Regional Service Plans 2013/14 guidance

1. Regional Service Plans 2013/14 guidance Andrew Campbell-Stokes Principal Service Planner National Health Board, Ministry of Health

2. Overview • Context • High-level focus • Regional governance and decision-making & building IT capability • Strategic section • Implementation • Priorities • Guidance • Comprehensive • Detailed action plans • Timeframe for actions • Not focussed in detail on priority areas or enablers (workforce, IT)

3. Context - Recognising other planning / activities • DHB Annual Plans eg. clinical integration, BPS, cardiac, stroke, MHA • Sub-regional integration of services and functions • Regionalisation of DHB functions • National services and service improvement • HQSC • HBL • NHC • PHARMAC • …

4. Context: Regional Service Plans - an emergent journey • 2011/12 - Transitional year • vulnerable services focus, pressure points, establishment, … • 2012/13 - Step increase • implementation focus, core services, workforce, IT, expansion, … • 2013/14 - Comprehensive and detailed action plans • cohesion, integrated planning, depth, alignment, demonstrating financial impact / contribution

5. 2013/14 Regional Service Plans – a high-level focus • Need to describe: • how, who, where the models of service / models of care will be delivered, • how this is different from current models of service/care, • their impact on service volume and fiscally (operating as well as capital investment) on DHB(s) providing as well as receiving the regional service. • impact on operating and capital expenditures need to be tied back to investment or disinvestment in IT and workforce (where appropriate).

6. Regional governance and decision making • Expected to continue a focus on effective regional governance, accountability and decision making. • 2013/14 RSPs need to include a description of processes in the following areas: • Regional services • Regional IT programme (see further detail below) • Regional Training Hubs • Regional Capital Committee • Clinical Leadership - a stronger emphasis on clinical engagement and leadership throughout RSPsin 2013/14 RSPs.

7. Building IT Capability Four key enablers need to be described to support the regional delivery of IT projects and services. • Strategic Direction • Regional Governance and Leadership • Clinical Leadership • Capability & Resources

8. Strategic section • Strategic section should highlight any changes between the 2012/13 and the 2013/14 direction of travel. • Should clearly show the integration of the regional service priorities (Implementation section) with strategic section’s direction of travel. • The integration between services and its “enablers” (workforce, IT and capital) over a medium to longer term should be set out clearly. • Strategic section of 2012/13 RSPs provides a foundation for 2013/14 RSPs and should be attached as an appendix to the current year’s RSP.

9. Implementation - Priority areas • Guidance • Better Public Services for Rheumatic Fever reduction • Health of Older People • Long Term Conditions – Diabetes services • Comprehensive Plans • Elective services* • Long Term Conditions - Cancer services* • Long Term Conditions - Cardiovascular services (ACS)* • Long Term Conditions - Stroke services • Mental Health & Addictions • *3. Detailed action plans are also required for three areas

10. Guidance priorities • Focus of actions is mostly at an individual DHB level and there is also value in working together (coordinating actions, common approaches, sharing learnings etc.) at a regional level. • Expected: • Better Public Services for Rheumatic Fever reduction • Encouraged To: • Health of Older People • Long Term Conditions – Diabetes services

11. 2. Comprehensive Plans Priorities • Elective services, Cancer services, Cardiovascular services (ACS) • Stroke services, Mental Health & Addictions • Actions need to be organised to demonstrate linkages and interdependencies: • Model of service/s and care • Workforce initiatives • Information technology initiatives • Revenue, operating and capital expenditure • Other actions that enable model of care implementation

12. 3. Detailed Action Plans • RSPs – were always expected to clearly identify the funding and investment requirements in identified service priority areas. • A further level of detailed planning is required for three regional service priorities, building on the foundation that has been established from previous years of regional collaboration: • Cancer services, focussing on faster cancer treatment; • Cardiac services, focussing on ACS; and • Elective services. • RSPs to only contain a summary of detailed action plans. • Further details supporting this summary need to be prepared and sent in - for discussion purposes, not part of the published RSP.

13. Timeframe for implementation plans • Previously 12 months - now to up to 36 months. • Clear staging of actions is expected. • The first year of the 36 months need to have greater details on actions compared to year two and three. • The interdependencies with key enablers such as workforce, IT and capital investment also needs to be described within that timeframe.

14. Questions?