1. Update to NLAG board 22 nd December 2015

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

3. Tasks completed since November briefing: HLHF system plan content created, discussed by programme board and ready for sign off NLaG plan developed and reviewed by HLHF board members at 16 th Dec meeting Draft marketing communications and engagement plan strategy prepared and discussed with the board Draft workforce and organisational development strategy prepared About 50-60 per cent of the estates data gathered, time extension granted to enable completion of the exercise; draft specification for the strategy development is in place Renewed and updated governance – this will need further tailoring once the future shape of the programme has been agreed in January Prevention framework drafted; burden of disease work to be commissioned to enable clearer focus on actions which are likely to have the greatest impact.

4. Issues and challenges More confidence that there are opportunities to reduce funding gap – but will require sustainable programme infrastructure and significantly more commitment and resource to deliver Opportunities for further work, as reported last time, 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 still required regarding future shape of planning and delivery and commitment to the programme – critical point January 2015 – for sustainable resourcing of the programme office Programme planning for delivery in 2016 will commence at operational group meeting Jan 14 th 2016 Work through January 2016 to develop the programme leadership to enable effective decision making

5. Next Steps 31 Dec 2015 - NLAG submission to Monitor – system input complete by 22 nd December Monitor consideration follows submission – feedback TBC Delivering the system plan – options appraisal Jan through March 2016 HLHF leadership – to be confirmed further to system discussions and feedback from Monitor and NHSE Programme management resource from April 2016 – as above