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Hospital Services Review: Report for Governing Bodies

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Hospital Services Review: Report for Governing Bodies Hospital Services Review: Report for Governing Bodies Hospital Services Review South Yorkshire, Bassetlaw and North Derbyshire: Considering the case for change Governing Bodies Note: Annex C Methodology Hospital Services Review: Report for Governing Bodies Contents 1 Introduction ......................................................................................................................................................... 3 2 Phase II project timeline ....................................................................................................................................... 4 3 Consultation ......................................................................................................................................................... 6 3.1 Hospital services steering group.......................................................................................................................... 6 3.2 Reference Group .................................................................................................................................................. 7 3.3 Hosted Network Consultations ............................................................................................................................ 7 3.4 Workshop with existing networks ....................................................................................................................... 7 3.5 Trust consultation ................................................................................................................................................ 8 3.6 Clinical working groups (CWGs) .......................................................................................................................... 8 3.7 HR Directors joint meeting .................................................................................................................................. 9 3.8 Model owners group ........................................................................................................................................... 9 3.9 Modelling steering group .................................................................................................................................... 9 3.10 Transport advisory group (TAG) ........................................................................................................................ 10 3.11 Public group on travel and transport (PGTT) ..................................................................................................... 10 3.12 Public consultation ............................................................................................................................................ 11 4 Supporting documents ........................................................................................................................................ 14 4.1 Financial model ................................................................................................................................................. 14 4.2 Case for change ................................................................................................................................................. 14 4.3 Clinical model summit with AOs and CEOs ........................................................................................................ 15 4.4 Note to the Governing Bodies ........................................................................................................................... 15 Hospital Services Review: Report for Governing Bodies 1 Introduction This methodology annex has been produced to outline the work that has been produced during Phase II of the Hospital Services Programme, following and building on the publication of the Stage 2 Report in 2018. This document outlines the timeline of key meetings and deliverables produced, including the groups we have consulted with, their membership and purpose. Finally, we have detailed the supplementary reports produced to synthesise knowledge gathered and facilitate decision-making. Hospital Services Review: Report for Governing Bodies South Yorkshire and Bassetlaw Integrated Care System: Working Together on the Hospital Services Review Approach and model design; governance Completion of site-specific modelling and selection of specific recommendations; production of pre- establishment consultation business case 2 PhasePre-Phase II IIproject timeline Phase II Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May w/c 25/06 w/c 30/07 w/c 19/11 w/c 24/12 w/c 28/01 w/c 15/04 w/c 20/05 w/c w/c 04/06 w/c 11/06 w/c 18/06 w/c 02/07 w/c 09/07 w/c 16/07 w/c 23/07 w/c 06/08 w/c 13/08 w/c 20/08 w/c 27/08 w/c 03/09 w/c 10/09 w/c 17/09 w/c 24/09 w/c 01/10 w/c 08/10 w/c 15/10 w/c 22/10 w/c 29/10 w/c 05/11 w/c 12/11 w/c 26/11 w/c 03/12 w/c 10/12 w/c 17/12 w/c 31/12 w/c 07/01 w/c 14/01 w/c 21/01 w/c 04/02 w/c 11/02 w/c 18/02 w/c 25/02 w/c 04/03 w/c 11/03 w/c 18/03 w/c 25/03 w/c 01/04 w/c 08/04 w/c 22/04 w/c 29/04 w/c 06/05 w/c 13/05 w/c 27/05 w/c Key meetings Set up programme Objectives, to design and priorities and implement Hosted principles agreed Networks Agree Hosts and Lead Commissioners Develop governance, Networks launched Agree objectives, priorities contractual and and principles for Hosted accountability agreements Networks Agree specific requirements of each Host in consultation with CWGs Implement Networks Transformation Iterative model refinement process with Develop approach to long Agree long list outputs taken to CWG/SG for review and listing, incl fixed points of options Initial model build comment Develop initial draft of PCBC Continue to iterate PCBC Feed OOH Sign off: analysis into Update PCBC on Clinical Sign off st nd - Approach to fixed Sign off options modelling 1 modelling 2 modelling “Final” modelling Senate feedback governance points and long listing long list outputs, including outputs, including output, including travel - Refreshed evaluation travel times travel times times Develop and submit NHSE Finalise PCBC based on NHSE criteria Gateway 2 feedback Preliminary Out of Hospital Discuss OOH Evaluation of options Agree objectives evaluation of options analysis shift at CWGs against criteria for PCBC modelling against criteria Working to refine NHSE Gateway 2 scrutiny specification Develop time travel Final approval on Reconfiguration (min 50 days) analysis specification Complete initial PCBC PCBC and submit Initial model design Agree Elective for Clinical Senate Refresh Stage Q: Scope for Review Data collection services to Finalise model specification 1A analysis elective care? prioritise Sign off model specification Public engagement event on long list of Public engagement event on early Engagement Full Consultation on options, including out of hospital shift outputs of modelling & scoring of agreed recommendations options SYB Boards and Committees formally Joint Overview receive report (Jun) NHSE Regional Team NHSE National Finance Joint Overview Scrutiny Committee Joint Overview meeting and Investment Scrutiny Committee North East Senate HSR Scrutiny Committee Assurance NHSE Gateway 1 Committee clinical review NHSE National OSCRA process (end (Oct/Nov) meeting Jun) JCCCG CPB SG CWG TRG Milestone Figure 1: Project timeline for Phase II of the HSR Hospital Services Review: Report for Governing Bodies Phase II of the Hospital Services Review was commissioned to follow up on the Strategic Outline Case for the system, developed in Phase I of the review. Phase I of the Hospital Services Review (HSR) was carried out to ensure people across South Yorkshire and Bassetlaw, Mid-Yorkshire and North Derbyshire (SYB(MYND)) were continuing to receive excellent hospital services. It focussed on five hospital based services which were identified during Stage 1A of the Review as facing significant difficulties with workforce and quality, and have a significant impact on the health service as a whole: Care of the Acutely Ill Child (CAIC) Maternity Gastroenterology and Endoscopy Urgent and Emergency Care Stroke The recent Strategic Outline Case for the system from Phase I laid out three main proposals tackling some of the problems identified in the Hospital Services Review: Hosted Networks: Developing the infrastructure to support shared decision- making and cooperation between organisations, supported by a centralised workforce function and Innovation Hub Transformation: Developing shared standards for clinical pathways supported by new resilient workforce models to ensure patients receive the right care, in the right place, at the right time Changing the clinical model: Modelling and exploring new, more sustainable options for the delivery of paediatrics, Maternity and out-of-hours gastrointestinal bleeds across SYB(MYND) Phase II of the Hospital Services Programme commenced in August 2018 and has progressed until the summer of 2019. Figure 1 shows the timelines of the different aspects of work included in Phase II (Transformation, Reconfiguration, Engagement & Assurance), including key meetings and deliverables. Figure 1 also includes the frequency of meetings with key working groups that we have consulted throughout the process. Hospital Services Review: Report for Governing Bodies 3 Consultation Throughout Phase II of the Hospital Services Programme, we have consulted with many different groups and bodies, which are outlined in more detail below. They include groups focusing on leadership, clinical direction, finance, HR and transport. 4 Hospital services steering group 4.1.1
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