Walsall Transformational Change Programme

1
Programme Aims

• To develop a whole systems benefits realisation
  framework and dashboard across the
• Urgent Care, LTC and 18 Weeks Referral to
  Treatment programmes, ensuring that
• Programmes of benefits led transformational
  change are delivered
• The PCT grows capability to deliver change and
  realise benefits

Walsall Transformational Change Programme
Commissioners Walsall tPCT, PBC
clusters Providers Walsall tPCT (community
services), Walsall Hospitals Trust, Walsall
Social Care Inclusion, West Midlands Ambulance
Service, WALDOC (OOH GPs), Third Sector
Providers Population 253,000
Outcomes

• Programme Delivery Outcomes
• The 18 week RTT target will be met in December
  2007
• Sustain 18 W RTT target by development of new VFM
  pathways by April 2009
• Reduction in hospital beds to support PFI
  development by October 2007
• LTC VFM pathways delivering care closer to home
• Delivery of new Urgent Care Model
• Capability Outcomes
• Benefits and measures will be agreed across all
  three programmes
• A benefits dashboard and realisation framework
  will be developed
• ISIP will be mainstreamed

• Programme Delivery Benefits
• Capability benefits
• Improved capability to deliver transformed change

Benefits
Measures

• Examples of Programme Delivery Measures
• Patient experience using patient diaries
• Cost of redesigned pathways
• Business efficiency measures e.g. 18 weeks RTT
• Capability Measures
• Measurement of capability using maturity model
  assessment
• Baseline 1-2 Target of level 4 by April 2008

2
Walsall Whole System Transformational Change
Programme

• Sept 07 Progress to date
• Programme Delivery Progress
• Development of the service model and business
  case for Urgent Care to be agreed in September.
  Financial modelling of 2 options is underway
• In the 18 wk RTT programme
• The hospital divisions are working to stage of
  treatment trajectories and action plans to meet
  the target by December 2007
• Development of clinic outcome recording processes
  and PAS upgrade is ongoing to enable measurement
  of the target
• Case note audit, pathway redesign, development of
  booking processes and workforce redesign is
  ongoing to support the 18 week pathway
• On track to close beds to support PFI development
  by redesign of stroke services, streamlining
  hospital processes and discharge processes
• The LTC programme review is underway to define
  next stage of programme to include unbundling of
  tariff for stroke and model for respiratory care
• Capability Development Progress
• Programme level benefits and metrics are
  developing and the approach to developing a LHC
  benefits dashboard has been agreed
• New programmes are being incorporated, including
  Health and Well Being and Infant Mortality
• Mainstreaming proposals all change projects
  whether within the ISIP programme or not will be
  managed using consistent processes

• April 07 Milestones
• Building capacity and capability
• Programme Managers in post
• MSP training delivered
• Benefits metrics review
• Agree service model urgent care
• Agree service model 18 wks RTT
• Project delivery tranche 1 LTC
• Review of PPI communications

• June 07 Milestones
• Detailed Analysis Design
• Delivery against 18 Week action plans
• 18 week stage of treatment trajectory
• Business case for Urgent Care
• Reduction in stroke beds to start
• Development of benefits dashboard

• September 07 Milestones
• Programme implementation
• LTC tranche 1 completes in October
• Financial modelling Urgent Care
• Urgent Care case mix audit
• Implement 18 wks RTT model
• Initiate demand management programmes
• Dashboard complete

Local Contacts ISIP and LTC Lead Andrea Bigmore
andrea.bigmore_at_walsall.nhs.uk 18 Weeks
Lead Mark Lane mark.lane_at_walsall.nhs.uk Urgen
t Care Lead Simon Gartland simon.gartland_at_walsall
.nhs.uk