Introducing our Chair for the Forum...

HEALTHCARE Introducing our Chair for the Forum... SHRIGLEY HALL HOTEL & SPA, CHESHIRE 20th and 21st JUNE 2018 Alec Price-Forbes Chief Clinical Information Officer University Hospitals Coventry and Warwickshire NHS Trust SPEAKERS Nick Hopkinson Chief Information Officer Devon CCG and South Devon and Torbay CCG John McCormick Chief Clinical Information Officer Devon CCG and South Devon and Torbay CCG Caroline Shaw Chief Operating Officer and Deputy Chief Executive Nottingham University Hospitals NHS Trust Colin Skoyles Chief Information Officer Tameside and Glossop Integrated Care NHS FT and Tameside and Glossop CCG Richard Jenkins Chief Executive Barnsley Hospital NHS FT Nicola Haywood-Alexander Martin Ferrier Chief Clinical Information Officer Wrightington, Wigan and Leigh NHS FT Hugh Mullen Deputy Chief Executive and Director of Support Services Stockport NHS FT Hugo Mathias Chief Information Officer Northampton General Hospital NHS Trust Stewart Findlay Chief Clinical Officer NHS Durham Dales, Easington and Sedgefield CCG Nicola Bailey Chief Operating Officer NHS Durham Dales, Easington and Sedgefield CCG Diarmaid Crean Deputy Director, Digital Public Health England Cindy Fedell Director for Informatics Bradford Teaching Hospitals NHS FT Ela Pathak-Sen Associate Director for Quality Central and North West London NHS FT Diane Jones Director of Quality and Safety NHS Brent, Harrow and Hillingdon CCG Shiela Connolly Head of Patient Environment Royal Free London NHS FT Nina White Head of Transformation Shropshire CCG Darren Kilroy Deputy Medical Director East Cheshire NHS Trust Mark Knight Head of Radiation Physics Maidstone and Tunbridge Wells NHS Trust Anna Barnes Associate Director for Governance Brighton and Sussex University Hospitals NHS Trust Angie Smithson Deputy Chief Executive/ Integration Programme Director Aintree University Hospital NHS FT Chief Information Officer and Director of IMST and PMO Sheffield Health and Social Care NHS FT For more information on our speakers go to nhs.healthcarestrategyforum.com

MAIN THEMES Accountable Care Systems Budget Control and Planning Digital Transformation Leadership and Governance Peoples Health and Wellbeing Leading Strategic Change Electronic Patient Records Digital Innovation DAY ONE 08:00-08:35 Registration and Networking Reception 08:35-08:45 Chair s Opening Remarks Alec Price-Forbes Chief Clinical Information Officer University Hospitals Coventry and Warwickshire NHS Trust 08:45-09:05 The Journey To A Citizen Focused Accountable Care System Nick Hopkinson CIO Devon CCG and South Devon & Torbay CCG A CIO/CCIO Perspective John McCormick Chief Clinical Information Officer Devon CCG and South Devon & Torbay CCG OPENING KEYNOTE The NHS Five Year Forward View called for greater integration of healthcare services for health and social care, and physical and mental health services with Sustainability and Transformation Plans (now Partnerships) as the vehicle to enable providers and commissioners to collaborate to achieve this. Accountable Care Systems are an evolved version of an STP working as a locally integrated health system to deliver faster improvements in quality and population health, but how does this evolution take place? What are the technical, structural and cultural challenges that need to be faced to build a service which is based around the individual and all their health and care needs. From the perspective of a Clinical and an Information Officer, Dr John McCormick and Nick Hopkinson will share their experience in working to deliver a digitally enabled ACS in Devon.

09:05-09:25 Digital Care Delivering Digital Care into the Economy Colin Skoyles CIO Tameside and Glossop Integrated Care NHS FT & Tameside and Glossop CCG The purpose of this initial scheme is to support the care of residents within both residential and nursing homes. A team of nurses operate out of our Digital Centre based at the hospital and provide clinical advice to carers and residents allowing the person to be treated remotely where this is clinically appropriate. This is enabled through the use of Skype for business, installation of Wi-Fi enabled tablets within care homes, observation equipment such as BP monitors, tympanic thermometers, oxygen saturation monitors and other simple diagnostic tests. It is supported through a standardised training programme to care homes. One of our aims is to reduce attendances to and admissions from the Emergency Department for residents of Care and Nursing Homes in Tameside and Glossop. 09:25-09:45 Solution Provider Case Study 09:45-10:05 Transformation Through An Electronic Patient Record Cindy Fedell Director of Informatics Bradford Teaching Hospitals NHS FT Implementing an EPR is costly, takes a lot of time and is often thought to be very challenging to deliver. It is all of these things. We spend our efforts managing these challenges, but the heart of any implementation is the benefits. Properly preparing to realise benefits is not something we do well regardless of the type, which varies from patient safety to helping us work more efficiently. They can be complex and difficult to convert into a plan. How do we ensure maximum benefit, after we go live, whilst managing these challenges? Cindy will discuss what they did at Bradford Teaching Hospitals and what they have learned so far the good and the bad. 10:10-10:30 Solution Provider Case Study - Stream 1/2/3 10:30-10:45 Coffee & Networking Break 10:45-11:05 Solution Provider Case Study

