CRES PLAN RISK ASSESSED

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                                                                                                                                                   CRES PLAN RISK ASSESSED
                                                                                                                                                      Appendix A
                                            A                          B                                    C                                       D
CRES PROPOSALS 2009/10                 Proposals to              Deliverability                       Service Impact         Proposals adjusted for deliverability / service
                                          Board                                                                                                  impact
                                       WTE     £        Low-     High        Not              No      Yes     Not              Low-     High High         Not
                                                       Medium            Deliverable                      Deliverable        Medium (WTE)             Deliverable
                                                                                                                                  CRES PLANS          REMOVED
Learning Disabilities - Health Care       23   388         140    184              64   388     324                64 388          140 13.06     184           64        388
Adult Mental Health                    31.02 1,265       1,065    200                 1,265     864   401             1,265        664 16.29     601                   1,265
Older Peoples Mental Health              7.1   353         286     67                   353     286    67               353        286 1.00       67                     353
CAMHS                                   3.73   193         193                          193     106    87               193        106 2.50       87                     193
Forensic Services                       2.92   172         130      41                  172     172                     172        172 0.00        0                     172
Substance Abuse                          1.2    37          13                     24    37      13                24    37         13 0.00        0           24          37
Total Service Delivery                 69.00 2,408       1,828    492              88 2,408   1,765   555          88 2,408      1,381 32.85     939           88      2,408
Estates & Facilities                     1.9    471       471                           471    471                        471      471      0.00        0                     471
Support Directorates
Human Resources                         2.85    100        24                      76   100     24                 76     100       24      0.00        0          76         100
Nursing Strategy                        1.00    112       112                           112     60     52                 112       60      1.00       52                     112
Medical Director                        0.20     11        11                            11     11                         11       11      0.00        0                      11
Trust General Management                1.50     94        94                            94     94                         94       94      0.00        0                      94
Finance                                 0.42    140       140                           140    140                        140      140      0.00        0                     140
Total Support Directorates              5.97    457       380        0             76   457    329     52          76     457      329      1.00       52          76         457
Care Trust Summary                     76.87 3,336       2,679    492             164 3,336   2,565 607           164 3,336      2,181 33.85     991              164     3,336
                                                                 3,336                                3,336                                 3,336
SHORTFALL / (SURPLUS) AGAINST TARGET             301              301                               301                            567         (424)            (588)
CRES TARGET                                    3,637             3,637                                3,637                                 2,748
CRES PLANS TO BE ACTIONED IN BUDGETS                                                                                                      3,172
MEMORANDUM NOTE
ORIGINAL CRES PROPOSALS CONSIDERED BY BOARD                                                                             76.87    3,336             FIG A
DEDUCT PLANS ASSESSED AS NOT DELIVERABLE:
1. SUBSTANCE MISUSE (POST NOT VACANT)                                                                                   (1.00)     (24)
2. HUMAN RESOURCES (POSTS NOT VACANT)                                                                                   (2.85)     (76)
3. LD HEALTHCARE (BEHAVIOURAL OUTREACH TEAM PLAN INCONSISTENT WITH FUTURE SERVICE STRATEGY)                             (2.00)     (64)
                                                                                                                        (5.85)   (164)             FIG B (SEE BLOCK D, RED SHADED)
REVISED CRES PROPOSALS TO BE ACTIONED IN BUDGETS                                                                        71.02    3,172             FIG C (FIG A PLUS FIG B)
ORIGINAL CRES PROPOSAL SHORTFALL AGAINST £3637K TARGET                                                                             301             FIG D (FIG F LESS FIG A)
ADJUSTMENT TO CRES PROPOSAL SHORTFALL AGAINST £3637K TARGET                                                                        164             FIG E (ADD BACK FIG B)
EQUALS £3637K ORIGINAL CRES TARGET                                                                                               3,637             FIG F (FIG C PLUS FIG D & E)
REDUCTION IN REQUIRED TARGET - SEE TARGET REDUCTION SHEET                                                                        (889)             FIG G
EQUALS REVISED £2748K CRES TARGET - SEE TARGET REDUCTION SHEET                                                                   2,748             FIG H (FIG F PLUS FIG G)
FOCUS FOR ADDITIONAL CRES &/OR SUBSTITUTION
LOW-MEDIUM RISK PLANS IDENTIFIED                                                                                                 2,181             FIG I (SEE BLOCK D, GREEN SHADED)
ADDITIONAL CRES REQUIRED (BY DELIVERING HIGH RISK PLANS OR SUBSTITUTING SCHEMES)                                                   567             FIG J (SEE BLOCK D, YELLOW SHADED)
REVISED CRES TARGET                                                                                                              2,748
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                                                                                                                                                       LEARNING DISABILITIES-HEALTH
                                                                                                                                                                             4/28/2010
2009/10 BDCT CRES PROPOSALS (POSITION AS AT 5 MARCH 2009)                                                                                                 Appendix B

