Hertfordshire Partnership NHS Foundation Trust Leading by Design Service Transformation Stanley Riseborough Executive Director: Service Delivery & Transformation

Hertfordshire PartnershipNHS Foundation Trust

Leading by Design

Service Transformation

Stanley RiseboroughExecutive Director: Service Delivery & Transformation


Context

• National policy, new horizons, valuing people now

• Conservative/Lib Dem Coalition

• JCT contract

• IIYMH – Whole system redesign

• Leading by Design – HPFT Strategy


Our Key Challenges

• Continuing our drive for Quality in health & social care.

• Achieving the savings required over the next 4 years (£30M)

• Providing the same levels of service activity• Timelines for service transformation


Aimfor

Excellence

Record of achievement,

Quality focus, Financial health

Evolving organisation, Stable Workforce,

Strong Membership, Commissioning Focus on MH and LD

Trust Merger, Health and Social Care integration,

Foundation Trust, Strong Partnerships

Organisation Preparedness


Leading by Design

Our Ambitionthe service feel individual to the person receiving

careIntegrated Personalised

Care Model

Health and Social Care delivered as

seamlessly

Recovery Orientation Care reflects

individual circumstances

Enables individual choice and

responsibility


Leading by DesignClear pathways of

care

Characteristics of the service

Services local, but also Specialist when needed

Early clear and consistent access to

services

Services organise to ensure efficient and effective delivery

to maximise resources

Expertise available when

needed

Interventions that reflect best practice

Environments that feel safe and are therapeutic


Leading by Design

Determining our Approach

Existing Work

National Policy

Trust Strategy

IIYMH

Commissioning Intentions

Alignment


Leading by Design

1

Estates

ServiceTransformation

Wor

kforc

e

& OD

Info

rmat

ics

Grow

th /

New

Business

Corporate /Support


Leading by Design

3 Core Programmes

Community Service Care Pathways

Single Access Point to Services

Pathways through Crisis and Inpatient Services


Leading by Design

Enabling WorkGovernance

Arrangements

OrganisationEngagement

ProgrammeSupport

Clinical /PracticeLeadership

CommunityOwnership

Primary Care Interface

Localities

Servicebaselines

Care Co-ordination

Learning fromOther

organisations

CarePathways

ExternalProviders

InformationSystem

EstateUtilisation

Payment By

Results

Service Modelling

How We Work


Leading by Design

Governance

Arrangements

OrganisationEngagement

CommunityOwnership

Primary Care Interface

Clinical/Practice Leadership

ProgrammeSupport


Leading by Design

LocalitiesServicebaselines

Care Co-ordination

Learning fromOther

organisations CarePathways

ExternalProviders

InformationSystem

EstateUtilisation

Payment by

Results

Service Modelling How

We Work


Leading by Design

What will the Service look like?

footnote


Leading by Design

How will we apply our model?• Intervene early• Treat at home where possible• Effectively manage pathway into, through and

out of services• Well co-ordinated• Recovery orientated


Leading by Design

How will we use our Expertise:• Work with people who are highest risk, most

complex or to supervise and develop practice• Champion new service models• Drive quality practice through curiosity,

innovation and development• Create capable teams


Leading by Design

Becoming more efficient:• Avoid duplication• Services to hand• Clear pathways, with clarity of responsibility and

accountability• Use of resources - care and treatment is the

business of all of us• Maximise the benefits of IT


Leading by Design Modernising our Estate:• Safe, therapeutic, aid recovery• Give space and privacy• Involve families, carers and the community• Meet individual needs• Timely procurement arrangements


Leading by DesignHow will we do things:• “Nothing about us without us” – standards of

involvement• Focus on people receiving care today and

tomorrow• Scanning for opportunities• Healthy discontent with average• Work with partners to achieve common goals


Leading by Design

Community Leadership – Engagement• Create partnerships• Reduce stigma• Safeguard vulnerable people• Lead thinking• Enable pathways of care to employment,

recreation, housing etc.. for people who use services


Leading by Design

…..Supported by:

TEAMS• Excellent care is a Team Effort• Invest in teams, ensure team objectives • Every team knows their direction and purpose• Create high functioning teams

Documents

Hertfordshire Partnership NHS Foundation Trust Leading by Design Service Transformation Stanley Riseborough Executive Director: Service Delivery & Transformation