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Health Bill Transition Risk Register NC 15 Oct 10 Dept Bd Version v1

Health Bill Transition Risk Register NC 15 Oct 10 Dept Bd Version v1

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Published by Help Me Investigate
As linked from The Guardian's report here: http://www.guardian.co.uk/politics/2012/mar/27/health-reforms-damage-nhs-risk-register?newsfeed=true
As linked from The Guardian's report here: http://www.guardian.co.uk/politics/2012/mar/27/health-reforms-damage-nhs-risk-register?newsfeed=true

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Published by: Help Me Investigate on Mar 28, 2012
Copyright:Attribution Non-commercial

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03/28/2012

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Priority: Immi'tLongerTerm
Likelihood:Impact:Overall:
As at:28-SepIDAreaRisk DescriptionPriorityLikedImpctOverallTracking(from Nov10)Mitigation Actions1
System DesignThe policy
design for some aspects of the futureorganisation is incomplete
(e.g. PHS White paper dueDec; future design of Informatics comes too late to feed intooverall system definition/ architecture, to feed into the HealthBill). So risk that Bill proceeds on basis of incomplete /flaweddesign.
Immi't
4416
ocy eams, ncung , nee o worclosely with overall system design toensure policy and future design is aligned,and to ensure high level systemarchitecture design has reached a pointthat will provide a level of clarity andconfidence on design before Bill proceeds.Plan for further involvement in design andtesting with wider group of practitioners
2
System Design(Bill)
Bill risks:
As the Bill proceeds through Parliamentary stages,amendments are made which have unforeseenconsequences for the system, with possible impact on costsor performance of the system.
Immi't
4416
Use design process to surface outstandingissues, so they can be mitigated.
3
System Design
Design work proceeds without the confirmation of costenvelopes for each organisation
which means that thefuture system design is signed off, and the Bill proceeds,without assurance that the whole system is affordable. Oneexample of area where system could be more costly is if GPConsortia makes use of private sector organisations/staffwhich adds costs to the overall system
Immi't
4416
Finance is developing overall costenvelopes by the end of October to feedinto the system architecture design work,and ensure individual organisations canoperate within its cost envelope. Key areaof focus is commissioning board and GPconsortia.
4
ImplementationAspects of
implementation begin before adequateplanning
has been done about how the system in transitionwill need to operate. For example, who has control offunding when the SHA operates in parallel with the NHS CB?And who is responsible for commissioning when both PCTsand GP Consortia are in place?
Immi't
4416
Work underway to develop robustimplementation strategy to work throughthese issues, to inform exact sequencingfor implementation, with proposed ASE-style event end October
DRAFT FOR DISCUSSION
TRANSITION PROGRAMME RISKS
1
(rare) -
5
(almost certain)
1
(very low) -
5
(very high)Likelihood x impact

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