CARE GROUP / DIRECTORATE
LD-HEALTHCARE          CRES SCHEME                 WTE       TOTAL      Pay,    REC         COMMENTS ON DELIVERABILITY RISKS               ACTIVITY          PERFORMANCE / QUALITY
                                                              £ 000     Non-
                                                                        Pay,
                                                                      Income
Deliverability Service
Risk           Impact
NOT            YES       DIS-ESTABLISH               2.00        64 P           REC   YES DELIVERABILITY QUESTIONABLE AS STAFF         ACTIVITY WILL      IMPACTS ON PERFORMANCE AND
DELIVERABLE              BEHAVIOURAL OUTREACH                                             CURRENTLY IN POST, WILL REQUIRE RE-          REDUCE AS          QUALITY AS SERVICE PROVIDES
                         TEAM                                                             DEPLOYMENT INTO VACANCIES.                   STAFF ARE RE-      DEDICATED BEHAVIOUR
                                                                                          COMMISSIONER'S FUTURE INTENTION IS TO        DEPLOYED           SUPPORT
                                                                                          ENHANCE INTENSIVE BEHAVIOURAL TEAM
HIGH           NO        DAY SERVICES VACANCIES      6.06       130 P           REC       POSSIBLE RISK FOR FUTURE NEW ENTRANTS        REDUCED            FEWER STAFF IN
                                                                                          VIA REDUCED CAPACITY, BUT CHANGE             ACTIVITY AT LOW    ESTABLISHMENT WILL LIMIT THE
                                                                                          MANAGED BY REMOVING LONG TERM                MOOR,              RANGE OF CHOICES OFFERED
                                                                                          VACANCIES. CHANGE IN NEEDS AT LOW MOOR       EMPHASIS ON 14     TO SERVICE USERS BUT
                                                                                          HAS RESULTED IN THIS REDUCTION AS WE         CLIENTS MOVING     IMPROVING PERFORMANCE &
                                                                                          PROGRESS WITH COMMISSIONERS TO DE-           TO NEW RIDGE       QUALITY AS PERSONALISATION
                                                                                          COMMISSION & DEVELOP THE PERSONALISATION                        AGENDA IS PROGRESSED /
                                                                                          AGENDA                                                          INDIVIDUAL CARE PACKAGES
                                                                                                                                                          AGREED
HIGH           NO        LOW MOOR LEASE SAVING       0.00       (33) N           REC YES REQUIRES CLIENTS TO BE REVIEWED PRIOR TO                         IMPROVED SERVICE USER
                         LINKED TO TRANSFER OF                                 (34000)   TRANSFER TO NEW RIDGE - RISK THAT WORK                           ENVIRONMENT
                         CLIENTS T0 NEW RIDGE                                  N-REC     NOT COMPLETED, REDUCES FYE SAVINGS IN
                                                                                67000    2010/11
50% HIGH       NO        ASSESSMENT & TREATMENT     14.00       175 P           REC   YES THERE ARE INSUFFICIENT VACANCIES TO          REDUCTION IN 4     NO IMPACT
                         REDUCTION FROM 10 TO 6                                           DELIVER THE FULL IMPACT FROM 1 APRIL - A     BEDS CAPACITY
                         BEDDED INPATIENT UNIT                                            GRADUAL STAFF REDUCTION VIA TRANSFERS
                                                                                          INTO EXISTING COMMUNITY TEAM VACANCIES
                                                                                          WILL SUPPORT ACHIEVEMENT
LOW            NO        DAY SERVICES SPECIALIST     0.00       (10) N          REC
                         COURSE FUNDING FOR
                         PLMD SERVICE USERS
                         CURRENTLY FUNDED FROM
                         DCO VACANCY
LOW            NO        REGRADE VACANT BAND 8      (0.03)        8 P           REC       RISK RELATING TO PROFESSIONAL SUPPORT &      NO IMPACT          IMPACT ON AHP ROLE
                         OT POST TO BAND 7                                                JOB SATISFACTION
LOW            NO        DIS-ESTABLISH BAND 8A       1.00        54 P           REC       LOW RISK - BAND 7 POST ALREADY VACANT /      NO IMPACT          NO DIRECT IMPACT BUT MAY NOT
                         MANAGER POST                                                     COMMENSURATE                                                    ATTRACT EXPERIENCED STAFF
                         ASSESSMENT & TREATMENT

                         TOTAL                      23.03       388

NOT DELIVERABLE                                      2.00        64
HIGH          YES                                   13.06       184
LOW-MEDIUM    NO                                     7.97       140
TOTAL                                               23.03       388
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                                                                                                                                                                            ADULT
                                                                                                                                                                         4/28/2010
2009/10 BDCT CRES PROPOSALS (POSITION AS AT 5 MARCH 2009)                                                                                                     Appendix B

CARE GROUP / DIRECTORATE
ADULT                  CRES SCHEME                  WTE      TOTAL      Pay,   REC     COMMENTS ON DELIVERABILITY                    ACTIVITY                      PERFORMANCE /
                                                              £ 000     Non-                     RISKS                                                                QUALITY
                                                                        Pay,
                                                                      Income


