January 2012 - Sandwell & West Birmingham Hospitals

2011/12 trajectories and ongoing progress towards the 2016/17 position. It is anticipated that the recommissioning
work (see below) will help to achieve this.
In terms of previous projects established through specific exemplars and individual re-design initiatives
performance in terms of activity is now captured within the above summaries.
CARE PATHWAY AND SPECIALITY REVIEWS
The programme of Care Pathway Reviews is currently on hold, awaiting a wider review with the new
GP Clinical Commissioning Groups (GP CCGs).
The RCRH Programme have undertaken further discussions with GP CCGs in order to develop an
implementation mechanism to move reviewed pathways forward to full adoption from a commissioning
perspective. In addition, meetings continue with GP CCG lead Managers in order to agree a
process to activate and commission the service redesign requirements identified within the Care
Pathway Reviews.
Many of the published care pathways will have the impact of reducing activity to our acute services but
are likely to increase activity in our diagnostic and community services. The financial impact on our
acute services, for this year, of the revised care pathways with associated loss of activity and income is
captured within the re-commissioning work.
TRANSFER OF ACTIVITY (RE-COMMISSIONING)
There have been ongoing discussions across the local health economy regarding implementation of
the LDP agreement to transfer a range of services, activity and related income from secondary care to
community and primary care during 2011/12 in line with the RCRH Programme. The Trust and GP
commissioners have identified a number of specific schemes which have now been agreed and for
which implementation plans are now being developed. These schemes are collectively known as the
Re-commissioning Programme.
The LDP agreement set a target of re-commissioning activity worth £16.2million and to date the Trust
and PCTs have identified schemes that will result in the transfer of activity worth £13.8million over a full
year. Work continues within the Trust and GP Clinical Commissioning Groups to identify the impact of a
range of additional schemes although most of these will have an impact in 2012/13. For the period April
– November 2011 there has been a transfer of activity worth £1.7 million which is a slight improvement
since the last report but remains below the year to date target. A number of the schemes commenced
in the Autumn and so a further improvement in performance is expected over the next few months.
The RCRH Programme recognises the need to develop a coherent programme of communications
about this programme with clinical staff within the individual organisations and engagement with
patients and the public in relation to many of these planned changes.
ENGAGEMENT WITH JOINT HEALTH SCRUTINY COMMITTEE
Representatives from the RCRH Programme attended a Joint Birmingham/Sandwell Health Scrutiny
Committee meeting on the 13th December 2011, to provide an update on Clinical Service redesign,
community-based developments and progress with the new hospital. All of which was very well
received.
Committee members expressed concern at the level of engagement of the respective Local Authorities
in the RCRH Programme Governance structure, and senior officers from the respective organisations
gave a commitment to address.
RECOMMENDATIONS
The Trust Board is recommended to:
1. NOTE the progress made with the Right Care Right Here Programme.
Jayne Dunn
Redesign Director – Right Care Right Here
19 th January 2012
2