Developing Health and Health Care: A Strategy for Shropshire, Telford and Wrekin

1. Developing Health and Health Care: A Strategy for Shropshire, Telford and Wrekin Development Workshop 1st February 2008

2. What are we trying to do? • Develop a Local Strategy which: • brings together national, regional and local policies and strategies • provides a framework for local organisations delivering care to work within • The Strategy will be developed through engagement with local people and staff

3. Background and Policy Context • The Darzi Review • Investing for Health 2007 - 2012 • Recent Plans in Shropshire, Telford and Wrekin • Strategic Service Plan, 2006 • Service Changes in Primary Care, Community Services and Older People Mental Health • Vision for Health Improvement and Healthcare in Shropshire 2008 – 2018 • Telford and Wrekin Health Commissioning Plan 2008-2013

4. National Policy Drivers • Staying healthy and avoiding preventable disease • Variations in quality • Variations in access • Variations in outcomes • Localise where possible, centralise where necessary

5. Principles for Local Strategy • Making Sense Clinically • Health, Well Being and Equity • Quality, Safety And Effectiveness • Supporting and Developing the Workforce • Making Sense to the Communities We Serve • Involving People in Making Decisions about their future Health Services • Affordable, Sustainable, Fit for Purpose • Personalised Services and Access to Care, Closer to Home

6. Determining Strategic Issues Darzi I4H PCT Strategy Trust Strategy Patient Experience Service Issues and Concerns Strategic Change Service reconfiguration Clinical or financial viability Change in PCT priorities Major capital investment Major workforce change Politically sensitive Commissioning Issue Provider Management Annual Planning, Performance Management and LDP Processes

7. Developing the Strategy

8. Project Management

9. Pathway Development Groups Other Strategies: Urology (agreed by PCTs), Others??

10. Membership of PDGs • clinical lead • clinical input from primary/secondary care • management support e.g. commissioning lead • key partners e.g. social services • patients • voluntary sector

11. Clinical Leads Other Strategies: Urology (agreed by PCTs), Others??

12. Engagement Plan • Phase 1(December/January) • staff summit • brief stakeholders • briefing bulletin • agree membership of PDGs • Phase 2 (January/February) • PDGs develop engagement plans • stakeholder workshop • detail engagement plan to end April • establish shared governance arrangements • Phase 3: Development of the Strategy (February-April) Formal consultation will still be required if there are changes in service configuration or other major changes.

13. Shared Governance Arrangements • Governance of the process not the strategy • Membership of CLF – senior officer from each council • Briefing to stakeholders e.g. joint HOSC • Governance Group to sit alongside the process

14. Today is about getting real engagement and a shared understanding about: • What do we mean by a strategy • How the strategy will be developed • How the PDGs will work • What the key issues are • How you can best be involved in developing the strategy