Readiness to Proceed. These major service change proposals and preferred solution are supported by the majority of the Caithness public, and are fully supported by our Community Planning Partners, the NHS Highland Board, and the Cabinet Secretary for Health and Sport. Our partners have provided a commitment in principle (section 5.5), and we will work with them throughout Outline Business Case to clarify their accommodation requirements and funding contributions. Robust arrangements are in place to ensure the successful delivery of the service and infrastructure change elements, and the proposals are fully aligned with national and local strategy.
Readiness to Proceed. Estimated Date first cash reimbursement will be requested from IFA? Be aware that grant and loan funds not spent within two years of the award are subject to forfeiture. August Month and 2016 Year
Readiness to Proceed. NHS Highland is in a strong position to progress these proposals to Outline Business Case, as indicated in the checklist below. Table MC03 – Initial Agreement Checklist Initial Agreement requirement Response Evidence Is the reason made clear why this proposal needs to be done now? Yes Table SC16 in section 2.2.5 Is there a good strategic fit between this proposal, NHS Scotland’s strategic priorities, national policies and the organisation’s own strategies? Yes Section 2.2.4 and Appendix SC13 Have the main stakeholders been identified and are they supportive of the proposal? Yes Sections 3.2, 3.5.4.1 and 6.5.
Readiness to Proceed. No Checklist Yes/No Proposal 1 Is the reason made clear why this proposal needs to be done now? Yes The Strategic Case sets out the imperatives for this proposal on a national, regional, and local level. 2 Is there a good strategic fit between this proposal, NHS Scotland’s Strategic Priorities, national policies, and the organisation’s own strategies? Yes There is a compelling case for this proposal, when referenced against the strategic priorities. Refer to Table 7.1 3 Have the main stakeholders been identified and are they supportive of the proposal? Yes The main stakeholders have actively engaged in the development of this proposal and are supportive of the service change proposal. 4 Is it made clear what constitutes a successful outcome? Yes The investment objectives are identified. These will be a reference measure for success as the project outputs are developed. 5 Are realistic plans available for achieving and evaluating the desired outcomes and expected benefits to be gained, including how they are to be monitored? Yes A Benefits Realisation Plan has been drafted and will be further developed through the OBC stage with input and ownership from key stakeholders 6 Have the main project risks been identified, including appropriate actions taken for mitigating against them? Yes A Risk Register has been developed to identify and manage project risks. 7 Does the project delivery team have the right skills, leadership, and capability to achieve success? Yes The project delivery team are experienced in the delivery of business cases and construction projects in an acute healthcare environment. 8 Are appropriate management controls explained? Yes A robust project governance structure is in place. This is explained in Section 6. 9 Has provision for the financial and other resources required been explained? Yes Financial implications of this proposal (both capital and revenue) are detailed in Section 5.5. Figure 6-11: Readiness to proceed checklist 7 CONCLUSION Questions Response Conclusion Is this proposal still important? Confirm: • Strategic Assessment template
Readiness to Proceed. The project will consist of a new development that will replace the existing East Calder Health Centre with a purpose built modern health facility. It will accommodate the East Calder Medical Practice and community services from the West Lothian Health and Social Care Partnership. The new centre will be located on a site adjacent to the existing centre with the services continuing in the existing centre until construction completion The new facility should meet the needs of the current practice population, the projected growth and the impacts of “Shifting the Balance of Care”1 now and in the foreseeable future. Following approval of the Initial Agreement, a full project design team was established through the Hub South East Scotland procurement route. In learning lessons from previous projects, numerous, more detailed surveys have been carried out to identify potential issues and inform the design. The design has now been developed through to completion of Stage 1 including cost / pricing report. This proposal has impacts on adults, children and young people and their carers who live in East Calder who require access to Primary Medical Services. It also impacts upon clinical and support staff currently working within East Calder Health Centre and East Calder Medical Practice. Initial engagement has taken place with key stakeholders who support the preferred solution to build a new health centre.
Readiness to Proceed. NHS Highland is in a strong position to progress these proposals to Outline Business Case, as indicated in the checklist below. Table MC03 – Initial Agreement Checklist Initial Agreement requirement Response Evidence Is the reason made clear why this proposal needs to be done now? Yes Table SC16 in section 2.2.5 Is there a good strategic fit between this proposal, NHS Scotland’s strategic priorities, national policies and the organisation’s own strategies? Yes Section 2.2.4 and Appendix SC13 Have the main stakeholders been identified and are they supportive of the proposal? Yes Sections 3.2, 3.5.4.1 and 6.5. Is it made clear what constitutes a successful outcome? Yes Benefits, section 2.3.2 and Appendix SC15 Are realistic plans available for achieving and evaluating the desired outcomes and expected benefits to be gained, including how they are to be monitored? Yes Benefits, section 2.3.2 and Appendix SC15
Readiness to Proceed. DOE shall have received (x) the most recent invoice paid by the Borrower for each Construction Contract under which work on the Project has commenced or (y) in the case of each other Construction Contract existing as of the First Advance Date that has not yet commenced work on the Project, evidence that the Borrower and the applicable Major Project Participant have confirmed in writing the effectiveness thereof and the readiness of all parties to proceed with performance of the work thereunder that is contemplated to be performed during the then current stage of the Project pursuant to the Project Plans.
