CT Scanner Replacement Nevill Hall Hospital Abergavenny. Business Justification

Size: px
Start display at page:

Download "CT Scanner Replacement Nevill Hall Hospital Abergavenny. Business Justification"

Transcription

1 CT Scanner Replacement Nevill Hall Hospital Abergavenny Business Justification Version No: 3 Issue Date: 9 July 2012 VERSION HISTORY Version Date Brief Summary of Change Owner s Name Issued Draft 21/06/12 1st Draft Version A Carter 25/06/12 2 nd Draft Version A Carter Final 27/06/12 Final A Carter 1

2 CONTENTS 1. PURPOSE 2. STRATEGIC CONTEXT 3. CASE FOR CHANGE 4. INVESTMENT OBJECTIVES 5. BUSINESS CASE OPTIONS 6. PREFERRED OPTION 7. PROCUREMENT ROUTE 8. FUNDING & AFFORDABILITY 9. MANAGEMENT ARRANGEMENTS 2

3 1. PURPOSE The purpose of the Business Justification Case is to seek approval and funding to replace the CT scanner at Nevill Hall Hospital Abergavenny. The cost of replacement equipment is 845,000 + VAT i.e m This imaging modality provides the capability to provide cross sectional images of the body, which when combined with the administration of a contrast agent allows for the detection of even subtle differences between body tissues. As an imaging tool CT remains the preferred method of diagnosing many different cancers. This coupled with the improved resolution on CT scanners permits the development of new techniques resulting in earlier diagnosis and subsequent early intervention. 1.1 Summary Case The case aims to meet the following strategic objectives of the organisation: To provide our patients with safe, high quality, evidence based services. To invest in our services through sound financial management. To realise the benefits of technology and service modernisation. 2. STRATEGIC CONTEXT The strategic direction of the newly established Aneurin Bevan Health Board remains consistent with the Assembly s new framework for the future outlined in Designed for Life: Creating a World Class Health Service for Wales. One of the principal challenges facing the organisation is the elimination of inequalities in the management of the well being of the population, with the provision of a whole system approach to healthcare. The Aneurin Bevan Health Board continues to strive for this desired goal through its Clinical Futures Strategy. The Welsh Assembly Government has also published Healthcare Standards for Wales, which set out clear expectations for services in four domains of patient experience, clinical outcomes, healthcare governance and public health. Imaging services play a fundamental role in all four domains and remains the key clinical component to effective healthcare delivery. 3

4 Radiological services also face some immediate pressures arising from the Welsh Assembly Government s Planning and Priorities Guidance including: Increasing emphasis on fast turnaround times in unscheduled care requires rapid access to diagnostics for assessment Development of one stop clinics particularly in cancer services New waiting time targets for cancer treatment The introduction of specific waiting times targets for diagnostic services Rapid access to diagnostics is required to achieve the Referral to Treat Time Targets. Impact of National Service Frameworks and NICE guidance on levels of diagnostic demand - for example in relation to stroke care. Impact of new GMS contract and the Quality and Outcomes Framework on demand for diagnostic services. The requirement for faster access to diagnostic services is a critical requirement to improve both clinical and operational performance for inpatient and outpatient services. Without timely and appropriate access to radiology services there will be longer lengths of stay for inpatients, higher levels of emergency admissions and extended waiting times for outpatient services which will impact on the quality of patients care and the achievement of waiting times and other national performance targets. Requirement to improve patient flow and optimise acute bed utilisation and reduce length of stay Rapid assessment for trauma patients Rapid access for medical and surgical assessment units NSF for stroke patients. The NICE guidelines. Cancer guidelines and cancer waiting time targets place greatly increased pressure across the directorate. Reduce out patient waiting times to meet current targets; Radiology has a vital role to play to ensure the Trust meets the Referral to Treatment waiting times targets. Diagnostic radiology tests need to be available at the appropriate time in the patient pathway to enable timely transition from referral to treatment and discharge. 4

5 3. CASE FOR CHANGE The 64 slice CT scanner at Nevill Hall Hospital is now in excess of 8 years old; it is a high priority imaging modality and is a single point of failure at the site being a lone scanner. This imaging modality is critical to Accident and Emergency receiving emergency patients, the closure of the scanner results in the closure of A&E to emergency trauma cases. An ageing scanner is also more prone to periods of service and breakdown closure. On analysis of demand the CT service has been subject to increases in referrals year on year over the last three years with a predicted increase to 6% for the years 2011/12 equating to additional 1000 patient visits. From the inpatient perspective the acute site currently delivers in the order of 50% activity, whilst achieving the established outpatient waiting time target for diagnostics. Of this activity 8% is attributable to delivering CT imaging to the Accident and Emergency service. The increased pressure on this service is coupled with the need to implement new clinical guidelines for head injuries and Stroke management. The scanner is now operating for 12 hours a day and often at weekends which is increasing the rate of deterioration of the scanner. The CT scanner is now reaching the end of its acceptable serviceable life creating a reliability issue, the impact of which would be a total reduction in capacity. Due to the age of this equipment it is inevitable that image quality will deteriorate, speed of acquisition and reconstruction will be subject to degradation thus imposing a significant clinical risk of misdiagnosis. As its age increases it is inevitable that this will result in higher maintenance costs. A new scanner would enable quality improvements to be realised, offering more diverse diagnostic imaging to referring clinicians. Based on current demand and referral growth it is anticipated that the service would be required to deliver activity in the region of 18,100 scans in the years 2011/12. This is creating pressures on the service in terms of increased demand, the need to establish faster turnaround times with the ultimate objective of improving the quality, timeliness and efficiency of patient care whilst delivering Welsh Assembly Government targets. Achieving these waiting times targets will rely upon improved efficiency and extended capacity in radiology services over the next few years. With advances in technology a new scanner coupled with further modernisation of our services would afford us the opportunity to more easily match our capacity and demand issues, 5

6 whilst delivering new and more complex diagnostics. Increased capacity may be achieved through extended working hours and further development of skill mix within the workforce e.g. by extending the roles of radiographers and helpers to reduce the reliance on consultant staff for more of the routine workload. Patients Visits April March April March April March April March % Increased Demand 16% 3.5% 4.6% To support the safe and effective provision of digital imaging services with the reduction in radiation dose to both patients and staff. To improve the recruitment and retention potential of staff to the Health Board and to further develop a highly skilled, highly motivated, flexible workforce. 4. INVESTMENT OBJECTIVES 4.1 Critical Success Factors of the Business Case: To provide a sustainable and resilient CT imaging service whilst progressing to the Clinical Futures model of care. To utilise technological advances to aid improved diagnosis particularly in the more complex patients. Modern CT scanners allow for the delivery of more complex diagnostics. To maximise opportunities to improve efficiency and modernise patient care by utilising advance operating systems To provide the capacity and the flexibility to respond to future service demands with inevitable changes in clinical practice. 6

