Portfolio and key programme overview as at 18.05.12 Page 1 of 5Portfolio Headlines

The Programme Management Office function review has commenced, and report and recommendations will be taken forward as soon as possible.The Assurance for each programme currently lies with the relevant Executive Director, or the Programme Director of the major capital redevelopment

programmes.OBC decisions for Broadmoor and St Bernard’s redevelopments are still awaited, however planning applications for enabling works are progressing well.FT Programme has had changes which affect the RAG status for the programme.

RAG key for programme delivery status Key Programme Risks

RED – not on target to deliver on time or within budget, and/or significant risk of not delivering

AMBER – issues/risks identified in time/finance/

delivery which may affect delivery and/or milestones

GREEN – on target to deliver on time and/or within budget

• No change on St Bernards and Broadmoor OBC decision - still awaited• Impact of St Bernard’s redevelopment on longer term re-provision of local services• Local Services continue with multiple projects needing stakeholder buy-in• FT programme has gone green/amber due to significant number of tasks in critical

path

Summary of Key Programmes

Programme Mar Apr May Comments/Detail

Foundation Trust Programme

Quality Governance Review self assessment is now complete. Evidence outstanding from HDD1 dry run. BGAF date has been amended

Local Services Programme

Multiple projects progressing, including launch of service user 24/7 crisis line, and work with GPs to improve access and referral/information exchange. Detail of all projects is held within the four page programme report.

Specialist and Forensic Programme All projects reported as on target. The projects are now mapped in the CSU Service Plan, and monitored through SMT.

Recovery Programme Reporting agreed to be monthly to Programme Board and Programme Director for Board information. Good progress on many of the projects, with service user involvement a key priority.

St. Bernard’s Redevelopment Programme Ealing Borough Council agreed Planning Application for the MSU, subject to a Section 106.

Broadmoor Redevelopment Programme The terms of Section 106 Agreement have been finalised, agreement engrossed and signed by the Trust and Bracknell Forest Council.

Portfolio and key programme overview as at 18.05.12 Page 2 of 5Programme Headlines Key Issues and Delivery Risks

Foundation TrustFoundation Trust

Programme Lead:

Nigel Leonard

This programme is now Green/Amber because of date changes and numerous tasks in critical path.

Quality Governance Review self assessment complete

Draft commissioner liaison audit trail provided by Local Services to evidence our engagement

Programme Milestones:

May – BGAF self assessment (amended)

18 June – 6 July 2012 – HDD1 Assessment

August/September 2012 – HDD2 Dry Run October 2012 – HDD2 Assessment

November 2012 – NHSL Board to Board

April 2013 – Formal FT Application submitted to Department of Health

£ : Actual spend for 11/12 was within budget. Period 1 spend for 12/13 is broadly in line with the draft budget

Issues • Significant increase in the number of tasks within the FT

application critical path• Outstanding HDD1 dry run evidence in respect of the St

Bernard’s MSU commissioner timescale expectations• Response to HDD1 dry run feedback to be delivered and

actions completed in advance of HDD1• Section 7 is not yet compliant with NHSL and DH guidance,

however the Trust is working with KPMG to complete this work

Risks• Uncertainty in future commissioning intentions and levels of

savings required

Specialist and ForensicSpecialist and Forensic

ProgrammeProgramme

Programme Lead:

Andy Weir

This programme is AMBER because of the potential commissioning issues identified in delivery risks

All projects now mapped and tracked in CSU Service Plan to be monitored at SMT.

All projects currently on track.

• On-going – Commissioning arrangements are a risk to some projects, Director in on-going discussions with SCG regarding future provision

Portfolio and key programme overview as at 18.05.12 Page 3 of 5Programme Headlines Key Issues and Delivery Risks

Local Services Local Services Programme Programme

Programme Manager:

Michael Doyle

This programme is AMBER because of the extent of engagement and consultation with external stakeholders needed, and the interdependencies with St Bernard’s redevelopment

Inpatients: Quality Impact Assessment (QIA) for Glyn Ward was carried out as part of the project to move the OPS.

PICU Development project was discussed at Inpatient SMT and has been signed off to move to Askew Wards.

The closure of Campion Ward was successfully completed end of April 2012.

Community: Assessment & Recovery Teams Ealing & Hounslow operational 16.04.12 and Floor plans for Adult Assessment Team in Lakeside signed off.

Work with estates re: developing the plans for the West Ealing Recovery Base in the Limes.

Second review of Balfour Day Hospital has been completed.•Borough based work: key details in programme report•Acute interface/ Psychiatric liaison: Induction for all the new staff has started. Key decision awaited on funding. Current funding lasts until end of June.•ICP Acute – Inner & Outer NW London: Business case needed for inner which will guide outer.•ICP Mental Health: need to set up a clinical programme to take forward. Key risk to the income and CCG buy in.•PbR: Programme plan being scoped•PD: Further work continuing on service development

Enabling Projects : LS 24/7 Service User Telephone Support Line went live on the 2nd April.

CAMHS : New base for CAMHS Ealing has been identified at Armstrong Way and ratified by Local Services CSU SMT.•Project group has been set up to scope a Single Point of Access for CAMHS Ealing.

