Integrated Resource Framework The Tayside Partnership Update Chief

Integrated Resource Framework The Tayside Partnership Update Chief Executives Event Friday 4th June, 2010 Bill Nicoll Tayside Lead Officer Friday, 4th J-une, 2010 IRF Chief Officers' Event 1 Tayside Integrated Resource Framework Overview Key components of our approach The Work to date progress against milestones Integrator Roles - structure and

empowerment Preferred Financial Mechanisms The Challenges Ahead Friday, 4th J-une, 2010 IRF Chief Officers' Event 2 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 Friday, 4th J-une, 2010

IRF Chief Officers' Event 3 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 Friday, 4th J-une, 2010 IRF Chief Officers' Event

4 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 Friday, 4th J-une, 2010 IRF Chief Officers' Event 5

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 Friday, 4th J-une, 2010 IRF Chief Officers' Event 6 Tayside Integrated Resource Framework

Go Live (April 2011) Commission Tests of Cha (Jan March 2011) Design Models to Test (Sept Dec 2010) Analysis and Diagnostics (Aug Sept 2010) Review of Data & Costing (June July 2010) Friday, 4th J-une, 2010 IRF Chief Officers' Event 7 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 Friday, 4th J-une, 2010 IRF Chief Officers' Event 8 Tayside Integrated Resource Framework LA & NHST strategic sign-off on high level decisions relating to IRF and macro integrator Local Authority & NHST Chief Executives Group

Forum for Accountability and Governance of Test Site Stage 2 IRF Project. Project Board 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 Friday,populations 4th J-une, 2010 Integrato r Roles

Project Team Mapping Sub Group Perth & Kinross Strategic Health Partnership OD / Communication Sub Group Angus Programme Board IRF Chief Officers' Event Models of Care/ Sub Group Dundee Health & Loca Authority Management Group

9 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? Friday, 4th J-une, 2010 IRF Chief Officers' Event 10