                     involvement 4. resources available
                                                                             management decision making
 294 Using Better Information         Directorate Nursing,         GB        Ensure robust processes for            ongoing    Ensure a schedule of internal review      Notification to SUI's to                                 C1a        Failure to learn from SUI's may
                                      Social care and Allied                 learning from SUIs continue to be                 meetings is in place. Provide timely      external stakeholders.                                              lead to poor practice and loss of
                                      Health professionals                   in place across the Trust                         feedback to the relevant SSU.             Minutes/recommendation                                              organisational reputation.
                                                                                                                               Provide support to staff involved in      from internal reviews
                                                                                                                               coroners hearings.
 295 Using Better Information         Directorate Nursing,       GB / NH    Establish robust methodology for         Dec-09    Review clinical audit workplan. Share     Clinical audit workplan                                  C1a        failure to learn from
                                      Social care and Allied                implementing the findings from                     findings from audits with SSUs on a                                                                           organisational audits mainly to a
                                      Health professionals                  clinical audit activity and promote                planned basis. SSUs to develop                                                                                breech of S4BH core and
                                                                            changes to practice as a                           implementation plans from findings.                                                                           developmental standards
                                                                            consequence
 296 Using Better Information         Human Resources            Service    Embrace information technology            Q4       1/ The development and rollout of         - Improved internal audits   1/ May 2009, Q1             C22        Medium - Failure to provide
                                      Occupational Health        Director   and information management to           2009/10    voice recognition systems to expedite     and the establishment of     2/ May 2009, Q1                        accurate feedback and data to
                                                               Chris Woon become a exemplar of modern and           (by Apr    the production, quality and               formal KPIs.                 3/ July 2009, Q2                       customers and peer professional
                                                               Assoc. Med. cutting edge occupational health          2010)     distribution of written information.      - Reduced waiting times.     4/ Jan 2010, Q4                        isolation.
                                                               Director Sue and NHS services. Better data                      2/ Full electronic archiving of all       - Improved efficiency in     5/ Apr 2010, Q4
                                                                   Hunt     audit and interpretation will exhibit              records and the daily digitisation        practice.                    6/ Oct 2009, Q3
                                                                            tangible benefits to purchasers to                 (scanning) of all hard copy material to   - Improved input and data    7/ July 2009, Q2
                                                                            prove value for money.                             establish                                 quality.                     8/ July 2009, Q2
                                                                                                                                                                         - Improved feedback from     9/ Sept 2009, Q2
                                                                                                                                                                         users, staff and             10/ Apr 2010, Q4
                                                                                                                                                                         managers.                    11, July 2009, Q2
                                                                                                                                                                         - Increased client
                                                                                                                                                                         retention and extension


 297 Using Better Information         Learning Disabilities      HOPs,       To ensure that data collection for      Aug-09    Work with clinicians and IT to                                                                     C7a,b,d,  data collected does not inform
                                                                managers     LD is appropriate and efficient                   minimise errors and promote                                                                        C11a, D3, KPI's, or information required to
                                                                                                                               recording that reflects the activity.                                                                        plan service development
 298 Using Better Information         Learning Disabilities    ST, HOPs,     Maximise the data available to          Dec-09    Work closely with the newly                                                                        D3, D6,   Poor data available to inform
                                                               managers      enable service planning, evaluate                 appointed data analyst to produce                                                                  C14, D8, service improvements
                                                                             client satisfaction and consider                  reports in the most insightful manner                                                              C17
                                                                             professional outcomes
 299 Using Better Information         Learning Disabilities      DF / MS     To use the newly appointed data         Jun-09    Use available data to predict suitable                                                             C7, D3,    Not able to produce timely and
                                                                             analyst to improve the data quality               activity or shortfall in resources                                                                 D5,        accurate data to inform new
                                                                             and make the information available                against current demand                                                                                        business due to systems and
                                                                             for business opportunities                                                                                                                                      recording.

