Agenda item

7.1

Steven Haigh, Right First Time (RFT) Programme Manager and Kevan Taylor, Chief Executive and Programme Director submitted a report providing details of the progress and achievements of the Right First Time Programme over the last 12 months. The report described the delivery to date, the impact of the programme at an organisational level, recommended the need to move away from reporting and scrutiny of the programme at an organisational level with a focus on the impacts to the whole system, provided some reflection on the lessons learnt from the first phase of the programme and described some of the challenges to be considered in the development of phase 2. The report also provided further detailed information on Phase 2 of the Programme.

7.2

Also attending for this item were Eddie Sherwood (Director of Care and Support) and Ruth Brown (General Manager, Primary Care and Community Services, NHS Foundation Trust).

7.3

Kevan Taylor stated that RFT was an overall programme across all the Trusts and there was high level sign up to the Programme. The majority of Phase 1 had been delivered and progress was to be made on Phase 2, although the budgethad not yet been agreed.

7.4

Steven Haigh gave a presentation on the Programme and, in respect of Phase 1, outlined the key areas of focus, the key aims, the programme structure and the impact to date. He also gave details of Phase 2 and the plan for the next three years that would include:

·          Broadening the scope to include mental health, children’s unscheduled care (in conjunction with Future Shapes) and parts of planned care.

·          Raising the ambition to reduce avoidable emergency admissions by up to 29% in the next three years.

·          Aiming for further integration of community services to manage the 29% of care more proactively.

7.5

In response to questions from members of the Committee and the representative of LINk, officers indicated that:

·          The resource allocation had not yet been agreed but would need to be resolved by 31 March 2013. There was a strong commitmento make it happen at Cabinet Member/Chief Executive level. However, it could only be achieved if there if there was a fundamental change and risk sharing across all partners. Details of the action taken could be submitted to this Committee in 2/3 months’ time.

·          There was a commitment to shift resources but the scale and mechanism had not been agreed. It would be seen as a failure if this was no agreement on this in the next three months.

·          There would be further engagement with the Ambulance Trust.

·          There was regular monitoring of patients being discharged from hospital.

·          There was a need to change the way funding was allocated but there were risks in making that change. Having confidence of the scale and savings to be achieved would be a challenge.

·          A recent check had indicated that 45% of patients on three wards were medically fit for discharge.

7.6

Resolved: That the Committee:-

(a)

endorses the progress of the Right First Time Programme and notes that is moving in the right direction;

(b)

requests the Right First Time Programme Manager and Chief Executive and Programme Director to (i) submit a report to a meeting of the Committee in the next four months on the financial commitment from the major organisations to deliver the Programme, (ii) engage with the Ambulance Service/Trust and (iii) take on board the issues now raised about the sustainability of the model;

(c)

requests that Helen Rowe and officers discuss raising the public’s awareness of Right First Time through the Programme Board; and

(d)

requests the Director of Care and Support to undertake a revaluation of the Home of Choice Programme.