1. Programme for Health Service Improvement Clinical Services Planning Group Moving forward CARDIFF AND VALE NHS TRUST YMDDIRIEDOLAETH GIG CAERDYDD A’R FRO

2. Purpose  An opportunity to review progress and lessons learnt  Consider future work and scope of future public consultation  Consider potential way forward to drive clinical redesign

3. Where are we now….  SOP sets out direction of travel  Generally receiving positive responses from clinicians and stakeholders, but recognition that many issues still to be worked through  Gives commitment to undertake public consultation in the summer of 2007

4. High Level Project Plan

5. Next steps….preparing for consultation  What will be consulting on locally in the Summer of 2007? Primary and community services including “Resource centres…..”  Noting CRI consultation already done Specialist community inpatient rehabilitation provision….  including Westwing/Rookwood Unscheduled care Role and function of our two acute hospitals

6. Next steps … preparing for consultation (2) The consultation document will not :  include mental health services  repeat other consultations already undertaken e.g. CRI women and children’s services (although the emerging clinical model may require some reference to these. )  fully address the specialist and tertiary service issues (although clinical modelling will need to make a number of assumptions about these)

7. Next steps – preparing for consultation (3)  Need to consider framework for consultation – it will need to be accessible and clear about the changes proposed and the implications for local people. Use of scenarios to enable the impact and implications to be understood on locality basis (CSPG & Reference Group role?)

8. How? Next Phase of work needs to ensure :  improved co-ordination across the clinical themes  Stronger clinical leadership  Health community approach – greater ownership and accountability for programme  Stronger project management

9. Structure PHSI Programme Project Board Clinical Services Planning Group Clinical Planning Group – Primary & Community Clinical Planning Group – Specialist Rehabilitaiton Clinical Planning Group – Unscheduled Care Clinical Planning Group – Acute Hospital Services Communications and Engagement Group Stakeholder Forum Programme Support Team Clinical Reference Group

10. Clinical Services Planning Group  Acts as Project Board responsible for overseeing the work of the clinical workstreams.  Clinical Project Groups would be established for each clinical workstream.  Clinical Reference Group – provides advice, scrutiny and challenge “critical friend”

11. CSPG (1)  Project Board role Clinical leadership and sponsorship Signing off CPG project plans Performance managing CPG progress against key milestones Ensuring cross cutting issues, interfaces and links identified and addressed Maintaining overview of key risks Ensuring detailed and robust proposals prepared to support consultation by June 2007

12. CSPG (2)  Membership Sue Gregory (Chair) Trust/LHB Medical Directors (or representatives) NPHS Representative CPG Lead X 4 PHSI Programme Director/Communications & Engagement Lead HR/OD Director Finance Director Estates Lead LA Representatives (x2) Staff side representation

13. Clinical Planning Groups (1)  CPGs responsible for leading the work required to enable consultation on a preferred way forward, to include: the agreed service model options for delivery of the model implications for service users, including equality impact assessment implications for the workforce implications for estate financial implications implications in terms of capacity dependencies and risks

14. Clinical Project Group Arrangements CPG Core Membership Primary Care Clinical Lead \ Trust Clinical Lead Project Leadership Senior Manager Lead / Senior HR/OD input \ Senior Finance input Project Manager Core Project support Information Analysis (incl RKW) Coms & Engagement input Project Administrator /

15. Clinical Project Group Arrangements (2) Additional input as appropriate  Additional clinical input?  Diagnostics and clinical support services?  patient/carer ?  Public health?  Local Authority?  Voluntary Sector?  Health Commission Wales?  Staff side?

16. Suggested Lead Arrangements Primary & CommunityLHB Unscheduled CareLHB Specialist Rehabilitation Trust Acute hospitalTrust

17. PHSI Central Support Team  Project Management Skills  HR and OD skills  Finance skills  Information analyst (+ RKW)  Programme administration  Service and capital planning  Equality impact advice  PPI Advice

18. Key issues  Protected time for project leads to support the work, with backfilling as required?  Identifying core project support – from existing resource, or through establishing new central team within PHSI?