Appendix B Process Flow For Stages 1 – 3 of the Prioritisation Process The process matches the business cycle which has three main components – strategic planning, procuring services and monitoring & evaluation. This is a sub-set of the decision making / governance framework. Appendix C Appendix D PRIORITISATION PROCESS TEMPLATE Unique Reference Number Commissioning Manager / Lead Name Name of Project Clinical Lead Sponsoring Executive Background to the Proposal Please provide an overview of the proposal Include details of background, scope, rationale What is the supporting data / comparative benchmark data? Is the CCG an outlier? Aims and Objectives What are the deliverable outcomes & benefits from this proposal? If it is a de-commissioning proposal, what are the potential impacts? Governance is the accountability for this proposal? e.g. SMT / Exec Team / Locality Group / Pennine Lancashire Programme Board / Collaborative Commissioning Board Assumptions & Constraints
No information provided Unable to determine from the information provided Slight improvement in access OR May cause small access issues Some improvement in access OR May cause some access issues Significant improvement in access to services OR Does not cause new access issues How many patients would benefit from improved convenience and ease of access? 0 No information provided 1 0% - 25% Of impacted population 2 25% - 50% Of impacted population 3 50% - 75% Of impacted population 4 75% - 100% Of impacted population To what extend would the initiative contribute to reducing health inequalities 0 No information provided 1 No reduction OR May create a significant HI gap 2 Some reduction OR May create a marginal HI gap 3 Significant reduction OR May create a small HI gap 4 HI gap completely closed OR Does not create a HI gap Benefit To what extent the initiative enhance the implementation of clinical practices designed to improve the quality of life? (eg admission avoidance or case management) 0 No information provided 1 There would be no improvement in the quality of life of the impacted cohort OR There could be a significant reduction in the quality of life of the impacted cohort 2 There would be minor improvement in the quality of life of the impacted cohort OR could be some reduction in the quality of life of the impacted cohort 3 There would be significant improvement in the quality of life of the impacted cohort OR could be minor reduction in the quality of life of the impacted cohort 4 There would be a huge improvement in the quality of life of the impacted cohort OR There would be no reduction in the quality of life of the impacted cohort To what extent the initiative enable the achievement of evidence-based health outcomes? 0 No information provided 1 There is little or no clinical evidence to support this project 2 There is some clinical evidence to support his project 3 There is a lot of clinical evidence to support this project 4 The of this project is well documented best practice Priority To what extent does the initiative address key national priorities? 0 No information provided 1 This scheme is not one of the 2 This scheme starts to address 3 This scheme goes some way 4 This scheme is proposed
key national priority key national priorities to supporting key national priorities specifically to address key national priorities Priority Does the initiative address key local priorities and objectives? 0 No information provided 1 This scheme is not supportive of local priorities and objectives 2 This scheme starts to address local priorities and objectives 3 This scheme goes some way to supporting key local priorities and objectives 4 This scheme is proposed specifically to address key local priorities Is there pressure for change from people / organisations outside of the local health community? (eg patient groups / politicians) 0 No information provided 1 There is or would be no external interest in this scheme 2 There might be some external interest in this scheme 3 It is highly likely that there would be some external interest in this scheme 4 is or would be significant external interest in this scheme Is there pressure for change in this area from within the health economy? 0 No information provided 1 is or would be no local interest in this scheme 2 There might be some local interest in this scheme 3 It is highly likely that there would be some local interest in this scheme 4 There is or would be significant local interest in this scheme Benefit Would the initiative result in financial savings? 0 No information provided 1 0% - 2% of total service costs saved 2 2% -5% of total service costs saved 3 5% - 7% of total service costs saved 4 Greater than 7% of service saved How long would it b before these are released or there is a return on any investment that will be required? 0 No information provided 1 No return on investment 2 Long term return ie greater than 7 years 3 Medium term return ie between 3 and 7 4 Short term return ie immediate to 3 years DO-ABILITY CRITERIA Are stakeholders within the local health community supportive of this project? 0 No information provided 1 is no local support for this project 2 There is little local support for this scheme 3 It is a lot of local support for this scheme 4 There is significant local support for this scheme
What is the likely reaction of local patient groups and politicians? 0 No information provided 1 There is or would be no local interest in this scheme 2 There might be some local interest in this scheme 3 It is highly likely that there would be some local interest in this scheme 4 There is or would be significant local interest in this scheme & Equipment Does this require change to buildings and equipment 0 No information provided 1 There would be significant change required OR This would leave a significant amount of space or equipment unutilised 2 There would be some changes required OR There would be some space or equipment left unutilised 3 Minor cosmetic changes would be required OR A small amount of space or equipment would be left unutilised 4 There is very little or no impact on buildings or equipment OR The resource would be made available to be utilised more efficiently and effectively Will current workforce have to be redeployed 0 No information provided 1 There would be significant redeployment required OR Displacement of many staff 2 There would be some redeployment OR Displacement of some staff 3 A few staff would need to be redeployed OR displaced 4 There is very little or no impact on staffing OR Staff could be used more efficiently and effectively Is this project reliant on securing new or additional skills or reliant on long-term on-going training once staff are appointed? 0 No information provided 1 is a skills shortage within this area & staff would be difficult to recruit OR Staff will need constant on-going training 2 It may prove difficult to recruit staff with the required skills OR Staff will need some on-going / refresher training 3 It would not be difficult to recruit new staff with the required skill set OR There is little training requirement 4 are already recruited who have the required skill sets & this service would see them use those skills more effectively Delivery Does this represent a complex service change? 0 No information provided 1 YES 2 Fairly complex 3 Some minor redesign 4 NO Would this affect the viability of other services? 0 1 2 3 4