Q2 Response - Feb 2024

Our Hospital Outline Business Case and Funding Review Health & Social Security Scrutiny Panel – 1 Oct 21

SUMMARY OF RECOMMENDATIONS

Already Closed

Proposed to Close

S ll Open

Total Received

Number of Recommenda ons that are

0

2

0

2

Recommenda on Number 2:

The deputy Chief minister must ensure a robust op  on appraisal is undertaken and a value for money is evidenced if progressing to Full Business Case. This must include:

• Consider a full range of op ons for inclusion in the shortlist to include both loca on and scope of the proposal to address the priority

investment objec ve.

• Include the Business-As-Usual op on in the shortlist.

• Include a less ambi ous preferred way forward

op on in the shortlist.

• Undertake a full quan fied assessment of costs, risks, and benefits of the shortlisted op ons to iden fy the NPSV (net present social value) of each op on, in order to support the iden fica on of the op on offering greatest value for money to society. Costs should include the ongoing running

New Healthcare Facili es Programme Director (HCS)

Propose to Close

Closure Reason: Superseded by other developments – recommenda on no longer valid.

The original execu ve response to this review was to

par ally accept' this recommenda on. Since this report was published, the C&AG has completed their Learning from previous hospital projects: a follow up review' in 2023, with recommenda ons from that report superseding this recommenda on. On that basis this recommenda on can

be closed as the monitoring for the recommenda ons in 2023 are ongoing.

The work of the NHF Programme team on the business cases (Strategic Outline Case and Outline Business Case to date) contains two op ons for considera on which is a Do Minimum' op on and the construc on for the NHF Programme up to Phase One. Further work needs to be done on the business case for the provision of Ambulatory services and it is an cipated that the business case work for this will be completed in 2025. For this business case there is

costs of the hospital including staffing and facili es management services.

a full quan fica on of costs, risks, and benefits of the two op ons. This includes the running costs of the hospital including staffing and all other costs (including facili es management services). The calcula on for social value of the projects has only been done on the main op on (which is loca ng acute services at Overdale).

Plan on a Page: R02 - Our Hospital Review.docx

Recommenda on Number 5:

"The Deputy Chief Minister should publish full details of the change management plans for the transi on to the new hospital and provide full detail of the project risk register prior to accep ng a Full Business Case."

New Healthcare Facili es Programme Director (HCS)

Propose to Close

Closure Reason: Superseded by other developments – recommenda on no longer valid.

The original execu ve response to this review was to

par ally accept' this recommenda on, in rela on to the risk register being updated. This recommenda on is now no longer relevant, as the review was on the Our Hospital Project', which has been replaced by the New Healthcare Facili es Programme' (NHF).

The NHF Programme team are upda ng the project risk register as part of the ongoing management of the overall programme and a separate project risk register is being maintained for the Overdale Acute Project (which in itself consists of a number of projects). This work is also reflected in the Outline Business Case at a programme level.

Plan on a Page: R05 - Our Hospital Review.docx