NHSScotland Local Delivery Plan Guidance 2013/14

Summary

Local Delivery Plans set out some of the key improvements NHS Boards will deliver to contribute towards the delivery of the Scottish Government's outcomes.

LDP 2013/14

The HEAT targets are aligned with the six quality outcomes.

Proposals for new HEAT targets are considered on the basis of strategy, delivery and measurement.

Summary

Delivery of targets and performance measures give Ministers, staff and the public the confidence that we are making progress in implementing our key strategies for NHSScotland and improving the quality of patient care.

LDP 2013/14

NHSScotland reports performance through Scotland Performs.

Summary

Performance measures are not an end in themselves but are a proxy measure for a wider system change.

LDP 2013/14

The system is wider than NHS Boards, which reinforces the importance of partnership to deliver.

Focus on reducing future demand by preventing problems arising or dealing with them early.

The LDP clearly sets out the intended policy aim for all HEAT targets.

Performance measures are one of the methodologies available to deliver improvement.

Summary

The delivery of targets should be the consequence of well designed systems of care which take account of best evidence and local needs. Well designed systems of care ensure that individual patients are not disadvantaged to ensure compliance with targets.

LDP 2013/14

Wide range of collaborative and business transformation initiatives.

Summary

Patients are always diagnosed and treated according to their clinical need.

LDP 2013/14

Guidance for delivery of targets will reinforce this principle.

Summary

Through the Local Delivery Planning process, Scottish Government and NHS Boards will consider local circumstances (e.g. Community Planning Partnership priorities, baseline performance, service models, workforce, risk, governance, the needs of local people) in defining performance measures, performance management, improvement support, and delivery.

LDP 2013/14

NHS Boards responsible for delivery and innovation encouraged.

Summary

The Scottish Government and NHS Boards in defining, performance managing, and delivering targets, always ensure that performance targets do not result in inequity in the quality of service provided for any patient.

LDP 2013/14

In developing HEAT target proposals the differing impacts on equality groups are assessed.

NHS Boards explicitly set out inequality risks associated with delivery of HEAT targets and how these risks are being managed.

Summary

Targets can help staff realise improvements in care and contribute to system wide priorities. Staff should be involved in local delivery planning and review of performance against targets, including lessons learned and encouraged to actively identify and implement improvements.

LDP 2013/14

Continued engagement in development of new targets

Summary

NHS Boards have their own individual performance management systems, building on national requirements. There is scope to share best practice in performance management and delivery and to share best practice in Board's contributions to Single Outcome Agreements with their community planning partners.

LDP 2013/14

Best practice shared through a number of channels (including Efficiency & Productivity Programme, Quality Improvement HUB, NHSScotland's Performance Forum)

Summary

Performance measures are specific, measurable, achievable, realistic and time-bound. Performance measures are short to medium term outcomes, clearly identifying key contributions that NHS Boards make. We always work to recognise any data quality issues that may arise with performance measures and will ensure a wider understanding of the nature and uses of data and information within delivery.

LDP 2013/14

LDP Methods and Sources clearly define performance measures.

Scotland Performs provides easy access to NHS performance.

NHS Board board meetings consider performance on an ongoing basis.