1. Hertfordshire Partnership NHS Foundation Trust Leading by Design Service Transformation Stanley Riseborough Executive Director: Service Delivery & Transformation

2. Hertfordshire Partnership NHS Foundation Trust Context National policy, new horizons, valuing people now Conservative/Lib Dem Coalition JCT contract IIYMH – Whole system redesign Leading by Design – HPFT Strategy

3. Hertfordshire Partnership NHS Foundation Trust Our Key Challenges Continuing our drive for Quality in health & social care. Achieving the savings required over the next 4 years (£30M) Providing the same levels of service activity Timelines for service transformation

4. Hertfordshire Partnership NHS Foundation Trust Aim for Excellence Record of achievement, Quality focus, Financial health Evolving organisation, Stable Workforce, Strong Membership, Commissioning Focus on MH and LD Trust Merger, Health and Social Care integration, Foundation Trust, Strong Partnerships Organisation Preparedness

5. Hertfordshire Partnership NHS Foundation Trust Leading by Design Our Ambition the service feel individual to the person receiving care Integrated Personalised Care Model Health and Social Care delivered as seamlessly Recovery Orientation Care reflects individual circumstances Enables individual choice and responsibility

6. Hertfordshire Partnership NHS Foundation Trust Leading by Design Clear pathways of care Characteristics of the service Services local, but also Specialist when needed Early clear and consistent access to services Services organise to ensure efficient and effective delivery to maximise resources Expertise available when needed Interventions that reflect best practice Environments that feel safe and are therapeutic

7. Hertfordshire Partnership NHS Foundation Trust Leading by Design Determining our Approach Existing Work National Policy Trust Strategy IIYMH Commissioning Intentions Alignment

8. Hertfordshire Partnership NHS Foundation Trust Leading by Design 1 Estates Service Transformation Workforce & OD Informatics Growth / New Business Corporate / Support

9. Hertfordshire Partnership NHS Foundation Trust Leading by Design 3 Core Programmes Community Service Care Pathways Single Access Point to Services Pathways through Crisis and Inpatient Services

10. Hertfordshire Partnership NHS Foundation Trust Leading by Design Enabling Work Governance Arrangements Organisation Engagement Programme Support Clinical /Practice Leadership Community Ownership Primary Care Interface Localities Service baselines Care Co-ordination Learning from Other organisations Care Pathways External Providers Information System Estate Utilisation Payment By Results Service Modelling How We Work

11. Hertfordshire Partnership NHS Foundation Trust Leading by Design Governance Arrangements Organisation Engagement Community Ownership Primary Care Interface Clinical/Practice Leadership Programme Support

12. Hertfordshire Partnership NHS Foundation Trust Leading by Design Localities Service baselines Care Co-ordination Learning from Other organisations Care Pathways External Providers Information System Estate Utilisation Payment by Results Service Modelling How We Work

13. Hertfordshire Partnership NHS Foundation Trust Leading by Design What will the Service look like? footnote

14. Hertfordshire Partnership NHS Foundation Trust Leading by Design How will we apply our model? Intervene early Treat at home where possible Effectively manage pathway into, through and out of services Well co-ordinated Recovery orientated

15. Hertfordshire Partnership NHS Foundation Trust Leading by Design How will we use our Expertise: Work with people who are highest risk, most complex or to supervise and develop practice Champion new service models Drive quality practice through curiosity, innovation and development Create capable teams

16. Hertfordshire Partnership NHS Foundation Trust Leading by Design Becoming more efficient: Avoid duplication Services to hand Clear pathways, with clarity of responsibility and accountability Use of resources - care and treatment is the business of all of us Maximise the benefits of IT

17. Hertfordshire Partnership NHS Foundation Trust Leading by Design Modernising our Estate: Safe, therapeutic, aid recovery Give space and privacy Involve families, carers and the community Meet individual needs Timely procurement arrangements

18. Hertfordshire Partnership NHS Foundation Trust Leading by Design How will we do things: “Nothing about us without us” – standards of involvement Focus on people receiving care today and tomorrow Scanning for opportunities Healthy discontent with average Work with partners to achieve common goals

19. Hertfordshire Partnership NHS Foundation Trust Leading by Design Community Leadership – Engagement Create partnerships Reduce stigma Safeguard vulnerable people Lead thinking Enable pathways of care to employment, recreation, housing etc.. for people who use services

20. Hertfordshire Partnership NHS Foundation Trust Leading by Design …..Supported by: TEAMS Excellent care is a Team Effort Invest in teams, ensure team objectives Every team knows their direction and purpose Create high functioning teams