Deliverability   Service
Risk             Impact
HIGH             NO        DAISY BANK                 5.44      200 P          REC YES DEPENDENT ON SUPPORTING        PLANNED CLOSURE W.E.F. 1
                                                                                       PEOPLE FUNDING BID             DECEMBER 2009 GIVING REDUCTION
                                                                                       APPROVAL & MAY REQUIRE         IN OCCUPIED BED DAYS, ALLOWS
                                                                                       WIDER CONSULTATION             MORE INDIVIDUALISED APPROACH TO
                                                                                                                      REHAB
MEDIUM           NO        HEATON HOUSE               0.00      120 P          REC       NEED TO DEVELOP THIRD        SAME ACTIVITY LEVELS EXPECTED TO LINKS TO INCREASING
                                                                                         SECTOR ALTERNATIVE TO        BE DELIVERED VIA CONTRACT WITH   DIRECT PAYMENTS TO
                                                                                         RELEASE SAVINGS / EXISTING   THIRD SECTOR.                    SERVICE USERS
                                                                                         STAFF TO BE REDEPLOYED
                                                                                         INTO VACANCIES
MEDIUM           YES       CMHT SKILLS MIX            9.65      343 P          REC       IMPACT OF CRES ON ACTUAL    MINIMAL IMPACT                           IMPACTS ON ABILITY TO
                                                                                         STAFFING LEVELS & ACTIVITY                                           DELIVER A BROADER
                                                                                         SHOULD BE MINIMAL, DUE TO                                            RANGE OF
                                                                                         LEVEL OF VACANCIES IN CMHTs                                          INTERVENTIONS &
                                                                                         DURING 08/9                                                          POTENTIAL P.I.G.
                                                                                                                                                              GUIDANCE ISSUES
LOW              NO        BIRCHWELL                 10.70      369 ALL        REC       WARD CLOSURE &            ASSUMES REDUCTION IN ACUTE
                                                                                         AMALGAMATION (FROM 4      ADMISSIONS & CRISIS TEAM WORK
                                                                                         WARDS TO 3) PART OF AMH   DELIVERING LOWER LENGTH OF STAY.
                                                                                                                                                              WIDER CONTEXT OF
                                                                                         CONSULTATION PROCESS      AMALGAMATION OF ACUTE ACTIVITY
                                                                                                                                                              INPATIENT STAFFING
                                                                                                                   SHOULD INCREASE BED OCCUPANCY
                                                                                                                                                              ROTA / THERAPEUTIC
                                                                                                                   BY WARD
                                                                                                                                                              STAFF QUALITY ISSUE
LOW              NO        MOOR LANE                  2.43      126 ALL        REC       MOOR LANE CLOSURE PART OF CLOSURE OF 20 BEDS, BUT MINIMAL
                                                                                         AMH CONSULTATION PROCESS ACTIVITY PROVIDED DURING LAST 12
                                                                                                                   MONTHS & IMPACTS QUANTIFIED
LOW              YES       HELIOS PSYCHOLOGICAL       1.20       58 P          REC                                 REDUCTION IN ACTIVITY                      REDUCTION IN QUALITY
                           THERAPIES
LOW              NO        BRADFORD PSYCHOTHERAPY     0.60       31 P          N-REC     FORTUITOUS SAVING FROM
                                                                                         RECRUITMENT LEAD TIME
LOW              NO        AIREDALE PSYCHOTHERAPY     1.00       18 P          N-REC     FORTUITOUS SAVING FROM
                                                                                         RECRUITMENT LEAD TIME
                           TOTAL                     31.02    1,265

NOT DELIVERABLE                                       0.00        0
HIGH          YES                                    16.29      601
LOW-MEDIUM    NO                                     14.73      664
TOTAL                                                31.02    1,265
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                                                                                                                                           OLDER PEOPLE
                                                                                                                                                 4/28/2010
2009/10 BDCT CRES PROPOSALS (POSITION AS AT 5 MARCH 2009)                                                                                      Appendix B

