NHS Gloucestershire CCG Project & Programme Assurance Process

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Stage 1 : Justify and Define

QIPP Assurance Group : Initial Assessment

Stage 3a : Design

QIPP Assurance Group : Business case assessment

(and sign off <£50k)

Stage 4 : Develop & Delivery

QIPP Assurance Group :

Technical expertise d delivery phase

PID / OBC

Service Spec

FBC Project

Plan

All new schemes must enter this GCCG Assurance process and existing schemes will enter according to the current position in their lifecycle. Smaller / lower priority initiatives can follow a streamlined path. HealthPerform supports process throughout.

Stage 2 : Prioritisation

Prioritised by CCG Business meeting

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Stage 3b : Design

CCG Core Team / Governing Body :

Business case sign off (>£50k)

Business cases >£50k sent to Core

Team with recommendation

from QIPP Assurance Group

Priority Self

Assess

Stage 5 : Implementation

Core Team : Optional (defined at Stage 3) by scheme

KPIs Risks & Issues

Comms plan

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QIPP Assurance Group• Meet weekly on a Thursday morning

• Reports to CCG Core Team

• Core membership :• Associate Director Strategic Planning – Chair • Deputy Director of Nursing• Chief Financial Officer• Associate Director Business Intelligence• Head of Financial Planning• Deputy Director Commissioning Implementation• Head of Information and Performance• Additional attendees co-opted according to agenda items

• Papers must be submitted to the PMO by the Friday preceding the weekly QIPP Assurance Group

• Responsible for assessment, evaluation and sign-off of business cases (>£50k to Core Team), and for monitoring progress post implementation by scheme

NHS Gloucestershire CCG Project & Programme Assurance Process

Gat

eway

1 :

Au

tho

rise

d f

or

pri

ori

tisa

tio

n

Stage 1 : Justify and Define

QIPP Assurance Group : Initial Assessment

Stage 3a : Design

QIPP Assurance Group : Business case assessment

(and sign off <£50k)

Stage 4 : Develop & Delivery

QIPP Assurance Group :

Technical expertise d delivery phase

PID / OBC

Service Spec

FBC Project

Plan

All new schemes must enter this GCCG Assurance process and existing schemes will enter according to the current position in their lifecycle. Smaller / lower priority initiatives can follow a streamlined path. HealthPerform supports process throughout.

Stage 2 : Prioritisation

Prioritised by CCG Business meeting

Gat

eway

2 :

Pri

ori

tise

d a

nd

sta

ff r

eso

urc

ed

Stage 3b : Design

CCG Core Team / Governing Body :

Business case sign off (>£50k)

Business cases >£50k sent to Core

Team with recommendation

from QIPP Assurance Group

Priority Self

Assess

Stage 5 : Implementation

Core Team : Optional (defined at Stage 3) by scheme

KPIs Risks & Issues

Comms plan

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4 :

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Project – Stage 1 : Justify & Define

Pause / Rework

Proceed to Prioritisation

Stop

Stakeholder only

Stage 1 approved

Stage 1 pending

Stage 1 withheld

Project manager and/or GP Lead• Signed-off Project Initiation Document and

self-assessment of priority using the Prioritisation Matrix

• Submit to PMO with slide deck• Attend QIPP Assurance Group to give brief

overview of initiative (10-15 mins)

QIPP Assurance Group• Initial assessment of scheme – including

ability to deliver suggested outcomes to time and budget

• Explore support required and opportunities to package with other initiatives

• Specialist advice sought where required• Stage 1 decision outcome given

Project – Stage 1 : QIPP Assurance Group (10-15 min) slot

A brief overview of the scheme, the slide deck for stage 1 provides a high-level view supported by the PID and prioritisation self-assessment. Must include slides on:

Background and Rationale (What and how?)• Outline description of proposal• Funding required• Alignment with national and local

priorities• Clinical Programme approved• Prioritisation self-assessment score

Potential Impacts (Why?)• Initial evidence review• Patient impact – outcomes / access /

acceptability• Financial impact• Risk mitigation• Do-ability

Timing (When?)• Proposed dates for each ‘Stage’• Plans for trial• Communications• Plans for launch (phased / full) • Urgency• Procurement indications

Engagement (Who?)• Which patients / citizens? – scale?• Which stakeholders need to be engaged

and who already has been?• Who is the clinical lead?• Sponsor / accountable executive?

Project – Stage 3 : Design

Pause / Rework

Proceed to Develop / Core Team

(>£50k)

Stop

Stakeholder only

Stage 3 approved

Stage 3 pending

Stage 3 withheld

Project manager and GP lead• Signed-off Full Business Case with project

plan, KPIs and Risk & Issues• Submit to PMO with slide deck• Attend QIPP Assurance Group to provide more

in-depth details of project deliverables, patient outcomes and the service specification (25-30 mins)

QIPP Assurance Group• Assess robustness of business case, service

specification, project plan and KPIs • Stage 3 decision outcome given : Business

cases for less than £50k investment approved; greater than £50k to Core Team

• Confirm if further attendance required at Stage 4 (Develop) or Stage 5 (Implementation)

Project – Stage 3 : QIPP Assurance Group (25-30 min) slot

A more detailed assessment of the scheme, the slide deck for stage 2 is supported by the full business case, project plan and evidence review. Must include slides on:

Study outcome • Finalised scope• Options appraisal• Investment required• Procurement advice• Anticipated benefits

Evidence• Clinical evidence review• Financial and Informatics appraisal• Risks and Issues• Key assumptions• Contribution to QIPP agenda

Timing• Implementation plan with milestones,

with explicit agreement from task owners to the proposed dates

• Procurement timetable• Planned Stage 3 and Stage 4 timetable

Engagement • Public engagement• Stakeholder engagement• Equality Impact Assessment• Impact analysis across health and social

care, including workforce, buildings, IT and equipment

• Access

Project – Stage 4 : Develop & Delivery QIPP Assurance Group : 25 minute slot

An appraisal of readiness to trial/launch, the slide deck for stage 4 is supported by the service specification, stakeholder readiness assessment, comms plan, KPIs and risks and issues log as the project develops the solution and moves towards implementation. Must include slides on:

Service specification• Overview of service• Pathway • Access and exclusion criteria • Interdependencies

Governance• Information Governance • Clinical Governance• Risks and Issues• Key assumptions• Applicable national and local standards

Critical Success Factors (CSFs)• CSFs for launch • Monitoring success • Plans for under / over performance• Key service outcomes • Key Performance Indicators• Dates for trial / launch, phasing, firebreak

Engagement • Public engagement• Stakeholder readiness• Patient outcomes • Communications plan

Project – Stage 5 : Implementation – Core Team

An optional stage that can be requested by the Core Team at Stage 3b and is likely for schemes of higher value or risk, or those that intend to initially trial and evaluate before full rollout. Must include slides on:

Service outcomes• Service overview and pathway• Access and exclusion criteria• Patient outcomes• Financial outcomes• Patient and clinician feedback including

the 4Cs (if trialled)

Governance• Clinical / information governance• Risks and Issues with explicit Sponsor

sign-off for mitigations of red and amber ratings

• Key assumptions

Critical Success Factors (CSFs)• CSFs • Monitoring success• Plans for under / over performance• Key service outcomes • Key Performance Indicators

Engagement • Public engagement• Stakeholder readiness• Patient outcomes • Communications plan