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KEY Complete On target Safety - Programme Update At Risk Missed 1 2 Summary status Key Milestone Status Comments Discussions are on-going to review the future of Milestone Status Target Forecast the safety programme. A formal proposal


  1. KEY Complete On target Safety - Programme Update At Risk Missed 1 2 Summary status Key Milestone Status Comments Discussions are on-going to review the future of Milestone Status Target Forecast the safety programme. A formal proposal to be brought to the next Safety Programme. Sign up to Safety Improvement Plan continues Transitions inpatients/community Sep 15 Sep 15 to be developed. Timescales for final audit submission to be agreed following the release of further guidance for mental health trusts. Key priorities to be agreed which will form the Submit Sign up to Safety TBC TBC basis of the improvement plan, a paper Improvement Plan detailing the rationale for this process to be prepared for next Safety Programme Board. Once key priorities have been agreed, driver diagrams are to be completed. Linked Principal Community Pathways; projects Augmenting Services 3 Key Benefits & Measures 4 Key Risks and Issues Benefit / Measure Baseline Target Progress Risk/Issue Mitigating Actions Status Reporting process for quality and safety metrics along with other PCP benefit realisation measures has been developed Safety themes to be built and discussed at Planned Care Transformation Group. Transformation agenda not aligned in to Transforming To be shared at next Safety Programme. with safety themes Services programme plans Develop early warning Augmenting services assumptions metrics and monitor not borne out by safety metrics regularly

  2. KEY Complete On target Community Transformation (PCP) - Programme Update At Risk Missed 2 1 Summary status Key Milestone Status Milestone Status Plan Forecast Comments Sunderland / South Tyneside • TIG Locality plan first iteration developed, and team plans for Target Sunderland produced • Meeting planned with South Tyneside LA and NTW to finalise Tr 1 – Implementation complete (delays integration agreements August 15 to South Tyneside accommodation) Nov 14 • LD CTT has been delayed until April 15 Accommodation however some aspects of the model will • Teleport anticipated to be ready mid March 15 complete be delivered ahead of accommodation. • Galleries design been signed off – now working with contractors on Tr 2 – Northumberland accommodation delivery date March 15 April 15 requirements scoped • Sunderland Recovery college 2 nd prospectus currently being developed Tr 2- Northumberland consultation starts July 15 July 15 • Training/induction programme currently being delivered • IRS observation exercise undertaken and plan in place to address Tr 2- Northumberland phased implementation issues Nov 15 Nov 15 implementation starts Northumberland • TIG Locality plan first iteration developed Central TIG in place covering • Accommodation requirements being scoped • Newcastle/Gateshead/North Tyneside. Sep/Oct Consultation planned for July with Implementation starting in Feb 15 (work North Tyneside accommodation 14 has started) November • Delivery of MPS service planned for phased implementation April requirements scoped. 15 4 • Work is on-going with partners, particularly social care to ensure Key Risks and Issues that pathways and services are aligned. Newcastle / Gateshead/ North Tyneside • Locality TIG plan in development Risk/Issue Mitigating Actions Status • Approval to proceed with service improvements received from Alliance MH programme board Evaluation plan and PCP 05: Expected benefits of implementing reporting mechanism new care pathways are not realised CPP; Workforce; Leadership; CIS; Augmenting Services 3 (particular need to address clinical capacity to ensure regular to deliver new treatment packages) Key Benefits & Measures review and action PCP15: Capacity of PCP and operational Benefit Key Measures Baseline/Target resource to initiate in new localities, whilst PCP resource plan also embedding implementation within Meeting held to agree benefits realisation process for community services. It was resources available. agreed that the following will be covered: • Operational performance management capability at individual/team level PCP Engagement PCP18 : Lack of engagement from key • Performance management and review of teams/services from both operational stakeholders Plan and programme perspective • Evaluating the extend of implementation of the model PCP19: Capacity to undertake simultaneous PCTG and Trust • Measurement/monitoring and management of longer term outcomes expected consultations across 4 localities, and also in Programme Board from the programme. conjunction with TCS consultation.

