System working and strategic development

The Trust’s Operational Plan for the financial year 2024/25.

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There are a number of sections within this part of the document. Using the links below, or to the side, you can skip to specific sections.

Jargon busting:

Despite our best efforts there may be a number of acronyms as well as NHS jargon in the our Operational Plan for 2024/25. To help, we have created this handy glossary of terms.

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Approach to collaboration

DBTH predominately covers a population across Doncaster and Bassetlaw and works closely with various stakeholders across Place (s) and ICB (s) as the population is split into two geographical areas, South Yorkshire and Nottingham and Nottinghamshire.

Within the planning process DBTH colleagues and Executives members form part of relevant committees designing the Local Place Plans and Joint Forward Plans from the respective ICBs.  This collaborative working will enhance the models of care delivered and ensure aligning to local, regional and national programmes.

Improving NHS patient care, outcomes and experience can only be achieved by embedding innovation and research in everyday practice. DBTH will work with ICBs who have a statutory duty to facilitate or otherwise promote research and the use of evidence obtained from research and to promote innovation, for example AI and machine learning which is driving efficiency and enabling earlier diagnosis. NHS England will continue to support ICSs to draw on national best practice and peer insight to inform future development.

Nottingham and Nottinghamshire NHS Joint Forward Plan 2024/25

Following the publication of NHS England guidance on 22 December 2023, the Joint Forward Plan (JFP) was reviewed and refreshed as part of an integrated approach to planning, incorporating the five-year JFP, three-year financial opportunities and 2024/25 operational planning.

The JFP has been developed in collaboration with system partners and citizens during February and March 2024 to ensure there is system support for this collective NHS plan.

NHS England issued updated guidance on 20 March 2024 to advise of a deferred timeline for publishing the plan. It is now expected that the JFP is published by the end of June 2024. As such the final version of the Nottingham and Nottinghamshire NHS JFP will now be presented to the ICB Board at their May 2024 meeting for approval.

Next Steps

Following the ICB Board meeting in May, the NHS JFP will be available on the ICB website: https://healthandcarenotts.co.uk/integrated-care-strategy/joint-forward-plan/

Focus will then be shifted to delivery and oversight. Engagement with system partners has been undertaken regarding oversight arrangements to ensure there is a programmatic approach to the delivery of the JFP.  A JFP Delivery Group will be established in early 2024/25 to ensure that there is collective ownership of delivery by all NHS organisations. This will take into consideration the emerging oversight arrangements for delivery of the Integrated Care Strategy to avoid duplication and to ensure that there is not a gap in our collective understanding of delivery. Routine reporting mechanisms will be established to provide ongoing assurance to partners.

Work will be undertaken in Q1 2024/25 to confirm the outcomes related to the NHS JFP deliverables and develop the necessary specificity of intended benefits and associated monitoring metrics. This will need to align with the Population Health Management Outcomes dashboard developed by the System Analytics Intelligence Unit to ensure that outcomes can be measured in a timely and robust way, and to identify gaps in data availability.

South Yorkshire ICB Joint Forward Plan

The Joint Forward Plan for South Yorkshire for 2024/25 has been shaped by the wishes of our communities, that we have heard through our engagement work and refreshed in collaboration with all our partners. It has been shared with the South Yorkshire Health and Wellbeing Boards and our South Yorkshire Integrated Care Partnership. It was published in March 2023. Setting out the vision for ‘Everyone in our diverse communities to live a happy, happier life for longer’ and a clear goal to improve healthy life expectancy and reduce the gap in healthy life expectancy across South Yorkshire.

As an integrated care system our core purpose is not only to improve outcomes in health and healthcare for all, but to tackle these deep inequalities in outcomes, access, and experience. It is also to prioritise and target our resources to where there is greatest need. NHS South Yorkshire, our Integrated Care Board, has a key role in this. This refreshed Joint Forward Plan is a delivery plan for how the NHS, working with partners, will deliver on the ambitions set out in our Integrated Care Strategy. Our priority was to continue to recover our services in a way that offers all our communities equitable access to care and support. Whilst also being relentless and creative to prevent ill health and help people to stay well.

It set out our commitment to work in collaboration with our partners on the wider determinants of health to address health inequalities. Our refreshed plan for 2024/25 reaffirms our commitment to this approach and the continuation of the priorities identified in our 2023 plan. As we move into 2024/2025 the landscape continues to be challenging with health inequalities heightened by the covid pandemic, the cost-of-living crisis, and front-line health and care services operating under significant pressure. There is increasing demand for our mental health, urgent and emergency services, and longer waits for planned treatments than we would wish. Improving access to services remains a priority but we are also a system with high ambitions to improve the health and wellbeing of our population.

In the new Joint Forward Plan for the NHS, we have strengthened the link with the aims of the Integrated Care Strategy developed jointly through the wider partnerships and particularly to the measures in its Outcomes Framework which we use to monitor progress towards the goal of improving population health. We have also included in the refresh our developing plans to better address women’s health issues, improve our services for people with mental health conditions and those with learning disability and autism, plans for palliative and end of life care services and support. We will also further develop a collaborative approach to ill health prevention such as through tobacco control with the support of our South Yorkshire Integrated Care Partnership.

We will continue to improve access to primary care particularly delivering the aims of the national recovery plans for general practice and dentistry. We have also refreshed our priorities in relation to digital, data and technology, further developed our focus on sustainability and updated procurement and finance plans for 2024/25.

There are specific measures to track delivery and we will report our progress regularly through our public Board meetings. The plan will be updated annually, and we will continue to refine our approach based on the views of local people and our partners.

Doncaster Place Plan and Bassetlaw Place Plan

DBTH works closely with commissioners across both Doncaster and Bassetlaw Place.  Key representatives from the trust are part of the Five Year Planning meetings, Annual Planning forums and Delivery Forums to design, monitor and track progress on service developments across place.

Chief Executive from local providers are collaborating to design a longer term vision and set of priorities which will underpin service improvements over the coming years to enable effective health care services and outcomes for local residents.

Below is a current draft and approach being further developed for the longer term Doncaster One Plan (5 year plan):

DBTH is a key stakeholder in improving the local health and lives of our population, by its service delivery, partnership approach and place as an Anchor Institute in the area, supporting local employment and social economic benefits.

Current Bassetlaw Place Plan Priorities below which is currently under review, however the key themes of the areas of priority will carry forward into 2024/25.

Acute Federation

Collaboration/Service Development work in Partnership

Some service developments are underway reviewing services to ensure care is provided in the most appropriate setting and effectively managing waiting lists.  Recent work has been undertaken in Audiology and Pain Management and it is hoped service changes for these services will be implemented in 2024/25.  These service improvements have been designed with collaborative working with a wide set of stakeholders and using a Quality Improvement methodology.

Strategic Development and Transformation

DBTH priority work areas for collaboration include:

  • Community Diagnostic Centres future pathway development
  • Montagu Elective Orthopaedic Centre
  • Cancer Transformation including the Faster Diagnostic Framework
  • Urgent and Emergency Care model improvements across Place
  • Nottingham and Nottinghamshire New Sexual Health Service
  • Community Paediatric Model redesign
  • Audiology Service redesign
  • Pain Management Service redesign
  • Non-Surgical Oncology Service Developments
  • Nottinghamshire Stroke Rehabilitation Service Developments

We will continue to work with a wide range of stakeholders, developing services in line with the ICBs Joint Forward Plans and Place Plans and enabling high quality services for our local population.

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