•St Bernard’s redevelopment – vacating JCW within the timeframe (late 2012).•The B block option dictates that the male and female admission ward will need to be split to operate as two separate wards on different floors. This will significantly increase inpatient running costs, in that additional staff will be required over and above existing staffing to support safe practice/ patient safety. •Risk that we will be unable to achieve some CQUIN targets in 2012/13 associated with information sharing with Hounslow GPs. •CAMHS - modernisation of workforce profile is interdependent with wider Trust staffing reviews. Risk re: location timescales•Community - Phase 3 of the Data migration delays •Community - RIO reporting not been able to configure to capture the activity properly •Community - GP Waiting list reporting not reflecting the new structure and therefore showing wrong data•New Business - Funding for Psychiatric Liaison teams needs to be identified for next year

•Milestones and detailed report available in programme report

Portfolio and key programme 0verview as at 18.05.12 Page 4 of 5Work Stream Headlines Key Issues and Delivery Risks

St Bernard’s St Bernard’s Redevelopment Redevelopment ProgrammeProgramme

Programme lead:

Vickie Holcroft

This programme is now AMBER/ RED because, although there is a programme plan in place, there are significant external factors which still may impact on delivery.

Further progression by local services and estates team for the relocation of services from JCW.

Completion of upload of Risk Register to Exchange.

The Trust is continuing to respond to comments and queries from NHS London in relation to the OBC.

Ealing LBC approved the Planning Application for the MSU on 25th April, subject to a S106 agreement – terms have been agreed, agreement has been engrossed and signed

£ : Capital spend within budget

• Availability of Capital Resources – future funding due to uncertainty regarding land sales (inc Broadmoor scheme).

• Availability of Revenue to support future clinical model.• Planning Consent for the front of site land sale may delay land sale

receipt.• Vacation of JCW by Nov 2012 – inc. future location for Local Older

Adult Services.

Programme Milestones:• OBC to Trust Board on 28 March.• Completion of relocation of John Conolly Wing services (Nov 2012).• OBC approval mid Aug 2012• Occupation of new MSU April 2015

Broadmoor Broadmoor Redevelopment Redevelopment ProgrammeProgramme

Programme lead:

Vickie Holcroft

This programme remains AMBER/RED because there is still no decision on enabling works PDC or overall OBC and the date has now extended again to April/May 2012

Terms of Section 106 Agreement finalised, agreement engrossed and signed by the Trust and Bracknell Forest Council

Legal agreement with the farmer for the release of land agreed.

Legal agreement with the Girl Guides agreed.

Further progress made to development of contractual documentation for OJEU for Main Contractor. OJEU advert planned for June 2012, subject to OBC approval.

£ : £9m PDC approved for 2011/12 with an anticipated outturn of £8m

£8.6m PDC approved for 2012/13

• OBC v 1.5 addendum and EWFBC by DH – Although informal approval has been received to continue the

• Project, it is still subject to formal approval (May/June2012)• Enabling Works progress subject to OBC approval • Business case for the hostel replacement to be prepared by Estates• OBC approval, if not given, will impact on commencement of some

enabling works, the procurement of the main works contractor and the patient relocation date.

Programme Milestones:• DH approval for the OBC and Enabling Works FBC – overdue, now

anticipated May/June 2012.• FBC submission July 2012. FBC approval – Jan 2013• Planning Approval for Main Scheme March 2012

Portfolio and key programme 0verview as at 18.05.12 Page 5 of 5Work Stream Headlines Key Issues and Delivery Risks

Recovery Recovery

ProgrammeProgramme

Programme Sponsor:

Steve Trenchard

This programme remains AMBER because there are still delays in some of the projects, and reporting is still on trial

Local Services: Still organising structure and reporting lines for Recovery. CQUIN targets will be announced soon.

Recovery Hub is still virtual although many projects are progressing well, and service users and carers form significant cohort. Summer school and conference in September are planned.

Peer Support workers have been trained, £ an issue which needs resolving with commissioners.

Broadmoor: Training for SMT went well – initial resistance changed to enthusiasm - will be rolled out to other staff and patients.

Specialist & Forensic: Recovery Implementation Plan written with Service User support. A book of Recovery Stories is being produced. PSI training looking at symptom management and relapse, and new PSI Practice Development Nurse post advertised.

Training with SMT went well, now less resistance.

Organising third conference to focus on people’s stories.

SMART project: Wards being supported to develop more recovery focussed services are:

Local Services: Kingfisher (Hounslow) and Early Intervention Team

Broadmoor: Henley and Canterbury (Changing to Sheffield because of ward moves)

Specialist & Forensic: Aurora and Avebury

Communications: Dedicated exchange page ready to go live. Leaflet for service users designed with strong SU involvement. AGM will be “Making Recovery a Reality”. Supporting film will be made.

CPA: Policy consultation has received feedback, will be considered when being signed off at Clinical Effectiveness Committee in July.

•Recovery Hub needs location and project plan completed•Structure and resource to support this needs addressing•Financial issues re: Peer support workers needs resolving

•Financial risk needs to be addressed

•Issues re: culture change and philosophy

•Issue re: change of ward from Canterbury to ? Sheffield means delay in process at Broadmoor•Statistics from baseline information shows marked difference in ward indicators eg. Assaults, use of seclusion etc.•Change in leadership on 4 of the 6 wards has affected timing - needs further detailed information across CSUs as this affects recovery and relationships (service user feedback)