Development of a 90 Day Improvement Programme for Unscheduled Care for Betsi Cadwaladr Health Board

Descriptions

The Health Board is responsible for improving the health and wellbeing to a population of around 678,000 people across the six counties of North Wales (Anglesey, Gwynedd, Conwy, Denbighshire, Flintshire and Wrexham). This encompasses prevention of ill health as well as treating illness and providing excellent healthcare services.The Health Board is responsible for the provision of primary, community and mental health as well as acute hospital services. It operates three main hospitals (Ysbyty Gwynedd in Bangor, Glan Clwyd Hospital in Bodelwyddan and Wrexham Maelor Hospital) along with a network of community hospitals, health centres, clinics, mental health units and community team bases. The Health Board also coordinates the work of 112 GP practices and NHS services provided by dentists, opticians and pharmacists in North Wales.The Health Board had a revenue income of £1.3 billion for 2015/16 and a workforce of approximately 16,500 (14,200 whole time equivalents), including almost 6,000 registered nurses and midwives.The Mental Health Learning Disability Division within the Health Board has approximately 2000 staff and covers the 6 Local Authority boundary areas delivering hospital and community based services. The MHLD Division has 4 Area Triumvirate teams and each team will drive forward change plans specific to their area.The health board further seeks to implement a 90 day improvement programme for Unscheduled Care. The brief for this work will include the initial scoping and development of a detailed delivery plan, to ensure the delivery of key elements of the 90 day plan as follows:•Support for 4 USC workstream leaders and project managers to deliver performance improvement across the following workstreams;Demand Management and PreventionFlow ManagementDischarge Management (Home First)System Working and Care Co-ordination•Contribution to the development of a culture of improvement and learning through developing capability and capacity in the use of improvement methodology, information for improvement and create an infrastructure and planned events for clinical teams to learn and share together•Focus on working with clinical staff and senior leaders to develop a narrative that engages, with an emphasis on quality and safety and delivery of internal professional standards and core patient flow processes that are understood & owned throughout the organisation•Develop an organisation wide communication plan with local teams that ensures a broader clinical understanding of the improvements required in patient experience, quality and safety•Identify, develop and coach clinical leaders to create a legacy for continued improvement•Build on learning and outcome from a previous improvement event held in August to enable early scoping with local improvement teams to gain initial understanding of stakeholder views, opportunities and challenges•Lead initial multidisciplinary sessions on each site to support building narrative for engagement and the communication plan•Working alongside workstream leads, identify clinical leaders, champions and key stakeholders to drive continuous improvement, with the aim to embed improvement through the clinical management structure for the organisation and at each site•Alignment of the improvement work with changes to operational management, performance and governance for the organisation•Launch of the delivery plan, working with and coaching improvement teams, clinical and operational leaders•Improvement workshops and coaching sessions tailored to workstreams with focus on learning together and supporting local leadersIn order to deliver the above objectives the Health Board will require the delivery of programme outcomes through the development of a project plan and benefits realisation framework which can be used to monitor progress and effectiveness of the work programme.It is essential that the focus of the work is on scale and spread. This will secure the required reduction in variation and provide the greatest opportunity to maximise improvement. We are working towards the programme of work starting following the contract being awarded in October 2018.Effective and consistent leadership will be required to deliver this programme and there will be a requirement for a small focussed team to provide the support needed. In order to be credible and competently understand the current operating environment the team should include expertise in health care delivery and change methodology. This will ensure that improvements are “solution focused” and in the best interests of patients and staff.It is anticipated that the programme of work will be delivered within a focused time period of no more than 90 days.NOTE: The authority is using eTenderwales to carry out this procurement process. To obtain further information record your interest on Sell2Wales at https://www.sell2wales.gov.wales/search/search_switch.aspx?ID=84983