Integrated Workforce Planning Board Perspective

1
Integrated Workforce Planning Board Perspective

• Elaine Vanhegan Head of Performance NHS Forth
  Valley
• Andy Goor Deputy Director of Finance NHS
  Lanarkshire
• Louise Hamill Head of Workforce Planning
  Development NHS Forth Valley

2
Performance
3
Content

• The planning perspective
• The LDP context
• Local Development
• The way ahead

4
The approach .

• Aim of integrated approach to finance/ planning/
  workforce welcomed.
• Is the LDP approach enough?
• Does it cover the workforce?

5
Context of LDPs

• LDPs cover 60 of NHS Board spend
• Increasing complexity 2006 to 2008
• Targets cross link through HEAT framework
• Impact and links with Single Outcome Agreements
  new issue

6
Key Performance Measures HEAT Specifics 30
Targets 35 Measures

• Access
• Primary Care 48hr
• RTT O/P over 15 wks(12) I/P over 15wks( 12)
• 62 Day Cancer tgt
• AE 4 hr ( and AE attendance)
• Diagnostics
• Previous years
• Cataract journey, Cardiology, New Ways

• Health
• Health Inequalities CHD
• Smoking cessation
• Immunisations MMR
• Suicide rates
• Alcohol interventions
• Dental Registration
• Breast feeding

• Efficiency
• CHI Useage
• Absences (Annual)
• Projected revenue out-turn Mthly.
• Efficiency savings Em I/P, LoS, NR, DNAs
• Finance performance
• On line triage

• Treatment
• Delayed Discharges
• Emergency Readmissions 65yrs/beddays
• Psychiatric readmissions
• NHS QIS - CG RM
• HAI ( MRSA MSSA)
• Antidepressant prescribing
• Long Term Conditions
• Care for Older Peoples needs at home
• Dementia diagnosis

7
(No Transcript)
8
LDPs and the workforce - challenges

• Timing turnaround for submissions
• Cross linkage makes planning for 1 target complex
• Key focus is ownership and embedding of targets
  challenge to slice the workforce unnaturally

9
Local Development

• FV Integrated Healthcare Strategy the
  imperative
• Integration of plans and targets - the main
  focus
• Aligning priorities BHBC, LDP, Corporate Plans
• Financial context critical parameters set for
  workforce
• Strategic Map approach

10
Improving Health Healthcare in Forth
Valley Integrated Healthcare Strategy
Vision
LHP
BHBC
LDP
LDP
BHBC
LHP

• Supporting delivery

• Healthcare Strategy
• Workforce modernisation
• Pharmacy
• Complex Care
• Palliative Care
• CHP development
• Primary Care development

• Linkage to all targets to modernise services to
  deliver

• Health inequalities CHD
• Dental registrations
• Healthy weight of children
• Alcohol brief intervention
• Suicide prevention
• Smoking cessation
• Breastfeeding
• Teenage pregnancy
• Childhood vaccines

• Inequalities taskforce
• Enabling health service
• Early years

• Substance misuse alcohol
• Child health
• Physical disability
• Sexual health
• Learning disability
• Oral health
• Maternity services
• Health protection
• Civil contingencies

• Third sector

L
H
P

• Leadership

P
H
development
L
B
C
H
B
B
C
H
B
L
D
P
P
D
L
Modernising Services
Improving the Health of the Population

• CHI use
• Sickness absence
• KSF PDPs
• LOS Em
• Out patient no return
• Finance
• Cash efficiency
• On line triage

• Financial balance
• e health telehealth
• Pay modernisation
• Regional Planning
• Benchmarking

• Productivity Efficiency Programme
• tariffs
• Consultant time
• Best value
• MCNs

• Primary Care access
• 62 day career
• O/P 15 weeks
• I/P 15 weeks
• 6 week diagnostic
• AE attendance
• AE 4 hour wait
• Hip
• Cataracts

• 18 week journey 2011
• Unscheduled care
• Expand emergency care summary
• See treat
• Rapid response

• Planned care
• Capacity management
• Renal services
• CHD
• Stroke
• Diabetes
• Planned Care
• Cancer

HEALTH
EFFICIENCY
ACCESS
Improving Capacity Access across Forth
Valley
Ensuring effective use of resources

• Patient Centred Care Services
• Partnership
• National Outcomes

TREATMENT
Improving the Quality of Patient Care
LDP
BHBC
LHP

• Dementia

• Dementia collaborative
• Improving experience
• 5 steps to LTC SPARRA
• Carers
• Patient information
• Rehabilitation
• National Patient Safety Alliance

• HAI
• Patient experience patient safety
• Mental health (MHDP)
• Older people
• Equality diversity
• Delayed discharge
• Cervical screening
• PFPI

