Implementing the Planning Guidance 2017/ /19

Transcription

1 Implementing the Planning Guidance 2017/ /19 Iain Wallen Director of Information and Analytics NHS Improvement NHS Providers: Directors of Operations/COO Network meeting 17 November 2016

2 Approach to Operational Planning 2017/ /19 What you told us.. 1 We want operating plans to fall out of STPs as we are investing a lot of time and energy in this work 2 We would like planning guidance earlier in the process to help us plan for the longer term 3 We want a realistic and defined measure of success for the sector 4 We need a process that enables us to have Board approved plans in place well before the start of the financial year 5 We need to move into delivery and stop endless iterations of plans 6 We want you to facilitate and enable a joint approach between commissioners and providers to planning but assist us when issues get stuck 7 We want national bodies to have a shared set of assumptions and expectations to support the process and to avoid duplication 2

3 Approach to Operational Planning 2017/ /19 Our Response.. 1 The planning process has been built around STPs so that the commitments and changes coming out of these plans can translate into operational plans & contracts 2 Joint guidance and contracts /frameworks published earlier. The aim was to provide certainty and stability for a two-year planning and contracting cycle Ambition stated in financial re-set during 2016/17 that, in aggregate, the provider position commences 2017/18 in improved run-rate The intention is to enable operational planning and contracting to be completed by the end of Dec providing time to embed before 1 Apr. As we move into 2017, organisations will be able to focus single-mindedly on delivery of the next two years of their STPs 6 We are promoting a more collaborative approach between commissioners and providers with greater system-level working through STPs and joint working 7 National bodies have moved very quickly to set expectations for plans over a longer time horizon and have agreed to carry out a rapid joint assurance process 3

4 Operation of the Sustainability and Transformation Fund Access to the STF will be dependent on providers agreeing to control totals and associated conditions In year receipt of the STF will replicate 2016/17 arrangements Year to date financial performance will be a gateway 70% of STF dependent on financial performance and 30% dependent on performance standards Providers will be expected to deliver the national standard and will submit assurance statements to this effect to NHS Improvement. If a provider does not deliver its performance trajectory during 2016/17 as a result of circumstances outside of its control, it can use the appeals process and if successful its trajectory will be reset. The appeals process will be a rolling arrangement that applies throughout 2016/ /19 Where providers are eligible for the STF regime, contract sanctions on key performance standards are currently suspended. This arrangement will continue in 2017/18 and 2018/19. 4

5 Activity Planning Aim to ensure that STPs and operating plans are aligned, with plans for realistic activity levels that are affordable and deliverable. The 2015 modelling to support the Spending Review (SR) required significant activity moderation in order to achieve system balance Ultimately, costed activity and credible balanced plans will supersede the original SR assumptions but they must be affordable and deliverable Plans should be based on outputs from Demand and Capacity Plan models. Getting it wrong is expensive and creates operational distress Plans should have sufficient capacity to deliver the levels of activity agreed with commissioners Plans should be sufficient to deliver - or achieve recovery milestones for - key operational standards Provider monthly profiled submissions for 2017/18 and 2018/19 are required from acute and specialist Trusts only

6 Planning Milestones (subset) 6 Timetable from 31 October National Tariff section 118 consultation issued Final CCG and specialised CQUIN scheme guidance Final control totals issued including CNST & IA Commissioner to submit high level operational plans for 17/18 & 18/19 Finance, activity & workforce plans sent out to providers (with guidance) Commissioners (CCGs and Direct) to issue initial contract offers that form a reasonable basis for negotiations to providers Final NHS Standard Contract published Providers to respond to initial commissioning offers Submission of full draft 17/18 to 18/19 operational plans National Tariff consultation closes Where CCG or direct commissioning contracts not signed and contract signature deadline of 23 December at risk, local decisions to enter mediation National Deadline for signing contracts Submission of final 17/18 to 18/19 Operational plans. aligned with contracts Submission of joint arbitration paperwork by CCGs, direct commissioning and providers where contracts are not signed Contract and schedule revisions reflecting arbitration findings completed and signed Date 31 October 31 October 1 November 1 November 1 November 4 November 4 November 11 November 24 November 28 November 5 Dec 23 Dec 23 December 23 December By 9 January 31 January

7 Operating Plan Assurance Provider plans to meet the new requirements agreed in the joint 5YFV NHS planning guidance in an affordable way During the planning round NHSI will be collecting and sharing information for assurance purposes which will also be helpful for Boards: Checking plans are stretching, realistic and consistent with national financial policy Phasing of plans Weekly contract tracker - alignment with commissioners to track progress and issues Plan triangulation is the plan internally consistent between the activity, workforce and finance plans Agency spend specialty issues, ceilings and plans Capital plans are they reasonable /affordable Efficiency ambition and quality impact assessment Activity assumptions is it realistic and does the trust have the capacity to meet this Testing the planning assumptions, with explanation as to how these assumptions compare with expected growth rates 7

8 Questions for discussion with Directors of Operations/Chief Operating Officers Is there an agreed understanding with commissioners and within the trust about demand and capacity plans for 2017/18 and 2018/19? Do we think there will be a clear read across from STPs to organisational operating plans? Is the requirement for the 30% performance element of the STF realistic for 2017/18 and 21018/19? What is the impact of the new standard NHS contract? Are working relationships with commissioners enabling operational plans and contracts to be ready by 23 December 2016? Within your trust, what are the key factors affecting your ability to create a robust operational plan and how are you tackling them? Have you got best practice to share about how best to support delivery of your operational plans? 8