1. Friday, 4th J-une, 2010 IRF Chief Officers' Event 1 Integrated Resource Framework The Tayside Partnership Update Chief Executives Event Friday 4 th June, 2010 Bill Nicoll Tayside Lead Officer

2. Friday, 4th J-une, 2010IRF Chief Officers' Event2 Overview  Key components of our approach  The Work to date – progress against milestones  Integrator Roles - structure and empowerment  Preferred Financial Mechanisms  The Challenges Ahead Tayside Integrated Resource Framework

3. Friday, 4th J-une, 2010IRF Chief Officers' Event3 Tayside Integrated Resource Framework The Adaptive Challenge?  Focus on Public Value  Respect the Public Pound  Adopt a Customer Focus  Act “Corporate”  Make and Take “Difficult Decisions”  Give the work back………

4. Friday, 4th J-une, 2010IRF Chief Officers' Event4 Tayside Integrated Resource Framework Key Components of Our Approach  Mapping of costs and overlay  Drill down into data – “deep dive”  Challenge variation and action  Demonstrator projects – Virtual Wards  Organisational Development  Mechanisms to move resources across the system

5. Friday, 4th J-une, 2010IRF Chief Officers' Event5 Tayside Integrated Resource Framework The work to date…….  Focus on over sixty-five population  Mapping of all related activity /costs for both health and social care  Standardising and stratifying costs across <65, <75, <85 populations  Attributing costs to GP practices  Initial analysis of data & costs

6. Friday, 4th J-une, 2010IRF Chief Officers' Event6 Tayside Integrated Resource Framework The work to date…….  Factor proofing costs using ENRAC, SIDM, Practice Analyser Tool  Identification of localities  Combined Predictive Risk Tool & Virtual Ward  Organisation development  Adaptive Leadership & Partnership Model

7. Friday, 4th J-une, 2010IRF Chief Officers' Event7 Tayside Integrated Resource Framework

8. Friday, 4th J-une, 2010IRF Chief Officers' Event8 Tayside Integrated Resource Framework Preferred Funding Mechanisms  Joint Investment Fund (Internal Resource Transfer)  Joint “Consumption” Programme Budgets (Integrated PBMA approach)  Community Budgeting (Locality Commissioning)  Lead Agency - where appropriate

9. Friday, 4th J-une, 2010IRF Chief Officers' Event9 Local Authority & NHST Chief Executives Group LA & NHST strategic sign-off on high level decisions relating to IRF and macro integrator Project Board Project Team Mapping Sub Group OD / Communication Sub Group Models of Care/ Sub Group Perth & Kinross Strategic Health Partnership Angus Programme Board Dundee Health & Local Authority Management Group Forum for Accountability and Governance of Test Site Stage 2 IRF Project. Responsibility for overseeing the completion of test site Stage 2 IRF project across Tayside. Subject specific groups taking forward actions impacting across Tayside. Partnership Groups (and micro integrators) which will take responsibility for progressing IRF in relation to their enterprise populations Tayside Integrated Resource Framework Integrator Roles

10. Friday, 4th J-une, 2010IRF Chief Officers' Event10 Tayside Integrated Resource Framework The Challenges Ahead?  Are we getting at the Right Costs?  Will we focus on data & variation  Will we be capable of shifting resources around the system?  Can we accept a new concept of “Commissioning”  Can we move beyond the organisation?