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Integrated Resource Framework The Tayside Partnership Update

Integrated Resource Framework The Tayside Partnership Update. Chief Executives Event Friday 4 th June, 2010. Bill Nicoll Tayside Lead Officer. Tayside Integrated Resource Framework. Overview Key components of our approach The Work to date – progress against milestones

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Integrated Resource Framework The Tayside Partnership Update

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  1. Integrated Resource FrameworkThe Tayside PartnershipUpdate Chief Executives Event Friday 4th June, 2010 Bill Nicoll Tayside Lead Officer IRF Chief Officers' Event

  2. Tayside Integrated Resource Framework Overview • Key components of our approach • The Work to date – progress against milestones • Integrator Roles - structure and empowerment • Preferred Financial Mechanisms • The Challenges Ahead IRF Chief Officers' Event

  3. Tayside Integrated Resource Framework The Adaptive Challenge? • Focus on Public Value • Respect the Public Pound • Adopt a Customer Focus • Act “Corporate” • Make and Take “Difficult Decisions” • Give the work back……… IRF Chief Officers' Event

  4. Tayside Integrated Resource Framework Key Components of Our Approach • Mapping of costs and overlay • Drill down into data – “deep dive” • Challenge variation and action • Demonstrator projects – Virtual Wards • Organisational Development • Mechanisms to move resources across the system IRF Chief Officers' Event

  5. Tayside Integrated Resource Framework The work to date……. • Focus on over sixty-five population • Mapping of all related activity /costs for both health and social care • Standardising and stratifying costs across <65, <75, <85 populations • Attributing costs to GP practices • Initial analysis of data & costs IRF Chief Officers' Event

  6. Tayside Integrated Resource Framework The work to date……. • Factor proofing costs using ENRAC, SIDM, Practice Analyser Tool • Identification of localities • Combined Predictive Risk Tool & Virtual Ward • Organisation development • Adaptive Leadership & Partnership Model IRF Chief Officers' Event

  7. Tayside Integrated Resource Framework IRF Chief Officers' Event

  8. Tayside Integrated Resource Framework Preferred Funding Mechanisms • Joint Investment Fund (Internal Resource Transfer) • Joint “Consumption” Programme Budgets (Integrated PBMA approach) • Community Budgeting (Locality Commissioning) • Lead Agency - where appropriate IRF Chief Officers' Event

  9. Tayside Integrated Resource Framework LA & NHST strategic sign-off on high level decisions relating to IRF and macro integrator Local Authority & NHST Chief Executives Group Integrator Roles Forum for Accountability and Governance of Test Site Stage 2 IRF Project. Project Board Responsibility for overseeing the completion of test site Stage 2 IRF project across Tayside. Project Team Subject specific groups taking forward actions impacting across Tayside. Mapping Sub Group OD / Communication Sub Group Models of Care/ Sub Group Partnership Groups (and micro integrators) which will take responsibility for progressing IRF in relation to their enterprise populations Perth & Kinross Strategic Health Partnership Angus Programme Board Dundee Health & Local Authority Management Group IRF Chief Officers' Event

  10. Tayside Integrated Resource Framework The Challenges Ahead? • Are we getting at the Right Costs? • Will we focus on data & variation • Will we be capable of shifting resources around the system? • Can we accept a new concept of “Commissioning” • Can we move beyond the organisation? IRF Chief Officers' Event

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