Case Studies

Nottingham City Clinical Commissioning group –

PCH provided specialist project management support to the Nottingham U&EC Vanguard team, leading on the development of an approvable Value Proposition for submission to central Vanguard team.

The Value Proposition was instrumental in securing £1.3m of Vanguard funding, enabling the
development of Vanguard projects covering three specific initiaitves:

  • Primary Care at Front Door of A&E
  • Clinical Navigation
  • Mental Health

Value added: Delivering significant benefits to patients, staff and the wider health community, the Value Proposition demonstrated whole system efficiencies against the financial investments to be made, representing a target Return on Investment (ROI) ratio of 1.2

Nottingham City COuncil – Process Re-engineering

PCH were commissioned by Nottingham City Council to project manage 3 projects within the major programmes department. For each project responsibilities included; undertaking a detailed options appraisal to identify preferred option, producing a business case, engaging with key stakeholders, establishing bench marking exercises, obtaining best practice examples and providing assurance to the Programme Manager and Corporate Director on progress through a rigorous project management approach. The three projects were:

  • Personal Information Requests – identify options for implementing a new model based on best practice or derived from focus groups to improve efficiency and performance in handling Personal Information Requests and mitigate potential for legal action.
  • BoxIT (Offsite storage, archive and retrieval) – Identify the best configuration of record storage and archiving to add resilience, robustness and sustainability.
  • EMSS AP Review (Review of the current Accounts Payable systems and processes) – Establish ways of resolving the shortcomings in Oracle in order to automate invoice attachment into the financial ledger, speed up payments and improve governance

Nottingham City Clinical Commissioning Group – Estates Strategy Development

PCH were commissioned by Nottingham City CCG to support the development of an estates strategy covering primary and community services.
PCH Approach to Estates Strategy
A systematic and structured approach has been used to develop the estates strategy using a 3 stage process covering situation analysis, strategic objectives and options culminating in the development of an estates strategy with supporting delivery plans and programmes.

Value added: A comprehensive database has been built which includes all commissioned services and the premises from which they are delivered.

In addition to defining the current services/estate landscape, the database has significant analysis and modelling capabilities to inform the development of the estates strategy.

Camden Clinical Commissioning Group – Project Management Office

PMO for Camden CCGPCH formed part of an interim team to establish and maintain a programme management office (PMO) to support a £50m transformation programme.

The role included an audit of the CCGs existing project and programme management (PPM) capabilities, establishing and operating a high performance PMO and the design and delivery of a bespoke project management training package.

The assignment brief was extended beyond the core PMO function to include the development of an Integrated Delivery Plan plus associated reporting architecture and change control processes. PCH have also designed and implemented a structured methodology for QIPP planning and reporting.

Academic Health Science Network – Prospectus and Business Plan

Innovation, Health and Wealth (December 2011) set out the Governments vision for accelerating the adoption and diffusion of innovation in the NHS.

The Government proposed to establish Academic Health Science Networks to align education, clinical research, informatics, innovation, training networks & education and healthcare delivery. The goal of AHSNs is to improve patient and population health outcomes by translating research into practice and developing and implementing integrated health care services.

PCH were commissioned by East Midlands Academic Health Science Network to develop a business plan for inclusion within the prospectus to support the EMAHSN application for full AHSN designation.

East Midlands Ambulance Service – NHS 111 Proposition

The NHS is introducing a single point of access for urgent healthcare services using a simple, memorable freephone telephone number – 111 . The NHS 111 service is part of wider revisions to the urgent healthcare system to deliver a 24/7 urgent care service that ensures people receive the right care, in the right place, at the right time.

With their capabilities in running large call centres for their 999 emergency services, Ambulance Trusts are well placed to become key players in local urgent and emergency care systems and most Trusts are positioning themselves to bid for NHS 111 call centre operations.

PCH were commissioned by East Midlands Ambulance Service NHS Trust to develop the strategic proposition for ambulance services as the preferred choice as NHS 111 service provider, setting out the key features and benefits, including system wide benefits to commissioners.

East Midlands Local Education Training Board – Outline Business Case

The Government White Paper, Liberating the NHS: Developing the Healthcare Workforce was launched in January 2012 setting out proposals for a new workforce, education and training system to support safe and high quality care. There are two central planks to the new system – Health Education England (HEE) and the Local Education and Training Boards (LETBs).

East Midlands LETB commissioned PCH to develop an outline business case (OBC) to establish the benefits, costs, risks and achievability of delivering a new headquarters with co-located training and meeting facilities, evaluating a range of strategic locations and recommending a deliverable preferred option.

Walsall Primary Care Centre – Outline Business Case

Primary Property Horizons are a property development company specialising in premises development for primary care, with a track record of successfully delivering stunning new GP surgery facilities in the East Midlands.

Primary Property Horizons and their strategic investment partner the Landport Group commissioned PCH to produce an Outline Business Case for modern, purpose built primary care facilities on a single site to accommodate two existing GP practices in Walsall.

NHS Pathways – Full Business Case

NHS Pathways is an evidenced based clinical assessment tool designed specifically for emergency and urgent telephone care, for use by specially trained call handlers and clinicians. For Ambulance Trusts, NHS Pathways has the potential to increase reduce ambulance conveyance rates and deliver more efficient front line services. For patients it means more consistent outcomes, allocating the most appropriate patient pathway at source.

East Midlands Ambulance Service commissioned PCH to develop and approvable Full Business Case for the implementation of NHS Pathways into their 999 Emergency Operations Centres in Nottingham and Lincoln.

NHS Lincolnshire – NHS Pathways CMC Directory of Services

The electronic Directory of Services (DoS) is a key component of the urgent care strategy for local health communities. Call handlers in 999 emergency operations centres and NHS 111 call centres rely on the local DoS being populated with up to date and accurate information about local health service provision in order to signpost patients to the most appropriate care pathway.

PCH were commissioned by NHS Lincolnshire to provide project administration services to ensure the local DoS was returning accurate data and information about local health service providers.