1. Update to NLAG board 24th November 2015

2. Generally, work is on track. Key milestones are being delivered
Immediate Tasks
Generally, work is on track.
Key milestones are being delivered
Sep
Oct
Nov
Dec
Jan
Progress to date presented 3rd September Workshop
Outline Plan - 30th October
Monitor and NHSE System Review
In hospital
Model
Pathway Redesign programme - process agreed - 30th October
In and out of hospital models aligned through Pathway Redesign
HLHF system model agreed
Out of hospital
Model
Progress to date presented 3rd September Workshop
Outline Plan -30th October
Stakeholder Event
- End Nov
Engagement/
Consultation Planning
MCE
C&E Plan –End Sept
Staff Engagement Commences
Stakeholder Framework – 30th Sept
IM&T drivers for transformation -
End Nov
IM&T
Baseline Position -
31st Oct
IM&T Strategy –
31st Dec
Property Register
30th - Sept
Community Estates Plan -
End Nov
Estates
Community Estates Review – 30th Oct
Estates Strategy -
31st Dec
Community Finance Plan – 18th Sept
Aspirational Model - 30th Oct
Finance Plan, 1st Cut – 13th Nov
Recovery Plan Submission –
18th Dec
Finance
Community Activity Model – 30th Sept
Cost impact of models – 30th Oct
Finance Plan, Final Cut – 27th Nov
Workforce info – 30th Sept
Community Workforce Plan -
30th Oct
Workforce role review and design – End Nov
Workforce and OD Strategy – 31st Dec
Workforce and OD
OD plan – 30th Sept

3. Progress to date
Concentrated focus on the delivery of the system plan for submission mid December
New governance arrangements in place to enable more robust planning and tracking of the programme – will lead to more robust delivery of schemes and realisation of benefits
Draft estates strategy and HR/OD strategy in preparation

4. Timeline for plan submission:
25th November: CEOs/Accountable Officers to discuss
Options for integrating provision and integrating commissioning
HLHF leadership and resources through 2016.
26th November: final amendments to plan by operational group
3rd December: Programme board review
16th December: Extraordinary programme board prior to submission

5. Issues and challenges
Significant funding gap remains – no solution yet but opportunities include:
Rationalising and reducing the “back office”
Estate rationalisation
Optimum use of ICT to deliver system efficiency and support self care and independent living
Optimising prevention, self care and independent living across the system
Decisions required regarding future shape of planning and delivery and commitment to the programme – critical point December 2015 – for sustainable resourcing of the programme office
Programme planning for delivery in 2016

6. Clinical pathway redesign in and out of hospital configuration
Working together across health and care to deliver integrated care throughout a persons journey
Clinical pathway redesign
Transform services across a wider footprint to deliver 7 days and meet national standards
in and out of hospital configuration
Clinical Pathway Redesign
Out of hospital configuration
In hospital configuration
Workforce
IM&T
Transport
Estates
Strengthen / combine the processes supporting clinical and non clinical service provision to deliver efficiencies - Enablers