North Lincolnshire PCT Development Planning

1. North Lincolnshire PCTDevelopment Planning High-level timelines 29 June 2007

2. CONTENTS • High Level Action Plan Page 3 – 5 • Key to Lead Directors / Support Officers Page 6 • Glossary Page 7

3. Critical milestone • Intense work • Milestone • Ongoing work HIGH LEVEL ACTION PLAN (1/3) • 2007 • 2008 • 2009 • J • J • A • S • O • N • D • J • F • M • A • M • J • J • A • S • O • N • D • J • F • M • A • M • J • J • Activity • Owner • Support • Commissioning strategy • CE (C.Briggs) • Chair/ECT • Visioning workshop • Final Board approval • Develop PCT high level vision and strategy • CEC Chair • Team in place • Strategy outlined • First version approved by Board • Review and refine the high-level strategy • Strategy refined • Implement annual commissioning plan • Implementation group in place • Annual commissioning plan produced Financial sub-strategy • T. Savage • ECT • Final Board approval • Underpin commissioning strategy with financial analysis • Fin&Perf Com • Team in place • Necessary analysis and outline finalised • First version approved by Board • Review and refine detail on an annual basis • Sub-strategy refined • Increase financial awareness and knowledge across PCT • Staff training needs identified • Staff training programs developed • Management cost savings identified • Review management costs Organisational development • CE (E. Kemp) • SMT/Chair • CEC Chair • Board approval of strategy* • Develop comprehensive OD strategy and plan • E. Kemp • SMT • Strategy outlined • Delivery of draft* • Board approval of draft* • Improve internal communication and engagement • P. West • SMT • Communication team appointed • Comm. plan drafted • Comm plan approved • Team in place • Review current and future PCT information needs / capacity • M. Janvier • SMT • Process defined to identify • information situation • Information situation • assessed * Estimated timeline for milestone Source: Interview with management team

4. Critical milestone • Intense work • Milestone • Ongoing work HIGH LEVEL ACTION PLAN (2/3) • 2007 • 2008 • 2009 • J • J • A • S • O • N • D • J • F • M • A • M • J • J • A • S • O • N • D • J • F • M • A • M • J • J • Activity • Owner • Support • Stakeholder engagement and management • CE (K.Rhodes) • Chair • Work with partners to develop health and social care community vision and strategic aims • Stakeholders identified • First stakeholder event held • Events held • Revise plan based on detailed strategy • Develop non-clinical stakeholder engagement plan • First version of plan approved by SMT • Revise plan based on detailed strategy • Develop a high level clinical engagement plan • First version of plan approved by SMT • Review and revise • Review and implement public engagement action plan • High level outline • approved by SMT • Revised plan approved • by Board • Implementation • finalised • K. Rhodes • C&RU • Group Care and resource utilisation (CR&U) • First version of plan approved by ECT • Finalise stakeholder group* arrangements • Terms of reference and membership finalised* • Plan revised and presented to ECT • Integrate existing plan into commissioning strategy • Board approval of existing plan • Integrate into commissioning strategy • Ongoing implementation and revision of C&RU • Review complete • Annual review complete Care pathway redesign • K. Rhodes • JT/DS Ongoing review • Implement new processes** • Priority pathways agreed with SMT • Process revised • SLAs revised • All planned pathways redesigned • Review started • Review and refine processes • All elements in place • New processes identified • Optimise emergency and urgent care • K. Rhodes • JT/DS • Urgent care service implementation • Launch of implementation • First review • Second review • Develop emergency and urgent care strategy • Defined outcomes that need to be measured in A&E • Clarify overall goals and objectives for emergency and urgent care • Refined plan finalised • Integrate the existing Urgent Care plan and model based the overall commissioning strategy • Consistency check with commissioning strategy * Already in place ** New process (standard template for standardising care pathways) already approved and in place; PCT redesigning minimum of three new processes annually Source: Interview with management team

5. Critical milestone • Intense work • Milestone • Ongoing work HIGH LEVEL ACTION PLAN (3/3) • 2007 • 2008 • 2009 • J • J • A • S • O • N • D • J • F • M • A • M • J • J • A • S • O • N • D • J • F • M • A • M • J • J • Activity • Owner • Support • PBC • C. Briggs • GD • PBC strategy approved by ECT • Define PBC strategy for the PCT • High-level 07-08 plan • approved by Board • Agreed contribution of PBC to the commissioning strategy • Identify how PBC will contribute to commissioning strategy • Define and provide the necessary support to PBC • PBC lead appointed • PBC support defined based on input from consortia • Implementation of new support arrangement finalised • Establish clear working processes for PBC • PBC workplan and governance agreed • Performance management system agreed • Annual review of impact Contracting Framework • C. Briggs • Revision made based on learning of the first contacting cycle • Develop framework based on the commissioning strategy • C. Briggs • PT • First version circulated to ECT • Develop contracting links to NSF LITs and Service Boards • C. Briggs • PT/AW • Process agreed Commissioning Mental Health (MH) and Community Services (CS) • C. Briggs • AW/GD • Commissioning intentions • approved by Board • Implement MH plan • Consultation and • Tender started • Consultation results known • Preferred provider • recommended by Board* • 2009 modified SLAs signed • Required amendments identified • Coordinate MH SLAs with commissioning cycle • 2008 modified SLAs signed • 2009 required amendments identified • Establish robust commissioning community information base • Review of gaps completed • Start filling the gaps • Implementation complete • Annual review • 2009 modified SLAs signed • Finalise CS SLAs • Integrate commissioning intentions into CS SLAs • 2008 modified SLAs signed • 2009 requirements identified • Establish performance management approach • Board agreement on performance management Overall review of development plan • CE • CB • Performance metrics agreed with SMT • Bimonthly reviews implemented as part of public Board reporting * If outcome of consultation supports the PCT not being a provider of MH services Source: Interview with management team

6. KEY TO DIRECTOR LEADS & SUPPORT OFFICERS • AW : Angela Waddingham, Head of Joint Commissioning • CE : Chief Executive* • CEC Chair : Dr Margaret Sanderson – Clinical Executive Committee Chair * • Chair : Helen Varey – Chairman • C.Briggs : Caroline Briggs – Director of Contracting, Procurement and Market Management* • DS : Denise Smith – Head of Service Development - Elective • E. Kemp : Elaine Kemp – Head of Workforce and Organisational Development • GD : Geoff Day, Head of Primary & Community Services Commissioning • JT : Julie Turner, Head of Service Development – Non Elective • K. Rhodes : Karen Rhodes – Director of Service Development and Patient Care* • M. Janvier : Mark Janvier – Chief Information Officer/Head of Performance* • PT : Pete Townsend, Head of Secondary Care & Tertiary Commissioning • P. West : Phil West – Head of Public Involvement / Patient Care • T.Savage : Tim Savage – Director of Finance and Performance* • For Information the following Directors are members of the SMT in addition to the above: • Dr Andrew Furber : Interim Director of Public Health* • Dr Brian Crompton : Director of Clinical Governance / Medical Director* • Brian Sellers : Mental Health Director • Trevor Wright : Director of Informatics • Karen Fanthorpe : Head of Community Services • * Denotes those who are part of ECT

7. GLOSSARY • CEC : Clinical Executive Committee • C&RU : Care & Resource Utilisation Group • ECT : Executive Commissioning Team • Fin&Perf Com : Finance & Performance Committee • LIT : National Service Framework Local Implementation • Team • PBC : Practice Based Commissioning • SLA : Service Level Agreement • ECT : Executive Commissioning Team • SMT : Senior Management Team