• Multiple readmission 65

• Reduction in bed days

• QIS Clinical Governance Risk Management

• Prescribing antidepressants

• Reduction in psychiatric admissions

• HAI

• Admission for long term conditions

• Healthcare experience

PATIENT CENTRED
Improvement Pillars
EQUITY
EFFICIENT
SAFE
TIMELY
EFFECTIVE
Performance Improvement Risk Management Finance
management Individual Objectives
11
Improving Health Healthcare in Forth
Valley Integrated Healthcare Strategy
Vision
LHP
BHBC
LDP
LDP
BHBC
LHP

• Supporting delivery

• Healthcare Strategy
• Workforce modernisation
• Pharmacy
• Complex Care
• Palliative Care
• CHP development
• Primary Care development

• Linkage to all targets to modernise services to
  deliver

• Health inequalities CHD
• Dental registrations
• Healthy weight of children
• Alcohol brief intervention
• Suicide prevention
• Smoking cessation
• Breastfeeding
• Teenage pregnancy
• Childhood vaccines

• Inequalities taskforce
• Enabling health service
• Early years

• Substance misuse alcohol
• Child health
• Physical disability
• Sexual health
• Learning disability
• Oral health
• Maternity services
• Health protection
• Civil contingencies

• Third sector

L
H
P

• Leadership

P
H
development
L
B
C
H
B
B
C
H
B
L
D
P
P
D
L
Modernising Services
Improving the Health of the Population

• CHI use
• Sickness absence
• KSF PDPs
• LOS Em
• Out patient no return
• Finance
• Cash efficiency
• On line triage

• Financial balance
• e health telehealth
• Pay modernisation
• Regional Planning
• Benchmarking

• Productivity Efficiency Programme
• tariffs
• Consultant time
• Best value
• MCNs

• Primary Care access
• 62 day career
• O/P 15 weeks
• I/P 15 weeks
• 6 week diagnostic
• AE attendance
• AE 4 hour wait
• Hip
• Cataracts

• 18 week journey 2011
• Unscheduled care
• Expand emergency care summary
• See treat
• Rapid response

• Planned care
• Capacity management
• Renal services
• CHD
• Stroke
• Diabetes
• Planned Care
• Cancer

HEALTH
EFFICIENCY
ACCESS
Improving Capacity Access across Forth
Valley
Ensuring effective use of resources

• Patient Centred Care Services
• Partnership
• National Outcomes

TREATMENT
Improving the Quality of Patient Care
LDP
BHBC
LHP

• Dementia

• Dementia collaborative
• Improving experience
• 5 steps to LTC SPARRA
• Carers
• Patient information
• Rehabilitation
• National Patient Safety Alliance

• HAI
• Patient experience patient safety
• Mental health (MHDP)
• Older people
• Equality diversity
• Delayed discharge
• Cervical screening
• PFPI

• Multiple readmission 65

• Reduction in bed days

• QIS Clinical Governance Risk Management

• Prescribing antidepressants

• Reduction in psychiatric admissions

• HAI

• Admission for long term conditions

• Healthcare experience

PATIENT CENTRED
Improvement Pillars
EQUITY
EFFICIENT
SAFE
TIMELY
EFFECTIVE
Performance Improvement Risk Management Finance
management Individual Objectives
12
Improving Health Healthcare in Forth
Valley Integrated Healthcare Strategy
Vision
LHP
BHBC
LDP
LDP
BHBC
LHP

• Supporting delivery

• Healthcare Strategy
• Workforce modernisation
• Pharmacy
• Complex Care
• Palliative Care
• CHP development
• Primary Care development

• Linkage to all targets to modernise services to
  deliver

• Health inequalities CHD
• Dental registrations
• Healthy weight of children
• Alcohol brief intervention
• Suicide prevention
• Smoking cessation
• Breastfeeding
• Teenage pregnancy
• Childhood vaccines

• Inequalities taskforce
• Enabling health service
• Early years

• Substance misuse alcohol
• Child health
• Physical disability
• Sexual health
• Learning disability
• Oral health
• Maternity services
• Health protection
• Civil contingencies

• Third sector

L
H
P

• Leadership

P
H
development
L
B
C
H
B
B
C
H
B
L
D
P
P
D
L
Modernising Services
Improving the Health of the Population

• CHI use
• Sickness absence
• KSF PDPs
• LOS Em
• Out patient no return
• Finance
• Cash efficiency
• On line triage

• Financial balance
• e health telehealth
• Pay modernisation
• Regional Planning
• Benchmarking

• Productivity Efficiency Programme
• tariffs
• Consultant time
• Best value
• MCNs

