Proposal for Professional Advisory Groups

Professional Advisory Group Terms of Reference Briefing Paper for Co-Chairs Introduction

The Professional Advisory Group (PAG) is a multi-professional working group within the joint Northern Trust/ Northern Local Commissioning Group (LCG) planning arrangements for responding to the Regional Review, ‘Transforming Your Care’ (TYC), which includes the planning for service delivery models as well as the adoption of new/innovative ways of working and achievement of improved productivity across services. The PAG will work within the overall planning infrastructure as a part of the joint Trust/LCG planning arrangements, with the overarching Group being co-chaired by the Trust Medical Director and the Consultant in Public Health Medicine and its work will look at the whole system across traditional primary and secondary care boundaries. Members of the overarching Group will also include the Trust Directors of Mental Health & Disability Services, Children’s Services, Acute Hospital Services and Primary & Community Care for Older People’s Services.

The PAG is made up of a number of clinical work streams reflecting the broad profile of services provided across the Northern Trust area. Each work stream will be co-chaired by a Trust senior Clinician and a Primary Care or Commissioning colleague identified through the LCG. The LCG representatives for each work stream will be identified in the coming days, while many of the Trust leads have been identified and agreed to take on the role.

Co-Chairs and Workstreams (as at 16 Feb 2012)

Workstream - Group Name Co-Chair Co-Chair (Trust) (LCG/Prim Care) Emergency Medicine, Urgent Care & Minor Dr Fergal Dunn Dr Brian Patterson Injuries Consultant in Emergency Medicine Acute & General Medicine Dr Charles Jack Dr Bernard McCoy Consultant Physician Diabetes and Endocrinology Dr Adele Kennedy Dr Bernard McCoy Consultant in Community Diabetes & Endocrinology Cardiology Dr John Riddell Dr Brian Dunn Consultant Cardiologist Gastroenterology & Nutrition Dr Gerard Rafferty Dr Brian Patterson Consultant Gastroenterologist Respiratory Medicine Dr Julian Leggett Dr Jenny Gingles as Consultant Respiratory Physician co-chair (and Dr Brian Patterson as a group member General Surgery Mr Stephen Dace Dr Terry Magowan Consultant Surgeon ENT Surgery To be confirmed Dr Windsor Murdock Urology Dr Paul Downey Dr Reggie McAuley Consultant Urologist Obstetrics & Gynaecology To be confirmed Dr Ian Buchanan Anaesthetics, Transport & Critical Care Dr Gregory Furness Dr Brian Dunn Clinical Director ATICS Care of the Elderly & Stroke Medicine Dr James Gilmore Dr Windsor Murdock Clinical Lead Care of Elderly and Stroke Medical Specialties Dr Camille Harron Dr Turlough Tracey (Renal, Neurology, Dermatology, Rheum, Haem) Clinical Lead Medical Specialties 1 Palliative Care Dr Yvonne Duff Dr Richard Orr MacMillan Consultant in Palliative Medicine Medical Diagnostics Dr Myles Nelson Dr Brian Dunn Clinical Director Medical Diagnostic Specialities Mental Health To be confirmed Dr Reggie McAuley Paediatrics Dr Ledwith Dr Barbara Savage Clinical Director Paediatrics Professional Workforce Planning To be confirmed

Co-Chairs will play an important role in engaging and deriving the views and opinions of multi disciplinary colleagues that will collectively influence the Trust/LCG response to the regional Review (TYC) in terms of a plan for service configuration and delivery to meet the needs of the whole of the population of the Northern Trust area. Having developed proposals, the overarching Group will continue to have a role to advise the TYC Programme Board on professional issues and ensuring ongoing clinical engagement through the work stream structures.

Objectives

The task for each Group will be to advise how their patients should be treated in the future, given the need for our local health service -

 to be more efficient with money while treating patients as well or better than we do now  to provide safe, good quality hospital services despite, and taking account of, the forthcoming very significant reduction in the medical workforce for secondary care, especially for out of hours hospital cover

The core product of each Group will be:

 Through multidisciplinary engagement (facilitated by an information pack and a standardised questionnaire), to set out proposals for a service configuration that will meet the needs of the whole population of the Northern area, taking account of workforce and training issues, professional groups/royal college guidelines, interdependencies with other work streams and the overall need to secure a safe, efficient and sustainable service model  Set out an optimum model for service delivery, or options if required, identifying any outstanding issues that the Group identified that need to be resolved  Prepare a presentation for a Trust/LCG planning workshop (April) to consider the outputs from the work streams  Consider the opportunity to put forward an innovative idea to test or trial that the Group considers would have short term positive impact on service delivery

Support

Co-Chairs and groups will be supported in this process through:

- Information: on the ‘Transforming Your Care’ and the regional toolkit on opportunities for productivity

- Group Planning Workshops: facilitated, to which the Co-Chair will invite the members of the workstream Group, starting the process of discussion through the use of a questionnaire that allows all views and issues to be explored

2 - Project Support from the Trust Planning Department: to arrange any additional meetings, source any additional information needed by the Group, capture information at meetings and write up notes, contact other Group members etc.

It is planned that through this approach to make best use of the time of very busy professionals, minimising the number of face to face meetings of the Group and maximising other communication and networking opportunities such as use of email for sharing of materials and views.

Time Frame and Outputs

Planning Workshops and Final Presentation Event There will be a choice of two dates for each of the two Group Planning Workshops. Group Co-Chair will identify the date most suitable to the work stream and all work stream members will then be invited to attend on that date. If neither dates suits the Group, alternative arrangements will be made with the Co-Chair for another date/venue. Description Date / Day Time Venue Planning Workshop 1 Wednesday 29th February 2012 6 pm – 8 pm Des Allen Suite at Ballymena Showgrounds

Planning Workshop 2 Wednesday 21st March 2012 6 pm – 8 pm Des Allen Suite at Ballymena Showgrounds

Full Day ~ Des Allen Suite at Presentation Event Wednesday 18th April 2012 9.30 am – Ballymena Showgrounds 4.30 pm Hospitality will be available at all workshops/events

Actions and Timeline

ACTION Due Date Planning Workshop 1 29th Feb 2012 Discussion/Complete Questionnaire 1 Submit completed Questionnaire 1 to Trust Planning Dept by Friday 9th March Planning Dept issue collated work stream Questionnaires to Co-Chairs by Thurs 15th March Planning Workshop 2 21 March 2012 Discuss collated responses from all Work streams, complete Questionnaire 2 Submit completed Questionnaire 2 to Trust Planning Dept Friday 30th March 2012 Prepare presentation Friday 6th April 2012 (template will be provided) and submit to Trust Planning Dept Presentation Event Wed 18th April 2012

Long Term Role

While the immediate focus of the Professional Advisory Group, and associated work stream Groups, is on supporting the Trust and LCG to set out proposals in responding to ‘Transforming Your Care’ for the Northern Trust area, the work will also have given consideration to opportunities for working

3 innovatively and to test or trial new ways of working. The groups will therefore have a life time beyond the immediate production of proposals, to considering and testing new ways of working to bring immediate and long lasting benefits as well as a role in the implementation of the final planned model of service delivery. As such, the Professional Advisory Group will continue to be a part of the joint Trust/LCG planning infrastructure.