CARE GROUP / DIRECTORATE
OLDER PEOPLE'S             CRES SCHEME                      WTE     TOTAL      Pay,   REC      COMMENTS ON                   ACTIVITY          PERFORMANCE
MENTAL HEALTH                                                        £ 000     Non-         DELIVERABILITY RISKS                                 / QUALITY
                                                                               Pay,
                                                                             Income
Deliverability   Service
Risk             Impact
HIGH             YES       WOODWARD COURT DAY SERVICE        1.00       46 P          REC YES SERVICE USER           CAPACITY TO DELIVER
                           CESSATION (2 RESIDUAL DAY                                          IMPACTS & PCT          SERVICE, SO NO
                           SERVICES PART OF LOGER-TERM                                        RESPONSE               ASSESSED REDUCTION,
                           RECONFIGURATION)                                                                          HOWEVER MAY REQUIRE
                                                                                                                     CONSULTATION WHICH
                                                                                                                     MAY DELAY START
HIGH             YES       REGRADE BAND 8D                   0.00       21 P          REC YES VERY HIGH RISK -                                 ISSUE OF
                           PSYCHOLOGIST POST AS BAND 7                                        DEPENDENT ON                                     PROVISION OF
                                                                                              CURRENT POST                                     CLINICAL LEAD
                                                                                              HOLDER RETIRING                                  ROLE
                                                                                              & UNLIKELY TO
                                                                                              GENERATE FULL
                                                                                              YEAR BENEFIT
MEDIUM           NO        INPATIENT STAFFING SAVINGS        6.10      108 P          REC
LOW              NO        PATIENT TRANSPORT UNUTILISED      0.00      120 N          REC
                           BUDGET (ALTERNATIVE CONTRACT
                           ARRANGEMENTS
LOW              NO        INPATIENT NON-PAY SAVINGS RE      0.00        8 N          REC
                           BED REDUCTION
LOW              NO        REDEPLOYMENT OF SPECIALIST        0.00       40 P          REC                            ASSESS THAT RESIDUAL
                           GRADE TO GENERATE SAVING ON                                                               TEAM CAPACITY WILL
                           TRUST SCALE                                                                               DELIVER CURRENT
                                                                                                                     ACTIVITY LEVELS
LOW              NO        SAVINGS ON WARD                   0.00       10 P          REC
                           RECONFIGURATION TO ACHIEVE 5-
                           5-4 STAFFING RATIOS
                           TOTAL                             7.10      353

NOT DELIVERABLE                                              0.00        0
HIGH            YES                                          1.00       67
LOW-MEDIUM      NO                                           6.10      286
TOTAL                                                        7.10      353
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                                                                                                                                                    CAMHS
                                                                                                                                                  4/28/2010
2009/10 BDCT CRES PROPOSALS (POSITION AS AT 5 MARCH 2009)                                                                                     Appendix B

CARE GROUP / DIRECTORATE
CAMHS                  CRES SCHEME                          WTE     TOTAL      Pay,   REC       COMMENTS ON                   ACTIVITY         PERFORMANCE /
                                                                     £ 000     Non-          DELIVERABILITY RISKS                                 QUALITY
                                                                               Pay,
                                                                             Income
Deliverability Service
Risk           Impact

LOW            NO        CLINICAL DIRECTOR POST              0.23       40 P          REC                               SAVINGS FROM
                         FUNDING                                                                                        CLINICAL DIRECTOR
                                                                                                                        POST
LOW            YES       REDUCTION IN TEAMS TO RELEASE       1.00       35 P          REC
                         S&W TEAM MANAGER
LOW            NO        BAND 6 CPN POST REPLACED WITH       0.00        7 P          REC
                         BAND 5                                                                                                             ACTIONS WILL
LOW            YES       REDUCE CBT POST BY 0.5 WTE          0.50       17 P          REC                                                     PREVENT
LOW            NO        NON-PAY UNDERSPEND REMOVED          0.00       12 N          REC                                                 FURTHER WORK
                         FROM BUDGET                                                                                                       TO PROGRESS
LOW            NO        REMOVE BAND 8A MANAGER              1.00       47 P          REC                               SAVINGS FROM      CAMHS AGENDA
                         SUPPORT TO GENERAL MANAGER                                                                     CLINICAL DIRECTOR   AND DELIVER
                         POST                                                                                           POST (MONIES NOT  COMPREHENSIVE
                                                                                                                        NOW PLANNED FOR CAMHS SERVICE
                                                                                                                        RE-USE)            AS OUTLINED IN
LOW            YES       DO NOT RECRUIT & REMOVE BAND        1.00       35 P          REC YES HIGH RISK - POST IS                             THE NSF
                         7 LEAD OT POST                                                       KEY IN MOVING
                                                                                              TOWARDS
                                                                                              COMPREHENSIVE
                                                                                              CAMHS SERVICE PER
                                                                                              NSF
                         TOTAL                               3.73      193

NOT DELIVERABLE                                              0.00        0
HIGH          YES                                            2.50       87
LOW-MEDIUM    NO                                             1.23      106
TOTAL                                                        3.73      193
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                                                                                                                                                 FORENSIC
                                                                                                                                                  4/28/2010
2009/10 BDCT CRES PROPOSALS (POSITION AS AT 5 MARCH 2009)                                                                                   Appendix B

