STP Funding. Turning a Promise Into a Reality

Time: 16:55 - 17:15

Date: 09/10/2018

This presentation will chart the highs and the lows, the hopes and the fears and the successes and the failures of our Journey.

Broad headings to be covered are listed below

1. Brief History of Investment in Leicester

a. 2000 – 2007 Failed PFI
b. 2010 – New neonatal Unit
c. 2017 – Vascular surgery moves sites
d. 2017 – 2018 New ED & Emergency Floor
e. 2016 – 2018 The STP identifies capital funding required across Leicester, Leicestershire and Rutland

2. The overarching acute clinical and estates strategy:

a. The move from 3 to 2 acute sites
b. The challenge around size ( the reality of care closer to home)
c. The DCP : capturing everything

3. The challenge to get capital:

a. Access to capital is dependent on a system wide, affordable Sustainability & Transformation Plan
b. Even when funding is provisionally allocated; a business case needs approving
c. The challenge to developing an affordable business case:

4. Developing the brief:
a. Model of care & true transformation: How to get partners to work together ? ( the current commissioning system is not conducive to parties moving profit making activity around the system)
b. How to manage expectations?

5. Affordability
a. Ability to clearly identify transformation ( and cash releasing savings) across the system:
b. What is the return on investment?
c. What are the key non-financial / clinical benefits?
d. How will transformation release cash?

6. The issues of consultation: what are we actually asking?

7. Estates challenges to approval:
a. The ideal world vs reality: Derogation from HBNs / HTMs
b. The space challenge: STP reflects a 5 year time scale; business case needs to show 10 years – flexibility
c. Ensuring a cost effective team
d. IP issues
e. Stakeholder engagement
f. Sign off. v. Advice.

Speakers

  • John Lewin Senior Project Manager - University Hospitals Of Leicester NHS Trust
  • Nigel Bond Head of Capital Projects and Reconfiguration Programme Director - University Hospitals of Leicester NHS Trust

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