7 To provide improved diagnostics to meet the requirements of an aging population. To provide services that are affordable and represent good value for money, maximising opportunities to deliver services as close as possible to the population. Reduce diagnostic waiting times to support Referral to Treatment Time Targets (RTT) whilst achieving diagnostic targets. To ensure facilities are in an appropriate environment. 4.2 Risks factors: In proceeding with the business case the following key risks have been identified: 1. Failure to secure funding. 2. The ability to provide available capacity to support an inpatient service only. 3. Technical demands around the planning, installation, and design of accommodation for the CT scanner 4. Significant service impact if project delayed. 5. Procurement delay. 6. Availability of parts required to maintain the existing scanner and the associated cost implications 7. Inability to meet Access 2009 target or Referral to Treatment times. This risk cannot be mitigated. 8. The loss of service during the removal and replacement of the existing CT scanner is mitigated by its installation in a temporary location to ensure service continuity. The technical demands associated with the planning and design for the CT scanner accommodation and installation can be mitigated by use of an experienced project team using PRINCE methodology and associated risks are therefore considered low. The project team will comprise of: Project Director ABHB Appointed Project Manager, Service users, CT equipment supplier technical project manager, ABHB estate managers, 7

8 IT services personnel, Senior Advisor, Environmental Management and Engineering, Welsh Health Estates. A delayed project will involve significant cost implications should the hire of a mobile be the option of choice to continue to provide the acute site with a sustainable service. This risk may however be mitigated with consideration being given to moving the 64 slice CT scanner to a new location within Radiology at Nevill Hall Hospital to maintain service continuity at a reduced cost. There is currently no NHS capacity in adjacent organisations. The project has been assessed on service demand and user requirements. The option appraisal ensured that a flexible solution was essential therefore the associated risk is considered low. Procurement of the equipment will be with the assistance of the Senior Advisor, Environmental Management and Engineering, Welsh Health Estates and will be via the Welsh Imaging Framework. Clinical evaluation teams will undertake detailed evaluation of equipment on the framework and a formal assessment against essential criteria will be completed. To ensure value for money the procurement will be combined with equipment purchases for the Royal Gwent Hospital and other Welsh procurements in the same timeframe. 4.3 Quantifiable service benefits include the following:- Improved reliability of CT services. Increase in the numbers of patients scanned as imaging times are shorter with improved technology. Improved image quality through shorter breath hold, related to speed of acquisition Provision for cardiac scanning Better three dimensional image reconstructions, with superior image resolution. Easier to image multiple trauma patients. Improved management of the patient case pathway through early diagnosis and subsequent early intervention. Non-quantifiable service benefits include the following:- New technology aids staff recruitment and retention. Improves moral and confidence in radiology services. 8

9 Improved reliability leads to better patient satisfaction, less cancellations due to breakdowns 5. BUSINESS CASE OPTIONS The following options have been identified: A. Do nothing and operate as a single CT scanner site. B. Replace the CT scanner with a modern, updated model. C. Outsource to neighbouring facilities. D. Outsource to private sector The options are appraised as follows: Option Appraisal Option Number What this means Consequences A. No replacement of existing scanner Risk of breakdown Total loss of capacity. Compromised image quality and image reconstruction. Compromise emergency and elective service provision. Established capacity would be utilised by inpatient demand. Failure to achieve Access 2009 targets. Inability to achieve Cancer targets. Increased risk of misdiagnosis due to poor image quality. Loss of available staff resources, implications for all radiology service provision. Extended reporting times due to scanner degradation. Delays in patient care pathway. Inability to introduce new technological advances in imaging. 9

10 No affordable/acceptable upgrade capability Inability to meet the requirements of the ALARP principles for dose reduction strategy B. Replacement of existing scanner Maintain CT provision Increase available capacity through new technology and service modernisation. New technology to support service development. Ensure business continuity during breakdown. Ability to achieve established targets. Ensure compliance requirements of NICE and Stroke Guidelines. Retain services, costs and income. Workload and workforce reorganisation to support the sustainable delivery of the diagnostics target. RTT, 31 and 62 day cancer targets. Opportunity for service development thereby improving diagnosis and outcomes for patients. Support service developments for more complex diagnostic procedures. Superior image quality. Temporary scanner will be required during the replacement period. Provide sustainability to the delivery of emergency and elective services. C. Outsource to neighbouring Organisation Increased cost implication for ABHB Compromising patient management and patient care pathways. Increased travel time for patients and lack of continuity of care. Lack of sufficient capacity in adjacent organisations. There would be a need for outsourced capacity to undertake 11,000 CT scans. Total 10

11 annual NHH CT activity is 17,000 with increasing demand year on year. D. Outsourcing to the private sector A minimum of 11,000 scans would need to be outsourced at a cost of approximately per scan (dependent of type of scan). An increase of 15-25% per annum would need to be factored into future revenue costs Option A has been discounted as it will inevitably lead to a complete failure of the CT scanner which would mean that NHH can not meet patient targets and the HB has no realistic option to outsource or meet this capacity from elsewhere in the organisation. Option C has been discounted due to the lack of capacity in adjacent for this number of patients. Option D of outsourcing to the private sector of at least 11,000 scans has been discounted due to the annual revenue cost of 550,000 to 1,100,000 per annum. 6. PREFERRED OPTION As a result of the discounting of the 3 options above, Option B becomes the preferred option. 6.1 Capital Costs Option Option B Replace existing equipment 000s Equipment 845,000 VAT 169,000 Total 1,014,000 11

12 6.2 Revenue Costs The revenue implications of the preferred option are illustrated in the following table: Option B Replace existing equipment Cost 000s Service & Maintenance contract 85 Capital Charges 145 Total revenue costs of scanner 230 Funded baseline Current service contract -41 baseline capital charges -100 Total funded baseline -141 Incremental revenue impact 89 The table illustrates the there is an incremental revenue impact of an 89k cost increase over the current service baseline. As there is only one realistic option in this case a further option appraisal and non financial benefits appraisal has not been developed. 7. PROCUREMENT ROUTE The procurement route will utilise the Welsh framework agreements for diagnostic imaging equipment currently in place. 8. FUNDING & AFFORDABILITY The scanner will require total capital funding of 1.013M. The table in section 6 above illustrates that the total revenue impact of the new CT scanner will be an increase of 89K from the current cost baseline. Some of the maintenance increases of 44,000 can be met from year 2 by savings in other contracts, specifically; the phasing out of a screening room in Nevill Hall will save 21,000 in maintenance costs from 2014/15. 12

