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Portfolio and key programme overview as at 16.07.12
Page 1 of 5
Portfolio Headlines
 The Department of Health has agreed the OBC and enabling works for Broadmoor to progress to FBC for the redevelopment.
 Revised “do minimum” option for St Bernards option has been approved by the Trust Board.
 FT programme remains green/amber, however milestones so far are on track.
 Design of the re-provision of adult local services in B Block is progressing, time scales for the use of this interim accommodation need to be defined.
RAG key for programme delivery status
Key Programme Risks
RED –
not on target to deliver on time or within
budget, and/or significant risk of not delivering
AMBER – issues/risks identified in time/finance/
delivery which may affect delivery and/or milestones
GREEN – on target to deliver on time and/or within
budget
• Impact of St Bernard’s redevelopment on longer term re-provision of local services
• Local Services continue with multiple projects needing stakeholder buy-in
• FT programme remains green/amber due to significant number of tasks in critical
path
• Social Enterprise project needs external resource and advice to progress.
• Recovery Programme reporting agreed and will go to TMT monthly for information
Summary of Key Programmes
Programme
May
Jun
Jul
Foundation Trust Programme
Local Services Programme
Specialist and Forensic Programme
Recovery Programme
Comments/Detail
The FT programme remains green-amber. HDD1 independent
assessment, Quality Governance Framework Review and SHA Board
Interviews have been completed.
  
New reporting format through project boards. Risks associated with
some of the relocations/moves need to be managed. Good progress
is being made with some of the enabling projects (see LS programme
report)
  
  
Projects reported to be progressing, risks re: commissioning remain
Reporting format through CSUs has been agreed and monthly report
will go to TMT for information. Cultural change is identified as a
risk/issue in all three CSUs.
St. Bernard’s Redevelopment Programme
Revised business case with new ‘do minimum’ option completed with
all Q&As incorporated, approved by Trust Board and submitted to
NHSL. OBC approval due mid-August.
Broadmoor Redevelopment Programme
Decision to support Broadmoor Hospital Redevelopment Programme
has been agreed by DH – milestones go green but programme
remains green-amber until split of PDC : Loan agreed for the FBC.
Portfolio and key programme overview as at 16.07.12
Page 2 of 5
Programme
Headlines
Key Issues and Delivery Risks
Foundation Trust
HDD1 independent assessment completed
Future Governor training supplier recommendation for
Programme Board approval.
Quality Governance Framework Review completed
SHA Board interviews completed
Knowledge base created and populated to capture
external submissions
Issues
• Significant increase in the number of tasks within the FT
application critical path
• Section 7 is not yet compliant with NHSL and DH guidance,
however the Trust is working with KPMG to complete this
work
• Inadequate resourcing of the FT application
Risks
• Uncertainty in future commissioning intentions and levels of
savings required
Programme Lead:
Nigel Leonard
This programme is now
Green/Amber because of the
numerous tasks in critical
path.
Specialist and Forensic
Programme
Programme Lead:
Andy Weir
This programme is AMBER
because of the potential
commissioning issues
identified in delivery risks
£ - Period 3 spend for 12/13 is in line with the re-profiled
draft budget
Dependencies impacting in next 2 months:
•Updated partnership arrangements for Local Services.
Required for end Spring 2012.
•Estates Strategy and Workforce Strategy reviewed by
the Board by end July.
•Updated Quality Strategy as part of a wider Clinical
Strategy exercise.
•Governor development activity during summer 2012.
•Second FT consultation completed.
Milestones:
July - September 2012 – SHA Committee Observations
September 2012 – Final Draft IBP
October 2012 – HDD2 Assessment
November 2012 – NHSL Board to Board
April 2013 – Formal FT Application submitted to Department of
Health
All projects mapped and tracked in CSU Service Plan to
be monitored at SMT.
All projects reported to be on track.
• On-going – Commissioning arrangements are a risk to some
projects, in particular what the new commissioning
landscape for “prescribed services” will look like, and where
the prescribed services will be commissioned from. CSU
Director in on-going discussions with SCG regarding future
provision and commissioning intentions.
