1. Children’s Surgery and Anaesthesia Provider Engagement Session 8th December 2015

2. Aims of the session An outline of the strategic case for change Information on the baseline assessment of current provision An outline of the service specification and options for models for future provision The next stages of the programme of work and what we will be asking from providers The programme timeline A chance to ask questions

3. The provider programme consists of – Barnsley Hospital NHS Foundation Trust Chesterfield Royal Hospital NHS Foundation Trust Doncaster and Bassetlaw Hospitals NHS Foundation Trust The Mid Yorkshire Hospitals NHS Trust The Rotherham NHS Foundation Trust Sheffield Children’s NHS Foundation Trust Sheffield Teaching Hospitals NHS Foundation Trust Overview Working Together Programme – Providers

4. Overview of Working Together Programme - Commissioners The commissioner programme consists of

5. The initial drivers of the Strategic review of Children’s Surgery and Anaesthesia? Started with medical Directors and providers raising this as a priority with commissioners due to the workforce challenges that providers were facing. In 2012 a self-assessment was undertaken by local healthcare providers against the Royal College Standards for Paediatric Surgery and Anaesthesia.

6. Following this…… We asked hospitals to look at the national core standards for providing children’s surgery and assess how they were doing against these standards We gathered data on the numbers of people needing the service and assessed what the numbers might look like in the future We asked hospitals to gather information on their current workforce We met with hospitals to assess and agree all the information and their current challenges We held a series of workshops with staff and stakeholders to look at and agree the issues We worked with clinical experts to agree possible high level options to consider for the future.

7. The development of the Case for Change including: Engaging with key stakeholders Undertaking a baseline assessment of current services Forming consensus of the issues Identifying best practice models Specifying the care pathways that should be in place to meet standards Exploring strengths and benefits of potential models Considering our populations needs for the future Seeking external clinical scrutiny of the work to date (Senate)

8. Where are we now within the programme of work? There has been a briefing to commissioners and providers within the programme structure of the work completed to date The case for change has been considered and approved by CCG’s within the programme footprint There is support to work up the next phase of delivery of the programme of work

9. What are the next stages of the programme? The development of options for changing provision and development of a full Business Case including: Implementation of communication and engagement strategy Pre –engagement with patient and the public, key stakeholders (overview and Scrutiny Committees) and staff Development of options and formal assessment Development of full business case including activity and financial impact Formal consultation, if support for business case Consideration of implementation options following approved business case

10. How are we going to progress the development of options? By undertaking a formal assessment of the information from the review at an expert assessment panel in March 2016 The assessment panel will consider The outline case for change The views of our patients and local population The assessment of local need The business intelligence data The workforce census and profile The highlighted possible models The outline Service Specification Options on configuration and impact Our providers view on deliverability

11. What do we need from Providers? We will need providers to consider the emerging service specification that has been developed to date and consider their ability to meet the specification.

12. Children's Surgery - High Level Project Timeline

13. Questions? To find out more please visit the website http://www.smybndccgs.nhs.uk/