  3. KEY Complete On target Care Pathways and Packages – Programme update At Risk Missed 2 1 Summary status Key Milestone Status Milestone Status Target Forecast • Comments Treatment packages by cluster developed. E- pathway project group established and project Treatment packages by cluster mandate drafted. CSE timelines need to be CSE developed. Delay on timescales for e- confirmed. Timeline for completion of manual timescale pathway implementation. Manual format needs to be revisited. Concerns regarding TBC solution using PCP format developed. clinical capacity . TBC. • Discussion at Sunderland MHPB re developing Internal project group established. contracts 15/16 in shadow form and this is being Clinical capacity needs to be identified. taken forward as part of the contracting process via Internal financial modelling to support service development plan. reporting mechanisms by cluster from Feb 15 Feb 15 • Mainstream of mandated CPP work in place with April 2015. performance team, and operational groups with view to handover April 15. Working with operational groups, and performance team on agreed plan to March 15 March 15 mainstream. Linked Principal Community Pathways; Workforce Engagement with internally and with projects Augmenting Services Commissioners on development of March 15 March 15 measures to inform contracting 15/16 3 4 Key Risks and Issues Key Benefits & Measures Risk/Issue Mitigating Actions Status Base Benefit / Measure Target Progress line Internal meetings CPP01 – Lack of capacity for financial modelling organised to establish how impacts on delivery against national timeframe Information to support financial SLR will work by cluster modelling Weekly monitoring of data quality. Additional CPP CPP15 – Poor data quality impacts on PCP 84.8% Trainer in recruitment, demand planning and financial modelling. Medical Director Clustering by lead professionals deteriorating. considering inclusion of Cluster within review clustering in compact. 71.9% Contract discussions Cluster at CPA review CPP09 – Delay to e-pathways functionality – continue with CSE to use impact on PCP and evidence of care package contractual levers to get Bed intensity (bed days as part of 2.7% delivery review of delivery in agreed overall spell) timeframe

  4. KEY Complete On target At Risk Missed Transforming Specialist Care – Programme Update 1 2 Summary status Key Milestone Status 3 4 Key Risks and Issues Key Benefits & Measures

  5. KEY Complete On target Transforming Augmenting Services – Programme Update At Risk Missed 1 2 Summary status Key Milestone Status The “Deciding Together” consultation process, led by the Comments Gateshead and Newcastle CCG Alliance , saw an event held Milestone Status Target Forecast on 14 th February for stakeholders to consider how best to spend the Gateshead and Newcastle mental health pound. 24 th Oct 24 th Oct Shortlisted bed model options shared with Blue The event was well attended and well received. Board 2013 2013 Significant progress has taken place in relation to the two Workshops with Newcastle Gateshead End June Blue July 2014 discreet Older People’s service proposals. Consultation Alliance CCG take place 2014 commenced NoT on 11 th Feb with the changes expected to be August Early Sept delivered in late March. Hopewood Park opens Blue 2014 2014 Bed availability continues to be monitored with a focus on 2 Pre-consultation engagement events with Blue Sept 2014 Sept 2014 discreet areas - one being male bed usage within the Service Users, Carers & Voluntary sector Alliance footprint, and the other being the utilisation of Informal conversation with OSC re available NTW bed capacity for OATs. Blue Jan 2015 Jan 2015 Dementia Services (North of Tyne). Alliance CCG consultation closes Blue Feb 2015 Feb 2015 Linked CPP, PCP, Safety, Specialist projects NoT Dementia Ward closure Green Mar 2015 Mar 2015 4 3 Key Risks and Issues Key Benefits & Measures Risk/Issue Mitigating Actions Status Benefit / Measure Baseline Target Current TAS.01 Pace of change is Robust management plan in Amber too slow to deliver savings place post model agreement Reduced # Wards 42 26 32 (Life of programme) TAS.02 The impact of ward Clinical groups & Safety team to Green closures on capacity. develop & agree safety metrics Reduced # Wards 39 30 32 (2014 - 15) Alignment with TS engagement TAS.03 Stakeholders may plan. Ensure clinical input to Amber not support the model Benefits plan (including bed model discussions. baseline measures) developed in conjunction Internal engagement plan. TAS.10 Fail to co-produce with PCP. Ensure clinical input to bed Amber model with the Alliance CCG. model discussions.

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