Strategic Portfolio Alignment Joe Ryan Programme for Health Service Improvement

Strategic Coordination Project Management & Controls Aims of the EPMO Alignment Strategic Coordination Innovation Project Management & Controls Communications Assurance

Understanding the Strategic Context Social Care Mental Health Primary Care The ‘Centre’ QAV Service Design and Delivery Enabling Services Service Design Chronic Illness Patient Flow Service Delivery NCCP Acutes 9 CHOs 90 networks Transformation of the Centre HR Knowledge & Information Finance HBS Comms National Ambulance Service Community Healthcare Organisations (CHOs) 33 National Clinical Care Programmes Frail Elderly Health and Well-Being Integrated Care Programmes i.e. Design Authority IHI Primary Care Reimbursement Service QID ABF 7 HG Project Boards/PMOs Hospital Groups (HGs) Children’s Care Maternal Care People Strategy 2015-2018 The portfolio is strategically aligned to a wide range of strategies, policies and reports.

Key External Strategic Drivers Currently, their strategic agenda is being driven by two important documents which have recently emerged. – Statement of Strategy (December 2016) – Oireachtas Committee’s Sláintecare Report (May 2017).

Identifying our Key Programmes   Establishing Hospital Groups Establishing Community Healthcare Organisations Improving Social Care Implementing the National Ambulance Service Vision 2020 Improving the Primary Care Reimbursement Service Transforming the National Centre Implementing the Healthy Ireland Framework Developing Quality Assurance and Verification Focusing on Quality Improvement Implementing National Integrated and Clinical Programmes Implementing the National Cancer Care Programme Shifting to Primary Care Improving the Mental Health Service Improving Acute Services Implementing eHealth Ireland Enhancing Human Resources Improving Information Services Improving Communications Services Developing Health Business Services Managing the Programme for Health Service Improvement The total work of the Programme for Health Service Improvement is organised into large-scale programmes of work. 20 key programmes have been identified in collaboration with Leadership & Department of Health.

Identifying our Programme Priorities National Directors reviewed deliverables in workshop January 2017 PMOs submitted deliverables for each programme Commenced October 2015 Planning Leads refined deliverables into high-level priorities in workshop March 2017 This is being led by the Programme for Health Service Improvement, as the HSE is delivering these programmes and is closest to the work The basis for the high-level priorities for each programme is the Action Plan deliverables, which have been collected and refined iteratively, most recently with the Planning Leads for each division

Mapping to the Dept. of Health Priorities Removed priorities beyond the scope of the PHSI, e.g. relating to policy and legislation. Extracted Dept. of Health priorities from Statement of Strategy 2016-2019 and mapped with relevant PHSI key programmes.

Mapping to the Sláintecare Priorities Highlight priorities beyond the current scope of the PHSI, e.g. those not yet agreed as commitments. Extracted Sláintecare priorities and mapped to relevant PHSI key programmes.

Identifying Gaps and Refining Programme Aims Compared PHSI, DoH and Sláintecare priorities. Refined proposed high-level aims for each programme based on strategic mapping exercise. Identified gaps and flagged them for inclusion (green), review (red), or for clarifying (blue).

Demonstrating Strategic Alignment This process is…. Compare strategic priorities of HSE, Dept. of Health and Sláintecare Demonstrate significant existing alignment Identify gaps and address those within the remit of the HSE Produce an agreed list of key programmes and a proposed list of shared priorities.

Next Steps… Leadership to finalise HSE position on priorities (DDG S&P) Engage with Minister & DoH to agree joint position on priorities Agree appropriate joined up governance to oversee development and implementation Agree ways of working with DoH PMO Prioritise the development of clear roadmaps for each of the programmes within the PHSI to deliver on these priorities

Thank You Any Questions?