Integrated Business Plan 2014/15 – 2019/20 21 January 2015
Purpose of today • Update on Integrated Business Plan • Foundation Trust application timeline
FT Application – referral to Monitor Nov 14 Dec 14 Jan 15 Feb 15 Mar 15 Business as usual Contract negotiations Monitor assess quality governance Estate Moderinsation – financials for OBC Develop LTFM as at 30 Nov Refresh IBP chapters Submit IBP & LTFM to TDA TDA Board approval Referral to Monitor
Iterative process to develop the IBP and LTFM External Intelligence e.g. commissioning intentions SWL Collaborative Commissioning Develop IBP Service Market Strategy Develop- Finance Governance Assessment Formulation ments (chapter 5) (chapter 9) (chapter 4) (chapter 3) (chapter 5) Workforce CIPs Strategy Development (chapter 6) Risk (chapter 7) Long Term Financial Model SWLSTG Jan 2014 v0 2
Developing our plans Money (£) Money (£) INTERNAL EXTERNAL SWLSTG Jan 2014 v0 2
Developments 2014/15 to 2019/20 External factors • Forward View, SWL Collaborative Commissioning • Population growth of 12% • Better Care Fund • Chief Inspector of Hospitals (CIH) visit Internal changes • Response to stakeholder feedback early 2014, removed – Step down – Out of area • £39m cost improvement programmes • Estate Modernisation outline business case
Headlines - Quality • Chief Inspector of Hospitals visit – third mental health trust nationally to be inspected – 55-strong inspection team – Found to be ‘safe’, ‘well led’ and ‘compassionate’ – 3 compliance actions, now addressed • Monitor to conduct assessment against Quality Governance Framework
Service developments (1) • Community Service modernisation – Implement standardised practice, new ways of working – Improve efficiency – Develop self-management – Build stronger more integrated relationships with primary care • Acute Care Pathway – Staff ratios to be maintained – Invest in Home Treatment teams – Single point of referral, crisis line – Improve facilitated discharge
Service developments (2) • Older People’s Pathway – Develop single point of access – Modernise memory services • Trust-wide multidisciplinary team-based Memory Service Network to deliver Memory Assessment Closer to Home – Form a Dementia and Specialist Mental Health Intensive Interventions Service – Refocus community mental health teams to provide Recovery and Specialist Mental Health/Social Care Support • focus on recovery for patients with moderate to high need
Service developments (3) • Child and Adolescent Mental Health Services (CAMHS) – Single Point of Access Business Case submitted – Winning Tier 2 tender to provide a range of emotional and wellbeing services to children and young people in Sutton – Excellent response to CAMHS Consultant recruitment • interviews scheduled for 23rd & 24th Feb – Sutton CAMHS staff being trained as part of the national CYP IAPT programme – Waiting times for treatment improving • average wait for first appointment in December was 10 days
Estate Modernisation Programme • Support service development implementation • Modernise inpatient facilities • Provide community hub and spoke models in every borough • £160m+ capital investment • Strategic Outline Case approved by TDA and Department of Health • Public consultation ended December 2014
Contract Awards CAMHS Tier 2 Service- Improving Emotional and well Primary Care Mental Health Services, Sutton being outcomes (preferred bidder) The service will deliver The service will deliver • Psychological assessment and professional therapeutic time • A Mental Health Referral Centre • Improving Access to Psychological Therapies service limited intervention for children and young people who have • Service for those with severe and enduring mental health an increased risk of developing mental health problems or disorders. problems • A Well-being Arena Service start: 1 April 2015 Service start: 1 July 2015
Where we are today • Improved quality track record – vigorously tested through Chief Inspector of Hospitals • Stakeholder engagement has strengthened considerably and continues to improve • We are winning tenders • We are committed to improving our patient facilities • Our FT application is formally supported by all of our external stakeholders, pending Sutton position • We expect TDA Board to refer our FT application to Monitor in March
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