Case Study

The Network has developed a comprehensive report detailing the Medical Workforce elements of ‘Making it Better’ from the Discussion and Engagement phase, through the Consultation to the current day situation. The case study covers detail surrounding the analysis of working patterns, presentations , engagement events and financial analyses.

The document is a balanced report detailing the engagement, the support and challenges, proposals and solutions from the Lead Clinicians, SHA managers, JCPCT, JOSC, Trust managers and the North Western Deanery team in successfully developing a managed care Network approach to medical workforce planning. The document also contains contributions from lead clinicians and managers highlighting the medical workforce issues in Paediatrics, Neonatology and Maternity Services that are particularly being addressed.

To read a copy of the case study click here

The ‘live’ project will follow and provide regular reports on the trajectory towards 2008 and 2009 compliance:

• The development in conjunction with Dr Ahmed-Little’s team and delegated authorities of the Postgraduate Dean, of interim, transitional nine and ten doctor rotas, and the plan to reach the agreed cells of eleven;
• The distribution of doctors based on activity (in patient, out patient, day case and observation and assessment attendance) and experience to ensure not only EWTD compliance but an equitable workload across the Network;
• The maintenance of local services during transition, which will include the issues surrounding ‘double running’ and the support of the newly developed and expanded community nursing teams and Observation and assessment units;
• The role e.g. of the CYPF Network Provider Partnership Board, four Quadrant Implementation groups, clinical networks, Workforce Delivery Group, Network Supervisory Board in addressing clinical governance issues;
• Details of the Network strategies and organisational structures and processes to support the Medical Workforce plan, e.g. HR Framework, and how engagement and commitment of both senior managers and clinicians across all organisations will take place;
• The plan will demonstrate how and to what degree EWTD compliance will be achieved by 2008, how EWTD will be achieved by 2009, and the contingency plans which will need to be in place as the changes in capital builds and service delivery occur 2008/09 and beyond;
• Details of financial and contractual/SLA issues for commissioners and providers; and
• Regular updates regarding the risk management strategies undertaken across the Network area, and the implementation of contingency plans to address the risks.

In the three months to end of December 2008 an evaluation will be undertaken, with analysis of the monitoring of the new rotas and assessment of the impact on service and education of the changes, with a report detailing the findings, which will complete the web resources.