x

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NewwaysofworkingforDevonLPC

PM,18thNovember2015

MeetingReport

08Fall

‘OurFutureinLPC’18thNovember2015MeetingReport

1+44(0)7764574700 +44(0)1865430470diane@dianewilkinson.co.uk www.dianewilkinson.co.uk

Contents

Actionitemsfrom23SeptemberMeeting………………………………….…………………….p2

FromtheMorning………………………….……………..………………………………………………….p3-4

Whathaveweheard?………………………………………………..……………………….p3

Whatdoesthismeanforus?………………………………………………..…………….p3

Whatquestionsdowehave?………………………………………………..………….…p3

UpdatedSWOT………………………………………………..………………………………….p4

Whatisourvisionforthefuture?……………………………………………..………………………p4

Whatwillwedodifferently?…………………………………………………………………..…………p5

Proudof?…………………………………………………………………………………………….p5

Haveregretsabout?……………………………..…………………………………………….p5

Startdoing?…………………………………………………………………………………………p5

Stopdoing?…………………………………………………………………………………..…….p5

HowwilltheLPCworkinthefuture?…………………….…………………………………………..p6

Decisions,ActionsandQuestions………..…………………………………………………………....p6

NextSteps………………………………………………………………………………………………………….p7

NewwaysofworkingforDevonLPC

Aim: Workoutandunderstandhowwe’regoingtoworkasanLPCcommittee,ourprinciples,ourroles

andnextsteps.

‘OurFutureinLPC’18thNovember2015MeetingReport

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ActionItemsfrom23September2015

Actions(agreedon23Sept) Who ByWhen UpdatedStatus(on20Nov)LPCPILLAR–TEAM 1 ReviewCommitteemeetingsandtime DianeWilkinson 18/11/2015 LPCoperationyettobe

agreedfurtherworkrequired2 AlexJamesupdateAliHayes AlexJames 4/10/2015 Done3 MartinCappellupdateFraserPerman MartinCappell 4/10/2015 Done4 DavidChapmanupdateAndrewHowitt DavidChapman 4/10/2015 Done

5 ReviewLPCsub-groupsandagreeawayforward(DesignUSDelivery)

DianeWilkinson

18/11/2015

LPCstructureyettobeagreedfurtherworkrequired

LPCPILLAR-PUBLICHEALTH 6 NationalDiabetesProgramme–Investigateopportunityand

agreeactionsMichaelLennoxtofeedin

18/11/15 LackofinformationfromCentre,onhold

LPCPILLAR–LONGTERMCONDITIONS 7 Understandingopportunitiesfromcollapsingacutehospitals–

fiveorsixserviceslinesthatcommunitypharmacycouldDevelopmentgrouptoreviewandfeedback.

Tobedecidedon18/11/2015

Furtherworkrequired

LPCPILLAR–VALUE 8 NHSMail–reviewlatestchanges JohnBaker 18/11/2015 Informationrequiredfrom

multiplesreprogressonenablingNHSMailasrouteofcommunication

9 PIP–DefineaLPCgameplantounderstandandtheninfluencedeliveryMapoutcome

JohnVarnish,DavidBearman,MarkStone

18/11/15 Pilotsitesannounced,furtherworkrequiredwithsuccessfulbidders

10 ServiceDevelopmentgroup–createanupdateplane.g.MH,U+EC,BeaconServiceDevelopmentGroupUpdatedPlan:

MarkStone Telephoneconference:5/10/15Brief:18/11/15

Ongoing

11 InvestigatesuccessRegimeimplicationsandagreeagameplanafterstakeholderconsultation

DavidBearman,SueTaylor

18/11/15 DBinvitedtostakeholderworkshop2/12/2015toreportbacktoLPC7/12/2015

12 Structure:Canwedeliverconcurrentplannedandreactiveservices?

OperationalgrouptoconsiderandfeedbacktoLPC/DianeWilkinsonatnextsession

18/11/2015 LPCoperationalstructureyettobeagreed

LPCPILLAR–THEFUTURE 13 Workforcedevelopmentfor“NewWorld” DianeWilkinson 18/11/2015 Ongoing

14 DevelopStrategyforinfluencinglocaleducationalinstitutionsandfeedintoundergraduatecourses.LinktotheLPNeducationalstrategy.