13 There is agreement between the General Manager for Scheduled Care, the Business Partner Accountant and the Radiology Directorate Manager that the outstanding 23,000 will be offset by the savings accrued from the introduction of the new PACS contract with Fuji. The capital charges will require central funding. * The maintenance cost on the replacement of the existing is from year 2 year 1 is under warranty therefore 44K impact will not be realised until 2014/ MANAGEMENT ARRANGEMENTS The Radiology Directorate, Project Manager and Works Department have extensive experience with radiology development, replacement and refurbishment projects. Using the essential benefit criteria a benefits realisation assessment will be performed 6 months after scheme completion and a report made to the Trust Board. A full risk assessment and analysis has already begun and a risk management plan prepared. This will be reviewed and updated throughout the scheme. A post project evaluation will be performed 6-12 months after completion and will assess the project against the objectives stated in the business justification and final out-turn cost against budget estimate. Any problems or disputes that arise during the scheme will be analysed and where necessary improvements made to procedures or policies and training needs identified. Project Board members: Mr Peter Lewis, Divisional Director of Scheduled Care (Project Director) Dr Andrew Jones, Chief of Staff Radiology Mr Dave Jones Head of Works and Estates (The supplier will be represented on the Project Board following appointment) 13

14 Project Team members: (Health Board members) Dr Andrew Jones, Chief of Staff Mr Andrew Carter, Radiology Services Manager Nevill Hall Hospital Mrs Marilyn Williams, Radiology Directorate Manager Mr Terry Gale Estates Officer, Works and Estates Supplier s specialist project manager. 14

Aneurin Bevan University Health Board Stroke Services Redesign Programme

Aneurin Bevan University Health Board Stroke Services Redesign Programme Aneurin Bevan University Health Board Services Redesign Programme 1 Introduction This report aims to update the Health Board on progress with the Services Redesign Programme of work which commenced in

More information

Business Case Authorisation Cover Sheet

Business Case Authorisation Cover Sheet Business Case Authorisation Cover Sheet Section A Business Case Details Business Case Title: Directorate: Division: Sponsor Name Consultant in Anaesthesia and Pain Medicine Medicine and Rehabilitation

More information

INVESTMENT PROPOSAL FOR A COMPUTED TOMOGRAPHY SCANNING SERVICE IN THE NORTH HIGHLANDS

INVESTMENT PROPOSAL FOR A COMPUTED TOMOGRAPHY SCANNING SERVICE IN THE NORTH HIGHLANDS INVESTMENT PROPOSAL FOR A COMPUTED TOMOGRAPHY SCANNING SERVICE IN THE NORTH HIGHLANDS Last Revised: 19 September 2006 1 CONTENTS Page 1 BACKGROUND 1 2 NATIONAL POSITION 2 3 HIGHLAND POSITION 3/4/5 4 REFERENCES

More information

Aneurin Bevan Health Board. Improving Theatre Performance

Aneurin Bevan Health Board. Improving Theatre Performance Aneurin Bevan Health Board Improving Theatre Performance 1 Introduction This report provides an overview on actions being taken to improve theatre performance within the Health Board. The report provides

More information

NHS GRAMPIAN. Local Delivery Plan - Section 2 Elective Care

NHS GRAMPIAN. Local Delivery Plan - Section 2 Elective Care NHS GRAMPIAN Local Delivery Plan - Section 2 Elective Care Board Meeting 01/12/2016 Open Session Item 7 1. Actions Recommended The NHS Board is asked to: Consider the context in which planning for future

More information

The PCT Guide to Applying the 10 High Impact Changes

The PCT Guide to Applying the 10 High Impact Changes The PCT Guide to Applying the 10 High Impact Changes This Guide has been produced by the NHS Modernisation Agency. For further information on the Agency or the 10 High Impact Changes please visit www.modern.nhs.uk

More information

21 March NHS Providers ON THE DAY BRIEFING Page 1

21 March NHS Providers ON THE DAY BRIEFING Page 1 21 March 2018 NHS Providers ON THE DAY BRIEFING Page 1 2016-17 (Revised) 2017-18 (Revised) 2018-19 2019-20 (Indicative budget) 2020-21 (Indicative budget) Total revenue budget ( m) 106,528 110,002 114,269

More information

ANEURIN BEVAN HEALTH BOARD CLINICAL FUTURES STRATEGY AND SPECIALIST CRITICAL CARE CENTRE: BRIEFING

ANEURIN BEVAN HEALTH BOARD CLINICAL FUTURES STRATEGY AND SPECIALIST CRITICAL CARE CENTRE: BRIEFING ANEURIN BEVAN HEALTH BOARD Aneurin Bevan Health Board CLINICAL FUTURES STRATEGY AND SPECIALIST CRITICAL CARE CENTRE: BRIEFING 1 PURPOSE The purpose of this paper to is to brief Board members on the proposed

More information

Dalton Review RCR Clinical Radiology Proposal Radiology in the UK the case for a new service model July 2014

Dalton Review RCR Clinical Radiology Proposal Radiology in the UK the case for a new service model July 2014 Dalton Review RCR Clinical Radiology Proposal Radiology in the UK the case for a new service model July 2014 Radiology services in the UK are in crisis. The ever-increasing role of imaging in modern clinical

More information

All Wales Nursing Principles for Nursing Staff

All Wales Nursing Principles for Nursing Staff All Wales Nursing Principles for Nursing Staff 1 Introduction The purpose of the paper is to respond to the Welsh Governments Staffing Principles for Nurse Staffing within Wales. These principles set out

More information

ANEURIN BEVAN HEALTH BOARD Stroke Delivery Plan Template for 2009/2010

ANEURIN BEVAN HEALTH BOARD Stroke Delivery Plan Template for 2009/2010 ANEURIN BEVAN HEALTH BOARD Stroke Delivery Plan Template for 2009/2010 Objective Action Desired Output / Monitor and manage all those at risk of stroke and, refer as appropriate to smoking cessation services,

More information

Seven day hospital services: case study. South Warwickshire NHS Foundation Trust

Seven day hospital services: case study. South Warwickshire NHS Foundation Trust Seven day hospital services: case study South Warwickshire NHS Foundation Trust March 2018 We support providers to give patients safe, high quality, compassionate care within local health systems that

More information

Main body of report Integrating health and care services in Norfolk and Waveney

Main body of report Integrating health and care services in Norfolk and Waveney Item 18.73a ii Norfolk and Waveney Sustainability and Transformation Plan Update for governing bodies and trust boards September 2018 Purpose of report The purpose of this paper is to update members of

More information

Radiology CPG Annual Report for Quality, Safety and Experience Sub-Committee- April 2015

