1. Implement new Emergency Pathways that ensure patients are cared by the right person, at the right time. …………………………………………………………… Establish a daily dashboard of operational processes that identifies process and system blockages and enables rapid action to be taken …………………………………………………………… Establish a Home for Lunch process to ensure 50% of patients being discharged have vacated their bed by mid-day …………………………………………………………… The Trust will implement Delivering Excellence in Dementia care ………………………………………………………….. To deliver 95% harm-free care as defined by the absence of pressure ulcers, harm from falls, infections from catheters and presence of VTE assessment …………………………………………………………… Implement the Trust’s Equality delivery plan Mortality Pressure Ulcers A&E target

2. The CERT service for early supported discharge and admission avoidance is in place across Warwickshire providing a 2 hour response time and meeting demand …………………………………………………… Develop Ambulatory care pathways for patients with specific conditions currently requiring hospital admission ……………………………………………………………….. Design and implement a new pathway for patients with stroke that will improve patient outcomes and be efficient ………………………………………………………………. Ensure that patients with a terminal diagnosis are offered and receive their end of life pathway choices ………………………………………………………………. To work with local GPs to develop a proposal to provide quick and effective services for patients who require access to health care out of hours …………………………………………………… To develop a new form of contract that will incentivise the development of community based alternatives to hospital admission ……………………………………………………. No of patients managed by CERT 2 hour response time for CERT Length of Stay

3. Establish 7 day working across the emergency pathway that enables care to be delivered in a timely way …………………………………………………………........ Community teams in Warwickshire are Integrated to provide a timely response for district nursing, intermediate care, long term conditions and rehabilitation at home. ………………………………………………………………. Ensure workforce planning, training and education and recruitment and retention initiatives are in place to support the Health Visitor Implementation Plan – A Call to Action ……………………………………………………………… Develop a Trust Leadership Strategy – to include a plan to ensure that the personal development plan of all line managers at band 7 and above includes participation in a management development programme ………………………………………………………………. Develop and implement a process for pro-active nurse recruitment No. of Health Visitors Staff Survey Time to fill Band 5 Nurse vacancies Length of stay

4. Develop the Neuro-rehabilitation service including achieving Level 1 accreditation, improving community based support for patients and expanding the facilities ……………………………………………………………….. Implement the E-record project on time, in budget and deliver the benefits described within the business case ……………………………………………………………… Achieve project milestones to deliver mobile working for Community services ……………………………………………………………… Develop the business cases to support the replacement of the PACs system in Radiology, the Pathology system and improving the Catering provision ………………………………………………………………. Develop a five year capacity plan that will support the care required for the projected number of patients, ensuring that they are treated within high quality facilities that meet patient dignity and single-sex accommodation standards ……………………………………………………………….. Upgrade A&E Radiology facilities to digital technology Neuro-rehab LOS First digital clinics in place by July 2012 Mobile working Single-sex standard

5. Respond to George Eliot Hospital “securing a sustainable future” project with a proposal to create a Warwickshire FT ………………………………………………………………. Consider a plan for the development of services at Stratford Hospital ………………………………………………………………. Establish a Business Development Forum that will identify, prioritise and evaluate opportunities for development ………………………………………………………………. Embed efficient processes through the roll out of the Productive Programmes ………………………………………………………………. Develop Service Line Financial Reporting to Divisional Teams with Income & Expenditure reported monthly by the end of 2012/13 Income from outside South CCG Finance Risk Rating System Productivity Measure