Transcript Leading by Design Service Transformation Stanley Riseborough Executive Director: Service Delivery & Transformation

Hertfordshire Partnership
NHS Foundation Trust
Leading by Design
Service Transformation
Stanley Riseborough
Executive Director: Service Delivery & Transformation
Hertfordshire Partnership
NHS Foundation Trust
Context
• National policy, new horizons, valuing
people now
• Conservative/Lib Dem Coalition
• JCT contract
• IIYMH – Whole system redesign
• Leading by Design – HPFT Strategy
Hertfordshire Partnership
NHS Foundation Trust
Our Key Challenges
• Continuing our drive for Quality in health & social
care.
• Achieving the savings required over the next 4
years (£30M)
• Providing the same levels of service activity
• Timelines for service transformation
Hertfordshire Partnership
NHS Foundation Trust
Organisation Preparedness
Aim
for
Excellence
Record of achievement,
Quality focus, Financial health
Evolving organisation, Stable Workforce,
Strong Membership, Commissioning Focus on MH and LD
Trust Merger, Health and Social Care integration,
Foundation Trust, Strong Partnerships
Hertfordshire Partnership
NHS Foundation Trust
Leading by Design
the service feel
individual to the
person receiving
care
Recovery
Orientation
Our Ambition
Integrated Personalised
Care Model
Care reflects
individual
circumstances
Health and Social
Care delivered as
seamlessly
Enables individual
choice and
responsibility
Hertfordshire Partnership
NHS Foundation Trust
Leading by Design
Clear pathways of
care
Early clear and
consistent access to
services
Expertise
available when
needed
Services local, but also
Specialist when needed
Characteristics
of the service
Services organise to ensure
efficient and effective delivery
to maximise resources
Interventions that reflect
best practice
Environments that feel safe and are therapeutic
Hertfordshire Partnership
NHS Foundation Trust
Leading by Design
Determining our Approach
Existing Work
National
Policy
Alignment
Trust
Strategy
IIYMH
Commissioning
Intentions
Hertfordshire Partnership
NHS Foundation Trust
Leading by Design
Service
Transformation
Corporate /
Support
1
Hertfordshire Partnership
NHS Foundation Trust
Leading by Design
3 Core Programmes
Single Access Point to
Services
Community Service
Care Pathways
Pathways through Crisis
and Inpatient Services
Hertfordshire Partnership
NHS Foundation Trust
Leading by Design
Governance
Arrangements
Enabling Work
Localities
Care
Co-ordination
External
Providers
Service
baselines
Organisation
Engagement
Learning from
Other
organisations
Estate
Utilisation
Programme
Support
How
We Work
Care
Pathways
Community
Ownership
Service
Modelling
Information
System
Primary Care
Interface
Payment
By
Results
Clinical /Practice
Leadership
Hertfordshire Partnership
NHS Foundation Trust
Leading by Design
Governance
Arrangements
Organisation
Engagement
Community
Ownership
Primary Care
Interface
Programme
Support
Clinical/Practice
Leadership
Hertfordshire Partnership
NHS Foundation Trust
Leading by Design
Service
baselines
Localities
Care
Co-ordination
External
Providers
Service
Modelling
Learning from
Other
organisations
Care
Pathways
Estate
Utilisation
How
We Work
Information
System
Payment
by
Results
Hertfordshire Partnership
NHS Foundation Trust
Leading by Design
What will the Service look like?
footnote
Hertfordshire Partnership
NHS Foundation Trust
Leading by Design
How will we apply our model?
• Intervene early
• Treat at home where possible
• Effectively manage pathway into, through and
out of services
• Well co-ordinated
• Recovery orientated
Hertfordshire Partnership
NHS Foundation Trust
Leading by Design
How will we use our Expertise:
• Work with people who are highest risk, most
complex or to supervise and develop practice
• Champion new service models
• Drive quality practice through curiosity,
innovation and development
• Create capable teams
Hertfordshire Partnership
NHS Foundation Trust
Leading by Design
Becoming more efficient:
• Avoid duplication
• Services to hand
• Clear pathways, with clarity of responsibility and
accountability
• Use of resources - care and treatment is the
business of all of us
• Maximise the benefits of IT
Hertfordshire Partnership
NHS Foundation Trust
Leading by Design
Modernising our Estate:
• Safe, therapeutic, aid recovery
• Give space and privacy
• Involve families, carers and the community
• Meet individual needs
• Timely procurement arrangements
Hertfordshire Partnership
NHS Foundation Trust
Leading by Design
How will we do things:
• “Nothing about us without us” – standards of
involvement
• Focus on people receiving care today and
tomorrow
• Scanning for opportunities
• Healthy discontent with average
• Work with partners to achieve common goals
Hertfordshire Partnership
NHS Foundation Trust
Leading by Design
Community Leadership – Engagement
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Create partnerships
Reduce stigma
Safeguard vulnerable people
Lead thinking
Enable pathways of care to employment,
recreation, housing etc.. for people who use
services
Hertfordshire Partnership
NHS Foundation Trust
Leading by Design
…..Supported by:
TEAMS
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Excellent care is a Team Effort
Invest in teams, ensure team objectives
Every team knows their direction and purpose
Create high functioning teams