Governance Structure HfL Major Trauma Project

Governance Structure HfL Major Trauma Project

1. HfL Major Trauma Project Structure The governance arrangements for the Major Trauma project within the overall HfL Programme is illustrated below: London Commissioning Group Clinical Advisory Group HfL Programme Executive Group Major Trauma Commissioning & Finance Panel Major Trauma Project Board Major Trauma Clinical Expert Panel Accountable Reporting Advising Major Trauma Project Team Major Trauma Patient Panel 2

2.1 Major Trauma Project Board Members Chairman (SRO) Clinical Director Clinical Expert - Trauma Clinical Expert - Rehabilitation Project Manager Designation Lead Policy & Stakeholder Management Lead Simon Robbins Professor Matt Thompson Mike Walsh Lesley Johnson Shaun Danielli Tracy Parr Vacant Meeting Frequency Location Duration Monthly NHS London 1.5 hours The Project Board s role and responsibilities are as follows: Provides overall direction and management of the project Takes major decisions for the project and make recommendations for approval for PEG and LCG Accountable to the LCG for the success of the project Identifies and manages risks to project delivery and escalates issues to the Programme Executive Group as necessary Provides progress reports to the Programme Executive Group and LCG 3

2.2 Roles and responsibilities of the Project Board members Senior Responsible Officer Clinical Director Experts Oversees the development of the Project Initiation Documents Accountable to LCG for delivery and success of project Maintains communications with wider stakeholder community Provides monthly updates to LCG on progress of the project and escalates issues where necessary Ensures that there is a coherent organisational structure and robust project plan Monitors and controls progress of project including managing issues and risks and escalating to programme level if necessary Accountable to the CAG and LCG for the clinical safety and efficacy of the project Provides clinical leadership and advice for the project Acts as clinical advocate for the project Facilitates identifying other clinical representation within the project as necessary Engages with or develops pan-london professional networks established by the CAG Provides monthly updates to the CAG on the progress of the project Provide expert advice and support to the Project Manager Act as first point of contact for expert issues relating to the project Acts as advocates for the project Support the Clinical Director in engaging with pan-london professional networks established by the CAG Support the Project Manager in arranging and facilitating expert panels and multi-disciplinary workshops as necessary Support the Clinical Director in identifying appropriate clinical representation within the project as necessary 4

3.1 Major Trauma Clinical Expert Panel Members Expert Area Name Trust/PCT Region Clinical Director (Chair) Matt Thompson St Georges SWL Clinical Expert - Trauma Mike Walsh Royal London NEL Clinical Expert - Rehabilitation Lesley Johnson Therapies Advisor to DH DH Project Manager Shaun Danielli Healthcare for London London Public Health Shahed Ahmad NHS London London London Ambulance Service Fiona Moore LAS London HEMS Gareth Davies HEMS London A&E Andy Parfitt / Ben Teasdale Guys / Homerton SEL /NEL Paediatrics Ian Maconochie Imperial NWL Orthopaedic Surgeon Martin Bircher St Georges SW General Surgeon Karim Brohi Royal London NE L Cardiothoracic surgeon Andrew Cohen Brighton Brighton Neurosurgery Christos Tolias Kings SEL Anaesthetics David Ziederman Imperial NWL ICU Peter Shirley Royal London NEL Ward Nurse James Youngman UCLH NCL A&E Nurse Iain Taylor Imperial NWL Rehabilitation physician Clarence Liu Homerton NEL Rehabilitation OT/ Physio Beth Cordrey TH PCT NEL Social Services John Drew LB Redbridge Redbridge Max-Fax Surgeon Robert Bentley Kings SEL Blood Transfusion Shuhba Allard Royal London NEL GP Gary Marlowe Islington PCT NCL Plastic Surgeon Peter Dziewulski Mid Essex Essex Radiology Rob Morgan St Georges SWL Psychiatric/psychology Simon Fleminger South London & the Maudsley SEL Major Incident Planning Nursing Emergency Department Andy Wapling Tricia Fitzgerald NHS London Kings SHA SEL 5

3.1 Major Trauma Clinical Expert Panel Meeting Frequency Location Duration Monthly NHS London 1.5 hours The Clinical Expert Panel s role and responsibilities are as follows: Provides clinical input to the project from the wide range of clinical areas involved in Major Trauma Approves the clinical aspects of the project s deliverables Feeds in views and insights between the project and the CAG Acts as clinical advocates for the project Provide endorsement to deliverables produced by the projects Each member of the Clinical Expert Panel is responsible for representing the opinions and needs of their specialist clinical area to ensure that the project achieves the best clinical outcome for patients. 6

4.1 Major Trauma Commissioning & Finance Panel Meeting Frequency Location Duration Monthly NHS London 1.5 hours Membership Membership is made up of commissioning and finance representatives from PCTs situated within and bordering London. Collaborative Commissioning Group leads on the panel will be representing commissioning leads from PCTs within their CCG area. The Chair of the Major Trauma Commissioning Expert Panel will represent the panel as Chair of the Major Trauma Project Board. Terms of Reference The panel will: Consider and develop proposals on how London trauma services could be commissioned, Provide guidance to the Major Trauma Project from a commissioning perspective, Provide advice on how trauma services are currently commissioned to help support decision making and possible implementation of the project, Provide feedback on project papers and materials, Wherever appropriate, disseminate the work of the Major Trauma Project back to PCTs. 7

