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Programme for Health Service Improvement
Clinical Services Planning Group
Moving forward
CARDIFF AND VALE NHS TRUSTYMDDIRIEDOLAETH GIG CAERDYDD A’R
FRO
Purpose
An opportunity to review progress and lessons learnt
Consider future work and scope of future public consultation
Consider potential way forward to drive clinical redesign
Where are we now….
SOP sets out direction of travel
Generally receiving positive responses from clinicians and stakeholders, but recognition that many issues still to be worked through
Gives commitment to undertake public consultation in the summer of 2007
High Level Project Plan
Next steps….preparing for consultation
What will be consulting on locally in the Summer of 2007? Primary and community services including
“Resource centres…..” Noting CRI consultation already done
Specialist community inpatient rehabilitation provision….
including Westwing/Rookwood Unscheduled care Role and function of our two acute hospitals
Next steps … preparing for consultation (2)
The consultation document will not :
include mental health services repeat other consultations already undertaken
e.g. CRI women and children’s services (although the emerging clinical model may require some reference to these. )
fully address the specialist and tertiary service issues (although clinical modelling will need to make a number of assumptions about these)
Next steps – preparing for consultation (3)
Need to consider framework for consultation – it will need to be accessible and clear about the changes proposed and the implications for local people. Use of scenarios to enable the impact and
implications to be understood on locality basis (CSPG & Reference Group role?)
How?
Next Phase of work needs to ensure :
improved co-ordination across the clinical themes
Stronger clinical leadership
Health community approach – greater ownership and accountability for programme
Stronger project management
Structure
PHSI Programme Project Board
Clinical Reference Group
Programme Support Team
Communications and Engagement
Group
Clinical Services Planning Group
Clinical Planning Group – Primary &
Community
Stakeholder Forum
Clinical Planning Group – Acute
Hospital Services
Clinical Planning Group –
Unscheduled Care
Clinical Planning Group – Specialist
Rehabilitation
Clinical Services Planning Group
Acts as Project Board responsible for overseeing the work of the clinical workstreams.
Clinical Project Groups would be established for each clinical workstream.
Clinical Reference Group – provides advice, scrutiny and challenge “critical friend”. LMAC to be involved.
CSPG (1)
Project Board role Clinical leadership and sponsorship Signing off CPG project plans Performance managing CPG progress against
key milestones Ensuring cross cutting issues, interfaces and
links identified and addressed Maintaining overview of key risks Ensuring detailed and robust proposals
prepared to support consultation by June 2007
CSPG (2)
Membership Sue Gregory (Chair) Trust & LHB Medical/Nurse Directors (or
representatives) AHP Representative NPHS Representative CPG Lead X 4 PHSI Programme Director/Communications &
Engagement Lead HR/OD Director Finance Director Estates Lead Trust Director of Operations or Representative LA Representatives (x2) Staff side representation
Clinical Planning Groups (1)
CPGs responsible for leading the work required to enable consultation on a preferred way forward, to include: the agreed service model options for delivery of the model implications for service users, including equality
impact assessment implications for the workforce implications for estate financial implications implications in terms of capacity dependencies and risks Interfaces with other CPGs
Clinical Project Group Arrangements
CPG Core Membership
Primary Care Clinical Lead \Trust Clinical Lead Project Leadership Senior Manager Lead / Senior HR/OD input \Senior Finance inputProject Manager Core Project supportInformation Analysis (incl RKW)Coms & Engagement inputProject Administrator /
Clinical Project Group Arrangements (2)
Additional input as appropriate Additional clinical input? Diagnostics and clinical support services
(including facilities and medical records etc) patient/carer ? Public health? Local Authority? Voluntary Sector? Health Commission Wales? Staff side?
Suggested LeadManagement Arrangements
Primary & Community LHB
Unscheduled Care LHB
Specialist Rehabilitation
Trust
Acute hospital Trust
PHSI Central Support Team
Project Management Skills HR and OD skills Finance skills – with financial
accountability to DoFs Information analyst (+ RKW) Programme administration Service and capital planning Equality impact advice PPI Advice
Key issues
Protected time for project leads to support the work, with backfilling as required? 1-2 days a week. Ask NLIAH for support with funding?
CSPG view that core project support should be provided through dedicated central team within PHSI
Other Issues
All work on care pathways needs to be completed by early February.
Links between the workstreams need to be much stronger – they will not be able to work in isolation
Each workstream to be provided with a set of scenarios which their model will be able to address.
Scenarios will be set by the CSPG and Clinical Reference Group
Other issues cont’d
Scenarios will need to cover issues such as:- surgical advice to physicians- medical responsibility outside hospitals
Service models need to reflect workforce, estate and finance – detailed costings of models to ensure they are affordable