• Primary Care access
• 62 day career
• O/P 15 weeks
• I/P 15 weeks
• 6 week diagnostic
• AE attendance
• AE 4 hour wait
• Hip
• Cataracts

• 18 week journey 2011
• Unscheduled care
• Expand emergency care summary
• See treat
• Rapid response

• Planned care
• Capacity management
• Renal services
• CHD
• Stroke
• Diabetes
• Planned Care
• Cancer

HEALTH
EFFICIENCY
ACCESS
Improving Capacity Access across Forth
Valley
Ensuring effective use of resources

• Patient Centred Care Services
• Partnership
• National Outcomes

TREATMENT
Improving the Quality of Patient Care
LDP
BHBC
LHP

• Dementia

• Dementia collaborative
• Improving experience
• 5 steps to LTC SPARRA
• Carers
• Patient information
• Rehabilitation
• National Patient Safety Alliance

• HAI
• Patient experience patient safety
• Mental health (MHDP)
• Older people
• Equality diversity
• Delayed discharge
• Cervical screening
• PFPI

• Multiple readmission 65

• Reduction in bed days

• QIS Clinical Governance Risk Management

• Prescribing antidepressants

• Reduction in psychiatric admissions

• HAI

• Admission for long term conditions

• Healthcare experience

PATIENT CENTRED
Improvement Pillars
EQUITY
EFFICIENT
SAFE
TIMELY
EFFECTIVE
Performance Improvement Risk Management Finance
management Individual Objectives
13
Improving Health Healthcare in Forth
Valley Integrated Healthcare Strategy
Vision
LHP
BHBC
LDP
LDP
BHBC
LHP

• Supporting delivery

• Healthcare Strategy
• Workforce modernisation
• Pharmacy
• Complex Care
• Palliative Care
• CHP development
• Primary Care development

• Linkage to all targets to modernise services to
  deliver

• Health inequalities CHD
• Dental registrations
• Healthy weight of children
• Alcohol brief intervention
• Suicide prevention
• Smoking cessation
• Breastfeeding
• Teenage pregnancy
• Childhood vaccines

• Inequalities taskforce
• Enabling health service
• Early years

• Substance misuse alcohol
• Child health
• Physical disability
• Sexual health
• Learning disability
• Oral health
• Maternity services
• Health protection
• Civil contingencies

• Third sector

L
H
P

• Leadership

P
H
development
L
B
C
H
B
B
C
H
B
L
D
P
P
D
L
Modernising Services
Improving the Health of the Population

• CHI use
• Sickness absence
• KSF PDPs
• LOS Em
• Out patient no return
• Finance
• Cash efficiency
• On line triage

• Financial balance
• e health telehealth
• Pay modernisation
• Regional Planning
• Benchmarking

• Productivity Efficiency Programme
• tariffs
• Consultant time
• Best value
• MCNs

• Primary Care access
• 62 day career
• O/P 15 weeks
• I/P 15 weeks
• 6 week diagnostic
• AE attendance
• AE 4 hour wait
• Hip
• Cataracts

• 18 week journey 2011
• Unscheduled care
• Expand emergency care summary
• See treat
• Rapid response

• Planned care
• Capacity management
• Renal services
• CHD
• Stroke
• Diabetes
• Planned Care
• Cancer

HEALTH
EFFICIENCY
ACCESS
Improving Capacity Access across Forth
Valley
Ensuring effective use of resources

• Patient Centred Care Services
• Partnership
• National Outcomes

TREATMENT
Improving the Quality of Patient Care
LDP
BHBC
LHP

• Dementia

• Dementia collaborative
• Improving experience
• 5 steps to LTC SPARRA
• Carers
• Patient information
• Rehabilitation
• National Patient Safety Alliance

• HAI
• Patient experience patient safety
• Mental health (MHDP)
• Older people
• Equality diversity
• Delayed discharge
• Cervical screening
• PFPI

• Multiple readmission 65

• Reduction in bed days

• QIS Clinical Governance Risk Management

• Prescribing antidepressants

• Reduction in psychiatric admissions

• HAI

• Admission for long term conditions

• Healthcare experience

PATIENT CENTRED
Improvement Pillars
EQUITY
EFFICIENT
SAFE
TIMELY
EFFECTIVE
Performance Improvement Risk Management Finance
management Individual Objectives
14
Improving Health Healthcare in Forth
Valley Integrated Healthcare Strategy
Vision
LHP
BHBC
LDP
LDP
BHBC
LHP

• Supporting delivery

• Healthcare Strategy
• Workforce modernisation
• Pharmacy
• Complex Care
• Palliative Care
• CHP development
• Primary Care development

• Linkage to all targets to modernise services to
  deliver

• Health inequalities CHD
• Dental registrations
• Healthy weight of children
• Alcohol brief intervention
• Suicide prevention
• Smoking cessation
• Breastfeeding
• Teenage pregnancy
• Childhood vaccines