Portfolio and key programme overview as at 16.07.12
Page 3 of 5
Programme
Headlines
Key Issues and Delivery Risks
Local Services
Programme
In-patients Project Board: The planning to achieve a
phased move of the Ealing inpatients from JCW into B
Block (interim solution) is progressing. Quality Impact
Assessment completed to support using Glynn ward as
the interim older peoples service ward from early 2012.
Community Project Board: Hounslow Adult
Assessment Team base works at Lakeside on track to
be completed 9th July ’12. Ealing Adult Assessment
Team base refurbishment (Cherrington Hse)completion 10th August. Ealing West Recovery Team
base refurbishment at The Limes unit - completion9th
July. Assessment & Recovery work streams completing
packages of care for clusters 7 & 8.
OPS/Dementia Project Board: Staff consultation
supporting the OPS/Dementia developments ended 1st
July ’12. The OPS redesign project plan has been
signed off by the Programme Board. Moving forward
with allocating staff to teams.
CAMHS Project Board: Successful staff action
planning event was held on June 12th with over 90 staff
participating. Work streams set up to take forward work
on clinical care pathways and service redesign.
Enabling Projects: Choose & Book (direct booking)
pilot will go live in H&F with 8 GP practices on the 9th
July. Adult Assessment Team & H&F Memory
/Dementia Team will accept GP electronic referrals
direct into MH clinical assessment slots on RiO.
Service User 24/7 Telephone support Line (operational
2nd April ’12) received 785 calls in first 8 weeks. Phase
2 business plan completed and discussed at LS SMT.
Preferred option to extend the service to Carers agreed
Payment By Results Project: Project Plan signed off
by Programme Board. Cluster training has commenced
Secondment advertised - Care packages development.
Draft commissioner report specification has been
provided to IT for development.
•
Programme Manager:
Michael Doyle
This programme is AMBER
because of the number of
change projects with
interdependencies within the
programme, and with St
Bernard’s redevelopment
The timeframe for the reconfiguration of OPS
community teams and the development of the
Dementia teams in each borough have slipped.
There are a number of risks associated with these
delays including organisational reputation with
commissioners, increased staff costs, and reduced
patient experience.
•
The planned move of Ealing older people wards
(JCW) during the winter increases the risk
associated with patient safety.
•
There are risks associated with the implementation
of Payment by Results. This relates to the fact that
the shadow tariff may not match the actual costs,
as well as the accuracy of the Clustering data.
•
There is a risk that the timeframe (Nov 12) set by
the St Bernard’s redevelopment programme board
for vacating JCW of all inpatient wards and services
will not be achieved.
•
Slippage on the OPS/Dementia community teams
redesign has led to significant additional spend on
community budgets.
Key July Milestones (detailed report available in
programme report)
•
Re-cluster the OPS caseload to ensure accurate
caseloads for dementia and functional teams.
•
Consultation paper for H&F ward reconfiguration –
2 Assessment Wards and 2 Recovery Wards.
•
Agree space allocation at Armstrong Way for Ealing
CAMHS move from St Bernards.
•
Refurbishment of The Limes (Hounslow
Assessment) & Cherrington House (Ealing
Assessment) completed.
•
Electronic referral pilot (H&F) go live with 8 GPs.
Portfolio and key programme 0verview as at 16.07.12
Page 4 of 5
Work Stream
Headlines
Key Issues and Delivery Risks
St Bernard’s
Redevelopment
Programme
Revised business case with new ‘do minimum’
option completed with all Q&As incorporated,
approved by Trust Board and submitted to NHSL
Further Development of the programme for all
known works on the St B site
• Availability of Capital Resources – future funding due to uncertainty
regarding land sales (inc Broadmoor scheme).
• Availability of Revenue to support future clinical model.
• Planning Consent for the front of site land sale may delay land sale
receipt and impact upon commencement of JCW demolition.
• Vacation of JCW by Nov 2012 – inc. future location for Local Older
Adult Services.
• Staff resources issue at NHSL may slow approval of OBC and
impact on programme.
Programme lead:
Vickie Holcroft
£ - Capital spend within budget
This programme remains
AMBER/ RED because there
are significant internal and
external factors which still
may impact on delivery.