 300 Using Better Information         Learning Disabilities      DF / MS     To be a pilot site for RIO, training    Mar-10    To ensure that SSU is ready to                                                                     C9, D6     IT systems not ready for main
                                                                             and manpower reserves                             engage as soon as necessary                                                                                   project when it comes live
                                                                             information
 301 Using Better Information         Mental Health                          Introduce new IT systems and                      1 Introduce RIO. 2.Improve & extend                                    1.Introduction of RIO in                                                    9
                                      Services for Older                     support MHSOP capacity to use                     data capture, retrieval and use                                        SSU as per Trust
                                      People                                 these to improve performance, and                 including the introduction of PLICS.                                   programme. 2.PLICS
                                                                             in line with Trustwide                            3. Introduce patient/carer satisfaction                                project established with
                                                                             developments.                                     reporting systems to all teams.                                        data capture activity
                                                                                                                                                                                                      supporting costing and
                                                                                                                                                                                                      coding initiatives by 4th
                                                                                                                                                                                                      quarter. 3.Tablets and
                                                                                                                                                                                                      Kiosks established in all
                                                                                                                                                                                                      areas by 4th quarter.


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2gether NHS Foundation Trust
BUSINESS PLAN 09-10
Detailed Objectives

                Key Themes
      Getting the basics right
      Legislation & Governance
      Growth & Financial Efficiency
      Seeking Involvement
      Skilled Workforce
      Social Inclusion
      Quality & Safety
      Using better information


Ref   Theme                           SSU/ Directorate          Lead         Objective and outcome required          Target 2008/09 Action Plan to achieve         Supporting Indicators   Key milestones &           SBH Ref   Risk
                                                                                                                    end date objective                                                     Quarter
 302 Using Better Information         Mental Health                          Develop information,                            1.Establish and implement a                                   1.Scoped in 1st quarter                                                 4
                                      Services for Older                     communication & marketing                       'Communication and Marketing                                  with action/infrastructure
                                      People                                 resources.                                      Strategy' to include better access to                         plan.
                                                                                                                             information for users, carers and
                                                                                                                             commissioners.
 303 Using Better Information         Child and Adolescent       SD          Improve data quality                    Mar-10 Line management processes will                                 Each staff member is                 Poor data quality could lead to
                                      Mental Health                                                                          encourage and monitor the quality of                          able to check that the               inaccurate analysis and reporting.
                                      Services                                                                               data inputting in teams.                                      data print off accurately            Staff performance issues will be
                                                                                                                                                                                           reflects activity. Team              crucial to success..
                                                                                                                                                                                           managers will exception
                                                                                                                                                                                           report on performance to
                                                                                                                                                                                           CAMHS board.
 304 Using Better Information         Child and Adolescent       SD          Capture all activity                             Work with professional leads &                               Tool developed and                    If current data collection services
                                      Mental Health                                                                           information department to develop a                          approved by BOCCA.                   are not able to capture this data.
                                      Services                                                                                simple non bureaucratic way of                               Tool piloted in teams.               Staff already feel that they are
                                                                                                                              capturing all non face to face clinical                                                           being asked to collect and record
                                                                                                                              activity e.g. liaison, consultation,                                                              too much data. Risk of not
                                                                                                                              safeguarding and advice.                                                                          capturing it is that we are unable
                                                                                                                                                                                                                                to accurately describe and cost
                                                                                                                                                                                                                                our activity as outlined in the
                                                                                                                                                                                                                                national CAMHS Review.
 305 Using Better Information         Substance Misuse          Service      Ensure the appropriate roll out of      May-09   Active engagement in the PCT led          ECMS in place
                                                             Director/IT &   ECMS                                             project
                                                             information
                                                             department
 306 Using Better Information         Substance Misuse           Team        Develop format for reporting team       Jun-09   1) team managers to identify items   Team level reporting
                                                              managers/      performance to management board                  they wish to report 2) identify data
                                                                Service      on a monthly basis to support ward               sets from the performance dash
                                                               Director      to board reporting                               board and IPR that can be reported
                                                                                                                              by team managers 3) agree report
                                                                                                                              format 4) Implement reporting 5)
                                                                                                                              evaluate effectiveness
 307 Using Better Information         Working Age Adults       Service       Trust Wide: Improve data quality        Mar-10   IPR review process to be                                                                 G        Current information system may
                                                               Director                                                       implemented across all teams, which                                                               to be able to capture all of
                                                                                                                              will ensure data is examined,                                                                     required data
                                                                                                                              analysed, appropriate conclusions
                                                                                                                              drawn and acted upon
 308 Using Better Information         Working Age Adults       Service       Trust Wide: Develop a method of         Mar-10   Dashboard data to be kept under                                                          G        Current information system may
                                                               Director      capturing all activity (not purely               review via IPR reviews                                                                            to be able to capture all of
                                                                             face to face activity)                                                                                                                             required data
 309 Using Better Information         Working Age Adults       Service       ACT: To ensure routine outcome          Mar-10   CSM to work with information                                                             CCE      Competing drivers for different
                                                               Director      measures such as CANSAS and                      department                                                                                        types of OM
                                                                             the Engagement Measure are
                                                                             incorporated into routine baseline
                                                                             assessments and data captured
                                                                             onto the IPR dashboard. To
                                                                             evaluate this through the SEAT
                                                                             Study.
 310 Using Better Information         Working Age Adults       Service       ACT: To participate in the national     Mar-10   WAMB to support                                                                          CCE      Team workload capacity
                                                               Director      REFOCUS study planned for
                                                                             October 2009.
 311 Using Better Information         Working Age Adults       Service       EI: To evaluate referral patterns       Mar-10   Steering Group                                                                           CCE      Access to reliable information
                                                               Director
 312 Using Better Information         Working Age Adults       Service       EI: Participation in Refocus Study      Mar-10   WAMB to support                                                                          CCE      Team workload capacity
                                                               Director