Radiology CPG Annual Report for Quality, Safety and Experience Sub-Committee- April 2015 Radiology CPG Annual Report for Quality, Safety and Experience Sub-Committee- April 2015 1. Purpose of report To provide assurance to the QSE sub-committee of the Radiology CPG s commitment to quality,

More information

Gwent Clinical Futures

Gwent Clinical Futures Gwent Clinical Futures Public Consultation Document Blaenau Gwent Local Health Board Caerphilly Local Health Board Monmouthshire Local Health Board Newport Local Health Board Torfaen Local Health Board

More information

Consultation Paper. Distributed Medical Imaging in the new Royal Adelaide Hospital Central Adelaide Local Health Network

Consultation Paper. Distributed Medical Imaging in the new Royal Adelaide Hospital Central Adelaide Local Health Network Consultation Paper Distributed Medical Imaging in the new Royal Adelaide Hospital Central Adelaide Local Health Network Issued: April 2016 TABLE OF CONTENTS TABLE OF CONTENTS 2 1. INTRODUCTION 3 2. PURPOSE

More information

NHS. Top tips to overcome the challenge of commissioning diagnostic services. NHS Improvement - Diagnostics. NHS Improvement Diagnostics CANCER

NHS. Top tips to overcome the challenge of commissioning diagnostic services. NHS Improvement - Diagnostics. NHS Improvement Diagnostics CANCER CANCER NHS NHS Improvement Diagnostics DIAGNOSTICS HEART LUNG STROKE NHS Improvement - Diagnostics Top tips to overcome the challenge of commissioning diagnostic services Top tips to overcome the challenge

More information

Radiology Service Hywel Dda University Health Board

Radiology Service Hywel Dda University Health Board Radiology Service Hywel Dda University Health Board Audit year: 2016 Date issued: April 2017 Document reference: 175A2017 This document has been prepared as part of work performed in accordance with statutory

More information

IMPROVING UNSCHEDULED CARE IN WALES - UPDATE

IMPROVING UNSCHEDULED CARE IN WALES - UPDATE AGENDA ITEM No. 10 MEETING : TRUST BOARD DATE : 22 APRIL 2009 REPORT OF : CLINICAL DIRECTORATE Contact : Grayham McLean, Unscheduled Care Lead Officer Tel: 01792 562900 Email: grayham.mclean@ambulance.wales.nhs.uk

More information

OUTLINE BUSINESS CASE FOR THE DEVELOPMENT OF A&E SERVICES AT ANTRIM AREA HOSPITAL

OUTLINE BUSINESS CASE FOR THE DEVELOPMENT OF A&E SERVICES AT ANTRIM AREA HOSPITAL OUTLINE BUSINESS CASE FOR THE DEVELOPMENT OF A&E SERVICES AT ANTRIM AREA HOSPITAL Executive Summary August 2009 0.0 EXECUTIVE SUMMARY 0.1 Introduction and background There are two strands to the case for

More information

Trust Board Meeting : Wednesday 11 March 2015 TB

Trust Board Meeting : Wednesday 11 March 2015 TB Trust Board Meeting : Wednesday 11 March 2015 Title Business Case for the Refurbishment and Reconfiguration of the bed based areas of the Emergency Assessment Unit at the John Radcliffe Hospital, to deliver

More information

The PCT Guide to Applying the 10 High Impact Changes. A guide from NatPaCT

The PCT Guide to Applying the 10 High Impact Changes. A guide from NatPaCT The PCT Guide to Applying the 10 High Impact Changes A guide from NatPaCT DH INFORMATION READER BOX Policy HR/Workforce Management Planning Clinical Estates Performance IM&T Finance Partnership Working

More information

South Warwickshire s Whole System Approach Transforms Emergency Care. South Warwickshire NHS Foundation Trust

South Warwickshire s Whole System Approach Transforms Emergency Care. South Warwickshire NHS Foundation Trust South Warwickshire s Whole System Approach Transforms Emergency Care South Warwickshire NHS Foundation Trust South Warwickshire s Whole System Approach Transforms Emergency Care South Warwickshire NHS

More information

NHS Lanarkshire. Radiology Review. August 2011

NHS Lanarkshire. Radiology Review. August 2011 NHS Lanarkshire Radiology Review August 2011 Review of Radiology Services 1. Background NHS Lanarkshire has been undertaking a review of acute and community radiology services over the past 18 months.

More information

THE SOCIAL CARE WALES (SPECIFICATION OF SOCIAL CARE WORKERS) (REGISTRATION) (AMENDMENT) REGULATIONS 2018

THE SOCIAL CARE WALES (SPECIFICATION OF SOCIAL CARE WORKERS) (REGISTRATION) (AMENDMENT) REGULATIONS 2018 THE SOCIAL CARE WALES (SPECIFICATION OF SOCIAL CARE WORKERS) (REGISTRATION) (AMENDMENT) REGULATIONS 2018 This Explanatory Memorandum has been prepared by the Health and Social Services Department and is

More information

WAITING TIMES AND ACCESS TARGETS

WAITING TIMES AND ACCESS TARGETS NHS Board Meeting Tuesday 17 December 2013 Lead Director (Acute Services Division) Board Paper No 13/60 Recommendation: WAITING TIMES AND ACCESS TARGETS The NHS Board is asked to note progress against

More information

Replacement CT Scanners at North Manchester, Oldham and Fairfield Hospitals.

Replacement CT Scanners at North Manchester, Oldham and Fairfield Hospitals. Agenda Item: 11 Title of Report Executive Summary Actions requested Replacement CT Scanners at North Manchester, Oldham and Fairfield Hospitals. This business case seeks approval for the replacement of

More information

Policy for Radiographer Reporting of Plain Images

Policy for Radiographer Reporting of Plain Images FOR DECISION AGENDA ITEM 15.7 of Plain Images 17 August 2010 Report of Medical Director Paper prepared by Purpose of Paper Action/Decision required Link to Health Care Standards: Link to Health Board s

More information

7 Day Health Services: ensuring the support services and infrastructure are in place to support a 7 day model

7 Day Health Services: ensuring the support services and infrastructure are in place to support a 7 day model 7 Day Health Services: ensuring the support services and infrastructure are in place to support a 7 day model Dr Daniel Boxer West Hertfordshire Hospitals NHS Trust Implementing 7 day Working in Imaging

More information

Aneurin Bevan University Health Board. Planning and Strategic Change Committee

Aneurin Bevan University Health Board. Planning and Strategic Change Committee Aneurin Bevan University Health Board Planning and Strategic Change Committee A Meeting of the Planning and Strategic Change Committee was held on Tuesday, 19 th December 2014 in Seminar Room 4, Conference

More information

RESPONSE TO RECOMMENDATIONS FROM THE HEALTH & SOCIAL CARE COMMITTEE: INQUIRY INTO ACCESS TO MEDICAL TECHNOLOGIES IN WALES

RESPONSE TO RECOMMENDATIONS FROM THE HEALTH & SOCIAL CARE COMMITTEE: INQUIRY INTO ACCESS TO MEDICAL TECHNOLOGIES IN WALES Recommendations 1, 2, 3 1. That the Minister for Health and Social Services should, as a matter of priority, identify means by which a more strategic, coordinated and streamlined approach to medical technology

More information

PATIENT ACCESS POLICY (ELECTIVE CARE) UHB 033 Version No: 1 Previous Trust / LHB Ref No: Senior Manager, Performance and Compliance.

