Hertfordshire programme management approach to public health
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www.hertsdirect .org Hertfordshire Programme Delivery Approach to Public Health Embedding programme management in public health delivery in Hertfordshire Jim McManus Director of Public Health October 2013
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This presentation has been used with public health staff and with a learning set of public sector leaders. We are embedding project management across our public health service as a way of getting to implementation. It to seeks to explain how we use project management while maintaining strong science. It seeks to explain why it's important for public health to keep and use scientific, analytical, evidence, commissioning and project skills all together in the journey to improving population health. It discusses the "four engines" model of analysis/intelligence, public health science and evidence, commissioning and project management. It illustrates why consultants, specialists, PH practitioners, analysts commissioners and project managers all need to be skilled. It
Transcript of Hertfordshire programme management approach to public health
www.hertsdirect.org
Hertfordshire Programme Delivery Approach to Public HealthEmbedding programme management in public health delivery in HertfordshireJim McManusDirector of Public HealthOctober 2013
www.hertsdirect.org
About this presentation• This presentation outlines how we are building
mechanisms for programme management approaches and a culture of programme management in Herts County Council
• We are building a culture of project management across our Directorate so we get implementation quicker, better and more consistent
• This means culture change, skills development and a new approach to workforce
www.hertsdirect.org
Note...
• This does not mean we use or train everyone in PRINCE, it means we use a common project management approach and set of frameworks and tools which are fit for purpose for what we are doing, so a small project uses a lighter touch set and a bigger project uses more
• Every public health project defines its scope, implementation and outcomes both scientifically and in project terms
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So
• Our obesity programme will seek to achieve a halt in rise of reduction of obesity and hit the public health outcomes framework
• In programme terms it is a programme of projects which have timescales, outcomes and deliverables and people accountable for delivering them
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Art and Science
• Public Health is the art and science of the organized efforts of society to improve and protect the health of our residents.
• The science is what we need to do. Intelligence, effectiveness, etc. Very important
• The art is how we get things done – project management, commissioning, leadership, influencing. The art is no less complex, no less important and no less skilled than the science
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So how do we do this?
• Good strong “science”• Good strong “art”• Working together• People who specialise in “science” can
understand the “art” and vice versa• People certified, qualified, trained, developing• Both types work together• A framework for doing this across the Directorate
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Why• New responsibilities in County Council and new
Public Health Strategy. We will not deliver this without everyone working together effectively
• Good implementation is crucial to our success• New Public Health Strategy• Need to commission and deliver programmes
quickly• Need robust delivery• Need a culture for and mechanisms of turning
ideas into reality
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Our Public Health Strategy at a glanceOUR PURPOSE
to work together to improve the health and wellbeing of the people of Hertfordshire, based on best practice and best evidence
OUR VISION:A Healthy, Happy Hertfordshire: everyone in Hertfordshire is born healthy, and lives full, healthy and happy lives. We compare well with England and every area in Hertfordshire compares well
against Hertfordshire
Priority 5: We understand what’s needed and we do what works
Priority 6: We make public health everybody’s business and work together
HOW WE WILL WORK TOGETHER(our strategic priorities: how we do it for
our County)
ThePublicHealthOutcomesFramework(the nationalPHOF willHelp us measureOur success)
WHAT WE WILL ACHIEVE WORKING FOR AND WITH OUT POPULATION
(our strategic priorities: what we achieve for our County)
Priority 1: Our Population lives Longer, Healthier Lives
Priority 2: Our Population Starts Life Healthy and Stays Healthy
Priority 3: We narrow the gap in life expectancy and health between most and least healthy
Priority 4: We protect our communities from harm (chemical, biological, radiological and environmental)
BuildingBlocks For the Public Health Family
Strong Leadership
Capable, Skilled People
Co-production with citizens
Effective Partnerships
Evidence and Knowledge Driven
Plan and Deliver for Localism
Whole System Approaches
Making better use of behavioural sciences at individual, interpersonal, community and service levels
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We are using the strategy pyramid for all our business. Project management approaches fit within this
Mission Vision: Where we want
to get to
Strategy: How we want to get to the vision
Implementation Plans : What we need to do in each area of the business and for each topic
Individual Plans: My personal objectives and must dos
Mission:
Why ? Where/What do we want to be?