LPN Tobedecidedon18/11/2015

Ongoing

15 Educationalprogrammeforpharmacistsandindependentprescribersonthefuturevisionasweknowit–setupaseriesofworkshopstohelpthemtounderstandforthcomingchangescontributeto.

Operationalgroup Tobedecidedon18/11/2015

Ongoing

16.

RewriteSWOT SianRetallick,DavidFulton,ChrisBabbs

4/11/15 Completed

17 ReviewPEST TomKallis,SimonGardner,MarkStone

4/11/15 Completed

18 Leader–SendReview SueTaylor 11/11/15 \

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FromtheMorningWhathaveweheard?• Lotsofstakeholdersareinterested• Differentbarriers• Manydoorsopentoworktogether• Nobodyhasasinglerouteahead(inallprofessions)• Pharmacyisontheup• WeMUSTdeliver• Weneedtobeboldandmakeoutownplans

Whatdoesthismeanforus?• NavigatethroughbarriersandNOW!• Walkthroughappropriatedoors• Gowithanofferthroughdoors• Useskills/expertiseinLPC• Vision:Presentapageof‘Why?’(needtoknow/why/joinusonthebus

Whatquestionsdowehave?1. Doweneedachallengeteam?Whatisourprojectplanapproach?Howdowemoveplansintoaction?2. AmItherightpersonforthiscommittee?3. What’sourintent?Theit?4. Howarewegoingtofindtherisk/opportunitybyservicesector?5. What’stheplatformrequiredforeachservice?Howmanypeopleforwhatservice?6. Howdowestaypositivewhenwedon’tknowwhichdoorwearegoingfor?Whichfundingstreamstogofor?7. Whatisourfocustodeliverthenewpharmacyhealthcarevision?8. WhathastheLPCcommitteegotthecapacitytodo?9. Whicharethepartnershipswecantakewithus?

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SWOTChrisBabbsandSianRetallickworkedonupdatingtheSWOTandmakingiteasytoreadandunderstand.

Whatisourvisionforthefuture?

STRENGTHS1. Trustofpublic2. Accessibility3. Expertsofmedicine

optimization4. Regularf2fcontactwith

patients/people

OPPORTUNITIES1. CurrentGP/Nurseworkforce

promptspharmacytointegratewiththewholeNHSsystem

2. Newgenerationofpharmacists

3. Summarycarerecords4. Newcollaborativemodels5. DevonLPCdevelopa

corporatestrategyforpharmacy

WEAKNESSES1. Variabilityindelivery2. Skillmixofworkforce3. Financialuncertainty4. Lackofunitedfrontof

pharmacy5. Contractingmechanism

THREATS1. Introductionoflivingwage2. TryingtobeJackofalltrades3. Bypassedasaplayer4. 24/7GPsurgery5. Isourdispensingprof.model

fitforthefuturee.g.hubandspoke/automation

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Whatwillwedodifferently?

PROUDOF?• DLPCrelationships• LPCskills(goodmix)• PharmacyFirst• Knowledge• Innovativethinking• ReputationofDLPC• Pharmacyfirstuptake–implementation• Reactingtonewopportunitiese.g.flu/kingsfund,pharmacyfirst• Growthinnewservices(ind.defence)• Honestdiscussions• Opportunitiescreated• Pharmacyfirst,brandinganddelivery• Flu• Supportingserviceimplementation• Evolutionandresearch• Majortrainingdelivery(flu,pharmacyfirst,EPS)