PATIENT ACCESS POLICY (ELECTIVE CARE) UHB 033 Version No: 1 Previous Trust / LHB Ref No: Senior Manager, Performance and Compliance. Reference No: PATIENT ACCESS POLICY (ELECTIVE CARE) UHB 033 Version No: 1 Previous Trust / LHB Ref No: Trust 364 Documents to read alongside this Policy. Ministerial Letter EH/ML/004/09 WAG Rules for Managing

More information

Business Case Advanced Physiotherapy Practitioners in Primary Care

Business Case Advanced Physiotherapy Practitioners in Primary Care 1 Business Case Advanced Physiotherapy Practitioners in Primary Care 1.0 Introduction This scheme supports the sustainability of primary care and the move towards a first line prudent multi-professional

More information

Welsh Government Response to the Report of the National Assembly for Wales Public Accounts Committee Report on Unscheduled Care: Committee Report

Welsh Government Response to the Report of the National Assembly for Wales Public Accounts Committee Report on Unscheduled Care: Committee Report Welsh Government Response to the Report of the National Assembly for Wales Public Accounts Committee Report on Unscheduled Care: Committee Report We welcome the findings of the report and offer the following

More information

Tele Stroke ( Telemedicine in Practice)

Tele Stroke ( Telemedicine in Practice) Tele Stroke ( Telemedicine in Practice) Site Royal Surrey County Hospital East Surrey Hospital Frimley Park Hospital NHS Foundation Trust Ashford and St Peter's Hospital NHS Trust Epsom Hospital Surrey

More information

Guideline scope Intermediate care - including reablement

Guideline scope Intermediate care - including reablement NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Guideline scope Intermediate care - including reablement Topic The Department of Health in England has asked NICE to produce a guideline on intermediate

More information

Seven day hospital services: case study. University Hospital Southampton NHS Foundation Trust

Seven day hospital services: case study. University Hospital Southampton NHS Foundation Trust Seven day hospital services: case study University Hospital Southampton NHS Foundation Trust March 2018 We support providers to give patients safe, high quality, compassionate care within local health

More information

NHS GRAMPIAN. Grampian Clinical Strategy - Planned Care

NHS GRAMPIAN. Grampian Clinical Strategy - Planned Care NHS GRAMPIAN Grampian Clinical Strategy - Planned Care Board Meeting 03/08/17 Open Session Item 8 1. Actions Recommended In October 2016 the Grampian NHS Board approved the Grampian Clinical Strategy which

More information

Improving Healthcare Together : NHS Surrey Downs, Sutton and Merton clinical commissioning groups Issues Paper

Improving Healthcare Together : NHS Surrey Downs, Sutton and Merton clinical commissioning groups Issues Paper Improving Healthcare Together 2020-2030 NHS Surrey Downs, Sutton and Merton CCGs Improving Healthcare Together 2020-2030: NHS Surrey Downs, Sutton and Merton clinical commissioning groups Surrey Downs

More information

Buckinghamshire, Oxfordshire and Berkshire West Sustainability and Transformation Plan (BOB STP)

Buckinghamshire, Oxfordshire and Berkshire West Sustainability and Transformation Plan (BOB STP) Buckinghamshire, Oxfordshire and Berkshire West Sustainability and Transformation Plan (BOB STP) Q. What is a Sustainability and Transformation Plan? A. The NHS and local authorities across Buckinghamshire,

More information

Annual Complaints Report 2014/15

Annual Complaints Report 2014/15 Annual Complaints Report 2014/15 1.0 Introduction This report provides information in regard to complaints and concerns received by The Rotherham NHS Foundation Trust between 01/04/2014 and 31/03/2015.

More information

Your local NHS and you

Your local NHS and you South Wales Programme Local Engagement Document Your local NHS and you Local NHS services in Cardiff and the Vale of Glamorgan are run by Cardiff and Vale University Health Board (UHB). The UHB is one

More information

Laboratory Information Management System (LIMS) Replacement

Laboratory Information Management System (LIMS) Replacement Laboratory Information Management System (LIMS) Replacement 1. Introduction The Health Board is to transition from its current LIMS to the new national LIMS in late March 2014. This is a significant change

More information

NHS performance statistics

NHS performance statistics NHS performance statistics Published: 8 th February 218 Geography: England Official Statistics This monthly release aims to provide users with an overview of NHS performance statistics in key areas. Official

More information

Frequently Asked Questions (FAQs) Clinical Futures (including The Grange University Hospital)

Frequently Asked Questions (FAQs) Clinical Futures (including The Grange University Hospital) Frequently Asked Questions (FAQs) Clinical Futures (including The Grange University Hospital) What is Clinical Futures? Clinical Futures is the Health Board plan for a sustainable health care system for

More information

Board pushes ahead with development plans

Board pushes ahead with development plans Welcome to the latest edition of the bi-monthly newsletter produced by County Durham and Darlington NHS Foundation Trust for our partners across the health economy. To subscribe to this newsletter or to

More information

AMP Health and Social Care Professional Implementation Group Update

AMP Health and Social Care Professional Implementation Group Update AMP Health and Social Care Professional Implementation Group Update November 2016 Welcome to another update from the National Acute Medicine Programme s Health and Social Care Professionals Implementation

More information

SAFE STAFFING GUIDELINE

SAFE STAFFING GUIDELINE NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Guideline title SAFE STAFFING GUIDELINE SCOPE 1. Safe staffing for nursing in accident and emergency departments Background 2. The National Institute for

More information

NHS Wales Delivery Framework 2011/12 1

NHS Wales Delivery Framework 2011/12 1 1. Introduction NHS Wales Delivery Framework for 2011/12 NHS Wales has made significant improvements in targeted performance areas over recent years. This must continue and be associated with a greater

More information

Debbie Vogler, Director of Business & Enterprise. Kate Shaw, Associate Director of Service Transformation