CARE GROUP / DIRECTORATE
LOW SECURE             CRES SCHEME                          WTE      TOTAL      Pay,   REC   COMMENTS ON DELIVERABILITY          ACTIVITY    PERFORMANCE /
(FORENSIC)                                                            £ 000     Non-                  RISKS                                     QUALITY
                                                                                Pay,
                                                                              Income
Deliverability Service
Risk           Impact
LOW            NO        MANAGEMENT RESTRUCTURE               1.00      42 P            REC
LOW            NO        ADMIN POST REMOVAL                   0.00       8 P            REC
LOW            NO        EMPLOY LOWER GRADE                   0.00      41 P           N-REC YES NON-RECURRENT ONLY
                         CONSULTANT                                                              UNTIL MEDICAL DIRECTOR
                                                                                                 POST RECRUITED
LOW            NO        MANAGEMENT ADMIN POST                0.49       8 P            REC
                         REMOVAL
                                                                                                                                              NEW REGIONAL
LOW            NO        FORENSIC NON-PAY REDUCTION           0.00       9 N           REC
                                                                                                                                              COMMISSIONER
LOW            NO        3 X BAND 4 POSTS CREATED FROM        0.00       5 P           REC
                                                                                                  SOME RISK THAT                                MAY HAVE
                         3 X BAND 5 POSTS
                                                                                                  REDUCTIONS IN QUALITIFED                      DIFFERENT
LOW            NO        3 BAND 4 POSTS CREATED FROM 3        0.00      10 P           REC
                                                                                                  STAFF WILL IMPACT ON                        APPROACH TO
                         BAND 5 POSTS
                                                                                                  WARD COVER AVAILABLE.                            CRES
LOW            NO        ILKLEY WARD BAND 5 NURSE             0.20       5 P           REC
                                                                                                  ADDITIONAL ISSUE RE NEW
                                                                                                  REGIONAL COMMISSIONING
LOW            NO        BAILDON WARD HEATHCARE ASST          0.40       8 P           REC
                                                                                                  ARRANGEMENTS - NEED TO
                                                                                                  DISCUSS FUNDING & CRES
LOW            NO        THORNTON WARD BAND 6 NURSE           0.83      35 P           REC
                                                                                                  SPECIFICALLY
                         TOTAL                                2.92     172

NOT DELIVERABLE                                               0.00       0
HIGH          YES                                             0.00       0
LOW-MEDIUM    NO                                              2.92     172
TOTAL                                                         2.92     172
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                                                                                                                                SUBSTANCE MISUSE
                                                                                                                                           4/28/2010
2009/10 BDCT CRES PROPOSALS (POSITION AS AT 5 MARCH 2009)                                                                              Appendix B

CARE GROUP / DIRECTORATE
SUBSTANCE MISUSE           CRES SCHEME                   WTE       TOTAL      Pay,   REC        COMMENTS ON                ACTIVITY    PERFORMANCE /
                                                                    £ 000     Non-           DELIVERABILITY RISKS                         QUALITY
                                                                              Pay,
                                                                            Income
Deliverability   Service
Risk             Impact
NOT DELIVERABLE YES        ADDITIONAL PAY REDUCTION -       1.00       24 P          REC YES VERY HIGH RISK AS NO CUT WOULD INCREASE CASE
                           SUBJECT TO STAFF TURNOVER                                         VACANCY SO UNLIKELY LOAD, CREATE WAITING LIST &
                           (NO VACANCIES)                                                    TO BE DELIVERABLE    PREVENT SERVICE MEETING
                                                                                                                  TARGETS
LOW              NO        BAND 5 POST CREATED FROM         0.00        7P           REC
                           BAND 6 POST
LOW              NO        SKILLS MIX FROM BAND 5 POST      0.00        3P           REC

LOW              NO        ADMIN REDUCTIONS                 0.20        3P           REC
                           TOTAL                            1.20       37

NOT DELIVERABLE                                             1.00       24
HIGH            YES                                         0.00        0
LOW-MEDIUM      NO                                          0.20       13
TOTAL                                                       1.20       37
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                                                                                                                                            FACILITIES & INFORMATICS
                                                                                                                                                             4/28/2010




2009/10 BDCT CRES PROPOSALS (POSITION AS AT 5 MARCH 2009)                                                                                     Appendix B

CARE GROUP / DIRECTORATE
FACILITIES &           CRES SCHEME                               WTE TOTAL      Pay,   REC                          ACTIVITY COMMENTARY
INFORMATICS                                                           £ 000     Non-
                                                                                Pay,
                                                                              Income
Deliverability Service
Risk           Impact
LOW            NO        TRUSTWIDE ESTATES MANAGEMENT             1.00   42 P          REC Establishment releasable due to natural wastage and team development/
                         TEAM BAND 7 DIS-ESTABLISHED                                       re-organisation (traineeship completing) to assimilate workload.
LOW            NO        REDUCE WORKS PROGRAMME                   0.00   58 N          REC Reduced works requirement associated with LRH/ Moor Lane Centre
                         COMMITMENT
LOW            NO        HORTON PARK RECEPTIONIST RECHARGE        0.00    5 P          REC Increased income from PCT arising from space occupation review.
                         TO PCT
LOW            NO        RECEPTIONIST HOURS REDUCTION             0.40    8 P          REC Reception service no longer required due to rationalisation of LRH. N.B.
LOW            NO        TRUSTWIDE SECURITY SHIFT PATTERN         0.00    5 P          REC Shift pattern re-organisation to release resource.
                         CHANGES TO REDUCE
                         OVERTIME/ENHANCEMENTS
LOW            NO        WHEELCHAIR SERVICES BAND 2 0.5 WTE       0.50    9 P          REC Establishment releasable due to natural wastage and team re-organisation
                         DIS-ESTABLISHED                                                   to assimilate workload.
LOW            NO        PATIENT TRANSPORT SAVINGS                0.00    5 N          REC Reduce overall expenditure on PTS service
LOW            NO        LEEDS ROAD HOSPITAL TELECOMMS            0.00   34 N          REC Retraction of telephone service and relocation of voice/ data hub to LMH
                         LINES RETRACTIONS
LOW            NO        I-CHAIN REPLACEMENT &                    0.00   15 N          REC Remote access to e-mail from home. Alternative remote access solution
                         INFRASTRUCTURE RATIONALISED                                       identified offering better value and increased access over current
LOW            NO        IT NON-PAY REDUCED                       0.00   31 N          REC Streamlined/ reviewed budget to release allocation.
LOW            NO        REDUCE LEAVE/SICKNESS ALLOWANCE          0.00   55 P          REC Hotel Services enhancement to budget to provide essential cover currently
                         FROM 18% TO 16%                                                   18%. Can now be reduced to 16% due to more effective unplanned
LOW            NO        PROVISIONS SAVINGS                       0.00   42 N          REC Renegotiated Frozen Food Contract and developing new menus resulting
LOW            NO        ADDITIONAL SAVINGS NOT YET IDENTIFIED    0.00   45 N          REC Anticipated savings to be identified in year.
                         ARISING FROM CHANGES IN-YEAR

