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

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

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Figure 9.67: Summary of pre consultation evaluation of eight options under Value for Money<br />

The analysis concluded that options 5 and 6 were the only two options that have an overall<br />

positive evaluation, with Option 5 being the strongest. The only negative evaluation for<br />

Option 5 was given for transition costs. Option 6 received an additional negative evaluation<br />

for overall surplus/deficit. Options 5, 6 and 7 were evaluated positively for their Net Present<br />

Value.<br />

Sensitivity testing was undertaken on the results of the evaluation. A total of 17 scenarios<br />

were tested and in all cases Option 5 (now Option A) was ranked first outright or in one<br />

case, joint first.<br />

On the basis of this evaluation, along with that for the other criteria, Options 5, 6 and 7 were<br />

taken forward and consulted on (as Options A, B and C respectively).<br />

9.11 The approach used to undertake the assessment post-consultation<br />

To oversee the financial analyses the approach taken (as with the work undertaken preconsultation)<br />

was to convene a group of all commissioner and provider Finance Directors,<br />

together with a patient representative and finance staff from NHS London.<br />

This Finance and Business Planning (F&BP) group was tasked with overseeing the activity,<br />

capacity, estates and finance analyses, including commissioner forecasts, Trust forecasts,<br />

the out of hospital forecasts and the capital requirement to deliver the proposed changes.<br />

The group was also tasked with advising on the value for money of the options consulted<br />

upon, both relative to each other, and compared to the „do nothing‟ (i.e. current<br />

configuration) situation. The group met approximately every two weeks from September<br />

2012 to January 2013.<br />

9d. Decision making analysis stage 6 and stage 7 384

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