Broadmoor
Redevelopment
Programme
Programme lead:
Vickie Holcroft
This programme has turned
GREEN/AMBER because the
DH have agreed the OBC for
the Redevelopment however
the split between PDC &
Loan needs to be agreed for
the FBC. Milestones are
green.
Milestones:
• Completion of relocation of John Conolly Wing services (Nov 2012).
• OBC approval by NHSL mid Aug 2012
• Occupation of new MSU April/May 2015
Decision by DH to support the redevelopment has
been received – redevelopment milestones now
green and on track, programme green/amber until
£ split PDC:Loan for FBC agreed.
Further progress regarding alternative solution to
the planning condition relating to the road – draft
submission made to BFC
OJEU advert and MOI/PQQ completed
Further progress made to development of
contractual documentation for OJEU for Main
Contractor. OJEU advert planned for July 2012,
subject to OBC approval.
Further Q&A received from DH/HMT. Responses
completed and Programme Director, Acting CEO
and Acting Finance Director met with DH and
Treasury representatives on 31 May 2012.
£ - Expenditure is within PDC approval
Further PDC will be provided following OBC OBC
approval
• Split of Loan:PDC to be agreed with DH for the FBC submission
Milestones:
• DH approval for the OBC formally given 11 July 2012.
• FBC submission Sept 2012. FBC approval – Apr 2013
• Planning Approval for Main Scheme March 2012
Dependencies:
• Split of Loan v PDC to be agreed to enable the FBC to be finalised
for the end of August ahead of the Gateway review, Programme
Board approval and Trust Board approval.
Portfolio and key programme 0verview as at 16.07.12
Page 5 of 5
Work Stream
Headlines
Key Issues and Delivery Risks
Recovery
Programme
Local Services: Recovery Hub location is still being
decided on, however virtual hub work progress is extremely
positive, with excellent service user engagement. Other
strands to be developed.
Peer Support workers have been trained, £ an issue which
needs resolving with commissioners.
Social Enterprise project still needs external resource to
support process and advise on transition from NHS service
to Social Enterprise, with risks and issues mitigated – to be
shared with LBE
START project progressing well.
Training on PSI and Recovery in workforce training plan
Broadmoor: Recovery Hub plan in progress for Broadmoor
– links to CQUIN targets
START project – Sheffield Ward slow progress due to ward
reconfiguration, staff changes and location change. Henley
ward progressing well.
CPA – CQUIN target 2012 /13 requires the use of an
Outcomes Framework in the CPA that will identify / promote
recovery orientated practice inclusive of goal setting and
outcomes. All three high secure hospitals involved.
Re-designed recovery training (co-facilitated with expert by
experience) continues to be delivered. Feedback from staff
very positive.
Recovery Strategy to be signed off at SMT 19th July 2012.
Specialist & Forensic: START project delayed on Avebury
due to change of ward manager and staff sickness. Aurora
ward progressing well.
Practice Development Nurse for PSI appointed,
commences August ’12.
Recovery Hub sessions booked for secure environment.
Service User Recovery Newsletter - First edition published
& Book of Service User Stories in progress
Communications: Meeting set up to develop
communications strategy
•Recovery Hub location needs to be decided on in an
appropriate setting.
•Structure and resource to support this needs addressing –
review scheduled for August 2012 – insufficient infrastructure to
support expected delivery
•Financial issues re: Peer support workers needs resolving –
lead identified in local services.
•Social Enterprise has risks associated with transition from NHS
service to social enterprise, with staff terms and conditions,
governance, finances etc. included. External consultancy and
resource to be sort to mitigate, and provide advice and
recommendations for next steps. Financial implications for Trust
and LBE to be scoped.
•Issues re: culture change and philosophy continue in all three
CSUs
•Changes in staffing/turnover and reconfigurations in in-patient
wards impact on staff being able to increase awareness and
practice of recovery oriented care.
•Recovery initiatives and work linked to CQUIN targets could
become tick box exercises
Programme Sponsor:
Steve Trenchard
This programme remains
AMBER because there
are still delays and issues
in some of the projects.