Business Planning for a Patient Focused Rheumatology Service. Ann Todd Pennine MSK Partnership May 2012

Transcription

1 Business Planning for a Patient Focused Rheumatology Service Ann Todd Pennine MSK Partnership May 2012

2 Ann Todd Session title Business Planning for a Patient Focused Rheumatology Service Presenter disclosure Information; Declaration of Interest/ This speaker has no conflicts of interest

3 Introduction Purpose of session To provide overview of the business planning process with reference to and the inclusion of an example of a rheumatology service redesign. To introduce the concept of CCGs and clinical commissioning

4 What is a Business plan A formal statement of a set of business/organisational goals and the plan for reaching those goals incorporating the strategic aims and values of the organisation usually produced annually A proposal seeking authorisation for the allocation of a resource associated with change to the organisation e.g. to provide new services or to purchase new services

5 Annual Business Plan Should Include Strategic Context Key Delivery and Business Objectives Delivery Plan Monitoring Progress Risk Analysis

6 Funding Proposal Should Include Why the project is needed (issues and opportunities) How will the proposal solve the issues or opportunities facing the organisation What is the recommended solution What will happen to the service in a do nothing scenario When will the solution be deployed How much money, people and time resources will be needed to deliver the solution and realise the benefits

7 When Required? A written business case is required to support planned changes whenever the resource of expenditure on a project has to be justified and approval from another party is required to undertake that project

8 Overall Goals Keep clear and concise Minimise jargon and conjecture Communicate all facts as part of submission Provide reader with vision of the end position Demonstrate the value the project brings to the organisation and its financial bottom line Demonstrate that it improves quality through innovation, improvement, productivity and prevention QUIPP

9 Proposals for Rheumatology Development Demonstrate that patient pathways are designed around current and accepted Best Practice NICE guidance Treat to Target NAO Report

10 Who Plans are submitted to Presented to Sponsor for approval; Sponsor is person or group of people who will decide whether the proposal and the allocation of resource is supported and authorised Internally Management Team or Trust Board Externally Commissioner PCT/CCG

11 Commissioner Led Redesign Proposals communicated via commissioning priorities and intentions Tenders AQP Impact on current providers

12 Example of A Commissioner led Rheumatology Service Redesign Oldham PCT tender advert to provide community based MSK services to include rheumatology, orthopaedics, chronic pain and psychological medicine. Outcomes Achieved; Clinically led model Fully integrated service Care closer to home Comprehensive rheumatology service in the community

13 Clinical Commissioning -The Vision GP commissioning consortia (CCGs) holding the majority of NHS budget Delivering a sustainable health care system More systematic and proactive management of chronic disease Patient Empowerment Population based approach to commissioning More Integrated Models of Care

14 Clinical Commissioning Groups NHS Commissioning Board approval Must demonstrate; Proven capacity and capability to carry out function Strong clinical and patient focus Meaningful engagement with patients, carers and their communities Clear and credible plans to deliver QUIPP Proper constitution and governance arrangements Collaboration arrangements with other CCGs, LAs and NHS Commissioning Board

15 Impact on Providers April 2013 No PCTs All commissioning discussions to be with CCGs Move to commissioning by programme of care Focus on clinical outcomes not process Patients at centre of redesign.

16 The Future More emphasis on patient outcome measures Patient involvement at all levels Clinical commissioning will drive forward quality agenda More collaboration between CCGs and other agencies.

17 Questions