ehealth - Programmes - Full Business Case Guide

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This is step two in the SCIM OAG.Summarise what the scheme aims to achieve for the organisation, ideally in the formof a clear bullet point list.Want to know more about .…. Objectives and needs?SCIM BCG Action 2.2 Determine investment objectives, existingarrangements and business needsSee:3.2.1 InvestmentExplain the reason for the change as investment objectives detailing:• service and performance improvements;• increased productivity;• reduced staffing; and• information access and availability.N.B. Include the extent to which the objectives will impact the business.3.2.2 SustainabilityProvide details of how the scheme will provide lasting benefit in particular ongoingreduction of carbon emissions. Examples of sustainability are:• energy efficient PCs, servers e.g. power saving settings;• information/access provided remotely, reducing the need to travel; and• improved systems integration and/or electronic reporting reducing the need toproduce hard copies.3.2.3 ServicesProvide details of the existing services identified for the change. Describe the currentservices in terms of:• current capacity;• time based usage;• service demand; and• projections for future usage.N.B. The status quo commonly known as the “Do Nothing/Do Minimum” option isbased on the existing services.3.2.4 NeedsProvide a Gap analysis list of all the services the scheme/project is expected toimpact, covering new services, changes to or replacement of existing services andintegration with current and potential future services. To explain the shortfall and theneed for change include:• confirmation of the continuing need for the services;• the services life expectancy;• projections of future service demands and running costs as appropriate;• deficiencies in current service provision;• high level summary of user requirements; and• technology advances.3.3 Determine the Scope and RequirementsThis is step three in the SCIM OAG.3.3.1 Potential ScopeeHealth - Programmes - Guide - Initial Agreement 10Objective: F3033421 1.1
Consider the services from a business perspective and explain all that the schemecould address. Identify the business areas, processes services and organisation thatcould benefit from and/or should be impacted by the change, and list them with abrief description.3.3.2 RequirementsAnalyse the potential scope to produce a list of service requirements for thescheme. Use the table in the Annex D1 Scope for the requirements list.3.4 Benefits, risks and constraintsHaving identified the needs and subsequently produced the requirements, nowconsider the benefits the scheme/project will provide.Want to know more about …. Benefits, risks and constraints?See:• The SCIM BCG Action 2.4 - Determine Benefits, risks, constraints anddependences; and• The Scottish Government eHealth - Benefits Management ToolkitSession 1 Objectives and Benefits Identification (D323284)3.4.1 CriteriaProduce the criteria to measure benefits in terms of service delivery of businessvalue. Use the Annex D6 benefits list table to record the benefits associated with thepotential scope and investment objectives.3.4.2 RisksConsider what the main risks are to achieving the investment objectives andrealising the benefits. Specifically identify risks that are:• business risks;• service risks; and• external environmental risks.Start the risks list/register and enter details of the main risks, include any proposedmeasures that will be taken to reduce the risks. Use the Annex D5 risks list table todocument the risks. Show any start to risk analysis in Annex A3.It’s not too soon to start addressing optimism bias, show any work done in Annex BMitigation of optimism bias.3.4.3 ConstraintsThe aim is to ensure sustainability; so consider the opportunities to providesustainable benefit i.e. long term efficiency, savings and service improvement.Provide details of any limitations on the delivery of the investment e.g. servicesbeing addressed by another project; or time limit due to end of line for existingservices etc.N.B. Already starting to consider value for money (VFM).3.4.4 DependenciesProvide details of all other schemes, complete with their status, on which thisscheme depends. Describe briefly the nature of each dependency. Use the D5 riskslist table to document the dependences.4. The Way ForwardeHealth - Programmes - Guide - Initial Agreement 11Objective: F3033421 1.1
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