CIP/QIPP – case studies

Cost Improvement Programmes (CIP)

An acute trust

Overview

In 2010 NHS England set a £20bn challenge to all NHS organisations. For this acute hospital Trust it translated to a 5% target, amounting to £30m within a two year period.

The Trust established a formal transformation programme, and set an ambitious target of £19m in the first year, and £9m in the second. The first stage was to establish a Programme Management Office (PMO) and governance framework for the programme. Then a plan was developed which identified savings, milestones and accountabilities related to each business unit.

Programme Management Office (PMO) processes and documentation for transformation programmes

NHS Castle Point and Rochford CCG

NHS Castle Point and Rochford CCG

Overview

Attain supported NHS Castle Point and Rochford (CPR) CCG and Southend CCG in the development of robust PMO processes and documentation for the CCGs’ transformation programmes. This included specific support for CCG teams for all CPR projects and all of the joint projects between CPR CCG and Southend CCG.

Large scale transformation/Cost Improvement Programme (CIP) delivery

East Midlands

Overview

In 2010 NHS England set a £20bn challenge to all NHS organisations. For this acute hospital Trust it translated to a 5% target, amounting to £30m within a two year period.

The Trust established a formal Transformation Programme, and set an ambitious target of £19m in the first year, and £9m in the second. The first stage was to establish a Programme Management Office (PMO) and governance framework for the programme. Then a plan was developed which identified savings, milestones and accountabilities related to each business unit.

Healthy Lives, Healthy Futures Phase 1 – a system-wide transformation programme

NHS North Lincolnshire CCG and NHS North East Lincolnshire CCG

NHS North Lincolnshire CCG
NHS North East Lincolnshire CCG logo

Overview

Attain is providing expertise in OD and delivery in the following areas:

  • Strategic leadership and programme management
  • Executive support and coaching for accountable officers and senior responsible officers
  • Independent assurance for system stakeholders and system regulators
  • Development of clinical leadership, clinical workshop facilitation and supporting clinicians as effective change agents
  • Financial and activity modelling, health needs analysis and assessment.

Transformational programme – a health and social care response to the Five Year Forward View

North of England

Overview

  • A whole systems response to the Five Year Forward View to facilitate and co-ordinate new models of care at pace and scale.
  • Utilising social movement and campaigning methodology working across acute and specialist providers, commissioners, local authorities and the third sector.
  • A programme to significantly improve health and social care outcomes across a county and shift the way in which services are delivered.
  • Co-designed programme with the system leaders and engagement of public, patients and staff.

Hull 2020 Programme – commercial strategy development

NHS Hull CCG

NHS Hull CCG logo

Overview

Attain was commissioned by NHS Hull CCG to develop the strategy for city-wide integration and manage the mobilisation of a transformational five year programme encompassing nine public sector partners.

Hull 2020 Programme involved the city’s major health providers, the local authority, fire service, police and ambulance service. A core objective of the programme in year one was to develop a commercial strategy for the programme.

This involved identifying the scale of economic challenge faced by the public sector across the city up to and including 2020, developing and managing collaborative projects for programme work streams to drive efficiencies and savings out of the system and ensuring the commercial strategy was developed sustainably and had quantifiable outcomes.

QIPP support

A north west CCG

Overview

Attain supported a North West CCG to develop their QIPP programme. This included:

  • Undertaking a high level review of the CCG’s commissioned services to identify opportunities for efficiency and/or quality improvement.
  • Developing proposals and making recommendations for a sustainable PMO approach to the management of projects and programmes.
  • Developing proposals and recommending innovative contracting models to help transform services with particular focus on identifying opportunities to maximise efficiency and productivity.

Healthy Lives, Healthy Futures – PMO

NHS North Lincolnshire CCG, North East Lincolnshire CCG and Northern Lincolnshire and Goole NHS Foundation Trust

Lincolnshire CCG and FT logos

Overview

Attain is providing expertise in the following areas:

  • Strategic leadership and programme management
  • Executive support and coaching for Chief Executives and Accountable Officers
  • Development of clinical leadership, clinical workshop facilitation and supporting clinicians as effective change agents
  • Development of enabler workstreams and supporting the change agents to identify common areas for transformation
  • Financial and activity modelling, health needs analysis and assessment.
  • Establishing a community wide transformation plan which all organisations sign up to and work together to deliver.

Healthy Futures PMO

West Yorkshire STP

Overview

  • System-wide stakeholder management bringing together 11 CCGs, six acute providers, three mental health providers and other stakeholders to be involved in STP planning for the region, more than 40 in total.
  • Formation of a governance and PMO structure which seeks input from all stakeholders yet remains agile enough to make timely decisions and drive forward transformational change.
  • Establish priority programmes of work for the region and support the mobilisation of delivery projects within each one.
  • Develop standard PMO documentation to be used across all priority programmes and projects.
  • Ensure timely submission of system-wide STP plans to NHSE.