                                                                                                    D:\Docstoc\Working\pdf\52160e1d-fc71-4429-898d-863ec2177a02.xls                                                                                  35 of ]36
2gether NHS Foundation Trust
BUSINESS PLAN 09-10
Detailed Objectives

                Key Themes
      Getting the basics right
      Legislation & Governance
      Growth & Financial Efficiency
      Seeking Involvement
      Skilled Workforce
      Social Inclusion
      Quality & Safety
      Using better information


Ref   Theme                           SSU/ Directorate      Lead      Objective and outcome required          Target 2008/09 Action Plan to achieve         Supporting Indicators   Key milestones &   SBH Ref   Risk
                                                                                                             end date objective                                                     Quarter
 313 Using Better Information         Working Age Adults   Service    Recovery Teams: Participation in        Mar-10 WAMB to support                                                                   CCE       Team workload capacity
                                                           Director   the Refocus Study
 314 Using Better Information         Working Age Adults   Service    Prison In-reach: Develop/identify      Mar-10   Team to collaborate with Recovery                                                CCE       Team workload capacity
                                                           Director   outcome measures to demonstrate                 Steering Group
                                                                      impact of clinical interventions
                                                                      .This could be in collaboration with
                                                                      the recovery teams

 315 Using Better Information         Working Age Adults   Service    CJLS: Develop information /data        Mar-10   Steering group to scope need,                                                    CCE       IT infrastructure will change
                                                           Director   requirements for collection on                  consider best practice, liaise with                                                        during this period
                                                                      clinical manager                                other specialities and information
                                                                                                                      department
 316 Using Better Information         Working Age Adults   Service    CJLS: Develop operational policy       Mar-10   Steering group to commission draft                                               CCE       Team workload capacity
                                                           Director   and outcome measurements                        policy




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Description: Business Letter Templates for Poor Performance document sample