11:05-11:25 How To Use Digital Innovative Partners At Scale In Public Health Diarmaid Crean Deputy Director, Digital Public Health England Diarmaid Crean is an international digital leader and innovator in organisational transformation, product development, digital communications, marketing, branding and e-commerce. With 24 years of experience delivering change across both the public and private sectors, he is a passionate practitioner of User Centred Design. Diarmaid will be exploring the new models of how Public Health England uses technology, whilst introducing flexibility and resilience that will allow them to adapt their public health practice, and improve outcomes. He will explain how these models can be used elsewhere in the NHS. 11:30-11:50 Solution Provider Case Study - Stream 1/2/3 11:55-12:15 A&E Delivery Boards: A Catalyst for Transforming System Leadership and Performance Caroline Shaw Chief Operating Officer and Deputy CEO Nottingham University Hospitals NHS Trust The health and social care economy in Nottingham has struggled to consistently achieve timely, urgent and emergency care for patients over a number of years, despite a relentless focus and determination to do so, and significant internal and external intervention. This session will explore how the creation of A&E Delivery Boards have supported steady improvements in performance, system ownership of the 4-hour target and positive cultural changes that have further strengthened relationships between key partners and players across the health and social care economy. The particular areas of focus will be the significance of leadership, cultural and behavioural change, performance management and metrics across a system, and the importance of clinical engagement and innovation to drive continuous improvement. 12:15-12:35 Solution Provider Case Study 12:40-13:35 Group 1 P2P Connect Speed Networking

12:40-13:35 Group 2 - Group Discussion People s Health and Wellbeing Let s Discuss Sheila Connolly Head of Patient Environment Royal Free London NHS FT 2,087! That is the amount of hours the average full time employee will work in a year. A key factor to the pursuit of happiness is to enjoy where you work. A key factor to the pursuit of success is happiness. The Royal Free London have the ultimate vision of making their Trust a great place to work! Sheila Connolly s role involves improving the health and wellbeing of not only the patients, but the employees too. Ensuring the staff are happy and healthy will result in them being highly motivated which will enable them to provide world class expertise. Using testimonials and video examples, this interactive group discussion will look at what tools you can use to engage your employees and patients to understand their needs and the benefits that will come with it. 13:35-14:35 Networking Lunch 14:40-15:35 Group 2 P2P Connect Speed Networking 14:40-15:35 Group 1 - Group Discussion People s Health and Wellbeing Let s Discuss Sheila Connolly Head of Patient Environment Royal Free London NHS FT 2,087! That is the amount of hours the average full time employee will work in a year. A key factor to the pursuit of happiness is to enjoy where you work. A key factor to the pursuit of success is happiness. The Royal Free London have the ultimate vision of making their Trust a great place to work! Sheila Connolly s role involves improving the health and wellbeing of not only the patients, but the employees too. Ensuring the staff are happy and healthy will result in them being highly motivated which will enable them to provide world class expertise. Using testimonials and video examples, this interactive group discussion will look at what tools you can use to engage your employees and patients to understand their needs and the benefits that will come with it.