• Inequalities taskforce
• Enabling health service
• Early years

• Substance misuse alcohol
• Child health
• Physical disability
• Sexual health
• Learning disability
• Oral health
• Maternity services
• Health protection
• Civil contingencies

• Third sector

L
H
P

• Leadership

P
H
development
L
B
C
H
B
B
C
H
B
L
D
P
P
D
L
Modernising Services
Improving the Health of the Population

• CHI use
• Sickness absence
• KSF PDPs
• LOS Em
• Out patient no return
• Finance
• Cash efficiency
• On line triage

• Financial balance
• e health telehealth
• Pay modernisation
• Regional Planning
• Benchmarking

• Productivity Efficiency Programme
• tariffs
• Consultant time
• Best value
• MCNs

• Primary Care access
• 62 day career
• O/P 15 weeks
• I/P 15 weeks
• 6 week diagnostic
• AE attendance
• AE 4 hour wait
• Hip
• Cataracts

• 18 week journey 2011
• Unscheduled care
• Expand emergency care summary
• See treat
• Rapid response

• Planned care
• Capacity management
• Renal services
• CHD
• Stroke
• Diabetes
• Planned Care
• Cancer

HEALTH
EFFICIENCY
ACCESS
Improving Capacity Access across Forth
Valley
Ensuring effective use of resources

• Patient Centred Care Services
• Partnership
• National Outcomes

TREATMENT
Improving the Quality of Patient Care
LDP
BHBC
LHP

• Dementia

• Dementia collaborative
• Improving experience
• 5 steps to LTC SPARRA
• Carers
• Patient information
• Rehabilitation
• National Patient Safety Alliance

• HAI
• Patient experience patient safety
• Mental health (MHDP)
• Older people
• Equality diversity
• Delayed discharge
• Cervical screening
• PFPI

• Multiple readmission 65

• Reduction in bed days

• QIS Clinical Governance Risk Management

• Prescribing antidepressants

• Reduction in psychiatric admissions

• HAI

• Admission for long term conditions

• Healthcare experience

PATIENT CENTRED
Improvement Pillars
EQUITY
EFFICIENT
SAFE
TIMELY
EFFECTIVE
Performance Improvement Risk Management Finance
management Individual Objectives
15
Improving Health Healthcare in Forth
Valley Integrated Healthcare Strategy
Vision
LHP
BHBC
LDP
LDP
BHBC
LHP

• Supporting delivery

• Healthcare Strategy
• Workforce modernisation
• Pharmacy
• Complex Care
• Palliative Care
• CHP development
• Primary Care development

• Linkage to all targets to modernise services to
  deliver

• Health inequalities CHD
• Dental registrations
• Healthy weight of children
• Alcohol brief intervention
• Suicide prevention
• Smoking cessation
• Breastfeeding
• Teenage pregnancy
• Childhood vaccines

• Inequalities taskforce
• Enabling health service
• Early years

• Substance misuse alcohol
• Child health
• Physical disability
• Sexual health
• Learning disability
• Oral health
• Maternity services
• Health protection
• Civil contingencies

• Third sector

L
H
P

• Leadership

P
H
development
L
B
C
H
B
B
C
H
B
L
D
P
P
D
L
Modernising Services
Improving the Health of the Population

• CHI use
• Sickness absence
• KSF PDPs
• LOS Em
• Out patient no return
• Finance
• Cash efficiency
• On line triage

• Financial balance
• e health telehealth
• Pay modernisation
• Regional Planning
• Benchmarking

• Productivity Efficiency Programme
• tariffs
• Consultant time
• Best value
• MCNs

• Primary Care access
• 62 day career
• O/P 15 weeks
• I/P 15 weeks
• 6 week diagnostic
• AE attendance
• AE 4 hour wait
• Hip
• Cataracts

• 18 week journey 2011
• Unscheduled care
• Expand emergency care summary
• See treat
• Rapid response

• Planned care
• Capacity management
• Renal services
• CHD
• Stroke
• Diabetes
• Planned Care
• Cancer

HEALTH
EFFICIENCY
ACCESS
Improving Capacity Access across Forth
Valley
Ensuring effective use of resources

• Patient Centred Care Services
• Partnership
• National Outcomes

TREATMENT
Improving the Quality of Patient Care
LDP
BHBC
LHP

• Dementia

• Dementia collaborative
• Improving experience
• 5 steps to LTC SPARRA
• Carers
• Patient information
• Rehabilitation
• National Patient Safety Alliance

• HAI
• Patient experience patient safety
• Mental health (MHDP)
• Older people
• Equality diversity
• Delayed discharge
• Cervical screening
• PFPI