LOW            NO        HOTEL SERVICES NON-PAY BUDGET NOT        0.00    8 N          REC
                         REQUIRED
LOW            NO        HIGHFIELD HOUSEKEEPING VACANCY DIS-      0.00    9 P          REC Organisational review arising from reduced occupancy levels within the
                         ESTABLISHED                                                       Highfield Unit.
LOW            NO        PATIENT TRANSPORT PAY SAVINGS            0.00   10   P        REC Establishment (Part WTE post) releasable due to natural wastage and
LOW            NO        RECEIPT & DISTRIBUTION VEHICLE HIRE      0.00    3   N        REC Allocation releasable due to new leased fleet procurement arrangements.
LOW            NO        HEALTH & SAFETY NON-PAY                  0.00    5   N        REC Streamlined/ reviewed training and development aspect of budget, linked
LOW            NO        LEEDS ROAD SECURITY POST SAVING          0.00   16   P        REC Security service no longer required due to rationalisation of LRH. N.B.
                         (AFTER SITE CLOSED)                                               Timing to coincide with actual site closure.
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                                                                                                                                           FACILITIES & INFORMATICS
                                                                                                                                                            4/28/2010




2009/10 BDCT CRES PROPOSALS (POSITION AS AT 5 MARCH 2009)                                                                                     Appendix B

CARE GROUP / DIRECTORATE
FACILITIES &           CRES SCHEME                            WTE TOTAL       Pay,   REC                           ACTIVITY COMMENTARY
INFORMATICS                                                        £ 000      Non-
                                                                              Pay,
                                                                            Income
Deliverability Service
Risk           Impact
LOW            NO        LMSS SECURITY TRAVEL SAVINGS          0.00     2   N        REC Optimised site assessment plan resulting in travel savings.
LOW            NO        RENT REDUCTIONS                       0.00     8   N        REC Renegotiated rental streams at Fieldhead House and Cemetery Road.
LOW            NO        RATES REDUCTIONS                      0.00     7   N        REC Rates payable reduction at LMH further to demolition of Wards 1 & 2.
LOW            NO        NEW MILL MANNED SECURITY HOURS        0.00    10   P        REC Shift pattern re-organisation to release resource. Saving also from 48 Ash
                         REDUCTION                                                       Grove with AOT moving out to sector.
LOW            NO        COURSE FEES NOT REQUIRED 2009/10      0.00     2 N          REC Optimised training budget reflecting ROAD/ KSF requirements.
LOW            NO        CALL CENTRE OPERATIVE HOURS           0.00     4 P          REC Establishment/ hours reorganisation.
                         REDUCTION
LOW            NO        RATIONALISE LINES AND CALL ROUTING    0.00    10 N          REC Telecoms system and parameters re-organisation to achieve savings.
                         TO REDUCED COST CARRIERS
LOW            NO        MORE EFFECTIVE ENFORCEMENT OF         0.00     5 N          REC Monitoring of usage. Barring certain calls with high tariff. Routing through
                         CALL POLICIES VIA ENHANCED CALL                                 Reception so Reception can support the validation process/ reason for
                         LOGGING FACILITY                                                call.
LOW            NO        ADDITIONAL INCOME GENERATION          0.00    20 I          REC Implementation of new contract (Eccleshill Enhanced Primary Care
                         TOTAL                                 1.90   471

NOT DELIVERABLE                                                0.00     0
HIGH          YES                                              0.00     0
LOW-MEDIUM    NO                                               1.90   471
TOTAL                                                          1.90   471
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                                                                                                                                                         HUMAN RESOURCES
                                                                                                                                                                    4/28/2010
2009/10 BDCT CRES PROPOSALS (POSITION AS AT 5 MARCH 2009)                                                                                            Appendix B

