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R02 - Our Hospital Review - 12 July 2024

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CAG – Scru ny – IA Recommenda ons Progress on a Page

 

ID

Report Date

Report Title

Recommenda on number

Report Type

Directorate

GOJ Owner

1377

12 Nov 2021

Our Hospital Outline Business Case and Funding Review

2

Scru ny – H&SSP

Director General

New Healthcare Facili es Programme Director

Advice & Recommenda on

Current

RAG

Target Date: 30 Jun 24

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

Amber 1 (1-33% Progress)

Evidence Received

03 May 24

HCS SLT

16 May 24

MHSS Briefing

12 Jul 24

Scru ny Briefing

 

 

Evidence, Narra ve and Reason for Closure

Closure Reasons: Superseded by other developments – recommenda on no longer valid.

The original execu ve response[1] 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 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).

 

 

Updates

03/05/2024: Evidence provided.

16/05/2024: HCS SLT agreed recommenda on could be closed subject to approval by MHSS. 12/07/2024: MHSS briefed and approved closure of recommenda on.

 


[1] our hospital outline business care and funding review (s.r.13-2021) response of the chief minister.pdf (gov.je)