Debbie Vogler, Director of Business & Enterprise. Kate Shaw, Associate Director of Service Transformation Reporting to: Trust Board 24 September 2015 Paper 5 Title Sponsoring Director Author(s) Future Configuration of Hospital Services - Post-Project Evaluation Debbie Vogler, Director of Business & Enterprise

More information

Glangwili Hospital General Surgery (including Colorectal) ~ Recruitment ~

Glangwili Hospital General Surgery (including Colorectal) ~ Recruitment ~ Glangwili Hospital General Surgery (including Colorectal) ~ Recruitment ~ October 2017 What we do General Surgery (including Colorectal) Glangwili Hospital, Carmarthen There are currently seven surgical

More information

Health and Care Framework

Health and Care Framework Annex 1 Health and Care Framework The NHS Grampian 2020 A Possible Future 1. NHS Grampian has agreed its Health Plan and has embarked on its Health and Care Framework (H&CF) process to determine in detail

More information

A Step-by-Step Guide to Tackling your Challenges

A Step-by-Step Guide to Tackling your Challenges Institute for Innovation and Improvement A Step-by-Step to Tackling your Challenges Click to continue Introduction This book is your step-by-step to tackling your challenges using the appropriate service

More information

CLINICAL STRATEGY IMPLEMENTATION - HEALTH IN YOUR HANDS

CLINICAL STRATEGY IMPLEMENTATION - HEALTH IN YOUR HANDS CLINICAL STRATEGY IMPLEMENTATION - HEALTH IN YOUR HANDS Background People across the UK are living longer and life expectancy in the Borders is the longest in Scotland. The fact of having an increasing

More information

Stewart Mason, Emergency Planning and Resilience Officer Tom Jones, Clinical Programme Manager

Stewart Mason, Emergency Planning and Resilience Officer Tom Jones, Clinical Programme Manager Paper 8 Recommendation DECISION NOTE Reporting to: The Trust Board is asked to RECEIVE and APPROVE the Emergency Department Service Continuity Plan (Princess Royal Hospital site). Trust Board Date Thursday

More information

POSITION DESCRIPTION Alfred Health / The Alfred / Caulfield Hospital / Sandringham Hospital

POSITION DESCRIPTION Alfred Health / The Alfred / Caulfield Hospital / Sandringham Hospital POSITION DESCRIPTION Alfred Health / The Alfred / Caulfield Hospital / Sandringham Hospital DATE REVISED: AUGUST 2013 POSITION: AWARD/AGREEMENT: CLASSIFICATION TITLE: DEPARTMENT/UNIT: OPERATIONALLY ACCOUNTABLE:

More information

In this edition we will showcase the work of the development of a model for GP- Paediatric Hubs

In this edition we will showcase the work of the development of a model for GP- Paediatric Hubs Focusing on the principle of home first and designing the Perfect Locality from the lens of the community Issue 7 June 2017 Welcome to the seventh issue of Our Future Wellbeing, a regular update on the

More information

Lanarkshire NHS board 14 Beckford Street Hamilton ML3 0TA Telephone Fax

Lanarkshire NHS board 14 Beckford Street Hamilton ML3 0TA Telephone Fax Agenda Item Meeting of Lanarkshire NHS Board 25 February 2009 Lanarkshire NHS board 14 Beckford Street Hamilton ML3 0TA Telephone 01698 281313 Fax 01698 423134 www.nhslanarkshire.co.uk WAITING TIMES 1.

More information

Committee is requested to action as follows: Richard Walker. Dylan Williams

Committee is requested to action as follows: Richard Walker. Dylan Williams BetsiCadwaladrUniversityHealthBoard Committee Paper 17.11.14 Item IG14_60 NameofCommittee: Subject: Summary or IssuesofSignificance StrategicTheme/Priority / Valuesaddressedbythispaper Information Governance

More information

EXECUTIVE SUMMARY REPORT TO THE BOARD OF DIRECTORS HELD ON 22 MAY Anne Gibbs, Director of Strategy & Planning

EXECUTIVE SUMMARY REPORT TO THE BOARD OF DIRECTORS HELD ON 22 MAY Anne Gibbs, Director of Strategy & Planning EXECUTIVE SUMMARY D REPORT TO THE BOARD OF DIRECTORS HELD ON 22 MAY 2018 Subject Supporting TEG Member Author Status 1 A review of progress against Corporate Objectives 2017/18 and planned Corporate Objectives

More information

ANEURIN BEVAN HEALTH BOARD HEALTHCARE INSPECTORATE WALES SAFEGUARDING AND PROTECTING CHILDREN IN WALES:

ANEURIN BEVAN HEALTH BOARD HEALTHCARE INSPECTORATE WALES SAFEGUARDING AND PROTECTING CHILDREN IN WALES: ANEURIN BEVAN HEALTH BOARD HEALTHCARE INSPECTORATE WALES SAFEGUARDING AND PROTECTING CHILDREN IN WALES: A Review of the arrangements in place across the Welsh National Health Service ACTION PLAN RECOMMENDATION

More information

ANEURIN BEVAN HEALTH BOARD & CAERPHILLY COUNTY BOROUGH COUNCIL ACTION PLAN

ANEURIN BEVAN HEALTH BOARD & CAERPHILLY COUNTY BOROUGH COUNCIL ACTION PLAN ANEURIN BEVAN HEALTH BOARD & CAERPHILLY COUNTY BOROUGH COUNCIL RESPONSE TO THE REPORT BY HEALTH INSPECTORATE WALES REVIEW IN RESPECT OF: MR H AND THE PROVISION OF MENTAL HEALTH SERVICES, FOLLOWING THE

More information

Guy s and St. Thomas Healthcare Alliance. Five-year strategy

Guy s and St. Thomas Healthcare Alliance. Five-year strategy Guy s and St. Thomas Healthcare Alliance Five-year strategy 2018-2023 Contents Contents... 2 Strategic context... 3 The current environment... 3 National response... 3 The Guy s and St Thomas Healthcare

More information

GOVERNING BODY MEETING in Public 27 September 2017 Agenda Item 5.2

GOVERNING BODY MEETING in Public 27 September 2017 Agenda Item 5.2 GOVERNING BODY MEETING in Public 27 September 2017 Paper Title Report Author Neil Evans Turnaround Director Referral Management s Contributors John Griffiths Date report submitted 20 September 2017 Dean

More information

INCENTIVE SCHEMES & SERVICE LEVEL AGREEMENTS

INCENTIVE SCHEMES & SERVICE LEVEL AGREEMENTS MAY 2007 INCENTIVE SCHEMES & SERVICE LEVEL AGREEMENTS Practice Based Commissioning North and South Essex Local Medical Committees CLARIFYING THE RELATIONSHIP BETWEEN PBC GROUPS AND PCTS AIMS The aim of

