Networks and Trusts working together Creating a shared Understanding

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Networks and Trusts working together -Creating a
shared Understanding

• Dr Séamus ONeill
• Senior Manager
• Northumberland, Tyne and Wear CLRN
• June 16th 2009, RD Development Day

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Structure
The basics What we do How we do it Discussion

• Activity and Funding
• Passports
• CSP
• Clinical Sessions

a) Good practice? b) Scalable or transferable? c)
How would we go about it?
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City Hospitals Sunderland NHS Foundation Trust
Gateshead Health NHS Foundation Trust
Newcastle-upon-Tyne Hospitals NHS Foundation
Trust South Tyneside NHS Foundation Trust
Northumbria Health Care NHS Foundation Trust
Northumberland, Tyne and Wear NHS
Trust Sunderland Teaching PCT South Tyneside PCT
Gateshead PCT Northumberland Care Trust North
Tyneside PCT Newcastle PCT North East Ambulance
Service NHS Trust
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The remit of the CLRNs

• Primary vehicle for NHS infrastructure
• Primary, secondary, tertiary care and mental
  health
• Establish and actively manage infrastructure
• Work in partnership with established networks
• Support a portfolio of high quality studies

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NIHR Portfolio studies
A Network perspective
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Impossible or just improbable?
CLRNs
Trusts
Complex and multi-dimensional Constant
renegotiation Developing our understanding More
Machiavelli than PRINCE
TCRNs/PCRN/SGs
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Getting the investment out there

• We operate through and in our Member
  Organisations How we fund
• Infrastructure supports studies in TCRN, PCRN and
  SGs What we fund
• Joining these two up! Service Support rather
  than Service Support Costs
• Link everything to a Trust and a priority area
  (and MONITOR funding and activity)

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Devolved allocations for RMG and Service Support
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Member Organisations returning Outline use of
Resources for agreement
ANALYSE ! MONITOR ACTIVITY !
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RMG Initiatives CSP and Passports

• Bureaucracy busting/removing barriers to
  research
• OR
• Standardisation of practice and quality

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Monitoring CSP
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Passports

• A way of working
• Working with Trusts which bit?
• Multiple approaches
• Patience

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Clinical Sessions

• Intervention (64.5 sessions to individuals and
  teams for 2 years)
• Assessment (Audit in Feb 09)
• Revision (Informed the application process for
  09)
• Improvement (A further 48 awarded in 09)

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• Working together (meetings)
• Board and Exec - Leadership
• Devolved model - First Tuesday meetings
• Working Groups - CSP and Passports
• Visits all the core team
• CD Forum established

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• Working together (learning)
• MBA lite
• 360 degree review
• Core business for CLRN team
• Understanding the model -gt Creating the model

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• Values
• Inclusivity
• Transparency
• Fairness

• Signs
• You, us and we
• Tolerance
• Common purpose

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• Challenges
• Networks
• Trusts
• CSP/Passports
• Tolerance

Skills Brokering Engagement Facilitation
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Discussion
a) Good practice? b) Scalable or transferable? c)
How would we go about it?