All Wales Update

1. All Wales Update 26 January 2012, National Forum National Forum – Bob Hudson Bob Hudson, Chief Executive

2. Presentation • Taking stock • Changing environment • Board activity and structures • Service developments • Corporate developments • Emerging issues National Forum – Bob Hudson

3. Changing environment – policy context • Together for Health • System stress • English and Scottish reforms • New public sector for Wales • Focus on delivery and outcomes • Government’s legislative programme National Forum – Bob Hudson

4. Changing environment – organisational context • Full Board and senior management team bedding down • CMO retiring • Realignment of delivery arrangements • Maturing relations with Directors of Public Health • Developing local teams • Public health focus for health boards National Forum – Bob Hudson

5. Organisational development challenges • Workforce – engagement, health, productivity • Statutory compliance – health & safety, equality and the Welsh language • Public engagement • Local government and third sector liaison • Sustainable development • Shared services / SLA with Velindre National Forum – Bob Hudson

6. Board activity • Full Board for the first time • Board Business and Development Plan • developed following engagement with senior staff • To be published soon • Consideration being given to openness of Board committees National Forum – Bob Hudson

7. Structures • Directorates and Divisions bedding down • Directors of Public Health • ABMU Health Board – Sara Hayes • Powys Health Board – out to recruit • Hywel Dda Health Board - due to recruit National Forum – Bob Hudson

8. Screening developments • Implementation of digital mammography • Progress on Abdominal Aortic Aneurism screening programme • Progress on National Bloodspot screening programme • Discussions about future of Diabetic Retinopathy Screening Programme • Computer assisted screening in Cervical Screening Wales National Forum – Bob Hudson

9. Screening developments (2) • Policy change for cervical screening agreed by National Screening Committee • First invitation at 25 • Three yearly invitations between 25-50 • Five yearly invitations after 50 • Public and stakeholder consultation National Forum – Bob Hudson

10. Microbiology developments • North Wales microbiology review • South East Wales microbiology review National Forum – Bob Hudson

11. Health protection developments • Review of surveillance • Revised Emergency Response Plan • Exercise Cambria Guard • Framework for Action on TB • Generic hospital outbreak plan • Immunisation Conference – April • Sexual Health Network Conference - Feb National Forum – Bob Hudson

12. Health and Healthcare Improvement developments • Regular contact with Marmot Review • National Clinical Forum • Health and Homelessness Learning Exchange Events • Interventions not normally undertaken • Prioritisation gateway • Realignment project • Health Improvement agenda National Forum – Bob Hudson

13. Health intelligence developments • Inequalities profiles • Outcome indicators • Development of evidence services • Succession planning for WCISU Director • Population Health Intelligence Network National Forum – Bob Hudson

14. Performance • Six-monthly divisional review meetings • Performance measures work • Engagement • RBA workshop • Board decision before April 2012 National Forum – Bob Hudson

15. Finance • Savings plans being delivered to save £2.8m • Breakeven forecast for 2011/12 • Assistance to NHS Wales by deferring some expenditure to 2012/13 • Thank you • Budget setting underway for 2012/13 • 1.5% savings required on all budgets • Reinvestment planned in priorities National Forum – Bob Hudson

16. Workforce and OD • Challenging sickness absence target of 3.25% • Statutory and mandatory training • Support to modernisation projects • Review of Velindre PLA National Forum – Bob Hudson

17. Communications • Social media strategy • Public engagement strategy • Health improvement communications strategy • Reconsider groups and forums • Management of email burden National Forum – Bob Hudson

18. Administration review • Aims to allocate and structure resource for the future • Generic job descriptions developed • Administrative structure options appraised • Extensive staff engagement • Project Board decisions in February • Organisational Change Policy applies National Forum – Bob Hudson

19. Accommodation review • Staff consultation on the strategy and priorities including principles • Accommodation Strategy nearly finalised • Projects to take forward priorities • Pressures on Cardiff accommodation National Forum – Bob Hudson

20. Emerging issues • New and changing screening programmes • Pathology modernisation • Operational links to Public Health England • New NLIAH? Leadership development and service improvement focus National Forum – Bob Hudson

21. Emerging issues (2) • Health improvement programmes • Vascular risk and health checks • Early years programme • Social media • Occupational health • Workplace health • International health • Safeguarding - POVA National Forum – Bob Hudson

22. Conclusions • A lot of change underway • Relationships are developing • Health improvement presents a big challenge and opportunity • More work to do • Thank you National Forum – Bob Hudson