15:45-16:30 Business Meetings 16:30-16:50 STREAM ONE Effective Leadership And Good Governance: The Perfect Match In this session, Diane will use examples in healthcare (clinical and non-clinical) to demonstrate how effective leadership is the way to support organisations through the challenging climate whilst being an under resourced NHS, with great expectations put upon it. Diane will show how the vehicle to support leadership is having good governance to assist leaders from one transitional state to another. Diane Jones Director of Quality & Safety NHS Brent, NHS Harrow, NHS Hillingdon CCG 16:30-16:50 STREAM TWO Delivering Better Services For All Nina White, Head of Transformation, will use examples of NHS Shropshire CCGs work to show how they are transforming their services under Shropshire s Sustainability and Transformation Partnerships. Nina will look at the CGG s progression since the transformation begun and what their aims are for the future... the future is looking bright! Nina White Head of Transformation Shropshire CCG 16:30-16:50 STREAM THREE Transformational change through organisational merger Angie Smithson Deputy Chief Executive/ Integration Programme Director Aintree University Hospital NHS FT Three years ago over 200 senior doctors from Aintree University Hospital NHS Foundation Trust (AUHFT) and The Royal Liverpool and Broadgreen University Hospitals NHS Trust (RLBUHT), the two largest hospitals in Liverpool with a combined turnover in excess of 850 million, made the clinical case for the merger of the two organisations. Since then, this clinically led vision to deliver better quality and more cost effective care, has been developed with Clinical Commissioning Groups (CCGs), the University of Liverpool, the two Trust Boards and other partners. Angie Smithson, Integration Director, will talk about the challenges and learning as the two organisations work towards merger.

16:55-17:15 Implementation Of Healthcare IT Systems Martin is a Consultant Paediatrician, CCIO and Associate Medical Director at Wrightington Wigan and Leigh NHS Trust. 10 years ago, Mark was appointed Associate Medical Director in order to look at mortality. The work took him to places Paediatricians are rarely found. The work became about patient safety and improving outcomes for patients. Making those improvements into a systematic process led him in to the implementation of IT systems. The future of healthcare will be underpinned by IT systems, investing now is essential! Martin Farrier Chief Clinical Information Officer Wrightington, Wigan and Leigh NHS FT 17:15-18:15 Business Meetings 18:15-18:35 Being Helpful Hugo Mathias CIO and Director of ICT Northampton General Hospital NHS Trust CLOSING KEYNOTE Healthcare technology is driving change and efficiencies and is seen as the way to reduce healthcare costs. Delivering on this requires leadership that addresses the human element to persuade change to embed. Northampton General Hospital (NGH) have adopted a campaign of Being Helpful and Hugo would like to share with you how being helpful helps to address the strategic needs of the organisation as recently described by Gartner and engage the staff to deliver on promises. Hugo will discuss the challenges NGH face and the values that have brought innovative solutions.

Winedown Workshop Fizz and Bizz, join our relaxed fun end to the day. Canapes Cocktails Conversations 18:35-19:05 Medics As Senior Leaders And CEOs NEW FOR 2018 An interactive workshop discussing the importance of medics becoming senior leaders and the impact it has on the organisation. Dr Richard Jenkins Chief Executive Barnsley Hospital NHS FT 18:35-19:05 Making Patient And Carer Engagement Matter NEW FOR 2018 Join Ela in discussing the importance of making patient and carer engagement matter, how to get it right, add value and improve outcomes. Ela Pathak-Sen Associate Director for Quality Central and North West London NHS FT 18:35-19:05 Profit For Patients Doing Business In The NHS NEW FOR 2018 How easy is it to run an enterprise using a private sector business model in the NHS, generating income to fund patient care? Delegates will be invited to review and discuss current challenges and solutions. Mark Knight Head of Radiation Physics Maidstone and Tunbridge Wells NHS Trust

19:05-19:25 Coffee & Networking Break- Day 1 Close 20:15-20:30 Drinks Reception 20:30-22:30 Networking Dinner

DAY TWO 08:10-08:25 Coffee & Networking Break Back To Back with NHS Durham Dales, Easington and Sedgefield CCG 08:25-08:45 Impact Of Devolved Budgets In Primary Care Dr Stewart Findlay CCO NHS Durham Dales, Easington and Sedgefield Clinical Commissioning Group OPENING KEYNOTE This talk will look at the allocation of weighted capitation budgets to general practices across the Durham Dales, Easington and Sedgefield CCG. We will go through the process that we went through to agree a budget allocation formula and to develop a fair funding formula for general practice that rewarded those practices that remained within budget. We will also look at how that is working within individual practices and across Primary Care Home teams based around patient populations of 30-50,000 people. We will look at the impact on outpatient referrals elective and non-elective activity. 08:45-09:05 Integration In County Durham - Are We An ACS, ACO, ACN or ACP? Who Knows! Nicola Bailey COO NHS Durham Dales, Easington and Sedgefield Clinical Commissioning Group This talk will look at the development and framework of integrated services in County Durham and more widely across the STP under the accountable??? banner. The presentation will outline how County Durham s health and social care services have moved together to create an Accountable Care Network that has innovative integrated delivery and commissioning at its heart. The commissioner and provider landscape is blurring with primary care centre stage as the only truly universal service accessible by all. Nicola will explain how are they are managing to integrate two ways i.e. at scale with a number other CCGs, and locally to retain a true place based focus with primary and community services FT partners and their local authority partners.

