Transcript Add your title here - West London Mental Health NHS Trust

Portfolio and key programme overview as at 18.05.12
Page 1 of 5
Portfolio Headlines
 The Programme Management Office function review has commenced, and report and recommendations will be taken forward as soon as possible.
 The Assurance for each programme currently lies with the relevant Executive Director, or the Programme Director of the major capital redevelopment
programmes.
 OBC decisions for Broadmoor and St Bernard’s redevelopments are still awaited, however planning applications for enabling works are progressing well.
 FT Programme has had changes which affect the RAG status for the programme.
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
•
•
•
•
No change on St Bernards and Broadmoor OBC decision - still awaited
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 has gone green/amber due to significant number of tasks in critical
path
Summary of Key Programmes
Programme
Foundation Trust Programme
Mar
Apr
May
Comments/Detail
 
Quality Governance Review self assessment is now complete.
Evidence outstanding from HDD1 dry run. BGAF date has been
amended
Local Services Programme
  
Multiple projects progressing, including launch of service user 24/7
crisis line, and work with GPs to improve access and
referral/information exchange. Detail of all projects is held within the
four page programme report.
Specialist and Forensic Programme
  
  
All projects reported as on target. The projects are now mapped in the
CSU Service Plan, and monitored through SMT.
Recovery Programme
Reporting agreed to be monthly to Programme Board and Programme
Director for Board information. Good progress on many of the
projects, with service user involvement a key priority.
St. Bernard’s Redevelopment Programme
Ealing Borough Council agreed Planning Application for the MSU,
subject to a Section 106.
Broadmoor Redevelopment Programme
The terms of Section 106 Agreement have been finalised, agreement
engrossed and signed by the Trust and Bracknell Forest Council.
Portfolio and key programme overview as at 18.05.12
Page 2 of 5
Programme
Headlines
Key Issues and Delivery Risks
Foundation Trust
Quality Governance Review self assessment complete
Draft commissioner liaison audit trail provided by Local
Services to evidence our engagement
Issues
• Significant increase in the number of tasks within the FT
application critical path
• Outstanding HDD1 dry run evidence in respect of the St
Bernard’s MSU commissioner timescale expectations
• Response to HDD1 dry run feedback to be delivered and
actions completed in advance of HDD1
• Section 7 is not yet compliant with NHSL and DH guidance,
however the Trust is working with KPMG to complete this
work
Programme Lead:
Nigel Leonard
This programme is now
Green/Amber because of
date changes and numerous
tasks in critical path.
Programme Milestones:
May – BGAF self assessment (amended)
18 June – 6 July 2012 – HDD1 Assessment
August/September 2012 – HDD2 Dry Run
October 2012 – HDD2 Assessment
November 2012 – NHSL Board to Board
April 2013 – Formal FT Application submitted to
Department of Health
£ : Actual spend for 11/12 was within budget. Period 1
spend for 12/13 is broadly in line with the draft budget
Specialist and Forensic
Programme
Programme Lead:
Andy Weir
This programme is AMBER
because of the potential
commissioning issues
identified in delivery risks
All projects now mapped and tracked in CSU Service
Plan to be monitored at SMT.
All projects currently on track.
Risks
• Uncertainty in future commissioning intentions and levels of
savings required
• On-going – Commissioning arrangements are a risk to some
projects, Director in on-going discussions with SCG
regarding future provision
Portfolio and key programme overview as at 18.05.12
Page 3 of 5
Programme
Headlines
Key Issues and Delivery Risks
Local Services
Programme
Inpatients: Quality Impact Assessment (QIA) for Glyn
Ward was carried out as part of the project to move the
OPS.
PICU Development project was discussed at Inpatient
SMT and has been signed off to move to Askew Wards.
The closure of Campion Ward was successfully
completed end of April 2012.
Community: Assessment & Recovery Teams Ealing &
Hounslow operational 16.04.12 and Floor plans for
Adult Assessment Team in Lakeside signed off.
Work with estates re: developing the plans for the West
Ealing Recovery Base in the Limes.
Second review of Balfour Day Hospital has been
completed.
•Borough based work: key details in programme
report
•Acute interface/ Psychiatric liaison: Induction for all
the new staff has started. Key decision awaited on
funding. Current funding lasts until end of June.
•ICP Acute – Inner & Outer NW London: Business
case needed for inner which will guide outer.
•ICP Mental Health: need to set up a clinical
programme to take forward. Key risk to the income and
CCG buy in.
•PbR: Programme plan being scoped
•PD: Further work continuing on service development
Enabling Projects : LS 24/7 Service User Telephone
Support Line went live on the 2nd April.
CAMHS : New base for CAMHS Ealing has been
identified at Armstrong Way and ratified by Local
Services CSU SMT.
•Project group has been set up to scope a Single Point
of Access for CAMHS Ealing.
•St Bernard’s redevelopment – vacating JCW within the
timeframe (late 2012).
•The B block option dictates that the male and female
admission ward will need to be split to operate as two
separate wards on different floors. This will significantly
increase inpatient running costs, in that additional staff will be
required over and above existing staffing to support safe
practice/ patient safety.
•Risk that we will be unable to achieve some CQUIN targets