• Multiple readmission 65

• Reduction in bed days

• QIS Clinical Governance Risk Management

• Prescribing antidepressants

• Reduction in psychiatric admissions

• HAI

• Admission for long term conditions

• Healthcare experience

PATIENT CENTRED
Improvement Pillars
EQUITY
EFFICIENT
SAFE
TIMELY
EFFECTIVE
Performance Improvement Risk Management Finance
management Individual Objectives
16
Improving Health Healthcare in Forth
Valley Integrated Healthcare Strategy
Vision
LHP
BHBC
LDP
LDP
BHBC
LHP

• Supporting delivery

• Healthcare Strategy
• Workforce modernisation
• Pharmacy
• Complex Care
• Palliative Care
• CHP development
• Primary Care development

• Linkage to all targets to modernise services to
  deliver

• Health inequalities CHD
• Dental registrations
• Healthy weight of children
• Alcohol brief intervention
• Suicide prevention
• Smoking cessation
• Breastfeeding
• Teenage pregnancy
• Childhood vaccines

• Inequalities taskforce
• Enabling health service
• Early years

• Substance misuse alcohol
• Child health
• Physical disability
• Sexual health
• Learning disability
• Oral health
• Maternity services
• Health protection
• Civil contingencies

• Third sector

L
H
P

• Leadership

P
H
development
L
B
C
H
B
B
C
H
B
L
D
P
P
D
L
Modernising Services
Improving the Health of the Population

• CHI use
• Sickness absence
• KSF PDPs
• LOS Em
• Out patient no return
• Finance
• Cash efficiency
• On line triage

• Financial balance
• e health telehealth
• Pay modernisation
• Regional Planning
• Benchmarking

• Productivity Efficiency Programme
• tariffs
• Consultant time
• Best value
• MCNs

• Primary Care access
• 62 day career
• O/P 15 weeks
• I/P 15 weeks
• 6 week diagnostic
• AE attendance
• AE 4 hour wait
• Hip
• Cataracts

• 18 week journey 2011
• Unscheduled care
• Expand emergency care summary
• See treat
• Rapid response

• Planned care
• Capacity management
• Renal services
• CHD
• Stroke
• Diabetes
• Planned Care
• Cancer

HEALTH
EFFICIENCY
ACCESS
Improving Capacity Access across Forth
Valley
Ensuring effective use of resources

• Patient Centred Care Services
• Partnership
• National Outcomes

TREATMENT
Improving the Quality of Patient Care
LDP
BHBC
LHP

• Dementia

• Dementia collaborative
• Improving experience
• 5 steps to LTC SPARRA
• Carers
• Patient information
• Rehabilitation
• National Patient Safety Alliance

• HAI
• Patient experience patient safety
• Mental health (MHDP)
• Older people
• Equality diversity
• Delayed discharge
• Cervical screening
• PFPI

• Multiple readmission 65

• Reduction in bed days

• QIS Clinical Governance Risk Management

• Prescribing antidepressants

• Reduction in psychiatric admissions

• HAI

• Admission for long term conditions

• Healthcare experience

PATIENT CENTRED
Improvement Pillars
EQUITY
EFFICIENT
SAFE
TIMELY
EFFECTIVE
Performance Improvement Risk Management Finance
management Individual Objectives
17
Improving Health Healthcare in Forth
Valley Integrated Healthcare Strategy
Vision
LHP
BHBC
LDP
LDP
BHBC
LHP

• Supporting delivery

• Healthcare Strategy
• Workforce modernisation
• Pharmacy
• Complex Care
• Palliative Care
• CHP development
• Primary Care development

• Linkage to all targets to modernise services to
  deliver

• Health inequalities CHD
• Dental registrations
• Healthy weight of children
• Alcohol brief intervention
• Suicide prevention
• Smoking cessation
• Breastfeeding
• Teenage pregnancy
• Childhood vaccines

• Inequalities taskforce
• Enabling health service
• Early years

• Substance misuse alcohol
• Child health
• Physical disability
• Sexual health
• Learning disability
• Oral health
• Maternity services
• Health protection
• Civil contingencies

• Third sector

L
H
P

• Leadership

P
H
development
L
B
C
H
B
B
C
H
B
L
D
P
P
D
L
Modernising Services
Improving the Health of the Population

• CHI use
• Sickness absence
• KSF PDPs
• LOS Em
• Out patient no return
• Finance
• Cash efficiency
• On line triage

• Financial balance
• e health telehealth
• Pay modernisation
• Regional Planning
• Benchmarking

• Productivity Efficiency Programme
• tariffs
• Consultant time
• Best value
• MCNs

