National Health Service Planners Forum

What’s new up north:Queensland Health service

planning

7-8 April 2011

Colleen Jen

Acting Executive DirectorPolicy, Planning and Asset Services

Health Planning and Infrastructure Division

OverviewPreliminary evaluations

New service planning guidelines

Statewide Health Service Plan

Clinical Services Capability Framework v3.0

Service planning benchmarks

Priority Service Planning Projects 2010 six priority projects

includes 18 service plans and preliminary infrastructure plans

areas of focus:

high growth areas: Caboolture, Logan and Beaudesert, Hervey Bay and Maryborough, and Ipswich Hospitals

Rural and Remote Infrastructure Renewal (12 sites)

Statewide Mental Health

Whole-of-Government approach

Health service planning

Strategic Assessment of Service Requirement

Purpose:• Provides information to the agency CEO to assist in making

an informed decision on whether to initiate a project to meet an identified service need

• Facilitate a considered response to an identified service need, and clear articulation of the outcome sought

Strategic Assessment of Service Requirement

Process:• Define the need to be addressed and outcome sought, and

identify its contribution to government priorities and outcomes

• Scope the outcome sought• Identify potential solutions to achieve the outcome• Develop a detailed plan and budget for next step i.e.

Preliminary Evaluation

Preliminary EvaluationPurpose:• Evaluate options• Determine project priority and affordability• Clearly identify the decision to progress the project to a

business case• Determine the preferred project approach i.e. traditional

delivery or PPP

Preliminary Evaluation

Process:• Confirm the outcome sought• Define the options to be evaluated• Conduct a preliminary evaluation of the costs, risks and

benefits of the options• Determine project approach• Develop a detailed plan and budget for progressing to the

next stage i.e. business case

Preliminary Evaluation

Outcome:• Five projects completed in 2010 and one in

early 2011• Two projects have progressed to CBRC

submission

Health Service Planning guidelines

Planning guidelines and templates support consistency and rigour in health planning processes.

Guide to Health Service Planning new supplements

Recently developed supplements: Implementation and review Priority setting

Implementation Supplement

Includes:

implementation, monitoring, evaluation and review

relevant governance

embedding implementation and review processes by integrating into operational planning

links with related enabling, support and other health plans

developing an implementation plan (with template and worksheets)

elements of successful change management

Implementation Supplement Includes:

• practical aspects of project management for implementing health service plans (including roles and responsibilities and resource, risk and communication management)

• what should be monitored, how and by whom• role of stakeholders in monitoring, evaluation and review• types and methods of evaluation and importance of development

during planning and initiation at beginning of implementation• reporting – levels, timeframes and content• review – at least three yearly, responsibility of custodian Currently being piloted with Pathology Services statewide plan.

Priority Setting Supplement Outlines priority setting process

designed to: improve the quality and consistency of decision-making relating to planningsupport a strategic approach to planning and resource allocationenhance fairness in priority setting processesoptimise the allocation of planning resources in Queensland Health.

Priority Setting Supplement

Includes : preliminary considerations (goals, objectives and timeframes involved) principlespriority setting methods (employing Queensland Government Initiative Assessment methodology)selecting and tailoring criteria to current context, issuessteps in process for accountable priority settingrecommendations for strategies to support effective implementation

Queensland Health Services Plan 2011-2026The Plan:

is designed to guide the development and delivery of public sector health services in Queensland up to 2026

replaces the existing Queensland Statewide Health Services Plan 2007-2012

aligns with Queensland Health's and Queensland Government’s strategic directions to guide Corporate Divisions and Health Service Districts on service delivery reforms and the short, medium and long-term strategies to support their implementation

outlines key objectives, strategies and service models to enable Queensland health to meet future demand including requirements for sustainable workforce, infrastructure, and information reform

details timeframes, responsibilities and resourcing requirements to successfully implement the strategies.

Clinical Services Capability Framework (CSCF) Outlines a coordinated approach to minimum safety

requirements for public and licensed private health facilities in Queensland

Provides a standard set of capability requirements for most health services

Provides consistent language for health care providers and planners

Clinical Services Capability Framework (CSCF) Version 2.0 Version 3.0

Introduction section Fundamentals of the Framework underpinning document

Five levels (primary, 1, 2, 3 and superspecialty)

Six levels (1-6)

18 service capability profiles 27 service modulesThree new adult modules (mental health, perioperative and cardiac services)

Children’s information incorporated into adult capability profiles

Preamble to children’s services and seven children-specific modules

Clinical Services Capability Framework (CSCF)

Released 4 March 2011

Available on the Quensland Health website: http://www.health.qld.gov.au/cscf/

Service planning benchmarks

Designed to provide service planners, clinicians and managers with common agreement on methodologies to be used in determining service requirements.

Endorsed benchmarks will be applied in all future service planning projects ensuring a progression towards benchmark goals across Queensland Health.

Service planning benchmarks Currently endorsed benchmarks:

Neonatal Intensive Care and Special Care Nursery

Adult Intensive Care

Mental Health Inpatient Services

Adult Medical and Surgical Beds Overnight, Same Day and Bed Alternatives

Adult Rehabilitation Beds

Adult Renal Dialysis

Palliative Care Beds

Adult Cardiac (Coronary) Care beds

Adult Endoscopy Services

Adult Emergency Department Treatment Spaces and Short Stay Beds

Delivery Suite Rooms and Beds used in Maternity Services

Medical Imaging Services

Service planning benchmarks Benchmarks under development:

Adult Cancer Services - Inpatient and Ambulatory

Cancer Services - Positron Emission Tomography (PET) and Linear Accelerator Provision

Adult Interventional Cardiac Care Beds and Cardiac Catheter Laboratories

Paediatrics

Adult Operating Theatre Suites

Benchmarks to be developed:Neonatal Intensive Care and Special Care Nursery

Specialist Outpatients

Community Health

Pathology Services

Pharmacy Services

Nuclear Medicine Services

Interventional Radiology Services

Anaesthetic Services