in 2012/13 associated with information sharing with
Hounslow GPs.
•CAMHS - modernisation of workforce profile is
interdependent with wider Trust staffing reviews. Risk re:
location timescales
•Community - Phase 3 of the Data migration delays
•Community - RIO reporting not been able to configure to
capture the activity properly
•Community - GP Waiting list reporting not reflecting the new
structure and therefore showing wrong data
•New Business - Funding for Psychiatric Liaison teams
needs to be identified for next year
Programme Manager:
Michael Doyle
This programme is AMBER
because of the extent of
engagement and consultation
with external stakeholders
needed, and the
interdependencies with St
Bernard’s redevelopment
•Milestones and detailed report available in programme
report
Portfolio and key programme 0verview as at 18.05.12
Page 4 of 5
Work Stream
Headlines
Key Issues and Delivery Risks
St Bernard’s
Redevelopment
Programme
Further progression by local services and estates
team for the relocation of services from JCW.
Completion of upload of Risk Register to
Exchange.
The Trust is continuing to respond to comments
and queries from NHS London in relation to the
OBC.
Ealing LBC approved the Planning Application for
the MSU on 25th April, subject to a S106
agreement – terms have been agreed, agreement
has been engrossed and signed
• 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.
• Vacation of JCW by Nov 2012 – inc. future location for Local Older
Adult Services.
Programme lead:
Vickie Holcroft
This programme is now
AMBER/ RED because,
although there is a
programme plan in place,
there are significant external
factors which still may impact
on delivery.
Broadmoor
Redevelopment
Programme
Programme lead:
Vickie Holcroft
This programme remains
AMBER/RED because there
is still no decision on
enabling works PDC or
overall OBC and the date has
now extended again to
April/May 2012
£ : Capital spend within budget
Terms of Section 106 Agreement finalised,
agreement engrossed and signed by the Trust
and Bracknell Forest Council
Legal agreement with the farmer for the release
of land agreed.
Legal agreement with the Girl Guides agreed.
Further progress made to development of
contractual documentation for OJEU for Main
Contractor. OJEU advert planned for June 2012,
subject to OBC approval.
£ : £9m PDC approved for 2011/12 with an
anticipated outturn of £8m
£8.6m PDC approved for 2012/13
Programme Milestones:
• OBC to Trust Board on 28 March.
• Completion of relocation of John Conolly Wing services (Nov 2012).
• OBC approval mid Aug 2012
• Occupation of new MSU April 2015
• OBC v 1.5 addendum and EWFBC by DH – Although informal
approval has been received to continue the
• Project, it is still subject to formal approval (May/June2012)
• Enabling Works progress subject to OBC approval
• Business case for the hostel replacement to be prepared by Estates
• OBC approval, if not given, will impact on commencement of some
enabling works, the procurement of the main works contractor and
the patient relocation date.
Programme Milestones:
• DH approval for the OBC and Enabling Works FBC – overdue, now
anticipated May/June 2012.
• FBC submission July 2012. FBC approval – Jan 2013
• Planning Approval for Main Scheme March 2012
Portfolio and key programme 0verview as at 18.05.12
Page 5 of 5
Work Stream
Headlines
Key Issues and Delivery Risks
Recovery
Programme
Local Services: Still organising structure and reporting
lines for Recovery. CQUIN targets will be announced
soon.
Recovery Hub is still virtual although many projects are
progressing well, and service users and carers form
significant cohort. Summer school and conference in
September are planned.
Peer Support workers have been trained, £ an issue
which needs resolving with commissioners.
Broadmoor: Training for SMT went well – initial
resistance changed to enthusiasm - will be rolled out to
other staff and patients.
Specialist & Forensic: Recovery Implementation Plan
written with Service User support. A book of Recovery
Stories is being produced. PSI training looking at
symptom management and relapse, and new PSI
Practice Development Nurse post advertised.
Training with SMT went well, now less resistance.
Organising third conference to focus on people’s stories.
SMART project: Wards being supported to develop
more recovery focussed services are:
Local Services: Kingfisher (Hounslow) and Early
Intervention Team
Broadmoor: Henley and Canterbury (Changing to
Sheffield because of ward moves)
Specialist & Forensic: Aurora and Avebury
Communications: Dedicated exchange page ready to
go live. Leaflet for service users designed with strong SU
involvement. AGM will be “Making Recovery a Reality”.
Supporting film will be made.
CPA: Policy consultation has received feedback, will be
considered when being signed off at Clinical
Effectiveness Committee in July.
•Recovery Hub needs location and project plan completed
•Structure and resource to support this needs addressing
•Financial issues re: Peer support workers needs resolving
Programme Sponsor:
Steve Trenchard
This programme remains
AMBER because there are
still delays in some of the
projects, and reporting is still
on trial
•Financial risk needs to be addressed
•Issues re: culture change and philosophy
•Issue re: change of ward from Canterbury to ? Sheffield means
delay in process at Broadmoor
•Statistics from baseline information shows marked difference in
ward indicators eg. Assaults, use of seclusion etc.
•Change in leadership on 4 of the 6 wards has affected timing needs further detailed information across CSUs as this affects
recovery and relationships (service user feedback)