Trust Board Febuary 2010 - Sandwell & West Birmingham Hospitals

SWBTB (2/10) 045 (a)
The final ranking reflects the position having removed the capital charge savings from the trading
position. As this is removed from Options 1,2 and 3 equally then it does not change the overall ranking
assessment.
Table 11: Option Financial Ranking
Options NPV Over Period
Economic
Score
I&E Impact
Over Period
Affordability
Score
Net Movement
over period
£ £ £
I&E Impact
Excl CC
Benefit
Do Minimum (12,416,482) 3 (670,209) 3 (670,209) 3
1 (7,989,616) 1 1,373,789 1 608,165 1
2 (7,989,616) 1 1,373,789 1 608,165 1
3 (8,268,222) 2 1,274,213 2 508,589 2
11. RISK ASSESSMENT AND MANAGEMENT
11.1 Clinical Risks
A sub group of the Project Steering Group identified clinical risks for each of the Do Minimum and Short
Listed (1-3) Options which they then scored, identified mitigation actions and undertook a post mitigation
score. These can be found in appendix 7. These risks and scores were then agreed by the Project
Steering Group.
It should be noted that whilst many risks are common across all of the short listed options a number are
different to reflect the risks specific to each service model. The table below summarises the clinical risk
assessment in terms of risk level.
Table 11: Clinical Risks
Option
Total
No.
of
Risks
Risk Assessment
Post Mitigation Risk
Assessment
Red Amber Green Red Amber Green
12 9 2 1 5 6 1
Do
Minimum
Option 1 7 0 6 1 0 2 5
Option 2 7 0 4 3 0 2 5
Option 3 12 4 7 1 0 5 7
It can be seen that Do Minimum has the highest number of clinical risks assessed as red both before
and after mitigation.
Option 3 is the only other option with red risks pre-mitigation but has no red risks post mitigation
although the highest number and proportion of amber risks post mitigation
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