• Primary Care access
• 62 day cancer
• O/P 15 weeks
• I/P 15 weeks
• 6 week diagnostic
• AE attendance
• AE 4 hour wait
• Hip
• Cataracts

• 18 week journey 2011
• Unscheduled care
• Expand emergency care summary
• See treat
• Rapid response

• Planned care
• Capacity management
• Renal services
• CHD
• Stroke
• Diabetes
• Planned Care
• Cancer

HEALTH
EFFICIENCY
ACCESS
Improving Capacity Access across Forth
Valley
Ensuring effective use of resources

• Patient Centred Care Services
• Partnership
• National Outcomes

TREATMENT
Improving the Quality of Patient Care
LDP
BHBC
LHP

• Dementia

• Dementia collaborative
• Improving experience
• 5 steps to LTC SPARRA
• Carers
• Patient information
• Rehabilitation
• National Patient Safety Alliance

• HAI
• Patient experience patient safety
• Mental health (MHDP)
• Older people
• Equality diversity
• Delayed discharge
• Cervical screening
• PFPI

• Multiple readmission 65

• Reduction in bed days

• QIS Clinical Governance Risk Management

• Prescribing antidepressants

• Reduction in psychiatric admissions

• HAI

• Admission for long term conditions

• Healthcare experience

PATIENT CENTRED
Improvement Pillars
EQUITY
EFFICIENT
SAFE
TIMELY
EFFECTIVE
Performance Improvement Risk Management Finance
management Individual Objectives
18
Improving Health Healthcare in Forth
Valley Integrated Healthcare Strategy
Vision
LHP
BHBC
LDP
LDP
BHBC
LHP

• Supporting delivery

• Healthcare Strategy
• Workforce modernisation
• Pharmacy
• Complex Care
• Palliative Care
• CHP development
• Primary Care development

• Linkage to all targets to modernise services to
  deliver

• Health inequalities CHD
• Dental registrations
• Healthy weight of children
• Alcohol brief intervention
• Suicide prevention
• Smoking cessation
• Breastfeeding
• Teenage pregnancy
• Childhood vaccines

• Inequalities taskforce
• Enabling health service
• Early years

• Substance misuse alcohol
• Child health
• Physical disability
• Sexual health
• Learning disability
• Oral health
• Maternity services
• Health protection
• Civil contingencies

• Third sector

L
H
P

• Leadership

P
H
development
L
B
C
H
B
B
C
H
B
L
D
P
P
D
L
Modernising Services
Improving the Health of the Population

• CHI use
• Sickness absence
• KSF PDPs
• LOS Em
• Out patient no return
• Finance
• Cash efficiency
• On line triage

• Financial balance
• e health telehealth
• Pay modernisation
• Regional Planning
• Benchmarking

• Productivity Efficiency Programme
• tariffs
• Consultant time
• Best value
• MCNs

• Primary Care access
• 62 day career
• O/P 15 weeks
• I/P 15 weeks
• 6 week diagnostic
• AE attendance
• AE 4 hour wait
• Hip
• Cataracts

• 18 week journey 2011
• Unscheduled care
• Expand emergency care summary
• See treat
• Rapid response

• Planned care
• Capacity management
• Renal services
• CHD
• Stroke
• Diabetes
• Planned Care
• Cancer

HEALTH
EFFICIENCY
ACCESS
Improving Capacity Access across Forth
Valley
Ensuring effective use of resources

• Patient Centred Care Services
• Partnership
• National Outcomes

TREATMENT
Improving the Quality of Patient Care
LDP
BHBC
LHP

• Dementia

• Dementia collaborative
• Improving experience
• 5 steps to LTC SPARRA
• Carers
• Patient information
• Rehabilitation
• National Patient Safety Alliance

• HAI
• Patient experience patient safety
• Mental health (MHDP)
• Older people
• Equality diversity
• Delayed discharge
• Cervical screening
• PFPI

• Multiple readmission 65

• Reduction in bed days

• QIS Clinical Governance Risk Management

• Prescribing antidepressants

• Reduction in psychiatric admissions

• HAI

• Admission for long term conditions

• Healthcare experience

PATIENT CENTRED
Improvement Pillars
EQUITY
EFFICIENT
SAFE
TIMELY
EFFECTIVE
Performance Improvement Risk Management Finance
management Individual Objectives
19
Improving Health Healthcare in Forth
Valley Integrated Healthcare Strategy
Vision
LHP
BHBC
LDP
LDP
BHBC
LHP

• Supporting delivery

• Healthcare Strategy
• Workforce modernisation
• Pharmacy
• Complex Care
• Palliative Care
• CHP development
• Primary Care development

