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Regional Service Plans. Michael Johnson Acting Director, Planning and Analysis, NHB. Content. Context Expectations of Regional Service Plans 2011/12 Regional Service Plans Alignment of Regional Service Plans with 2011/12 DHB Annual Plans. Context.
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Regional Service Plans Michael Johnson Acting Director, Planning and Analysis, NHB
Content • Context • Expectations of Regional Service Plans • 2011/12 Regional Service Plans • Alignment of Regional Service Plans with 2011/12 DHB Annual Plans
Context • DHBs remain at the core of the system, but need to increasingly look to regional (and sub regional) solutions to address challenges, and to strengthen DHB performance • Legislative amendments introduce a new objective and function for DHBs to collaborate and support greater collaboration • Amendments also include other important aspects that support collaboration: • Appointing elected members to other DHB boards • Compulsory dispute resolution regulations • Strategic planning now focussed at regional rather than district level ie DHBs no longer required to produce DSPs • Regional Service Plans formally required for the first time in 2011/12 • Regional Service Plans to be signed by all Chairs and Chief Executives of the region on behalf of their DHB • Need for a step change in the degree and nature of regional collaboration
Expectations of RSPs • Draft initial RSPs received: • work in progress & require further work over coming months • Initial RSPs are the first step on an evolutionary journey: • need to develop quickly • a step increase year on year expected in collaborative working • Iterative process, will take 2-3 years to fully bed down • Fully developed, RSPs will have: • A strategic section (5-10 year focus), covering all services delivered for the region’s population • An implementation section (1-3 year focus) to address prioritised services targeted for action: • Actions to be fully costed, consider models of care & clinical pathways, and include requirements of IT, workforce and capital
2011/12 RSPs • 3 key expectations: • Focus on practical action(s) that will lead to tangible change and resolve service vulnerability for an agreed small number (3 to 5) of prioritised services: • clearly articulate the issue to be solved and what will be done collaboratively at both regional and sub-regional levels • provide more detailed implications (including financial) and the outcomes for implementing specific actions • clear evidence that the agreed actions and service delivery model changes are supported by clinical leaders • Clearly describe the governance, decision making and implementation accountability framework. Evidence of a dispute resolution process is required where consensus is not reached • Demonstrate linkages and implications for IT and workforce capability for prioritised service areas • Need to align RSPs with 2011/12 DHB Annual Plans • alignment and cross-referencing and avoid duplication
Alignment with AP • Regional Service Plan needs to be reflected in individual DHB Annual Plans • Expectation will increase with DHB Plans increasingly seen as part of broader regional plan • 2011/12 focus on: • Module 2 - Strategic direction • Module 3 - Delivering on Priorities and Targets (p.19) • Module 6 - Service configuration & change (if any) • Need to ensure financial linkages • Timeframe for RSP returns: late March – early April)