ICN White Paper and Integration Masterclass

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ICN White Paper and Integration
Masterclass PERFORMANCE AND EVALUATION Erville
Millar Chief Executive
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HISTORY
Camden and Islington Mental Health NHS Trust
created 2001 from mental health services managed
by Camden and Islington Community Health Services
NHS Trust and Royal Free Hampstead NHS
Trust Camden and Islington Mental Health and
Social Care Trust created 2002 from Camden and
Islington Mental Health NHS Trust and mental
health services managed by London Borough of
Camden and London Borough of Islington
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• PERFORMANCE MANAGEMENT FRAMEWORK
• Specified in section 31 partnership agreement
• Regular formal meetings at senior level with
  partners
• Quarterly reports to Board covering health and
  social care key PIs

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PERFORMANCE MONITORING - SOME EXAMPLES FROM
BOARD REPORTS
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RISKS
Department of Health Independence, Well-being
and Choice Our vision for the future of social
care for adults in England
Department of Health, March 2005
PIs can distort priorities Two sets of
integrated PIs can catastrophically distort
priorities (without strong leadership)
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RISKS
Rearguard action to prevent Healthcare Commission
and CSCI joining together "Integrated" bodies
that have to march to the beat of two different
drums remain locked in a world of decaffeinated
integration
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RISKS

• IT and performance management are 2 sides of the
  same coin
• Parties at the table to discuss IT integration
• Local authority 1 central IT dept
• Local authority 2 central IT dept
• Local authority 2 adult social care dept IT
• Local authority 2 adult social care dept IT
• Integrated body
• Integrated body healthcare IT provider
• Chances of agreement?

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LESSONS
Integrated bodies must recognise the importance
that different partners attach to different
components of performance management - and accept
that this sometimes leads to disproportionate
focus Successful performance management in
integrated bodies requires leadership and clear
decision making at local AND national
level Integrated performance management costs
before it pays Keep it simple