CARE GROUP / DIRECTORATE
HUMAN RESOURCES CRES SCHEME                     WTE TOTAL        Pay,   REC                          SERVICE COMMENTS RE DELIVERABILITY AND IMPACTS
                                                     £ 000       Non-
                                                                 Pay,
                                                               Income

Deliverability Service
Risk           Impact
NOT           YES        REMOVE                  0.00      4 N          REC
DELIVERABLE              MODERNISATION
                         RESIDUAL BUDGETS
                         NOT REQUIRED
LOW           NO         REMOVE NVQ              0.00      4 N          REC
                         RESIDUAL BUDGETS
LOW           NO         REDUCE LEGAL COSTS      0.00     10 N          REC
LOW           NO         REDUCE STAFF POOL       0.00      5 N          REC
                         NON-PAY COSTS
LOW           NO         GENERAL REDUCTION       0.00      5 N          REC
                         IN NON-PAY
NOT           YES        DIS-ESTABLISH BAND 6    1.00     36 P          REC YES The proposed CRES means dis-establishing an Assistant HR Manager post (currently 3 posts in place),
DELIVERABLE              ASST HR MANAGER                                        dis-establishing an HR Advisor post, replacing a Band 4 Recruitment co-ordinator and Band 4 Staff
                                                                                Bank co-ordinator with a Band 6 Recruitment Team Leader. There is a potential redundancy implication
                                                                                for all post-holders. The latter action will provide efficiencies by bringing together main stream
NOT           YES        CREATE BAND 6          (1.00)   (36) P         REC YES recruitment, staff bank and medical staffing recruitment, the dis-establishment of the Assistant HR
DELIVERABLE              RECRUITMENT TEAM                                       Manager and HR Advisor posts however has implications for levels of activity and quality. This action
                         LEADER                                                 will increase the demands on the remaining staff, result in longer response times for operational HR
                                                                                issues, reduce the support available to managers and mean managers will have to absorb tasks
NOT           YES        DIS-ESTABLISH BAND 4    1.00     24 P          REC YES currently undertaken by HR. staff in people management issues is an aim of the directorate and plans
                                                                                Reducing the reliance on HR
DELIVERABLE              RECRUITMENT CO-                                        are in place to develop managers skills and confidence in this area through training, coaching and the
                         ORDINATOR                                              provision of on line toolkits, and once in place these would result in such reductions in HR staffing over
                                                                                time, this would result in efficiencies in years 2 and 3, however by bringing this forward the directorate
                                                                                will lose the capacity to put in place such measures whilst demanding more of managers now. This will
                                                                                increase the risk of more employee relations issues, tribunal applications and an increase in legal fees,
NOT           YES        DIS-ESTABLISH BAND 4    0.85     20 P          REC YES it will also call into question our CRES plans for year 2 which require intenseactivity to implement e-HR,
DELIVERABLE              STAFF CO-ORDINATOR                                     restructure HR processes and train/coach managers. In addition and most importantly it will impact on
                                                                                our capacity to support the significant change processes occurring across the Trust linked to service
                                                                                reviews- particularly around the LD transition where there is an increased workload associated with the
                                                                                due diligence and consultation processes required under TUPE.
NOT           YES        PERSONNEL DIS-          1.00     29 P          REC YES The elimination of the non pay budget around modernisation lessens the resource available to train
DELIVERABLE              ESTABLISH 1 WTE BAND                                   facilitators and provide support to new ways of working and other elements of the Trust's OD
                         5                                                      programme which is in its infancy.
                         TOTAL                   2.85    100

NOT DELIVERABLE                                  2.85     76
HIGH          YES                                0.00      0
LOW-MEDIUM    NO                                 0.00     24
TOTAL                                            2.85    100
                                                                                      D:\Docstoc\Working\pdf\8b3187fd-5299-4aa1-986d-7828849acf04.xls
                                                                                                                                NURSING STRATEGY
2009/10 BDCT CRES PROPOSALS (POSITION AS AT 5 MARCH 2009)                                                                                  4/28/2010
                                                                                                                                        Appendix B

CARE GROUP / DIRECTORATE
NURSING & STRATEGY         CRES SCHEME                      WTE     TOTAL      Pay,   REC       COMMENTS ON              ACTIVITY       PERFORMANCE /
                                                                     £ 000     Non-          DELIVERABILITY RISKS                          QUALITY
                                                                               Pay,
                                                                             Income
Deliverability   Service
Risk             Impact
LOW              YES       REMOVE VACANT MODERN              1.00       52 P           REC
                           MATRON POST - LD & FORENSIC
                           SPLIT
LOW              NO        REDUCE NON-PAY SPENDING           0.00       28 N           REC
                           (PRIORITISE
                           CONFERENCES/TRAINING)
LOW              NO        REDUCE NON-PAY (SERVICE           0.00       32 N           REC
                           LEVEL AGREEMENT)
                           TOTAL                             1.00      112