09:10-09:30 STREAM ONE Case Study: Leading and Managing Strategic Change Within Operationally Complex Environments Darren Kilroy Deputy Medical Director East Cheshire NHS Trust In this session Darren will explore the challenges and opportunities to be found within largescale strategic change processes in healthcare. Using a case study example of the successful reconfiguration of a regional clinical service, the key issues, limitations and initial barriers to success will be highlighted. The steps and mechanisms employed to address and overcome those obstacles will be identified and explained. Delegates will be able to gain a full understanding of how strategic and operational risks were translated into opportunities for service improvement and how clinical staff were supported and engaged within the piece of work. 09:10-09:30 STREAM TWO Managing The Human Dimensions Of Change Dr Anna Barnes Associate Director for Governance Brighton and Sussex University Hospitals NHS Trust When the world is predictable you need smart people but when the world is unpredictable you need adaptable people - Minzberg. Using case studies based on 20 years working in programme management and capital development, Dr Anna Barnes will outline some of the key concepts regarding the leadership and management of change within the NHS/Social Care. A key facet of her presentation will be the importance of acknowledging the human factors which can hinder the implementation of large scale change programmes. The presentation will summarise the most up to date academic evidence and will be interactive, subject to numbers. 09:30-09:50 Solution Provider Case Study 09:55-10:15 Solution Provider Case Study - Stream 1/2/3 10:15-10:45 Efficiency Brunch Topic led roundtables around efficiency challenges in your organisation

10:45-12:15 Business Meetings 12:15-12:35 Transforming Stockport Together Hugh Mullen Deputy Chief Executive & Executive Director of Support Services Stockport NHS FT In Stockport they are implementing a very innovative transformation programme called Stockport Together which aims to radically change the way they provide traditional hospital services for their Elderly population. Stockport Together combines Stockport FT, which provides the acute service on the Stepping Hill site and Stockport Metropolitan Borough Council which provides Social Services. Viaduct Healthcare is their GP partner organisation and provides Primary Care and Pennine Care FT, which provides mental health services. They have now formed an Alliance Provider Board ahead of moving to an Accountable Care Trust in 2019. Hugh s session will set out the journey Stockport have been on to alter the way they provide services and significantly reduce the need for Secondary care by establishing 8 neighbourhood teams. Hugh will set out the performance criteria they need to achieve and the progression they have made to date. 12:35-12:55 User Centric Digital Transformation Nicola Haywood- Alexander CIO and Director IMST and PMO, Sheffield Health and Social Care NHS FT Sheffield Health and Social Care, as part of the South Yorkshire and Bassetlaw ACS have long engaged clinical and service users in the design of their digital technology, from an in-house EPR to self-service applications to support well being and recovery. The design of solutions and cases for investment are all user case driven, and are centered on patient stories. This is an integral part of their forward digital strategy for both place and system. Nicola will share the journey to date from both the Trust and ACS perspective.

12:55-13:30 Panel Session Accountable Care Systems (ACSs) Let s Make Sense Of It Martin Farrier CCIO Wrightington, Wigan and Leigh NHS FT Nicola Bailey COO NHS Durham Dales, Easington and Sedgefield Clinical Commissioning Group NHS England recently outlined their ambitions for Sustainability and Transformation Partnerships (STPs) to evolve into accountable care systems (ACSs), and proposed that these ACSs might become Accountable Care Organisations (ACOs) but only after several years. CLOSING KEYNOTE The first wave of ACSs are already assuming accountability for local operational and financial performance. From April 2018, they will begin to gain new financial flexibilities and to use new tools for better understanding local health data. This session gives you the chance to ask the panel their views on the future of ACSs and the benefits or risks that will come with it. You will have the opportunity to share your own opinions with the delegates. This session is sure to offer some lively topical debates on the matter. Nicola Haywood- Alexander CIO and Director IMST and PMO, Sheffield Health and Social Care NHS FT 13.30-13.45 Chair s Closing Remarks 13:45-14:00 Coffee & Networking Break- Day 1 Close 13.45-14.45 Networking Lunch nhs.healthcarestrategyforum.com E:info@ahmediauk.com T: 01293 850300