Foundation Trust Programme progress update CPB February Domain Plan Timeframe Progress Evidence Lead

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1 Foundation Trust Programme progress update CPB February 2011 Legally constituted and representative Good business strategy Governance rationale agreed November 2010 October Board Board paper development session held to develop governance rationale. Formal approval November Board Membership strategy May 2011 /JH Recruitment materials and May 2011 /JH welcome pack Member recruitment June 2011 /JH December 2012 Member communications Launch from /JH September 2011 Consultation April July 2012 /JH Constitution approved October 2012 Pre-election promotional activity May 2012 /JH Elections July to Health economy wide FT Programme Board to be established to develop vision for ensuring viability and sustainability of MYHT going forward Configuration of services across sites September 2012 Initial meeting February 2011 Initial work with SHA to identify support requirements April 2013 First phase (Jan 2011) service configuration agreed and OSC support Consultation document and outcomes Board papers and EA/ JS/ME 1

2 Workforce redesign/financial plan October 2012 secured. ICT tender secured. Discussions with NHS WD on failsafe. NCAT review completed. Health community response to longer term options to be confirmed. Ernst Young/Finnamore review of options potential for ICO/TCS solution for North Kirklees concluded and confirms no change to geographical footprint of Trust. Further work based on NCAT to feed into IBP Review commissioned to inform clinical service strategy for IBP Detailed workforce plan for 2010/11 approved by TB based on entering 2011/12 in recurrently balanced position. correspondence Meeting notes ICT tender process NCAT report SRRB report OSC minutes Workforce plan Board minutes Financial recovery board terms of reference and minutes /JW Further development in train to secure detailed plan for 2011/12. Three month consultation with staff side concluded 15 th September. Unidentified gap remains 2

3 Integration of community services and development of alternative pathways/reduced admission rates and length of stay Pathway redesign to reduce dependence on hospital admission/length of stay (Phase one internal) Pathway redesign taking account of integration of community services April 2011 November 2010 November 2011 for 2010/11 and 2011/12 Financial recovery Board established Joint proposal in Wakefield approved by NHS WD in September. Transitional arrangements being worked up. Kirklees progressing social enterprise model Deloitte report on patient flow received September 27 th. Action plan to be developed Linked to TCS agenda. Integration plan to be developed Board papers Correspondence Meeting notes Reduced length of stay Deloitte report New service models Reduced length of stay Reduced emergency admissions for identified pathways AW AW// ADOs Market analysis Initial exercise to inform 2011/12 planning and contracting rounds September 2010 PWC project study undertaken May 2009 and reflected in 2010/11 annual plan. Information updated and shared with CSGs incorporated into first draft 2011/12 annual plan. Further work to be undertaken for final IBP SWOT & PEST July 2010 Board development session held June 25. PWC report 2010/11 business plan /DS /DS 3

4 Vision document (Trust profile and strategy) Financial assumptions shared with CSGs to inform 1 & 5 year plans Initial SWOT and PEST undertaken. Revised strategy and goals approved by TB July Further revisions to be incorporated post September Board to reflect external issues including NCAT, TCS and ICO position. July 2010 Agreed at TB July Further development planned with staff and stakeholders (inc community staff) Spring 2011 October 2010 Subject to timing of publication of operating framework. Detail of CIP requirement for individual CSGs and directorates needed. Final assumptions for 2011/12 to be based on SLA outcome Business proposal March 2011 Capacity issues in CSGs identified. Draft IBP Annual planning guidelines issued (including operating Business proposal required for submission to SHA March 21st October 2010 First cut annual plans service developments /DS 4

5 framework) produced. Feedback offered. Detailed CIP and production plans required. Timetable for development of five year plans to be adjusted to fit mock HDD. Trust profile for chapter 2 September 2011 Initial draft developed /DS Strategy for chapter 3 September 2011 Initial draft developed. Further revisions to be incorporated post September Board to reflect external issues including NCAT, TCS and Detailed market assessment for chapter 4 Service redesign and developments (investment and divestment) for chapter 5 September September 2011 ICO position. Market analysis information shared with CSGs. Needs further development to make it fit for purpose for IBP to meet timetable for first draft (linked to Mock Historical Due Diligence) Service reconfiguration confirmed for January Progress on TCS leading to pathway redesign Data quality strategy and work on coding improvements enabling the Trust to better identify income and activity. Initial /DS /DS 5

6 session with clinicians (Strategic Planning Forum in May 2010) and sessions held with each CSG to consider potential areas for growth or divestment to improve I&E position. Financial strategy for chapter September Risk analysis for chapter 7 September 2011 Leadership and workforce for September 2011 JW chapter 8 Governance rationale and September 2011 systems for chapter 9 Detailed workforce plan September 2011 JW LTFM June 2011 First full draft IBP (for mock : September 2011 HDD) Action plan following mock HDD December 2011 Action plan developed after March 2012 HDD HDD part one August 2012 HDD action plan implemented September 2012 / HDD part 2 October 2012 Final draft IBP for submission to October 2012 DH IBP refresh for Monitor assessment December