• Linkage to all targets to modernise services to
  deliver

• Health inequalities CHD
• Dental registrations
• Healthy weight of children
• Alcohol brief intervention
• Suicide prevention
• Smoking cessation
• Breastfeeding
• Teenage pregnancy
• Childhood vaccines

• Inequalities taskforce
• Enabling health service
• Early years

• Substance misuse alcohol
• Child health
• Physical disability
• Sexual health
• Learning disability
• Oral health
• Maternity services
• Health protection
• Civil contingencies

• Third sector

L
H
P

• Leadership

P
H
development
L
B
C
H
B
B
C
H
B
L
D
P
P
D
L
Modernising Services
Improving the Health of the Population

• CHI use
• Sickness absence
• KSF PDPs
• LOS Em
• Out patient no return
• Finance
• Cash efficiency
• On line triage

• Financial balance
• e health telehealth
• Pay modernisation
• Regional Planning
• Benchmarking

• Productivity Efficiency Programme
• tariffs
• Consultant time
• Best value
• MCNs

• Primary Care access
• 62 day career
• O/P 15 weeks
• I/P 15 weeks
• 6 week diagnostic
• AE attendance
• AE 4 hour wait
• Hip
• Cataracts

• 18 week journey 2011
• Unscheduled care
• Expand emergency care summary
• See treat
• Rapid response

• Planned care
• Capacity management
• Renal services
• CHD
• Stroke
• Diabetes
• Planned Care
• Cancer

HEALTH
EFFICIENCY
ACCESS
Improving Capacity Access across Forth
Valley
Ensuring effective use of resources

• Patient Centred Care Services
• Partnership
• National Outcomes

TREATMENT
Improving the Quality of Patient Care
LDP
BHBC
LHP

• Dementia

• Dementia collaborative
• Improving experience
• 5 steps to LTC SPARRA
• Carers
• Patient information
• Rehabilitation
• National Patient Safety Alliance

• HAI
• Patient experience patient safety
• Mental health (MHDP)
• Older people
• Equality diversity
• Delayed discharge
• Cervical screening
• PFPI

• Multiple readmission 65

• Reduction in bed days

• QIS Clinical Governance Risk Management

• Prescribing antidepressants

• Reduction in psychiatric admissions

• HAI

• Admission for long term conditions

• Healthcare experience

PATIENT CENTRED
Improvement Pillars
EQUITY
EFFICIENT
SAFE
TIMELY
EFFECTIVE
Performance Improvement Risk Management Finance
management Individual Objectives
20
Improving Health Healthcare in Forth
Valley Integrated Healthcare Strategy
Vision
LHP
BHBC
LDP
LDP
BHBC
LHP

• Supporting delivery

• Healthcare Strategy
• Workforce modernisation
• Pharmacy
• Complex Care
• Palliative Care
• CHP development
• Primary Care development

• Linkage to all targets to modernise services to
  deliver

• Health inequalities CHD
• Dental registrations
• Healthy weight of children
• Alcohol brief intervention
• Suicide prevention
• Smoking cessation
• Breastfeeding
• Teenage pregnancy
• Childhood vaccines

• Inequalities taskforce
• Enabling health service
• Early years

• Substance misuse alcohol
• Child health
• Physical disability
• Sexual health
• Learning disability
• Oral health
• Maternity services
• Health protection
• Civil contingencies

• Third sector

L
H
P

• Leadership

P
H
development
L
B
C
H
B
B
C
H
B
L
D
P
P
D
L
Modernising Services
Improving the Health of the Population

• CHI use
• Sickness absence
• KSF PDPs
• LOS Em
• Out patient no return
• Finance
• Cash efficiency
• On line triage

• Financial balance
• e health telehealth
• Pay modernisation
• Regional Planning
• Benchmarking

• Productivity Efficiency Programme
• tariffs
• Consultant time
• Best value
• MCNs

• Primary Care access
• 62 day career
• O/P 15 weeks
• I/P 15 weeks
• 6 week diagnostic
• AE attendance
• AE 4 hour wait
• Hip
• Cataracts

• 18 week journey 2011
• Unscheduled care
• Expand emergency care summary
• See treat
• Rapid response

• Planned care
• Capacity management
• Renal services
• CHD
• Stroke
• Diabetes
• Planned Care
• Cancer

HEALTH
EFFICIENCY
ACCESS
Improving Capacity Access across Forth
Valley
Ensuring effective use of resources

• Patient Centred Care Services
• Partnership
• National Outcomes

TREATMENT
Improving the Quality of Patient Care
LDP
BHBC
LHP

• Dementia

• Dementia collaborative
• Improving experience
• 5 steps to LTC SPARRA
• Carers
• Patient information
• Rehabilitation
• National Patient Safety Alliance

