January 2012 - Sandwell & West Birmingham Hospitals

SWBTB (1/12) 286 (a)
Table 4 – Recommendations from the Gateway Review
Ref. No. Recommendation Timing
1. Clearly identify the capital and revenue implications of Do Now
each option to be consulted on and ensure explicit
agreement from all partners as to how these will be
managed prior to moving to public consultation.
2. Clarify the process and timetable for sign-off of the
consultation document.
3. Establish the proposed benefits to inform the consultation
process.
4. Develop the benefits realisation plan for the project, with
owners and clear metrics for measurement.
5. Review the timings of the final phase of work prior to
consultation.
6. Establish a detailed plan for implementation of the
service model.
Do Now
Do Now
Do by June
2012
Do Now
Do by June
2012
The Project Board have reviewed these recommendations and responded through the
following actions:
1. SWBH finance dept have now put together headline cost implications for each option
which will be presented to Trust Board on 26 th January
2. Process timeline of sign off for the consultation document have now been included in
the PID
3. The benefits realisation has been amended to reflect the key outcomes to patients of
reduced rates of mortality and long term disability. Additions to the consultation
document have been agreed to include explanation of these benefits.
4. The benefits realisation plan has been added to the agenda of the next project
Steering Group meeting in February to develop further
5. The timeline and process of approval for the short list options (‘final phase of work’)
has been included in the PID
6. The project plan has been updated to include the development of a clear
implementation plan over the next 5 months.
6. OPTIONS
6.1 Long List of Options
We identified an initial long list of 7 options for future service models through several
Listening into Action (LiA) events with clinical staff. These took place through 2011 in
January, April and July. The service models were then refined through the Project Steering
Group with key multi-disciplinary clinical leaders. This long list of 7 options was then reduced
to 6 options at the request of the Project Board in October 2011 as option 3 and option 6 of
that list were almost identical. This proposal to reduce to 6 options was then agreed by the
Project Steering Group and the new options were re-numbered.
6.2 Short Listing Process
In the initial scoping of the long list of options neither City Hospital nor Sandwell Hospital
offered any fundamental reason for locating the acute stroke and TIA services at one site
over the other site. As such the priority of the Project Board was to agree the models of
service rather than on which site these models would be located. It was therefore agreed that
the long list of options would not be site specific and the short listing process would focus on
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