More information

SCHEDULE 2 THE SERVICES

SCHEDULE 2 THE SERVICES SCHEDULE 2 THE SERVICES A. Service Specifications Service Specification. 001 Service Commissioner Lead Contracting Lead Provider Lead Period Teledermoscopy Service Dr Nicholas Rayner and Dr Andrew Yager

More information

Three Year GP Network Action Plan North Powys GP Network

Three Year GP Network Action Plan North Powys GP Network Three Year GP Network Action Plan 2017-2020 North Powys GP Network Introduction In the context of local management arrangements within Powys Teaching Health Board, the GP Cluster Network Development Domain

More information

Title of the Health Board Report

Title of the Health Board Report AGENDA ITEM 3.2 Title of the Health Board Report IMPLEMENTING THE OUTCOME OF THE SOUTH WALES PROGRAMME THROUGH ACUTE CARE ALLIANCES AND DEVELOPMENT OF THE SOUTH WALES HEALTH COLLABORATIVE Executive Lead:

More information

We plan. We achieve. Salford Royal NHS Foundation Trust has a lot to tell you... l Our achievements of 2009/10 l Our plans for 2010/11

We plan. We achieve. Salford Royal NHS Foundation Trust has a lot to tell you... l Our achievements of 2009/10 l Our plans for 2010/11 We plan. We achieve. Salford Royal NHS Foundation Trust has a lot to tell you... l Our achievements of 2009/10 l Our plans for 2010/11 PAGE 2 WE PLAN. WE ACHIEVE We achieve 2009/10 was another great year

More information

SOUTHAMPTON UNIVERSITY HOSPITALS NHS TRUST Trust Key Performance Indicators May Regular report to Trust Board

SOUTHAMPTON UNIVERSITY HOSPITALS NHS TRUST Trust Key Performance Indicators May Regular report to Trust Board SOUTHAMPTON UNIVERSITY HOSPITALS NHS TRUST Trust Key Performance Indicators May 20 Report to: Trust Board July 20 Report from: Sponsoring Executive: Aim of Report/Principle Topic: Review History to date:

More information

Aneurin Bevan University Health Board Clinical Record Keeping Policy

Aneurin Bevan University Health Board Clinical Record Keeping Policy N.B. Staff should be discouraged from printing this document. This is to avoid the risk of out of date printed versions of the document. The Intranet should be referred to for the current version of the

More information

Delivering surgical services: options for maximising resources

Delivering surgical services: options for maximising resources Delivering surgical services: options for maximising resources THE ROYAL COLLEGE OF SURGEONS OF ENGLAND March 2007 2 OPTIONS FOR MAXIMISING RESOURCES The Royal College of Surgeons of England Introduction

More information

NHS performance statistics

NHS performance statistics NHS performance statistics Published: 14 th December 217 Geography: England Official Statistics This monthly release aims to provide users with an overview of NHS performance statistics in key areas. Official

More information

TESTING TIMES TO COME? AN EVALUATION OF PATHOLOGY CAPACITY IN ENGLAND NOVEMBER 2016

TESTING TIMES TO COME? AN EVALUATION OF PATHOLOGY CAPACITY IN ENGLAND NOVEMBER 2016 TESTING TIMES TO COME? AN EVALUATION OF PATHOLOGY CAPACITY IN ENGLAND NOVEMBER 2016 EXECUTIVE SUMMARY Whilst cancer survival is at its highest ever level, our health services are under considerable pressure.

More information

NHS Performance Statistics

NHS Performance Statistics NHS Performance Statistics Published: 8 th March 218 Geography: England Official Statistics This monthly release aims to provide users with an overview of NHS performance statistics in key areas. Official

More information

INFORMATION STANDARDS GOVERNANCE PROCESS INFORMATION STANDARD DEVELOPMENT PROPOSAL FOR NEW OR CHANGED INFORMATION STANDARD

INFORMATION STANDARDS GOVERNANCE PROCESS INFORMATION STANDARD DEVELOPMENT PROPOSAL FOR NEW OR CHANGED INFORMATION STANDARD INFORMATION STANDARDS GOVERNANCE PROCESS INFORMATION STANDARD DEVELOPMENT PROPOSAL FOR NEW OR CHANGED INFORMATION STANDARD Emergency Ambulance to A&E Handover Monitoring Information February 2008 DRAFT

More information

Ayrshire and Arran NHS Board

Ayrshire and Arran NHS Board Paper 12 Ayrshire and Arran NHS Board Monday 9 October 2017 Planned Care Performance Report Author: Fraser Doris, Performance Information Analyst Sponsoring Director: Liz Moore, Director for Acute Services

More information

Emergency admissions to hospital: managing the demand

Emergency admissions to hospital: managing the demand Report by the Comptroller and Auditor General Department of Health Emergency admissions to hospital: managing the demand HC 739 SESSION 2013-14 31 OCTOBER 2013 4 Key facts Emergency admissions to hospital:

More information

NHS. Challenges and improvements in diagnostic services across seven days. Improving Quality

NHS. Challenges and improvements in diagnostic services across seven days. Improving Quality NHS Improving Quality NHS Improving Quality working in partnership with NHS England Challenges and improvements in diagnostic services across seven days 2 Foreword Across the country, hospitals and primary

More information

WOLVERHAMPTON CCG. Governing Body Meeting 8 April 2014

WOLVERHAMPTON CCG. Governing Body Meeting 8 April 2014 WOLVERHAMPTON CCG Governing Body Meeting ` Agenda item:12 TITLE OF REPORT: REPORT PRESENTED BY: Commissioning Committee Summary Dr Kamran Ahmed Title of Report: Update from the Commissioning Committee

More information

SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY REPORT TO THE TRUST BOARD HELD ON 18 NOVEMBER 2015

SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY REPORT TO THE TRUST BOARD HELD ON 18 NOVEMBER 2015 SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST EXECUTIVE SUMMARY REPORT TO THE TRUST BOARD HELD ON 18 NOVEMBER 2015 Subject: Supporting TEG Member: Authors: Status 1 Data Quality Baseline Assessment

More information

Implementation of the right to access services within maximum waiting times

Implementation of the right to access services within maximum waiting times Implementation of the right to access services within maximum waiting times Guidance for strategic health authorities, primary care trusts and providers DH INFORMATION READER BOX Policy HR / Workforce

More information

Consultant Radiographers Education and CPD 2013

Consultant Radiographers Education and CPD 2013 Consultant Radiographers Education and CPD 2013 Consultant Radiographers Education and Continuing Professional Development Background Although consultant radiographer posts are relatively new to the National

More information

The identification and realisation of benefits is crucial to the success of the 3Ts Programme.

