Warrington & Halton CCG Programme Management Office Oct 2018

Who are we? WARRINGTON CCG HALTON CCG Michelle Urwin Debs Monfared Programme Manager Paul Hardman Programme Manager

Oversee and track delivery What do we do? Timescales Oversee and track delivery of the CCG’s; Sustainability schemes (QIPP & joint WHHFT) Strategic Commissioning plan – must dos Approved change programmes & projects Overview of iBCF & Warrington Together (WCCG) Scope the project including deliverables Oversee and track delivery Monitor implementation

Why ? Facilitates more effective decision making Demonstrate that the CCG is delivering value – meeting the triple aim of improved outcomes, improved quality with financial sustainability Prioritisation of projects and focus resources accordingly Discipline – one process providing standardised and consistent approach Facilitates more effective decision making Enable issues & risks to be Escalated & resolved quickly Improve visibility & support sharing good practice

Project Stages - aligned to the Commissioning Cycle (Warrington) ANALYSE Benchmarking Data review Best practice Evidence base Engagement Generating ideas Establishing the opportunity Initial Viability Assessment 1 2 PLAN Engagement / Optimal Design – Options development & appraisal – Detailed analytics / costings – Establish the benefits/impact – Case for Change & Workbook – Impact Assessments – Decision Points / Approval – Decision Decision Evaluation Post Implementation Report Recommendations Decision Points / Approval Post implementation report to COG-CSDC with recommendations REVIEW Mobilisation /Recruitment – Provider relations – Monthly Highlight Report – Risks – Monitoring - Dashboard / Metrics – Iterative review & change – Monthly project report to COG-CSDC IMPLEMENT All recognise the commissioning cycle and the 4 quadrants that make up the cycle – analyse / plan implement and review The establishment and management of a project has been aligned to this cycle and all projects should start with the evidence and data to set out the problem or issue (hypothesis) that the initiative is designed to fix. . Decision 4 3 Green = outputs

Project Stages - aligned to the Commissioning Cycle (Halton) ANALYSE Benchmarking Data review Best practice Evidence base Engagement Generating ideas Establishing the opportunity Initial Viability Assessment 1 2 PLAN Engagement / Optimal Design – Options development & appraisal – Detailed analytics / costings – Establish the benefits/impact – Case for Change & Workbook – Impact Assessments – Decision Points / Approval – Decision Decision Evaluation Post Implementation Report Recommendations Decision Points / Approval Post implementation report to CAG - COG with recommendations REVIEW Mobilisation /Recruitment – Provider relations – Monthly Highlight Report – Risks – Monitoring - Dashboard / Metrics – Iterative review & change – Monthly project report to CAG-COG IMPLEMENT All recognise the commissioning cycle and the 4 quadrants that make up the cycle – analyse / plan implement and review The establishment and management of a project has been aligned to this cycle and all projects should start with the evidence and data to set out the problem or issue (hypothesis) that the initiative is designed to fix. . Decision 4 3 Green = outputs

NHS Halton CCG Change Project Governance Commissioning Insight Group Integrated Management Team Clinical Advisory Group (CAG) Commissioning Oversight Group (COG) P&F Quality Gov B New Opportunities Ideas & Change Proposals Decision Decision Decision To generate proposal Approval & Reporting of Commissioning Activity Where Required – For Approval Mandate to Progress

NHS Warrington CCG Change Project Governance Commissioning Insight Group Integrated Management Team Commissioning Oversight Group Commissioning & Service Development Committee F&P Quality Gov B New Opportunities Ideas & Change Proposals Decision Decision Decision To generate proposal Approval & Reporting of Commissioning Activity Where Required – For Approval Mandate to Progress

What will come through the PMO? Financial Review Initiatives (short term) Any ideas or initiatives to support financial recovery plan Transformation Projects (med/long term) Increasing value (outcomes – spend – quality) for the population by reducing unwarranted variation in health care Commissioning Plan/5YFW – Must Dos (med/long term) Five Year Forward View Commitments / National Constitution Standards / IAF Requirements Not Business As Usual

Standard Documentation Initial Viability Assessment – to set out the opportunity Shared IVA with WHHFT – shared system metrics Support from PMO to complete Commissioning Insight Group generate / management team mandate Case For Change – set out the project case including options, milestones, risks/opportunities Clinical Advisory Group (HCCG) Commissioning Oversight Group Commissioning Service & Development Committee (WCCG) Project Workbook – holds all the project information and is the monthly highlight report Impact assessment screeners – PIA / QIA / EIA Risks / Opportunities Milestones Monthly highlight Logic model / measurement framework

HALTON CCG 1 Analyse 2 Plan

HALTON CCG

WARRINGTON CCG 1 Analyse 2 Plan

WARRINGTON CCG

Please contact PMO for initial discussion Ideas & Support Any ideas to support financial recovery – come and speak with us Joint comms with WHHFT to promote shared process and generate ideas October Access to templates / resources Further information Please contact PMO for initial discussion

Thanks for listening Any Questions?

Production of the PMO Report Update all top boxes accordingly General update based on activities undertaken in the reporting month Activities that we are to undertake next period Risks to be taken from the workbooks COG - >6 score CSDC > 12 This is still relevant Any known issues from the PMO to be added in here

Production of the PMO Report Any issues noted on the workbooks added in here Update as required

Production of the PMO Report Highlight Report Sara G / Steve B conversation Highlight Report Highlight Report Steve B conversation RAG unlikely to change at the moment This column RAG based on the activity report from Sarah K

Production of the PMO Report Highlight Report from Jenny Lunn Finance update from Janette Hulme / option to attend the budget Highlight Report Verbal update of leads Highlight Report (to be populated)