HAVEREGRETSABOUT?Couldbebetterif?• OPSgroup• Projectplanningforsuccess• Involve/engageallLPC• Engagingcontractors• Cascadedinfotoforum• Sharelearning• Usepeerpressure• Increaseexpectations• Constraintsofdayjob• Structuredworking• Memberstakeresponsibility• Managemeetingtimesbetter• Allowingaverage/mediocre• Ifwehadmorecommunicationwithpharmacies(2way)• Wecouldchangeourpositiverelationshipsandcreativityinto

provisionforthepublic• HLPnotadoptedasabasictemplateforpharmacies

STARTDOING?• Readupbeforemeeting• Utiliseallmembers• Moreoutput• Sticktoareasoffocus(lessFYI)• Moresmallgroupwork• Engagemore/differentlywithlocalindividuals• Ongoingdevelopmentoffutureskilledteame.g.HLP,newpharmacists• Audaciousvisions• Focusonvision• BuildingrelationshipstorealiseNewModelsofCareandLongTerm

Conditions• Developinglocalleaders• Engaginghigherupfoodchain• Invitingcontractorsandpharmaciststoattend• Understandlifeinapharmacy• Acorporatestrategy• Definerulesforthosewhowantthem• Developingenablersaswellasservices:

o Internalo Workforceo Engagement

• PharmacyoftheYearaward• Leadingfordelivery

STOPDOING?• Eveningmeetings–unproductive• Standingagendaitems• Rubberstamping• Worryingaboutindividuals• EverythingtoEveryone• Chasingthosecontractorswhoaren’tinterested• Doingandthinkingaboutsomanythingsatonce.Segmentit!• Chasinglostcauses• Unsuccessfulservices• Workingwiththosethataren’tinterested• Toomuchtalking,notenoughdoing• Toomanythings• Discussingandtryingtoinfluencethingswecan’tchange

‘OurFutureinLPC’18thNovember2015MeetingReport

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HowtheLPCwillworkinthefuture

• Groupsfeedingback:o Everymemberinvolvedo Skillmixes

• Develop• Deliver:

o ProjectManagementOfficerstatemento Financeandreporting

• Communicationswithpartners• Engagewithcontractors

TaskandFinishgroups

• Flexibilityandstructure• Therightskillsattherighttime• Daytimeandpm?

Questions

• Revolutionorevolution?• Eveningordaytime?• Howoften?• Sizeofcommittee?

Decisions,ActionsandQuestions

DECISIONS ACTIONS WHO QUESTIONS• WeneedanLPCcorporatestrategy• Injectincreasedpace• Followuponoffersandneedsfrom

stakeholders

• Considercostofdaytimemeetings

Executivetocreateandproposetocommittee(KathrynatnextLPCmeeting)

• Howarewegoingtowork?• Daytimemeetings?• Whowillbeinvolvedand

whowillbeinvited?• The‘New’Vision(Feel)• Morecommitment(notnecessarilytime)• Buildrelationships• Daymeetings

• Structureandtimeonmeetings

• Use/engagecontractors• Drawupthecleanvision

LPCcommitteeLPCExecutive

MichaelLennox

• Whatdoesthemeetingstructurelooklike?

• DaytimePMforactions• Reviewworkload• Won’tchaselostcauses• Needforchange• Actionorientatedmags• Needactionplanningprocess

• Reviewsizeofcommittee

• Createcorporatestrategy

LPCExecutiveDevelopmentgroup

• Whatresources–physical,monetary–dowehave?

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NextSteps

Action Who ByWhen Completed1. Confirmneedsandoffersfrom

morningsessionSue 20/11/15 Yes

2. Reviewneedsandoffersfrommorningsession

Exec 18/12/2015

Yes

3.

WritetoLynnPalmerregardingtraining–seewhatisonoffer

Kathryn

27/1/16

No

4. HLPeventinBristol(PHE) Sue 20/1/16 No

5. FollowupwithJamesShort Sue 27/1/16 No

6.

AHSNsupportedanddevelopedthroughMedsOptimisationSteeringGroup

DavidBearman

2016/17 No

7. UpdateAliHayes AlexJames 30/11/15 No8. UpdateAndrewHowitt David

Chapman18/11/15 Yes

9. WorkforcedevelopmentStrategyStandards

LPC 27/1/16 No

10. Workforcesummitplanned LPC 14/1/16 No

11.

MeetingwithTudorEvans,leaderofPlymouthCityCouncil

David January2016

No