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Joint Executive Team Meeting 2013/14 4 June 2014

Joint Executive Team Meeting 2013/14 4 June 2014. Introduction. Overview of 2013/14 Critical Issues in 2013/14 and challenges for 2014/15 Integrated Medium Term Plan Emerging and developing priorities Research Development and Innovation Workforce and Organisational Development Governance

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Joint Executive Team Meeting 2013/14 4 June 2014

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  1. Joint Executive Team Meeting 2013/14 4 June 2014 Insert name of presentation on Master Slide

  2. Introduction • Overview of 2013/14 • Critical Issues in 2013/14 and challenges for 2014/15 • Integrated Medium Term Plan • Emerging and developing priorities • Research Development and Innovation • Workforce and Organisational Development • Governance • Conclusion Presenter: Tracey Cooper

  3. Overview 2013/14 • Refreshed strategy • Health Improvement Review conclusion • New programmes implementation • Excellent cancer detection rate • Measles response • Observatory reports • Health Technology Funding • Another year balanced financially Presenter: Huw George

  4. Critical issues 2014/15 • Smoking rates • Screening uptake • Immunisation • Relationship with health boards and the wider system • Focus on outcomes Presenter: Huw George

  5. Smoking cessation Insert name of presentation on Master Slide Presenter: Peter Bradley

  6. Successes and concerns • Reduced waiting times to 6 days • Increased appointment availability • Increased translation of contacts into treated smokers • Improved performance management • New initiatives • Smoking in pregnancy pilots potential • Need to change service delivery model to reach 16% target Presenter: Peter Bradley

  7. Actions for 2014/15 • Formal agreement with DsPH and joint action plans and performance meetings • Targeted action • Service delivery model options appraisal • Brief interventions training programme • Social marketing campaign • ‘Stoptober’ campaign • Online booking, apps etc Presenter: Peter Bradley

  8. Immunisation Presenter: Quentin Sandifer Insert name of presentation on Master Slide

  9. Successes and concerns • Successful measles outbreak response • 75,000 MMR vaccine doses delivered • Highest ever MMR uptake for Wales • 96.5% for MMR1 at 2 years • 92.6% for MMR2 at 5 years • Tier 1 target for childhood vaccination at age 4: 87.5% (target: 95%) Presenter: Quentin Sandifer

  10. Successes and concerns • Flu vaccination • 2.5% increase in under 65 at risk • No change in over 65 flu rates • Only one NHS organisation on target Presenter: Quentin Sandifer

  11. Actions for 2014/15 • Surveillance of disease, epidemiological analysis and interpretation of vaccination uptake data • Inform policy and guidance • Support partner agencies to meet targets • Inform and educate NHS Wales and the population Presenter: Quentin Sandifer

  12. Screening Presenter: Quentin Sandifer Insert name of presentation on Master Slide

  13. Successes and concerns • Implemented AAA and newborn bloodspot and change in age range for cervical screening • Developed new sickle testing protocol • First home nation to go fully digital in breast screening • Consistently highest cancer detection rate of any UK breast screening programme Presenter: Quentin Sandifer

  14. Successes and concerns • Health board performance (timeliness) against provision of diagnostic assessment services e.g. colonoscopy (up to 11 weeks) and cervical histology (up to 6 weeks) • Poor uptake in bowel programme and falling uptake in breast programme Presenter: Quentin Sandifer

  15. Actions for 2014/15 • Targeted support to health boards • Formal project to address uptake • Cervical modernisation programme and HPV ‘test of cure’ in September and planning for triage in cytology • 14-day turnaround time cervical screening methodology • Improving breast and cervical timeliness • Transfer of diabetic retinopathy service Presenter: Quentin Sandifer

  16. Transforming health improvement Insert name of presentation on Master Slide Presenter: Peter Bradley

  17. Successes and concerns • Completed review: Transforming Health Improvement in Wales • Not reaching large proportion of the population • Some had no evidence base • Established programme to oversee implementation of recommendations • Disinvestment process • Ongoing delivery of ‘legacy’ programmes Presenter: Peter Bradley

  18. Actions for 2014/15 • Transforming Health Improvement programme on schedule • Infrastructure established • Ongoing engagement with DsPH/local teams • Expert groups to report by end July 2014 • Detailed work plans by November 2014 • Implementation of work plans from November • Health Improvement Alliance to promote innovation and advocacy Presenter: Peter Bradley

  19. Healthcare associated infections Integrated Medium Term Plan & Budget Setting Presenter: Quentin Sandifer

  20. Successes and concerns • Epidemiological intelligence, direct support and published outputs • BCUHB Clostridium difficile outbreak • Review of death certification associated with Clostridium difficile • Health board targets and Code of Practice • Downward trend in Clostridium difficile (-19.2%); increase in MRSA (+2.5%); increase in MSSA (+3.2%) Presenter: Quentin Sandifer

  21. Actions for 2014/15 • Provide epidemiological analysis and interpretation of bacterial infections • Continue working with health boards including support to large scale change • Continue to advise and inform policy on HCAIs • Lead all-Wales action planning on antimicrobial resistance Presenter: Quentin Sandifer

