1. Development of Service Frameworks June 2007

2. What is a Service Framework? Explicit standards on prevention, treatment and care; Quality requirements supporting the standards; Specific timeframe - 3-5 years and revision process; Capable of measurement/comparative data (minimum and stretch); Linked to the HSC quality standards and other policy, documents and guidance; Applicable to both adults and children; Follow a life cycle approach; and, Developed in collaboration with the HSC and public.

3. AIM Improve health and wellbeing; Reduce inequalities in health; Promote social inclusion; Transparent standards of care, on behalf of public; Reduce variation in treatment and care; Link public health with quality and safety of care; Safeguard vulnerable individuals and groups; and, Improve partnership working with other agencies/sectors.

4. Real Opportunities Integrate health and social care; Enhance public health and wellbeing through identification of those at risk and prevent, protect individuals / families in local populations from harm and disease; Promote evidence-informed practice; and, Enhance multidisciplinary / intersectoral working.

5. The public; HSC organisations and other providers; Commissioners - HSCA and LCGs; Voluntary, community and independent sector; RQIA; and, DHSSPS/Minister. Key Stakeholders

6. ORGANISATIONAL DESIGN: KEY ELEMENTS Choice/ Commissioning Performance Management Funding based on Outcomes CVD Respiratory Cancer Mental Health Learning Disability

7. Patient/client Pathway Template Prevention / Promotion Protection /Lifestyle Assessment & Diagnosis Treatment Ongoing Care / Chronic Disease Management End of Life Care / Palliative Care

8. Phase 1- Development Cardiovascular Health and Wellbeing – January 2007 Recognition of common risk factors; Promotion of self-care; Will include: –Coronary heart disease –Hypertension –Cerebrovascular disease –Peripheral Vascular disease –Diabetes ( as a significant risk factor for CVD) –Renal disease associated with CVD

9. Phase 2 - Development Respiratory Health and Wellbeing – Feb. 2007 Recognition of shared risk factors; Promotion of self care; Will include : –Pneumonia –Asthma –Allergic Rhinitis –COPD –Obstructive Sleep Apnoea –Pulmonary hypertension –Tuberculosis –Cystic Fibrosis( and other genetic diseases)

10. Phase 3- Development Cancer Prevention,Treatment and Care – May 2007 Will include: - Breast; - Colorectal; - Lung; - Gynaecological; - Upper gastro-intestinal and hepato-pancreatico biliary; - Haematological; - Childrens cancer; - Head and neck; - Sarcoma; - Central nervous system; - Endocrine cancers; - Dermatological; and - Urological system

11. Phases 4 and 5 - Development Mental health – from June 2007 Learning Disability- from end June 2007 Trawl for other areas of risk and concern – Sept. 2007

12. Engagement Use established HSC networks and fora; Stipulate composition to promote multidisciplinary and intersectoral working; Common methodology and template; Recognition that care goes beyond traditional HSC boundaries; and, Consultation and external quality assurance.

13. Timeframe for Completion CVD – April 2008 Respiratory – July 2008 Cancer Care – August 2008 Mental Health – September 2008 Learning Disability – November 2008 Other(s) – beyond this Review mechanism will be built in to process