• HAI
• Patient experience patient safety
• Mental health (MHDP)
• Older people
• Equality diversity
• Delayed discharge
• Cervical screening
• PFPI

• Multiple readmission 65

• Reduction in bed days

• QIS Clinical Governance Risk Management

• Prescribing antidepressants

• Reduction in psychiatric admissions

• HAI

• Admission for long term conditions

• Healthcare experience

PATIENT CENTRED
Improvement Pillars
EQUITY
EFFICIENT
SAFE
TIMELY
EFFECTIVE
Performance Improvement Risk Management Finance
management Workforce Planning
21
2008/09 LOCAL DELIVERY PLAN
LDP HEAT
Position of LDP
Levels and Flow of Information

• Information Management
• Performance Management
• Workforce Planning

22
(No Transcript)
23
Finance
24
Is it really important?

• Staff costs are approximately 70 of the total
• MMC
• EWTD
• More of the same is the answer?

25
Source data

• Excellent question, but whats the answer???
• If we can count it, we can cost it!

26
What we count

• What are we measuring?
• WTE straight forward of course
• - paid hours
• - contracted hours
• - 37.5 hours
• - sessions/PAs 10, 11, 12 etc
• - vacancies

27
What we cost

• Obviously the finance bit is always correct,
  however, on the off chance that it could be
  improved
• - Budget/funded?
• - Actual/cost?

28
Current workforce projections

• Annual submission LDP
• - not working documents
• - feed the beast
• - budget cost actual WTE nothing
  accurate!
• Reasonable idea though!

29
Workforce Planning Development
30
2008 Experience

• Workforce planning development felt like an
  add-on
• Guidance not clear
• Process
• Planning cycles misaligned
• Feedback - Did workforce narrative add value or
  tick the box?

31
The reality

• Every Board has a set of unique circumstances
• Impact of major changes in policy direction
• Workforce Planning Development is fundamental
  to improving health healthcare
• Targets are cross cutting
• Targets a moveable feast
• Top down, bottom up Whole Systems approach

32
NHS Forth Valley ApproachMODEL OF EMERGENCY
CARE
33
Integrated Health Care Strategy

• Our aim is for people to receive the right
  care, in the right place, at the right time and
  delivered by the most appropriate professional.
  This will be achieved through the development
  of new models of care supported by a modern
  workforce, information and communication
  infrastructure. Our staff are vitally important
  in achieving this vision and developing skills
  and competencies to best effect will ensure
  continuing provision of services that are
  equitable, sustainable, safe and effective,
  accessible and good quality

34
Key Drivers

• New Acute Hospital Larbert
• New Community Hospitals
• Demography workforce and population
• Modernising Medical Careers (MMC)
• European Working Time Directive (EWTD)
• Shifting the balance of care
• Reducing health inequalities

35
Principles

• 80 of future staff are already in post
• Workforce planning must be based on the skills
  and competences required rather than job titles
  and fixed staffing structures
• Workforce must be flexible across organisational
  and professional boundaries
• Good communication between teams is essential to
  ensure clarity of function
• Sustainability any workforce solutions must be
  developed in conjunction with other drivers

36
Next Steps Timelines
37
PATIENT BENEFITS
SERVICE BENEFITS
EMERGENCY CARE WHEN NEEDEED
APPROPTIATE USE OF RESOURCES
TIMEOUS SPECIALIST CARE
SUB-SPECIALIST ALIGMENT TO DEMAND
RAPID RECOVERY
BEDS AVAILABLE TO MEET DEMAND
RAPID DIAGNOSIS TREATMENT
TRIAGE RIGHT PERSON FIRST TIME
REDUCED INAPPROPRIATE ADMISSION
SKILLED, COMPETENT DEVELOPED WORKFORCE
CARE CLOSE TO HOME
INCREASED PATIENT/PUBLIC STAFF SATISFACTION
IMPROVED HEALTH ACCESS TO HEALTH CARE
HEALTHIER COMMUNITY
38
Challenges

• What is the medical model required Acute
  Primary Care?
• How do other professionals play in?
• Patient pathways for top five causes for
  admission and how these would work in both Acute
  Primary Care
• Who would triage?
• How do specialties play in including mental
  health?
• What is the role of AE

39
Where do we go from here?

• Close alignment with service, workforce and
  financial plans
• Embed targets - cross cutting and service
  specific.
• Articulate the multi professional workforce in
  terms of competence
• Joined-up workforce planning with partner
  agencies

40
Affordability Availability Adaptability

• What can we afford now in the future?
• Will what we need be available?
• How adaptable is our workforce?

41
Lessons for next year

• Early co-ordination and linkage to planning
  agenda
• Embed the targets
• Integrate with patient pathway approach

42
The best way to face the future is to create
itTOGETHER