5.1 Major Trauma Patient Panel Meeting Frequency Location Duration Monthly NHS London 1.5 hours Membership Membership is made up of: People who have suffered major trauma, Family/carers of people who have suffered major trauma, Representatives from organisations who provide support and advice to families/carers and people with major trauma injuries, and Organisations who promote prevention, treatment and care of people affected by major trauma. The Chair of the Major Trauma Patient Panel will represent the panel as a member on the Major Trauma Clinical Expert Panel. Terms of reference The panel will: Provide London-wide guidance to the Major Trauma Project from the perspective of the patient or family/carer, Provide advice on the quality and provision of services to help support decision making and possible implementation of the project, Provide feedback on project papers and materials, Wherever appropriate, disseminate the work of the Major Trauma Project back to the member s organisation and/or the wider community. 8

6.1 Major Trauma Project Team Structure for Aug 2008 - Jan 2009 Policy & Designation Advisor Project Manager Finance Lead Finance Support Project Administrator Designation Lead Rehabilitation Policy and Stakeholder Lead Designation Advisor Designation Stakeholder Management Finance Analyst Aug 08 Nov 08 Policy Prevention, Consultation & Bus Case Senior Analyst Designation Policy Designation Analysis Policy Commissioning & Performance Analyst Designation Finance & Analysis Paediatrics 9

6.2 Major Trauma Project Team Structure for Jan 2009 - Jul 2009 Project Manager Finance Lead Project Administrator Designation Lead Policy and Stakeholder Lead Stakeholder Management Finance Analyst Policy Designation Analysis Finance & Analysis 10

7.1 Reporting responsibilities Report Purpose Responsible Timing LCG Dashboard Provides commentary on activities and milestones completed in previous month and planned for following month Provides commentary on key issues and risks and how these are being managed. Enables issues to be escalated to LCG for decision Provides a RAG status on overall position of project in terms of project progress, stakeholder management, resources and status of major issues or risks Policy & Stakeholder Management Lead On Tuesdays prior to LCG 4 Week look ahead Provides overview of key activities and milestones for project for the next four weeks. Policy & Stakeholder Management Lead On Tuesdays prior to PEG 6 month milestone plan Provides overview of key milestones for project or enabling strategy lead in next six months. Policy & Stakeholder Management Lead TBC 11

7.2 Reporting and Meeting Calendar MEETINGS & ACTIVITIES PEG report to PO PEG Clinical Director briefed for CAG CAG PEG report to PO PEG June 08 03 rd June 05 th June 16 th June 20 th June 17 th June 19 th June July 08 01 st July 03 July 14 th July 18 th July 22 nd July 24 th July August 08 05 th Aug 07 th Aug no meeting no meeting 19 th Aug 21 st Aug September 08 02 nd Sep 04 th Sep 22 nd Sep 26 th Sep 23 rd Sep 25 th Sep October 08 07 th Oct 09 th Oct 13 th Oct 17 th Oct 21 st Oct 23 rd Oct November 08 04 th Nov 06 th Nov 17 th Nov 21 st Nov 18 th Nov 20 th Nov December 08 02 nd Dec 04 th Dec 15 th Dec 19 th Dec January 09 12 th Jan 16 th Jan February 09 23 rd Feb 27 th Feb March 09 tbc 23 rd Mar 27 th Mar tbc Reports/Briefings Meetings 12

7.3 Board Calendar MEETINGS & ACTIVITIES Report to LCG LCG Commissioning Expert Panel Patient Panel Clinical Expert Panel Major Trauma Board June 08 27 th May 03 rd June 17 th June Did not meet 19 th June 27 th June July 08 24 th June 01 st July 15 th July 22 nd July 24 th July 28 th July August 08 29 th July 05 th Aug 19 th Aug 20 th Aug 21 st Aug 29 th Aug September 08 26 th Aug 02 nd Sep 16 th Sep 16 th Sep 18 th Sep 24 th Sep October 08 30 th Sep 07 th Oct 21 st Oct 21 st Oct 23th Oct 27 th Oct November 08 28 th Oct 04 th Nov 18 th Nov 18 th Nov 20 th Nov 24 th Nov December 08 25 th Nov 02 nd Dec 9 th Dec 9 th Dec 11 th Dec 29 th Dec January 09 30 th Dec 06 th Jan 20 th Jan 20 th Jan 15 th Jan 26 th Jan February 09 27 th Jan 03 rd Feb 17 th Feb 17 th Feb 19 th Feb 23 rd Feb March 09 24 th Feb 03 rd Mar 17 th Mar 17 th Mar 19 th Mar 23 rd Mar Reports/Briefings Meetings 13

8 Change Control Deliverables approval hierarchy Project Plan Change & new activities Other Changes LCG Programme Executive Group Project Team Project Manager Change to plan does not affect deliverable delivery dates Change will affect delivery date of an activity but not of a deliverable Project Managers have identified in their Project Initiation Document (PID) the initial resource and budget requirements for their team. This may change over time and they should keep the PID updated accordingly. Any significant resource changes will need to be approved by the HfL Finance Director and, if necessary, the LCG. Project Board SRO & PEG Change will affect deliverable delivery date but not delay delivery of the overall project Scope change Expert Panel LCG Change will affect delivery of the overall project Scope change Project Team Project Office Related 14