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Leading by Design

Leading by Design. Service Transformation Stanley Riseborough Executive 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.

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Leading by Design

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  1. Leading by Design Service Transformation Stanley Riseborough Executive Director: Service Delivery & Transformation

  2. Context • National policy, new horizons, valuing people now • Conservative/Lib Dem Coalition • JCT contract • IIYMH – Whole system redesign • Leading by Design – HPFT Strategy

  3. 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

  4. Organisation Preparedness

  5. Leading by Design Our Ambition the service feel individual to the person receiving care Health and Social Care delivered as seamlessly Integrated Personalised Care Model Enables individual choice and responsibility Recovery Orientation Care reflects individual circumstances

  6. Leading by Design Clear pathways of care 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 Characteristics of the service Expertise available when needed Interventions that reflect best practice Environments that feel safe and are therapeutic

  7. Leading by Design Determining our Approach Trust Strategy Existing Work Alignment IIYMH National Policy Commissioning Intentions

  8. Leading by Design Workforce & OD Estates Service Transformation Growth / New Business Informatics Corporate / Support 1

  9. Leading by Design 3 Core Programmes Single Access Point to Services Community Service Care Pathways Pathways through Crisis and Inpatient Services

  10. Leading by Design Enabling Work Governance Arrangements Programme Support Estate Utilisation Localities External Providers Care Co-ordination How We Work Service baselines Service Modelling Care Pathways Clinical /Practice Leadership Organisation Engagement Learning from Other organisations Payment By Results Information System Community Ownership Primary Care Interface

  11. Leading by Design Governance Arrangements Community Ownership Programme Support Clinical/Practice Leadership Organisation Engagement Primary Care Interface

  12. Leading by Design Localities Estate Utilisation Service baselines External Providers Care Co-ordination Service Modelling How We Work Learning from Other organisations Information System Care Pathways Payment by Results

  13. Leading by Design What will the Service look like? footnote

  14. 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

  15. 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

  16. 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

  17. 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

  18. Leading by Design How 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

  19. 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

  20. 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

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