7 Financially viable Delivery of 2010/11 CIP/workforce plan Achievement of recurrent balance April 2010 to March 2011 March 2013 Workforce plan approved by Trust Board. Consultation with staff side on policy change and posts at risk underway. Some aspects dependent on move to new hospital. Current programme does not deliver recurrent balance by March Discussion ongoing with PCT to secure year end balance Plans partially developed for 2011/12. Non recurrent support required to meet cost of workforce change. Dependent on pathway redesign, improved length of stay and reduced dependence of WLI and agency/locum Financial Recovery Board established. Plans being developed with SHA and commissioners to agree two year plan based on requirement to enter 2012/13 with plans for delivery of recurrent balance by the year end. 2010/11 business plan and workforce plan Board papers and Board minutes FRB terms of reference and minutes Correspondence /JW 7

8 CIP programme for 2011/12 March 2011 Some CIP already identified. Gap may require further service redesign subject to commissioner and OSC approval. Revised CIP requirement for 2011/12 to be issued by finance leads. Financial recovery Board established Development of long term June 2011 financial strategy Modelling for downside scenarios (to feed into first draft IBP) September 2011 Grant Thornton study undertaken April 2010 to assess capacity and capability of finance team. Capacity/FT modelling skills to be addressed. Interim FD appointed. LTFM completed (10 year) June 2011 Steady state LTFM required for March 21 st CIP plans Financial performance reports FRB terms of reference and minutes GT report and action plan SHA submission Capital programme approved June 2011 Treasury management policy September 2012 approved Well governed Unqualified CQC registration March 2010 Achieved Letter/CQC website Deloitte report on Quality Governance May 2010 Draft received for comment Report Action plan following Deloitte report September 2010 Completed 8

9 Capable Board Implementation of action plan April 2011 Deloitte to undertake review of progress Deloitte report SHA clinical governance review tbc (timing to allow action on Deloitte report to be reviewed would be beneficial) Action plan following SHA review tbc Implementation of actions following SHA review tbc Unqualified registration retained March 2011 TMB 2010/11 Unqualified registration retained March 2012 TMB 2011/12 NHSLA level 3 November 2011 TMB Data quality strategy March 2011 AW Development of Foundation CSGs December 2011 Scoping exercise undertaken // DS Due diligence exercise for CSGs September 2011 Roll out of service line management September 2011 Not completed. Needs linking to FCSG work Deloitte report on Board March 2010 Completed Report structures Induction of new NEDs May 2010 Completed Induction programmes Board development sessions March 2012 Programme delivered Development programme EA/ programme to and notes/presentations be developed (linked to FT). Funding secured from NHS I up to April 2011 Individual PDPs for Board May 2010 Completed for 2010/11 Appraisal notes/letters EA/JS 9

10 Good service performance members Objectives set for all directors May 2010 Completed for 2010/11 Appraisal notes and EA/JS objectives Review of committees and May 2010 Completed Board papers and TOR terms of reference Review of standing orders, SFIs May 2010 Completed Board paper/minutes and and SoD documents Review presentation of Board July 2010 Completed papers Review format and content of IPR July 2010 Board development session held Revised format used for Board papers in July. Amended format financial report submitted to January TB Note of development session. Sample reports Review risk strategy September 2010 Completed TMB Review risk register and assurance framework interface September 2010 Audit committee minutes QCGC minutes Leaders development programme (linked to developing high performing culture and devolved responsibility) QIPP work streams identified and approved by TB July 2011 to December 2012 March 2010 Internal audit report commissioned. Assurance Framework to be revised following agreement of 2011/12 corporate objectives Not started. Funding and support for programme design agreed with NHS Institute Included in annual plan Terms of reference agreed by CPB Steering group arrangements in place Annual plan CPB minutes and papers Steering group minutes AW/ JW TW 10

11 Local health economy QIPP programme on track March 2011 Programme being streamlined to focus on reduced number of work streams delivering significant change Performance reporting for Board and CSGs reviewed Trajectory for achieving performance targets in place Performance targets routinely being fully met Reputation management strategy GP engagement plan developed and implemented LINKs work stream interface and liaison arrangements in place July 2010 for TB September for CSGs Revised to June 2011 Q Revised to May 2011 Revised to May 2011 May 2010 Workshop June 23. Revised format report presented to TB July Further work on KPIs in September. Targeted piece of work included in support package Improving position overall Strong focus on performance in executive team and TB Incomplete Proposals discussed with LMC. Some elements being delivered PBC leads to be come members of Provider Board (evolved from TCS Board). Requires further development and formalisation Work streams in place and working well. Trust represented at all Wakefield LINK business meetings. Work stream leads identified Work streams operational Positive feedback to LINK AGM TW AW AW AW / 11

12 OSC routine contact meetings in place MP routine contact meetings in place Interface arrangements agreed with Kirklees. MYHT invited to become stakeholder member and to attend all business meetings June 2010 In place April 2011 To be reviewed /JH 12