East & North Herts Hospitals NHS Trust

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We were commissioned as part of the redevelopment of the Lister Hospital site and the incorporation of services from the Queen Elizabeth Hospital at Welwyn Garden City (a £76million project).

GK Transfomation were able to assist the Trust in the development of a number of business cases for services that would be affected. These included Medical Records, Combined Heat & Power Plant, Pharmacy and Facilities Management.

Working in conjunction with a wider project team that were focusing on the transfer and re-provision of clinical services at the Trust, GK Transformation developed a number of Outline and Full Business Cases, which were ultimately approved by the Trust Board, the Strategic Health Authority and HM Treasury.

The business cases, produced in line with a standard format laid down by the Trust, were significant documents and went through several stages including full Trust Board assessment, prior to their eventual approval.  Throughout GK Transformation provided financial and technical guidance and advice to the Trust.  The business cases included detailed analysis and assessments, for example within the Medical Records Business Case there were sections detailing;

STRATEGIC CONTEXT

  • Local Context - DQHH
  • National Context
  • Trust underlying Strategy (masterplanning)

CASE FOR CHANGE

  • The Current Position and Service Model
  • Existing Facilities
  • Workforce
  • Project Scope

ACTIVITY MODELLING AND OUTCOMES

  • DQHH Modelling Assumptions
  • Current Activity Levels
  • Future Demand Projections
  • Future Performance Assumptions

WORKFORCE PLANNING AND DEVELOPMENT   

  • Health Records – Current Staffing
  • Clinical Coding – Current Staffing
  • Future Staffing Requirements
  • Support Services Requirements
  • Workforce Plan

FORMULATION OF OPTIONS

  • Development of Options
  • Options Considered
  • Option Appraisal

ECONOMIC APPRAISAL

  • Capital Costs
  • Movement in Capital Costs from OBC
  • Economic Appraisal

PREFERRED OPTION        

  • Service Configuration
  • Proposed Facility
  • Flexibility and Adaptability
  • Estate Solution
  • IT and Telecoms Solutions
  • Outline Design
  • Lifecycle and on-going Maintenance – Financial
  • Fit with Estates Strategy/masterplanning
  • Support Services Requirements – Transport
  • Benefits

AFFORDABILITY

  • Current Financial Position
  • Baseline Revenue Costs
  • Proposed Costs
  • Options For Reducing Costs
  • Notes on Costings & Financial Analysis
  • Return on Investment
  • Income
  • Overall Affordability
  • Conclusion

RISK ASSESSMENT AND MANAGEMENT

  • Risk Assessment Methodology
  • Risk Identification
  • Risk Assessment
  • Risk Monitoring
  • Risk Management Plan

PROGRAMME AND PROJECT MANAGEMENT

  • Project Structure
  • Key Personnel
  • Project Timetable
  • Post-Project Evaluation (PPE)

EQUIPMENT STRATEGY

  • Equipment Audit Process – Recycling
  • Additional Equipment Requirements
  • Temporary Equipment Requirements (Transition)
  • Conclusions

PROCUREMENT STRATEGY

  • Procurement Strategy
  • Procurement Schedule
  • Risk
  • Guaranteed Maximum Price

BENEFITS REALISATION

  • Objectives & Benefits
  • Benefits Realisation Plan

CONCLUSIONS AND RECOMMENDATIONS          

The thoroughness and quality of the business cases developed by GK Transformation were universally well received within the Trust and a number of follow-on projects were awarded to us.