SaHF DMBC Volume 1 Edition 1.1.pdf - Shaping a healthier future

Response to feedback about capital costs: Our F&BP group and Programme
Board agreed the initial financial modelling work pre-consultation to support the
evaluation of options and the JCPCT‟s decision to proceed to consultation. The
F&BP group has since updated the financial models as part of the post consultation
phase and they include detailed cost requirements, this work is reflected in the post
consultation analysis that follows in the next section of this document.
With respect to securing capital, Trusts are required to secure capital funds through
the standard Department of Health and Treasury processes, the programme is
committed to supporting this work.
Response to feedback about site viability as referenced in the Rideout report:
The financial viability of trusts is an important factor for local people. If trusts are not
viable, then the trust cannot continue in that state. This work has also been revisited
by the F&BP group during the post consultation phase. Details follow in the next
section.
Response to feedback about Net Present Value as referenced in the Rideout
report: NPV is the best overall indicator available to assess the financial impact of an
option over a number of years because it takes into account both capital and revenue
consequences of each option. It does use data that is contained in other financial
measures but uses it in a different way to calculate the overall financial benefit of the
option. This evaluation has also been revisited post-consultation.
As stated, we re-evaluated the „value for money‟ criteria post-consultation. We noted the
concerns regarding the capital estimates and as a result have worked closely with providers
to review and refine the three consultation options and used this updated analysis postconsultation.
We focused on the three consultation options because the feedback we
received during consultation did not include any viable alternative to these options.
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Deliverability: Workforce
9.9.29 The purpose of the workforce sub-criterion
Workforce is the first sub-criterion of deliverability. The purpose of the sub-criterion is to
examine which options will provide the best workplace for staff using staff satisfaction
surveys.
9.9.30 Workforce sub-criterion analysis
The availability of sufficient workforce with the right skills was a significant factor in
determining the number of major hospitals needed in NW London (see Chapter 9b). Once
this number was established, the programme wanted to assess whether there was any
further differentiation between options based on workforce. For this to be the case, we
therefore needed to assess qualitative rather than quantitative measures and these were
based on whether staff performed well and were satisfied in their work.
A qualitative assessment was undertaken based on the number of better performing Trusts
expected to be part of the future configuration, as assessed by the following staff metrics:
Staff turnover rates
Staff sickness rates
9c Decision making analysis stage 6 360