SCIM Refresh

Mike Baxter

Deputy Director Capital and Facilities

1

Background to Refresh

• Project Board set up to oversee proposed changes to SCIM

• Representatives from HFS, SFT & Scottish Government leading on different aspects of SCIM manuals

• Letter sent to Boards in May asking for their opinion on changes they would like to see

• Anticipate wider consultation on proposals around end of year

• Today, presenting early proposals for two aspects of the Refresh: – Strategic Assessment stage – Benefits Realisation framework

2

Why a Refresh?

3

Reasons for Change

• Closer links needed between Boards’ Clinical Strategy, its PAMS and its LDP

• Investments aren’t currently prioritised on a consistent & timely basis

• Proposals need to focus more on benefits of investment before thinking about solution

• Business case process isn’t fully aligned to new procurement routes such as Frameworks Scotland2, hub, and NPD

4

More Reasons for Change

• Existing guidance is weighty and sometimes difficult to interpret, resulting in varying degrees of quality submissions

• Greater emphasis needed towards service requirements informing change

5

Any More Reasons for Change?

• Are there any other issues with the SCIM process, or the wider investment planning process, that you think need to change?

• {to discuss at workshop session}

6

Benefits of resolving these issues

• Improved strategic planning & quality of PAMS • Better informed investment decisions using

measurable benefits • All investment proposals are linked to national

strategic priorities • Clearer investment decision making through

objective prioritisation • Standardised approach to reporting financial &

commercial information in business cases • Improved quality of business case submissions

7

Current proposals for SCIM Refresh

David Browning

Capital Projects/PPP SGHSCD Advisor

8

Current proposals for SCIM Refresh

• To introduce a new Strategic Assessment stage prior to Initial Agreement

• To introduce Benefits Realisation planning at earliest opportunity and retain throughout business case process , procurement, completion and beyond

• To link project evaluation to initial benefits • To update option appraisal guidance to remain in line

with Greenbook, whilst simplifying overall guidance • Refresh Financial & Commercial Cases to suit each

main procurement route • Make design assessment process more integral to the

overall business case process 9

Today, looking at early thoughts on two aspects of the SCIM Refresh

Strategic Assessment Stage &

Benefits Realisation Framework

10

Introducing the Strategic Assessment stage

11

Clinical Strategy

LDP PAMS

Initial Agreement

Outline Business

Case

Full Business Case

Existing & Proposed Arrangements

Clinical Strategy

LDP PAMS

Strategic Assessment

Initial Agreement

Outline Business

Case

Full Business Case

Business Case

prioritisation

12

Strategic Assessment stage

• What is it? – It is an additional stage in the investment planning process

– Every investment proposal will need to complete a template which links the need for investment with the benefits to be gained

– It is expected it will be contained within a single page

– Proposal is to base it on the following 4 questions: • What is the need for change?

• What benefits will be gained from addressing these needs?

• How do these benefits link to NHSScotland’s Strategic Priorities?

• What solution is being considered to deliver these benefits?

13

Strategic Assessment stage

• Further details:

– A Strategic Assessment template will need to be completed for all new investment proposals

– It is anticipated this will fit within the ‘Where do we want to be?’ section of a Board’s PAMS

– It should be formed from discussions in a multi-stakeholder workshop – not in isolation

– The workshop will demonstrate organisational & stakeholder support for the project

14

Strategic Assessment stage

• Further details:

– It will be used to assess and assign national priority for the project and approval to proceed to the business case process

– The Initial Agreement will need to provide the evidence base in support of the Strategic Assessment

15

Q1: What is the need for change?

• Required at Strategic Assessment stage:

– Brief description of current arrangements / services associated with need for change

– Main reasons / drivers / opportunities for change

– This should be based on a summary of discussions formed in a stakeholder workshop

• Detailed evidence of this need for change will be required at Initial Agreement stage

16

Q2: What benefits will be gained from addressing these needs?

• Required at Strategic Assessment stage

– Indication of main benefits to be gained from proposed investment

– Indication of expected value of those benefits

– Demonstrate links between need for change and benefits to be gained

• Detailed benefits realisation plan will be required at Initial Agreement stage

17

Q.3: How do these benefits link to NHSScotland’s Strategic Priorities?

• Required at Strategic Assessment stage:

– Map the links between the expected benefits and NHSScotland’s Strategic Priorities

– Use the value of these benefits to justify a prioritisation score for each of NHSScotland’s Strategic Priorities

– Linked to Capital Planning system

• Initial Agreement stage to provide justification for Prioritisation Score given to investment proposal

18

• Required at Strategic Assessment stage: – Use five categories of choice to indicate early

thoughts on potential solution: • What is scope / coverage of solution?

• How will service be delivered?

• Who will deliver the solution?

• How & when will solution be implemented?

• What is indicative value of investment needed and how will it be procured?

– The Initial Agreement will be used to identify the preferred way forward

Q.4: What solution is being

considered to deliver these benefits?

19

Introducing the Benefits Realisation Framework

20

Benefits Realisation Framework

• Based on best practice principles developed by eHealth

• Introduces benefits considerations at beginning of investment planning process

• Benefits to flow throughout the business case stages

• Benefits also to form a key component of the project evaluation process

21

Benefits Realisation Framework

1. Identify investment objectives required to overcome need for change

2. Identify SMART benefits that will result

3. Prioritise benefits based on value of benefits and likelihood of achievement

4. Identify responsible person/group for benefit delivery

5. Map benefits to investment objectives

Objectives identification

Benefits identification &

prioritisation

Benefits ownership

Mapping benefits to objectives

22

Stages for Introducing Benefits Realisation Framework

• Strategic Assessment stage – Indication of main benefits (and value) to be gained from proposed

investment

• Initial Agreement stage – Develop Benefits Realisation Plan, including evidence base for

measureable benefits – Identify additional benefits for design & technical objectives

• Outline Business Case stage – Update Benefits Realisation Plan – Use main benefits as part of option appraisal exercise

• Full Business Case stage – Confirm benefits realisation plan and incorporate within project

evaluation plan

• Post-completion stage – Use benefits realisation plan as basis for post-project evaluation

23

Outcome of Introducing Benefits Realisation Framework

• Investment decisions based on benefits to be achieved

• Robust process for managing, monitoring & realising benefits

• Clearer definition of actual benefits

• Stakeholder commitment towards realising the benefits

• Iterative process for updating benefits as project develops through business case process

• Project evaluation based on benefits realisation plan

24

Questions for Consideration

25

Review Workshop:

1. Are there any other issues with the SCIM process, or the wider investment planning process, that you think need to change?

2. Do you foresee any issues with the Strategic Assessment stage being proposed?

3. Do you foresee any issues with the Benefits Realisation Framework being proposed?

26