The ISIP Story So Far

1
The ISIP Story So Far

• Linda Lloyd
• WY Head of Benefits Realisation and
• National ISIP Team

2
Delivering Quality and Value

• Public Political Expectations
• Gershon Efficiency Targets
• Service Top Team Requirements
• delivered via
• Board Room Briefing
• HRG Benchmarking
• ISIP
• Reflecting lessons from FLER

3
ISIP Helping the NHS

• deliver better patient care, more efficiently
• maximise and capture benefits for patients of
  local/national service and system reforms
• realise expected Gershon efficiencies
• demonstrate quality and value
• Use meaningful benchmarking
• thrive in a patient-led NHS

4
By

• reducing burden of separate initiatives and
  policies by aligning in a coherent approach
• exploiting people, process and technology
  enablers to achieve transformational change
• evidencing practice that demonstrates time
  releasing and quality benefits
• influencing future policy development

5
(No Transcript)
6
An Integrated Approach
How do we as a Local Health Community...
7
What has been going on?

• ISIP concept development and design
• Care Delivery System
• Integrated planning guidance
• Benefits realisation planning guidance
• Website development
• Informed by
• Field testing
• SHA Benefits Leads Network
• Productive Time Masterclasses
• OGC Productive Time FLER

8
(No Transcript)
9
PT Masterclass Challenges to ISIP

• Local Health Communities
• define the communities all sectors, including
  independent sector providers
• get them to own and work together on a shared
  agenda
• involve clinicians
• Solve issues at a time of organisation upheaval
• Skillsets for change planning delivery
• Invest before the benefits can be realised
• Integration with the LDP
• Measure the benefits to the patient and the cost
  to the NHS
• Allow autonomy to enable creativity
• Reconcile national/cluster and local priorities
• Address longer term priorities in the context of
  short term financial stress
• Create and maintain momentum

10
(No Transcript)
11
Quotes from Productive Time OGC Report (Re SI
Planning in test and other SHA sites)

• ISIP is pulling things together but comes across
  as retrofitting the three productive time DH
  programmes.
• Some of the ISIP tools and materials are too
  complex and not yet suitable for use at local
  level hence negative impressions formed
• Interviewees identified three common areas of
  support they would find most beneficial
• (1) effective best practice, especially
  focusing on evidenced-based, real demonstrable
  quality and value improvement
• (2) locally useable good enoughbenchmarking/
  performance data relating to their programmes
• (3) access to change management skills and
  expertise

12
The ISIP Care Delivery System
13
ISIP Concepts Underpin Design of Support Resources
Printed Materials
Website
Field Support
Training Communications
14
What has been going on?

• Preparation of Integrated SI Plan in140 LHC
• by end September, ahead of ISIP testing and
  launch
• West Yorkshire approach
• ISIP concept awareness raising with leaders and
  in functional groups, pending materials
• not starting from scratch strengthen what
  
• exists, adopt/adapt ISIP draft guide
  templates
• Relationship Managers alongside each LHC Exec
  Lead giving developmental support- in theory

15
What has been going on?

• ISIP Team Reviewed all Plans
• Findings helping to shape focus of support team
  deployment
• Findings helping to focus worked example areas
• What were the findings nationally
• and for West Yorkshire?

16
Choice of Priority Objective
2 patches (Leeds Wakefield) did not prioritise
and worked on all 9 CDS priorities
CH, Brad/Aire
Brad/Aire
CH
CH
CH
Brad/Aire

• Other principles chosen
• Citizenship Social inclusion and diversity
  (Brad/Aire)
• Improve user experience (CH)

17
Other locally generated Priority Objectives

• Patient/user experience (Calderdale/Huddersfield)
• Citizenshipsocial inclusion diversity(Bradford/A
  iredale))
• Wakefield/North Kirklees and Leeds took all CDS
  principles as High Priority Objectives

18
Top Integrated Change Programmes
Brad/Aire, Leeds, Wakefield
Brad/Aire, CH, Leeds, Wakefield
Brad/Aire, CH, Leeds, Wakefield
Brad/Aire, CH, Leeds, Wakefield
19
Top Integrated Change Programmes cont..

• Other Change programmes chosen (and by which
  LHC)
• Health Improvement (Bradford/Airedale)
• Equality/Social Inclusion (Bradford/Airedale)
• Commissioning Mental health Pathways
  (Bradford/Airedale)
• Children (Calderdale Huddersfield)
• Older People (Calderdale Huddersfield)
• Womens Services (Calderdale Huddersfield)
• Paediatrics (Leeds)
• Maternity (Leeds)
• Plurality Project (Leeds)
• Complex Discharge (Leeds)
• Discharge rehabilitation (Leeds)

20
Overall assessmentof SI Plans in West Yorkshire

• Leeds- good stakeholder engagementbuilt largely
  on MLB do otherservices priorities need
  refreshing and capabilities assessed
• Bradford/Airedale- most comprehensively completed
  from a LHC team coming together for first
  time strategic priorities warrant refresh
• Wakefield /N Kirklees- done in silos and strong
  on programmes, not high level strategy
• Calderdale/Huddersfield-existing ISS acute
  focussed change programmes as driver,good
  measures,no priorityrefresh
• Mental Health done seperately for
  Wfield/Cald./Huddersfield

21
ISIP LHC Expectation for 31st March 06

• Evolve workings of the LHC to take account of
  proposed PCT reconfiguration, if appropriate now
• Prioritise integrated change programmes
  identified in ISIP plan for benefits realisation
  planning in accordance with service need and
  timing of enabler opportunity e.g. PACs
• Set stretch targets for number of benefits
  realisation plans to produce by end March 2006
• Establish change programme governance for
  priority programmes
• Fast track one benefits realisation planning
  exercise to build experience?
• Undertake further benefits realisation planning
  exercises to achieve stretch targets
• This is about transformation not traditional
  change

22
Where Next?

• Introduce ISIP Tools to RMs
• Agree and roll out WY engagement strategy
• Position ISIP approach for WY business
  continuity, organisations legacy future
  intelligent commissioning
• Land ISIP afreshwork with CPLNHS Project
  Directors
• Tailor action in LHCs to deliver BR Plans-March
  06
• Deploy Benefits Support experts
• Fix progress reporting mechanism-who/where/when

23
ISIPs Relationships with the Service in the
Field

• NHS is doing this for itself, soft sell and
  launch
• SHAs are the local HQ of the NHS- culture, local
  intelligence and skills to share a critical
  partner
• Tailor message to audience goals (cash releasing,
  patient experience, touch time etc)
• ISIP offers ingredients, the recipe is theirs
• ISIP to be mainstreamed hence as much about
  transfer of skills as output
• Some LHCs will now be moving to new footprint so
  track record may be history

24
What ISIP work/products are still ongoing?

• Launch presentation pack
• Step 4 Benefits Measures Review
• by January
• Roadmap signposts to more Governance
  Stakeholder best practice central
  programme(CfH, NIII, Workforce) best offers
• Exemplar SI Plan due this week, to help refresh
• Future state clinical vignettes e.g. LTC
  pathways 5yrs ahead, to be agreed promoted
  by Clin. Czars

25
(No Transcript)
26

• Want to know more or keep updated?
• ISIP National Team members-Ann Wagner and Linda
  Lloyd
• or
• nww.isip.nhs.uk