Download 1 NHS GRAMPIAN Improvement Programme 1. Actions

NHS GRAMPIAN
Board Meeting
04 08 16
Item 9.1
Improvement Programme
1. Actions Recommended
The Board is asked to:
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Approve the approach to the NHS Grampian Improvement Programme for the
period to 31 March 2017; and
Delegate responsibility for the detailed monitoring of progress to the
Performance Governance Committee, with exception reporting to the Board via
the regular performance and quality report.
2. Strategic Context
In response to the three reports1 issued in December 2014 the Board committed to
the development of a comprehensive improvement programme. The majority of the
recommendations have now been implemented to ensure that our corporate, health
and healthcare strategy is fit for the future, and that service delivery meets the
requirements of the people of Grampian and Scottish Government policy.
Given the nature of the future challenges facing Health Boards individually and
collectively there is a need to continue to identify opportunities to improve the way
that healthcare is delivered. In this context the Senior Leadership Team have
updated the improvement programme to reflect the actions required to
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support the Local Delivery Plan (approved by the Board in June) and
respond to findings and recommendations from external reviews.
Governance and oversight
In terms of accountability the Chief Executive will be directly responsible to the Board
for implementation of the agreed actions within the improvement plan. The Chief
Executive has delegated lead responsibility for each element of the plan to members
of the Senior Leadership Team. The Senior Leadership Team will meet on a weekly
basis to review progress against the detailed recommendations. This forms the basis
of reporting on progress to the Board.
The Deputy Chief Executive and Director of Finance will continue to have monthly
meetings with colleagues from Scottish Government to report on progress with the
implementation of the agreed actions set out in the improvement programme.
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Health Improvement Scotland review of quality and safety at Aberdeen Royal Infirmary, Health
Improvement Scotland unannounced inspection of the care of older people in Aberdeen Royal
Infirmary and Woodend Hospital and the Royal College of Surgeons of England invited review of the
ARI general surgery department
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3. Key matters relevant to recommendation
It is proposed that the Improvement Programme for the period to 31 March 2017 will
focus on the following areas:
Local Delivery Plan – implementation of agreed actions
Board Local Delivery Plans (LDPs) play a crucial role in supporting NHS Boards to
deliver the NHS Scotland 2020 Vision and wider health and social care policy
developments to improve outcomes. These include the national clinical strategy; the
integration of health and social care; the national conversation; and a range of
service reviews that have recently been completed or are currently underway.
The LDP continues to be the ‘contract’ between Scottish Government and NHS
Boards, providing assurance that local plans are in place to deliver Scottish
Government priorities.
The Improvement Plan sets out in detail the actions that will be implemented over
the period to 31 March 2017 to address the following priorities set out in the LDP
approved by the Board:
 Health Inequalities and Prevention - tackling inequalities and prevention will
continue to be a key role for the Board and its partner agencies, with Health and
Social Care Partnerships emerging as a new focus for addressing inequalities
 Antenatal and early years - the Scottish Government has confirmed funding for a
further 3-5 years for the Maternal and Children’s Quality Improvement Programme
as part of the Scottish Patient Safety Programme (SPSP). We will continue to
contribute to and support this important programme that will deliver improved
outcomes in maternal, neonatal and paediatric care.
 Safe and Person Centred Care - we remain committed to maintaining
momentum in delivery of the acute adult Scottish Patient Safety Programme
(SPSP) and to build upon the progress being made in the safety programmes for
primary care, maternity, neonates and paediatrics (MCQIC) and mental health
services as well as ensuring that work around AMR/HAI improvement activity
continues to be treated as a priority.
 Primary Care - in line with Scottish Government direction resources have been
prioritised to increase capacity in primary care, covering General Practice,
Dentistry, Optometry, Pharmacy and Out of Hours reflecting four key themes:
leadership & workforce, planning & interfaces, technology & data and contracts &
resources
 Scheduled care, cancer and unscheduled care - we remain committed to
delivering the required actions to meet the scheduled care and cancer treatment
times trajectories and to implementing our winter plan in line with the national six
essential actions for A&E
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 Mental Health - The LDP process for this year included a particular focus on
mental health services, following the funding announcement by the First Minister
in January of additional funding for mental health services. We continue to make
best endeavours to reduce waiting times for access to psychological therapies
and to Child and Adolescent Mental Health Services (CAMHS).
 Workforce - As part of the implementation of Everyone Matters, we are expected
to deliver actions across the 5 priorities for action: healthy organisational culture,
sustainable workforce, capable workforce, a workforce to deliver integrated
services and effective leadership and management. Strengthening workforce
planning will continue to be the focus in 2016-17 for delivering a sustainable
workforce.
 Community Planning Partnerships - The Board, along with partners in Local
Authorities and Health and Social Care Partnerships, has a statutory duty to be
involved in Community Planning Partnerships and to take an active and effective
role in these. We will monitor the local impact that the NHS is making in
community planning and the role senior leaders are playing, particularly in the shift
towards prevention, early intervention and tackling inequalities.
 Local Delivery Plan Standards (including finance) - performance against the
local delivery plan standards is considered at the monthly Senior Leadership
Team meetings, the Performance Governance Committee and the NHS Grampian
Board and/or Integration Joint Boards
NHS Boards are expected by Scottish Government to report progress against the
LDP at their Board meetings. Reporting of progress against the improvement
programme will meet this requirement. The Scottish Government will also consider
LDP progress during Annual and Mid-Year Reviews.
Following approval of the Clinical Strategy the Improvement Programme will be
updated to reflect the supporting actions required to deliver agreed priorities to the
extent they are not reflected in the Local Delivery Plan or other supporting plans.
Implementation of recommendations arising from external reviews
In terms of current external reviews, the Improvement Programme will focus on
addressing the recommendations arising from the following external reviews.
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Report of the National Cremation Investigation
Vale of Leven Hospital Enquiry
Aberdeen Maternity Hospital – Healthcare Environment Inspectorate (HEI)
inspection findings
Audit Scotland National Reports - Changing models of Health and Social Care,
Health and Social Care Integration, NHS Scotland National Overview Report
Action plans are in place to monitor the implementation of recommendations arising
from each of the above reviews. The actions within this category will be updated to
reflect any further external or scrutiny reviews and associated recommendations.
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4.
Risk Mitigation
Effective monitoring of the implementation of the actions set out within the
Improvement Programme will ensure that progress is actively monitored across all
areas of the LDP and that appropriate local performance management arrangements
are in place around each of the Strategic Improvement Priorities.
5.
Responsible Executive Director and Contact for Further Information
If you require any further information in advance of the Board meeting please contact:
Responsible Executive Director
Alan Gray
Director of Finance
[email protected]
20 July 2016
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