Inverclyde Community Health Partnershiplibrary.nhsggc.org.uk/mediaAssets/CHP Inverclyde... · cross cutting themes. Performance Embedding principles of performance and improvement

Inverclyde Community Health Partnership

Organisational Performance Review

March 2008 – October 2008

Annex 1

Core Actions from February OPR

• Securing future directions

• Reviewing our key processes

• Achieving Best Value

• Health improving

• Demand managing

• Implementing Mental Health Strategy

Future DirectionsLook for opportunities for the integration of the CHP

Progress to date :

• Agreed joint head of mental health and plans for single management

• Developed plans for co-location and joint capital ventures

• Reviewed CHCP plan and agreed Future Directions

Next steps :

• Implement agreed plans for mental health & addictions

• Finalise plans to locate all specialist children's’ services in IRH and scope for single manager

• Implement Future Directions paper

Planning The review of community care planning is key

Progress to date :

• Renewed all planning arrangements for community care, children and health improvement in context of SOA with strengthened strategic leadership and accountability arrangements

• Development of coherent and integrated process to more effectively deliver on shared commitments and to mainstream SOA priorities

• Integration of planning resources into virtual team across health and social care. Creation of Joint Manager post.

Next Steps :

• Launch new arrangements from January 2009

• Contribute to the refinement and confirmation of SOA2

• Participate in new Programme Board to drive delivery of SOA and manage cross cutting themes

Performance Embedding principles of performance and improvement amongst staff, with clear

accountability and reporting

Progress to date :

Next steps :

• Regular performance monitoring to SMT and Committee

• Six monthly PIR focussed on improving areas of under performance

• Agreement with Council on shared performance reporting

• Engagement with staff teams on core performance measures

• Integrate new HEAT targets with other selected national targets and key local targets into reporting framework for CHP

• Agree performance profile, structure and fit with Heads of Service

• Secure local staff ownership of key targets

• Service performance system with required information

• Explore scope for Public Performance Reporting.

Youth EngagementProgress with plans to engage young people in the work of the CHP

Progress to date :

• Successful Health Zone run at Youth Festival with diary room to capture the views of young people on health and health services – this is being pulled together into a DVD.

• Over 100 young people visited the diary room during one day of the youth festival and over 40 expressed an interest in joining the Youth Health Forum.

• Plans for Youth Health Forum are based on learning from other similar projects elsewhere in the UK.

Next steps :• First meeting of Inverclyde Youth Health Forum set for January with priorities on health services and alcohol, sexual health and tobacco

• Youth Health Forum to be the health sub group of planned Alliance Youth Health Council

• Research project on young people’s attitudes on alcohol.

Best ValueLook for opportunities for savings through best value assessments

Progress to date :• Learning from partners’ experience on Best Value, Lean Principles and Value Chain Analysis. Considering application to CHP.

• Work progressing with partners re potential for co-location and joint capital ventures.• Reviewing of CHCP plan and agreement on Future Directions

Next steps :• Demand Management group established – work plan to be identified.

• Developing and delivering shared investment plans.

• Completion of reviews on child health, mental health, addictions and administrative services

• Implement Future Directions paper including core commitments on cost sharing, reduced duplication and aligned budgeting

• Joint review of use of resource transfer

AlcoholYou will work with partners to achieve a greater focus on tackling alcohol and will be

looking at prevention as well as treatmentProgress to date :

• Influencing Inverclyde Alliance to raise the profile of issues related to alcohol and alcohol misuse

• Development of Alcohol Screening and Brief Intervention programme (SIGN 74)

• Keep Well 2 signposting in place

• Work ongoing to develop and continually improve alcohol treatment services and integrate these with those of other providers (eg social work addictions services and third sector providers).

Next steps :• Working to reinvigorate ADAT

• Establishment of a Youth Alcohol Worker post

• Development of an integrated Alcohol Service and facility

• Full roll out of Alcohol Screening and Brief intervention programme

• Implementation of men’s health service to target hard to reach men.

Oral HealthWork to target nurseries, deprived areas and non registered patients to address the

population’s experience of dental decay

Progress to date :

• The OHAT is fully established in Inverclyde.

• Work progressing with the OHD to improve intelligence beyond pre 5s.

• Childsmile in 3 GDP practices

Next steps :

• Roll out Childsmile programme across all GDPs in Inverclyde.

• Increase the number of dental health support workers.

• Finalise proposals with OHD for alternative plan to modernise dental services which maximise access.

SmokingSmoking cessation will be a priority for you this year, particularly targeting SIMD

areasProgress to date :

• Changed over to Maudsley model; all smoking cessation staff now trained, operating new model and promoting new services.

• Smoking cessation at core of Keep Well initiative.

• Reduction in smoking prevalence in Inverclyde in the past 6 years.

• Mainstreamed youth tobacco worker.

• Local Implementation Group on tobacco operational.

• Smoke Free Service in all pharmacies.Next steps :

• Drive up performance with the implementation of the new delivery model.

• Increase our bank of sessional smoking cessation staff.

• Introduce Smoke Free Homes initiative with education and environmental health

• Undertake research on young people attitudes to smoking and accessing hard to reach

• Actively target smoking in pregnancy with IRH.

Demand ManagementProgress to date:• Local Community and Acute Care Services Group established

• Extended management session held to discuss Demand Management in the context of our services and partnerships

• Initial work undertaken to analyse SPARRA data: shared with all GP practices

• Work underway to analyse profile and care pathways ‘frequent flyers’ at IRH (admissions and A&E presentation)

• Secured improvements in AHP waiting times data and intelligence

• Analysis of access to out of hours community nursing and service activity

• Development of local Health and Homelessness Action Plan to address unmet need / barriers in primary care and mainstream services.

Next steps:• Demand management group to take forward local priorities of dementia care pathways, physiotherapy access and study of A&E presentations / admissions

• Unify SPARRA analysis, housing with care review with balance of core update using JIT predictive tool (expand analysis of SPARRA to include SPARRA mental health and all ages)

• Roll out Diabetes LES to all practices with additional resource for podiatry, specialist nursing and dietetics

• Implement local action plan on maternity

• Further implementation of communications strategy including Council and local media

Implementing Mental Health StrategyCommitment to relocate staff and patients off the Ravenscraig Hospital Site by 2010

Progress to date :• Public engagement locally around Clyde MH Strategy, with ongoing communication

plan in place to March 2010.

• Specification agreed – relatives and carers fully involved.

• Redesign of SSPU, Mental Health Day Service and ECT suite underway.

• CMHT establishment increased and Primary Mental Health Care team in development.

• State of the art integrated Alcohol and Drugs service buildings commissioned.

• Crown House secured as Health ‘Hub’ to accommodate non clinical staff from Ravenscraig and a range of other staff (160 in total)

Next steps :• FE beds to transfer to IRH, Partnership and Care Home Beds tender to be agreed and location to

be confirmed.

• New Alcohol and Drugs service buildings to be ready for occupation in Dec 2009.

• Move into Crown House in July 2009. All staff and patients fully removed from Ravenscraig site by March 2010.