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National Boards Collaborative Update for staff from the National Health and Social Care Delivery Plan Programme Board

Scotland’s eight national NHS Boards provide services and The infrastructure which State support healthcare and Hospital public health at national, regional and local level.

Better health, better care, better value

In December 2016, the published its Health and Social Care Delivery Plan which focuses on three areas, known as the ‘triple aim’ of better care, better health and better value. These aims are: 1. we will improve the quality of care for people by targeting investment at improving services, which will be organised and delivered to provide the best, most effective support for all (‘better care’)

2. we will improve everyone’s health and wellbeing by promoting and supporting healthier lives from the earliest years, reducing health inequalities and adopting an approach based on anticipation, prevention and self-management (‘better health’)

3. we will increase the value from, and financial sustainability of, care by making the most effective use of the resources available to us and the most efficient and consistent delivery, ensuring that the balance of resource is spent where it achieves the most and focusing on prevention and early intervention (‘better value’). V2.1_26.2.18_6399

National Boards Collaborative

In order to deliver against the aims of the Health and Social Care Delivery Plan, the Scottish Government asked NHS Boards to work on a regional basis to consider if and how services and patient care could be better delivered by making use of our collective expertise and resource. As such, three regional plans are being developed by West, East and North region collaboratives made up of the territorial Health Boards, who are working in partnership with Integrated Joint Boards (IJBs), Health and Social Care Partnerships (HSCPs), Community Planning Partnerships (CPPs) and other organisations from across the public sector, third sector and volunteer sector. • The North of Scotland Collaborative comprises: NHS Grampian, NHS Highland, NHS Orkney, NHS Shetland, NHS Tayside and NHS Western Isles.

• The East of Scotland Collaborative comprises: NHS Borders, NHS Fife and NHS Lothian.

• The West of Scotland Collaborative comprises: NHS Ayrshire and Arran, NHS Dumfries and Galloway, NHS Forth Valley, NHS Greater Glasgow and Clyde, and NHS Lanarkshire. The eight national boards have also been developing a collaborative plan and delivery programme which will support regional and national planning and delivery. This is focused on three key areas where smarter working across the eight national boards will help achieve the triple aims.

The three key areas are:

1 2 3

Supporting evaluation, Digitally-enabled Developing a improvement and service redesign sustainable workforce transformation

We will work with our key We will drive the We will work with a wide range partners to better align our transformation of services to of colleagues across the health skills, expertise and resources improve patient care and to and social care landscape to to support transformation and better enable staff to carry out improve how we attract and continuous improvement across their jobs, ensuring the design recruit the right staff with the the health and social care system. and implementation of modern, right skills. We will support We will develop our approaches user-led services and alignment them to do their jobs well and to supporting the evaluation of to Scotland’s Digital Health and to be successful in their career complex change across Health Care Strategy. aspirations through training Boards and Health and Social and development opportunities. Care Partnerships as they focus on keeping people in good health, delivering care closer to home and improving services. V2.1_26.2.18_6399

Additionally, we recognise the continuing financial challenge within the Scottish public sector and the importance of a robust financial framework to support this programme. We will also, therefore, ensure that national Boards collaborate to transform our own support services, in partnership with staff and staff side, to improve service quality, staff experience and, where possible, achieve better value.

What will success look like?

Regional and national NHS Board Collaboratives and IJBs are finalising plans which describe the biggest pressures, challenges and opportunities for health and social care. These plans will demonstrate where transformational change can deliver sustainable high-quality services which are able to meet changing demands, and to achieve improved health and wellbeing outcomes. The National Boards Collaborative Programme is aimed at supporting these areas, identifying where improvements and transformation are best provided on a national basis – delivered nationally, regionally or locally as appropriate.

The development of collaborative and collective planning on a regional and national basis provides an opportunity for: • partners, including Scottish Government, regions, Health Boards, IJBs and local authorities, to identify areas where national support could facilitate transformational change

• national Boards to work differently by working across all health and social care partner organisations, making the most of our collective capacity and capability to meet the health and social care needs of people in Scotland.

Governance

The National Boards Health and Social Care Delivery Plan Programme Board, which meets on a monthly basis, leads and oversees the production and delivery of the National Collaborative Plan. The National Boards Programme Board reports to a National Health and Social Care Delivery Plan Programme Board via two National Boards Implementation Leads. V2.1_26.2.18_6399

The membership of the National Boards Programme Board is:

Pauline Howie Chief Executive, Scottish Ambulance Service and Programme Board Chair Angiolina Foster Chief Executive, NHS 24 and National Boards Implementation Lead Caroline Lamb Chief Executive, NHS Education Scotland and National Boards Implementation Lead Gerry McLaughlin Chief Executive, NHS Health Scotland Robbie Pearson Chief Executive, Healthcare Improvement Scotland Colin Sinclair Chief Executive, NHS National Services Scotland Jill Young Chief Executive, NHS National Waiting Times Centre James Crichton Chief Executive, NHS State Hospital Graham Revie Employee Director, NHS24 Michael Craig Employee Director, NHS Health Scotland Ros Shaw Staffside, Royal College of Nursing Julie Carter Finance Director, National Waiting Times Centre and Scottish Ambulance Service Margo McGurk Finance Director, NHS24 Sharon Hammell Head of Strategic Change and Engagement, NHS Health Scotland and Strategic Communications and Engagement Lead Greg Thomson National Boards Programme Director

Working collaboratively with staff

Every member of the programme board is committed to communicating and engaging with staff and partnerships across the national Boards, in accordance with our NHS Scotland values and our staff governance standards, with particular focus on standard 1 (well informed) and standard 3 (involved in decisions).

Dedicated communications and engagement support is in place to work closely with colleagues who will be leading each of the areas of the National Collaborative Programme, and with communications and engagement colleagues in each of our eight national Boards. They will also work closely with communications and engagement leads for each of the Regional Delivery Plans (North, East and West of Scotland). This will help ensure a coordinated and consistent approach to our communications and engagement, which is also meaningful to staff at a national, regional and local level.

The National Boards Working closely with Collaborative Programme is communications teams across 2018 finalising our delivery plan and each of the national NHS continuing to take feedback Boards, we will be sharing Next from health and social care more detail on what the plan stakeholders on how we best means for staff through regular steps support sustainable delivery updates, and letting staff

at a national, regional and who want to get involved in © NHS Health Scotland local level. developing and implementing change know how to do this. 6399 2/2018