A New Health Service for Liverpool World Class Hospitals, World Class Services Volume 2 Appointment Business Case Appendices Royal Liverpool and Broadgreen University Hospitals NHS Trust April 2013 Royal Liverpool & Broadgreen University Hospitals NHS Trust Volume 2 – Appointment Business Case - Appendices Appendices Appendix A – Introduction .......................................................................................................... 3  Appendix B – Strategic Context ................................................................................................. 5  Appendix C – Case for Change ................................................................................................. 7  Appendix D – Future Service Requirements .............................................................................. 9  Appendix D1 – Clinical Service Delivery Model ....................................................................... 11  Appendix D2 – Whole Health Economy Service Strategy ....................................................... 29  Appendix D3 – Population Changes to 2017 ........................................................................... 35  Appendix D4 – Specialty Analysis of Admitted Patient Activity ............................................... 37  Appendix D5 – Specialty Analysis of Outpatient Activity ......................................................... 39  Appendix D6 – Year by Year Analysis of Emergency Activity ................................................. 41  Appendix D7 – Towards 2017 Activity and Capacity Model: Bridge Analysis ......................... 43  Appendix D8 – Outpatient First to Follow Up Ratio ................................................................. 45  Appendix D9 – Outpatient DNA Rates ..................................................................................... 47  Appendix D10 – Current and Modelled Inpatient Bed Complements ...................................... 49  Appendix D11 – Theatre Capacity Requirements ................................................................... 51  Appendix D12 – Intervention Suite Capacity Requirements .................................................... 53  Appendix D13 – Diagnostic Activity ......................................................................................... 55  Appendix D14 – Diagnostic Procedure Times ......................................................................... 57  Appendix D15 – NCAT Review ................................................................................................ 59  Appendix D16 – NCAT Review Action Plan ............................................................................. 65  Appendix E – Project Objectives and Scope ........................................................................... 69  Appendix F – Option Appraisal ................................................................................................ 71  Appendix G – Benefits Appraisal ............................................................................................. 73  Appendix G1 – Benefits Criteria Weighting .............................................................................. 75  Appendix H – Economic Appraisal ........................................................................................... 77  Appendix H1 – NPV Benefits – DH Review ............................................................................. 79  Appendix I – Procurement Route ............................................................................................. 83  Appendix J – Project Scope ..................................................................................................... 85  Appendix K – Procurement Strategy, Bidder Competition and Selection ................................ 87  Appendix K1 – OJEU Notice .................................................................................................... 89  Appendix K2 – Constitution of Consortia ................................................................................. 95  Appendix K3 – Volume 3 – Bid Deliverables ........................................................................... 97  Appendix K4 – Evaluation Process ........................................................................................ 147  Appendix L – Bidder Solution ................................................................................................. 151  Appendix M – Affordability ..................................................................................................... 153  Appendix M1 – Cost Improvements 2013-14 to 2016-17 ...................................................... 155  Appendix M2 – Transitional Costs ......................................................................................... 157  Appendix M3 – 10 Year Capital Programme ......................................................................... 159  Appendix M4 – Base Case Long Term Financial Model ........................................................ 161  Appendix M5 – Assessment of DH Ratio ............................................................................... 165  Appendix N – Project Timetable and Management Arrangements ....................................... 167  Appendix N1 – Project Initiation Document ........................................................................... 169  i Royal Liverpool & Broadgreen University Hospitals NHS Trust Volume 2 – Appointment Business Case - Appendices Appendix N2 – Project Structure and Resources – Transition Planning ............................... 233  Appendix N3 – Risk Register ................................................................................................. 243  Appendix N4 – Benefits Realisation Plan .............................................................................. 253  Appendix O – Sustainability, Regeneration and Corporate Citizenship ................................ 275  Appendix O1 – Sustainability Action Plan .............................................................................. 277  Appendix O2 – Equality Analysis ........................................................................................... 287  Appendix P – Workforce ........................................................................................................ 301  Appendix P1 – Service Improvement and Excellence Team Projects ................................... 303  Appendix Q – Consultation and Stakeholders Involvement/Approvals ................................. 305  Appendix Q1 – Outline Communications and Engagement Plan 2012-17 ............................ 307  Appendix R – Arrangements for Publication of ABC ............................................................. 315  Appendix S – Glossary ........................................................................................................... 317  Appendix T – SHA Checklist .................................................................................................. 325  ii Royal Liverpool & Broadgreen University Hospitals NHS Trust Volume 2 – Appointment Business Case - Appendices INTRODUCTION TO VOLUME 2 – ABC APPENDICES Each chapter of Volume 1 – Appointment Business Case has been allocated appendices lettered consecutively. Further, not all chapters require appendices. For example, Chapter 2 – Introduction does not require any appendices but for completeness this chapter has been allocated Appendix A in this volume. A key to the appendices is provided below for information. KEY TO APPENDICES Chapter Chapter Name Appendix Reference No. Chapter 2 Introduction A (No appendices required) Chapter 3 Strategic Context B (No appendices required) Chapter 4 The Case for Change C (No appendices required) Chapter 5 Future Service Requirements D Chapter 6 Project Objectives E (No appendices required) Chapter 7 Option Appraisal F (No appendices required) Chapter 8 Benefits Appraisal G Chapter 9 Economic Appraisal H Chapter 10 Procurement Route I (No appendices required) Chapter 11 Project Scope J (No appendices required) Chapter 12 Procurement Strategy, Bidder Competition K and Selection Chapter 13 Bidder Solution L (No appendices required) Chapter 14 Affordability M Chapter 16 Project Timetable and Management N Arrangements Chapter 17 Sustainability, Regeneration and Corporate O Citizenship Chapter 18 Workforce P Chapter 19 Consultation, Stakeholder Involvement and Q (No appendices required) Approvals Chapter 20 Arrangements for Publication R (No appendices required) Glossary S SHA Checklist T 1 Royal Liverpool & Broadgreen University Hospitals NHS Trust Volume 2 – Appointment Business Case - Appendices 2 Royal Liverpool & Broadgreen University Hospitals NHS Trust Volume 2 – Appointment Business Case - Appendices Appendix A – Introduction 3 Royal Liverpool & Broadgreen University Hospitals NHS Trust Volume 2 – Appointment Business Case - Appendices 4 Royal Liverpool & Broadgreen University Hospitals NHS Trust Volume 2 – Appointment Business Case - Appendices Appendix B – Strategic Context 5 Royal Liverpool & Broadgreen University Hospitals NHS Trust Volume 2 – Appointment Business Case - Appendices 6