Local Delivery Plans & HEAT

1. Local Delivery Plans & HEAT Robert Williams Health Delivery

2. Background • Review of NHS Performance Management (summer 2005) • Too many priorities = no priorities • Fire and Forget • Health Delivery Group (summer 2006) • NHS Performance Management • Spread Delivery Ethos across Health Department (Delivery Proofing) • National Performance Framework (autumn 2007) • Government’s outcomes • Public Reporting vs Performance Management • Single Outcome Agreements (autumn 2007) • NHS Boards working with partners to deliver outcomes

3. Local Delivery Plans Include: 1 Supporting the Scottish Government’s Outcomes-based approach 2 LDP Risk Narrative 3 LDP Delivery Trajectories 4 LDP Financial Plans 5 Summary of main workforce issues facing Boards 6 Additional Local Commitments to support SOAs And “Methods & Sources”

4. Trajectories still at the heart of LDP – Performance management System • NHS Boards also provide weekly cancer waiting time prospective reports Extracted from registered users’ HEAT System

5. Health Improvement

6. Efficiency

7. Access to Services

8. Treatment

9. LDPs & HEAT Continue to Evolve • Annual HEAT development work • what would you like to see in HEAT? • HEAT supports Government’s outcomes approach • Increased focus on ‘performance measures’ • E.g. smoking cessation • Internal NHS Board performance management • LDP focus on SOAs • what NHS Boards are doing over and above HEAT • Accountability • Annual Reviews; Annual Report; Scotland Performs

10. HEAT developed with NHS Boards & other stakeholders Target Specific including H : Health Improvement Performance Management group E : Efficiency and Productivity Steering group A : 18 weeks RTT Programme Board; NCDWTG; T : Older people multiple emergency admissions conference; Community Care Outcomes Group Overall direction • Chief Executives • Chairs • Directors of Planning • Performance Forum NHS Boards deliver much more than the HEAT targets

11. Health Improvement Targeted Health Checks Childsmile Physical exercise Mental health improvement Efficiency Length of stay GP referral rates Prescribing Carbon Access Drug misuse treatment Alcohol services CAMHS Adult Psychological Therapies Treatment Palliative care Psychiatric readmissions Patient Experience Long Term Conditions MRSA 2010-11 HEAT Development

12. Outcomes – based approach Purpose - a more successful country, with opportunities for all Scotland to flourish through increasing and sustainable economic growth HIGH LEVELOUTCOMES High-level targets Strategic Objectives INTERMEDIATEOUTCOMES National Outcomes (National Indicators) SHORT-TERM OUTCOMES Outcomes related to service delivery Outputs/interventions OUTPUTS

14. Scotland Performs • NHSScotland will be first part of the wider public sector to report performance through Scotland Performs • Likely to launch in January 2010

15. Purpose and High-Level Targets • Purpose - ‘to focus the Government and public services on creating a more successful country, with opportunities for all Scotland to flourish through increasing and sustainable economic growth’ • 7 High-level National Targets relating to The Purpose are set out in the Economic Strategy (growth, productivity, participation, population, solidarity, cohesion, sustainability) • Population Target - To match average European (EU-15) population growth over the period from 2007 to 2017, supported by increased healthy life expectancy from birth in Scotland over this period • Progress towards achieving the Government’s 5 Strategic Objectives will underpin the ambitions set out through the High-level Targets in the Economic Strategy

16. National Outcomes • We are better educated, more skilled and more successful, renowned for our research and innovation • We live in a Scotland that is the most attractive place for doing business in Europe • Our young people are successful learners, confident individuals, effective contributors and responsible citizens • Our children have the best start in life and are ready to succeed • We live our lives safe from crime, disorder and danger • We have improved the life chances for children, young people and families at risk • We live longer, healthier lives • We have strong, resilient and supportive communities where people take responsibility for their own actions and how they affect others • We have tackled the significant inequalities in Scottish society • We realise our full economic potential with more and better employment opportunities for our people • We live in well-designed, sustainable places where we are able to access the amenities and services we need • We value and enjoy our built and natural environment and protect it and enhance it for future generations • We reduce the local and global environmental impact of our consumption and production • We take pride in a strong, fair and inclusive national identity • Our public services are high quality, continually improving, efficient and responsive to local people’s needs

19. Scottish Government Health Topic pages Scotland Performs 7 Purpose Targets 15 National Outcomes 45 National Indicators Scotland Performs : NHS Scotland NHS Scotland HEAT Performance Targets NHS Boards’ HEAT Performance Targets Performance information at Scotland and NHS Board level Mainly outcome information at a national level How the proposed new Scotland Performs : NHS Scotland webpages will relate to existing Scotland Performs and Scottish Government Health Topic

20. Scotland Performs : NHS Scotland sample webpages

21. Scotland Performs : NHS Scotland sample webpages

22. Scotland Performs : NHS Scotland sample webpages

24. NHS Board Annual Reviews 2008-09

26. Any questions & further info Robert Williams * mailto: robert.williams@scotland.gsi.gov.uk