Option Appraisal. An independently facilitated Options Appraisal process was conducted with representation from the public, local community, staff, and Community Planning Partners and resulted in a clear consensus on a future model of care for Caithness. The group agreed the following seven non-financial benefits criteria and weightings to score each option: • Delivering sustainable services (22 points); • Meeting the demographic challenge (20 points); • Patient experience (15 points); • Staff experience (12 points); • Delivering services locally (14 points); • Addressing buildings issues (10 points); and • Caithness as a proposition (7 points). A long list of 40 possible options was developed, and following extensive discussion and debate, a short-list of four was agreed by all participants. This was largely shaped by; a formal need to score the “do nothing” option, a desire to develop combined “care hubs” within existing population centres as an alternative to the traditional disparate models of health and social care delivery, and a need to formally address historically challenging questions over hospital sites, particularly in Wick. The four shortlisted options were scored by the group with the outcome provided below.
Option Appraisal what works? Use evidence on what works from previous experience/evaluation in local area and elsewhere to agree the best actions to achieve the targets/outcomes. The Active Cumbria campaign is receiving favourable comment from all the partner organisations and members of the public, it is a 3 year long campaign and will be evaluated in the final year.
Option Appraisal. Defra has set itself the target of ensuring that by 2010 95% of SSSIs will be in a favourable or unfavourable but recovering condition. The target deadline is 31 December 2010. The target for 2008/09 is derived from planned work by Natural England and partners to implement suitable management on SSSIs within the year. This information is held by Natural England on its ‘REMEDIES’ database and all units not meeting the target have a delivery year attached to them. By selecting the planned delivery for 2008/09 from REMEDIES a gain of 5,503 hectares of SSSI towards the target is predicted for 2008/09. The baseline data is taken from Natural England’s ‘SSSI View’ system, which uses the National Environmental Scientific Services system to report condition. The ENSIS system provides ‘live’ SSSI condition data and can therefore be used to provide up to date information on the condition of Cumbrian SSSIs. This will be used to provide the quarterly updates.
Option Appraisal what works? Whilst the CRSP has no doubts that partnership working has helped to reduce the ALL KSI figure since 2000 they are less clear of the singular activity that has made the largest contribution to this achievement. The CRSP however considers that the vast majority of KSIs result from bad driving and human error and it is this area which needs to increasingly be the focus of a large percentage of their resources through Education and Training. It is the responsibility of the road safety coordinator to the partnership to liaise with the CRASH groups and other partnerships nationwide in order to identify those measures which have a clear effect on KSI reduction and bring these to the attention of the CRSP Group meetings.
Option Appraisal. The Property Strategy is based on the business objectives of the Service and supported by a review of the current estate as described above. With approval to proceed to Outline Business Case, a full option appraisal analysis would be carried out to explore how best to provide for the future of this national resource and the part it will play in the eventual comprehensive network of services. The Property Strategy proposes three options based on the urgent need to replace some wards and to deliver the required multidisciplinary, patient centred services appropriate to the 21st century. The options that would be explored are: Do Minimum: Upgrade for statutory/mandatory compliance Upgrade where possible for functional suitability Improve environmental performance and physical condition Replace management centre (temporary construction) Part Refurbishment/Part Rebuild Upgrade for statutory/mandatory compliance Upgrade all retained buildings (1970’s-1990’s construction) New build functionally unsuitable wards (original build 1948) New therapies/patient activities departments Replace essential services outside perimeter fence Replace management centre in decanted xxxx New Build Single site total rebuild SCALE OF INVESTMENT The option appraisal within the OBC will fully explore the costs in both capital and revenue terms. The scale of the capital investment in construction terms could be …. but this is based on benchmarking to other psychiatric hospital builds and ignores the special security aspect of the site. In revenue terms the Board’s allocation is indicative. Although there are likely to be some growth monies available, the redesign of services should identify savings in current practice which can be employed in the new scheme to improve service provision.
Option Appraisal what works? The sale of compost bins reduces waste arisings Reducing residual bin size increases recycling and increases minimisation Restricting commercial waste Xxxxxx power from school children to their parents A drip – drip approach to public in all medias Website provision Modern kerbside collection options Modern Household Waste Recycling Centres Well located Recycling Points Partnership working Modern disposal facilities
Option Appraisal what works? Use evidence on what works from previous experience/evaluation in local area and elsewhere to agree the best actions to achieve the targets/outcomes. High Quality graphics for PR promotional materials Strategic positioning , within libraries, of collections Good staff awareness training for library staff Success of Graduate Mental Health Workers with a pro active approach – can be dependant on individuals Networking to promote collections Collabaration with partners
Option Appraisal what works? Cumbria Highways has managed the highway network for three years and has used the SCANNER surveys results to develop programmes of work to target those areas of the network in the worse condition. The Partnerships was pleased to have been able to minimise any deterioration in the network last year in spite of budgetary constraints and recent adverse weather conditions. Capita Xxxxxxx work to produce treatment options for sections of road that include alternative treatments and materials. They also work with Amey as part of the Early Contractor Involvement process to review what is proposed and how schemes are delivered on the ground. This can produce cost savings and/or other benefits by using alternative materials and by revising working methods to reduce the number of days on site. An advantage of having Capita Xxxxxxx and Amey in the Partnership is that the organisations carry out work outside Cumbria and can share examples of best practice gained from working for other clients to improve the work of Cumbria Highways.
Option Appraisal. Short List The short list consequently included four options: Option Description
Option Appraisal what works? Use evidence on what works from previous experience/evaluation in local area and elsewhere to agree the best actions to achieve the targets/outcomes. What’s worked in the Past? Providing training to staff around the health needs of people with a learning disability and the process of health action planning and health facilitation Building positive relationships with groups of staff both in the independent sector and within the local G.P. practices. Demonstrating good work and partnership working ensuring that there are benefits for all in the work done. Keep the issue on everyone’s agenda keeping the issue current by giving regular feed back to everyone regarding progress through established communication routes? Using a number of different routes to get the outcome required for example working with providers and encouraging them to make appointments on behalf of their clients for annual health checks, working with the practice managers and asking them to champion the cause as well as working with commissioners to try and establish an enhance service which would promote equality right across Cumbria.