  22. Clinical microbiology Presenter: Quentin Sandifer Insert name of presentation on Master Slide

  23. Successes and concerns • Second ever network service to attain full CPA accreditation • Single central laboratory established in Rhyl, Wrexham service transfer and single North Wales microbiology service • Modernisation programme to achieve a single, national, managed microbiology service network • Director of Operations Presenter: Quentin Sandifer

  24. Actions for 2014/15 • Automated technology into bacteriology service in North Wales • Develop formal commissioner-provider model for microbiology services • New performance management framework • Secure full clinical microbiologist engagement in local HCAI action • ISO 15189 accreditation by June 2016 • Infectious diseases genomics service Presenter: Quentin Sandifer

  25. Service user experience Presenter: Rhiannon Beaumont-Wood Insert name of presentation on Master Slide

  26. Successesand concerns • Improved organisational focus • Service User and Learning Panel established • User experience, complaints/concerns learning & monitoring now combined • National core questions do not adequately capture requirements • Planning/evaluating changes to services • Creation of agreed PIs • Better use of existing IT products Presenter: Rhiannon Beaumont-Wood

  27. Successesand concerns • Service example: Stop Smoking Wales client feedback 1 Jan 2014 – 31 March 2014 • 96% + of clients (263 individuals) were satisfied or very satisfied with the support they received Presenter: Rhiannon Beaumont-Wood

  28. Actionsfor 2014/15 • Improve data capture • Agree approach to reporting • Dedicated resource • Improved methods for sharing learning • Performance framework being developed • Agree and start Board reporting • Identify methods to inform service users of improvements resulting from feedback Presenter: Rhiannon Beaumont-Wood

  29. Relationship with health boards Insert name of presentation on Master Slide Presenter: Huw George

  30. Relationship with health boards • Need clarity on roles and responsibilities • Hold each other to account • Pilot work with Cardiff and Vale • Including key areas, specification based, agreed action, for implementation in September • Executive to Executive discussions • BetsiCadwaladr • Critical performance issues and ownership Presenter: Huw George

  31. Planning Insert name of presentation on Master Slide Presenter: Mark Dickinson

  32. Successes and concerns • Refreshed strategy - Summer 2013 • Developed priorities for action - Autumn 2013 • Developed initial draft IMTP - January 2014 • Refinement and strengthening of plan • Plan and balanced budget approved by Board - March 2014 • Plan not approved and requirement to produce one year plan by June 2014 Presenter: Mark Dickinson

  33. Successes and concerns • Development of, and reporting against, Quality and Delivery Framework • Contribution to Public Health Outcomes Framework • Development of further performance indicators Presenter: Mark Dickinson

  34. Actions for 2014/15 • Operational Plan 2014/15 • Key areas to be further strengthened and developed • Updated sections on smoking and screening performance submitted • Divisional Directors leading development of relevant sections • To be approved by Board on 26 June Presenter: Mark Dickinson

  35. Actions for 2014/15 • Integrated Medium Term Plan • Formal review of 2013/14planning process • Key areas to be improved and specific actions • Revised plan submitted by January 2015 • Further development of Quality and Delivery Framework • Complete Public Health Outcomes Framework Presenter: Mark Dickinson

  36. Emerging issues Insert name of presentation on Master Slide Presenter: Peter Bradley

  37. Emerging issues • Unscheduled care • Prudent healthcare • Large-scale change in relation to physical activity • Primary care vision • Health inequalities • Public Health Bill support and co-ordination Presenter: Peter Bradley

  38. Research and development Insert name of presentation on Master Slide Presenter: Peter Bradley

  39. Research and development • New Policy, Research & Development Division and Director • Reorganisation including new governance structure and new strategy • Research activity funds increase of £129k • Co-bidder for research grants Presenter: Peter Bradley

  40. Research and development Presenter: Peter Bradley

  41. Workforce and Organisational Development Insert name of presentation on Master Slide Presenter: Ruth Davies

  42. Successes and concerns • Work around culture and values • Developing leadership and management • Improved statutory and mandatory training • Work on staff appraisals Presenter: Ruth Davies

  43. Actions for 2014/15 • Work on values and culture • Leadership and management development • Learning and development plan • Further work on mandatory training • Upward feedback survey on staff appraisals Presenter: Ruth Davies

  44. Governance Insert name of presentation on Master Slide Presenter: Keith Cox

  45. Successes and concerns • Interim arrangements to cover vacant Chief Executive and absence of Chair • Vacancy for local authority member • Trade union/staff representation • First Annual Quality Statement • Staff engagement on Francis Review • Programme to review accommodation needs and ways in which we work Presenter: Keith Cox

  46. Actions for 2014/15 • Interim arrangements to cover the local authority Board vacancy • Work to encourage BMA representation • Good Governance Institute ‘rapid review’ of Board, governance and risk management arrangements • Work with Academi Wales • Board Development programme Presenter: Keith Cox

  47. Actions for 2014/15 • Annual Quality Statement • Francis Review report to Board in June • Final decision on accommodation and ways of working options by September Presenter: Keith Cox

  48. A healthier, happier and fairer Wales • Continued progress in 2013/14 • Build on our success • Continue to develop the organisation and Board • Focus on delivery • Focus on outcomes Presenter: Tracey Cooper

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