Why do we Exist ?
How we want to get there?
What we need to do!
What I need to do!
Values, what’s important to us ? {
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Conceptual Principles – what’s important to us
• Strong public health science – intelligence, needs analysis, identifying what works
• Strong public health art – project management, commissioning, contracting
• Delivery of public health at scale and pace to improve population health
• This is embodied in our new public health delivery model
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A key point about our delivery model
• If it doesn’t benefit our residents, why are we doing it?
• If we do this right, we will get better delivery, better value and better outcomes – we’ve already seen this in Obesity and Health checks – our first stabs at making this model work
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Some points
• Understand what’s needed – science and community intelligence working together
• Identify what works – science and citizen co-designing solution
• Good implementation – co-production project management, commissioning
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A Commissioning Cycle
1.Assess Population
Need
2. Identify and Prioritise
Candidate Interventions
3. Whose Lead?
4a Commission
5. Evaluate
4b Get Others to Commission
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A Commissioning Cycle with Project Management
Assess Population
Need
Project Management Will
1. Identify timescales 2. Identify data inputs3. Identify deliverables4. State leads5. Clarify Resources6. Make clear products7. Make clear what we will get
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A Commissioning Cycle with Project Management
Identify and Prioritise Candidate
InterventionsProject Management Will
1. State what is to be done during the piece of work
2. State what we will have at end of it3. Timescales4. Resources needed to identify
interventions5. State what we will not do
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A Commissioning Cycle with Project Management
Commission
Project Management Will
1. What is being commissioned2. When3. By whom4. How5. Products at end6. What is not in scope
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A Commissioning Cycle with Project Management
Evaluate
Project Management Will
1. Identify what evaluation will and will not deliver
2. State timescales3. State resources
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The Building blocks of public health delivery – the four “engines” of our public health directorate
Needs Analysis and Intelligence
JSNA, Needs Assessments
Public Health Appraisal
Consultants and specialists advising on what works and on
implementation
Commissioning and Contracting
Make, share or buy decision Procure, commission, manage
providers
Programme Management Office
Four programme managers who project manage implementation
Common aims,Variety of skills
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The different skills blocks we use
Needs Analysis and Intelligence
Analysts, PH scientist roles who have project management
training
Public Health Appraisal
Consultants, Specialists, PH Practitioners (all registered) who
have project management training
Commissioning and Contracting
Commissioners (all qualified to degree level in commissioning) who have project management
training
Programme Management Office
Certified project managers who also get trained in public health
Leadership and influencing
Skills
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This means
• We want strong, skilled public health scientists (analysts, consultants, specialists, practitioners) who are registered in their fields and have leadership skills and project management skills
• We want strong commissioners who are skilled in commissioning and contracting etc and they have a knowledge of public health and they have project management skills
• We want strong project managers skilled and certified in project management and they develop public health skills and training
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This means every has a primary Competencey Suite and supporting competencey suites
Needs Analysis and Intelligence
Primary: Analysis, Science, Leadership
Supporting: Project Mgt
Public Health Appraisal
Primary: PH Science, PH Leadership, (PH Art)
Supporting: Project Mgt
Commissioning and Contracting
Primary: Commissioning, Influencing, Project MgtSupporting: PH Science
Programme Management Office
Primary: Project Mgt, Influencing,Delivery
Supporting: PH Science
•Matrix working•Leading,
Learning and Managing self,
others and resources
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The Building blocks of public health delivery – the four “engines” and the mechanisms for delivery
Needs Analysis and Intelligence
JSNA, Needs Assessments
Public Health Appraisal
Consultants and specialists advising on what works and on
implementation
Commissioning and Contracting
Make, share or buy decision Procure, commission, manage
providers
Programme Management Office
Four programme managers who project manage implementation
Public Health Commissioning Board Monthly
Single Board overseeing whole
programme(Individual project
meetings e.g. obesity as needed)
Standard document suite (Project documents and tools)
Every directorate member trained in project management using HCC approach
Performance dashboard for whole directorate (every PH Commissioning Board)
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Our success so far using this framework
• Strategy – written and going through programme
• Commissioning – 3 year programme scoped and commissioning underway
• Obesity programme – commissioning already underway
• Health checks – improvement already tangible• New Projects – marketing, behavioural science,
learning and training all being project managed