NOT DELIVERABLE                                              0.00        0
HIGH            YES                                          1.00       52
LOW-MEDIUM      NO                                           0.00       60
TOTAL                                                        1.00      112
                                                                                   D:\Docstoc\Working\pdf\8b3187fd-5299-4aa1-986d-7828849acf04.xls
                                                                                                                              MEDICAL DIRECTOR
2009/10 BDCT CRES PROPOSALS (POSITION AS AT 5 MARCH 2009)                                                                               4/28/2010
                                                                                                                                     Appendix B

CARE GROUP / DIRECTORATE
MEDICAL DIRECTOR       CRES SCHEME                          WTE      TOTAL      Pay,   REC     COMMENTS ON             ACTIVITY      PERFORMANCE /
                                                                      £ 000     Non-           DELIVERABILITY                           QUALITY
                                                                                Pay,               RISKS
                                                                              Income
Deliverability Service
Risk           Impact
LOW            NO        REDUCE ADMIN SUPPORT FROM            0.20        5P           REC
                         0.4 WTE TO 0.2 WTE
LOW            NO        REDUCED NON-PAY EXPENDITURE          0.00        6N           REC

                         TOTAL                                0.20       11

NOT DELIVERABLE                                               0.00        0
HIGH          YES                                             0.00        0
LOW-MEDIUM    NO                                              0.20       11
TOTAL                                                         0.20       11
                                                                                  D:\Docstoc\Working\pdf\8b3187fd-5299-4aa1-986d-7828849acf04.xls
                                                                                                                               CHIEF EXECUTIVE
2009/10 BDCT CRES PROPOSALS (POSITION AS AT 5 MARCH 2009)                                                                              4/28/2010
                                                                                                                                     Appendix B

CARE GROUP / DIRECTORATE
CHIEF EXECUTIVE &      CRES SCHEME                                   WTE     TOTAL      Pay,   REC     COMMENTS ON       ACTIVITY    PERFORMANCE /
TRUST GENERAL                                                                 £ 000     Non-           DELIVERABILITY                   QUALITY
                                                                                        Pay,               RISKS
MANAGEMENT
                                                                                      Income
Deliverability Service
Risk           Impact
LOW            NO        NON-RECURRENT 3/12s BUSINESS MANAGER BAND    0.25       14 P          N-REC
                         8A RECRUITMENT DELAY SAVING
LOW            NO        FOUNDATION TRUST PROJECT DIRECTOR / MGMT     0.00       50 P          REC
                         CONSULTANCY PAY SAVINGS
LOW            NO        REMOVE ADMIN BAND 4 VACANCY NOT REQUIRED     1.00       21 P          REC
                         FROM STRUCTURE
LOW            NO        NON-RECURRENT SAVINGS FROM SECONDMENT X      0.25       10 P          N-REC
                         3/12s MANAGER BAND 6
                         TOTAL                                        1.50       94

NOT DELIVERABLE                                                       0.00        0
HIGH          YES                                                     0.00        0
LOW-MEDIUM    NO                                                      1.50       94
TOTAL                                                                 1.50       94
                                                                              D:\Docstoc\Working\pdf\8b3187fd-5299-4aa1-986d-7828849acf04.xls
                                                                                                                         FINANCE DIRECTOR
2009/10 BDCT CRES PROPOSALS (POSITION AS AT 5 MARCH 2009)                                                                          4/28/2010
                                                                                                                               Appendix B

CARE GROUP / DIRECTORATE
FINANCE &              CRES SCHEME                     T WTE       TOTAL      Pay,   REC     COMMENTS ON          ACTIVITY     PERFORMANCE /
CONTRACTS                                              O            £ 000     Non-           DELIVERABILITY                       QUALITY
                                                       T                      Pay,               RISKS
                                                       A                    Income
                                                       L
Deliverability Service
Risk           Impact
LOW           NO         NON-PAY BUDGET SAVINGS             0.00       97 N          REC
LOW           NO         AUDIT FEE NEGOTIATION              0.00        5N           REC
LOW           NO         INTERNAL AUDIT PROGRAMME           0.00        4N           REC
                         REVIEW
LOW           NO         NON-RECURRENT ASST FINANCE         0.08        3P           N-REC
                         MANAGER (FIN SERVS) VACANCY
                         1/12 - RECRUITMENT DELAY
MEDIUM        NO         NON-RECURRENT FINANCE              0.33       21 P          N-REC                     WILL NEED TO
                         MANAGER (LD) RECRUITMENT                                                              DELAY
                         DELAY 4/12                                                                            PERMANENT
                                                                                                               RECRUITMENT
LOW           NO         I-PROCUREMENT                      0.00        5N



LOW           NO         ESTATE REVALUATION                 0.00        5N
                         TOTAL                              0.42      140

NOT DELIVERABLE                                             0.00        0
HIGH          YES                                           0.00        0
LOW-MEDIUM    NO                                            0.42      140
TOTAL                                                       0.42      140

				
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