The identification and realisation of benefits is crucial to the success of the 3Ts Programme. CHAPTER THIRTEEN - BENEFITS REALISATION 13.1 Introduction 13.1.1 The identification and realisation of benefits is crucial to the success of the 3Ts Programme. Who will reap the Benefits? 13.1.2 The table

More information

COMMON GROUND EAST REGION. DEVELOPING A HEALTH AND SOCIAL CARE PLAN FOR THE EAST OF SCOTLAND Staff Briefing

COMMON GROUND EAST REGION. DEVELOPING A HEALTH AND SOCIAL CARE PLAN FOR THE EAST OF SCOTLAND Staff Briefing COMMON GROUND EAST REGION DEVELOPING A HEALTH AND SOCIAL CARE PLAN FOR THE EAST OF SCOTLAND Staff Briefing SEPTEMBER 2018 1 COMMON GROUND It is fitting that in the 70th anniversary year of our National

More information

Medical and Clinical Services Directorate Clinical Strategy

Medical and Clinical Services Directorate Clinical Strategy www.ambulance.wales.nhs.uk Medical and Clinical Services Clinical Strategy Unique reference No: Version: 1.4 Title of author: Medical and Clinical Services No of Pages: 11 Implementation date: Next review

More information

The Christie NHS Foundation Trust Operational Plan

The Christie NHS Foundation Trust Operational Plan The Christie NHS Foundation Trust Operational Plan 2016-17 PUBLIC SUMMARY CONTENTS 1. THE CHRISTIE AND OUR LOCAL HEALTH CARE ECONOMY PAGE 1 The Christie The challenge we face Our performance in 2015-16

More information

Aintree University Hospital NHS Foundation Trust Corporate Strategy

Aintree University Hospital NHS Foundation Trust Corporate Strategy Aintree University Hospital NHS Foundation Trust Corporate Strategy 2015 2020 Aintree University Hospital NHS Foundation Trust 1 SECTION ONE: BACKGROUND AND CONTEXT 1 Introduction Aintree University Hospital

More information

SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST CHIEF EXECUTIVE S BRIEFING BOARD OF DIRECTORS 16 NOVEMBER 2016

SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST CHIEF EXECUTIVE S BRIEFING BOARD OF DIRECTORS 16 NOVEMBER 2016 B SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST CHIEF EXECUTIVE S BRIEFING BOARD OF DIRECTORS 16 NOVEMBER 2016 1. Integrated Performance Report The Integrated Performance Report is attached at Appendix

More information

AGENDA ITEM: JANUARY 2018 MENTAL HEALTH SERVICE REPATRIATION: PROJECT CLOSURE. Subject :

AGENDA ITEM: JANUARY 2018 MENTAL HEALTH SERVICE REPATRIATION: PROJECT CLOSURE. Subject : AGENDA ITEM: 2.5 BOARD MEETING Subject : Approved and Presented by: Prepared by: Other Committees and meetings considered at: Considered by Executive Committee on: DATE OF MEETING: 31 JANUARY 2018 MENTAL

More information

DRAFT Service Specification GP-led Urgent Treatment Centre (UTC) Service

DRAFT Service Specification GP-led Urgent Treatment Centre (UTC) Service DRAFT Service Specification GP-led Urgent Treatment Centre (UTC) Service Executive summary: The Cornwall Sustainability and Transformation Plan known as Shaping our Future will describe a new model of

More information

FIVE TESTS FOR THE NHS LONG-TERM PLAN

FIVE TESTS FOR THE NHS LONG-TERM PLAN Briefing 10 September 2018 FIVE TESTS FOR THE NHS LONG-TERM PLAN The new NHS long-term plan is a significant opportunity for the health service. It can set out a clear and achievable path for sustaining

More information

Aneurin Bevan Health Board. Living Well, Living Longer: Inverse Care Law Programme

Aneurin Bevan Health Board. Living Well, Living Longer: Inverse Care Law Programme Aneurin Bevan Health Board Living Well, Living Longer: Inverse Care Law Programme 1 Introduction The purpose of this paper is to seek the Board s agreement to a set of priority statements for an Inverse

More information

England. Questions and Answers. Draft Integrated Care Provider (ICP) Contract - consultation package

England. Questions and Answers. Draft Integrated Care Provider (ICP) Contract - consultation package England Questions and Answers Draft Integrated Care Provider (ICP) Contract - consultation package August 2018 Questions and Answers Draft Integrated Care Provider (ICP) Contract - consultation package

More information

GE1 Clinical Utilisation Review

GE1 Clinical Utilisation Review GE1 Clinical Utilisation Review Scheme Name QIPP Reference Eligible Providers GE1 Clinical Utilisation Review QIPP 16-17 S40-Commercial 17/18 QIPP reference to be added locally. This CQUIN is supported

More information

Aneurin Bevan Health Board. Neighbourhood Care Network. Strategic Plan

Aneurin Bevan Health Board. Neighbourhood Care Network. Strategic Plan Agenda Item: 3.8 Appendix Two Aneurin Bevan Health Board Neighbourhood Care Network Strategic Plan 2013-2018 1 CONTENTS 1 Purpose & Scope 3 2 National and Local Context 6 3 The Vision 10 4 Strategic Themes

More information

APPENDIX 7C BENEFITS REALISATION PLAN

APPENDIX 7C BENEFITS REALISATION PLAN APPENDIX 7C BENEFITS REALISATION PLAN 150804 Shropshire Future Fit SOC v2.2 Appendices APPENDICES Draft Benefits Realisation Plan V0.9 150415 FutureFit Benefits Realisation Plan V0.9 Page 1 The purpose

More information

2. This year the LDP has three elements, which are underpinned by finance and workforce planning.

2. This year the LDP has three elements, which are underpinned by finance and workforce planning. Directorate for Health Performance and Delivery NHSScotland Chief Operating Officer John Connaghan T: 0131-244 3480 E: john.connaghan@scotland.gsi.gov.uk John Burns Chief Executive NHS Ayrshire and Arran

More information

Redesign of Front Door

Redesign of Front Door Redesign of Front Door Transforming Acute and Urgent Care Strategic Background and Context Our Change and Improvement Programme What have we achieved and how? What did we learn? Ian Aitken, General Manager

More information

Bristol CCG North Somerset CGG South Gloucestershire CCG. Draft Commissioning Intentions for 2017/2018 and 2018/2019

Bristol CCG North Somerset CGG South Gloucestershire CCG. Draft Commissioning Intentions for 2017/2018 and 2018/2019 Bristol CCG North Somerset CGG South Gloucestershire CCG Draft Commissioning Intentions for 2017/2018 and 2018/2019 Programme Area Key intention Primary and community care Sustainable primary care Implement

More information