2015 Report details for project: NHS e-Referral Service

Project name: NHS e-Referral Service - there are 6 reports for this project: 2014, 2015, 2016, 2017, 2018, 2019
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Organisation: DOH (D12) - see all reports for this organisation
Report year: 2015 (data is from Sept 2014)
Category: ICT - see all reports for this category
Description: This project is about the provision, development and implementation of a new NHS e-Referral Service to succeed the existing Choose and Book service in line with NHS e-Referral Service vision and a significant broader set of strategic drivers. The vision positions the new NHS e-Referral Service as a flagship programme to support paperless referrals and a paperless NHS by 2017, and as a centrepiece of NHS England’s response to the Government’s Digital First and transparency initiatives. The NHS e-Referral Service project has the following scope: • Achieving 100% 'paperless' referrals and bookings in the NHS; • Launch vision of what the NHS e-Referral Service is aiming to be. After launch of the vision there will be a by period of research, communications and engagement with patients, users and stakeholders; • Go live of the NHS e-Referral Service to support the NHS and Patients, as a 'like for like' replacement of the existing Choose and Book service that currently supports the NHS and Patients. This includes software development, migration of existing data (such as patient referrals and Hospital Services) and transition activities; • A range enhancements and developments to NHS e-Referral Service in line with research completed with patient and professional users within the NHS and Social Care; • A replacement national Telephone Appointment Line function for patients to book appointments, following closure of NHS Direct; • Transition, exit and de-commissioning of the existing Choose and Book and The Appointment Line services to the new NHS e-Referral Service; • Ongoing support of the live NHS e-Referral Service after implementation to ensure resolution of any issues impacting delivery of the service to patients and NHS users; and • Programme and Service Management from the Health & Social Care Information Centre covering all aspects of delivery, including supporting business change, communications and stakeholder engagement.
DCA (RAG): Amber
DCA text: The MPA RAG rating was Amber at Q2 2014. The rating reflects the high risk and complex nature of the programme, as well as the high level of issues related to the NHS e-Referral Service software that still required resolution prior to implementation. The NHS e-Referral Service was not ready for go live at the time of the review; and there was an Amber status regarding achieving the previously announced target go live date of November 2014. A number of actions were underway at the time of the review, which included: • Updating the project plan to deliver NHS e-Referral Service, including ensuring a consolidated critical path (the minimum set of activities and associated durations to complete) was in place to support key decision points; • A revised test plan, to ensure all necessary testing (such as testing the service works, quickly, is secure, etc.) of the service is completed in advance of go live; and • Working with senior users, the Senior Responsible Owner and the Programme Board for the service to agree the quality criteria for acceptance of the new system, and agreement reached to de-prioritise any non essential items for go live. All MPA critical actions were completed, 3 essential actions are in progress, 2 of which require Programme Board sign off before they can be closed, which related to the refreshed vision for the service and levers to achieve it. The final action will be closed in March-15, which relates to capacity and capability of the team, with recruitment and other activities underway to close the previously identified gaps. The path to green for NHS e-Referral Service is focussed on completing go live expediently and safely. This involves reducing issues with the software, completing test, data migration and service readiness (so the service is supported after go live) activity.
Start date: 2012-07-26
End date: 2018-03-31
Schedule text: Testing across all required test streams is progressing, however NHS e-Referral Service software defect levels remain higher than expected at this stage of project. Defect fix and release remains on track for e-Referral Service go live by Spring 2015. Future development activity is ongoing but being impacted by focus on go live.
Baseline: £35.41m
Forecast: £33.98m
Variance: -4.10%
Variance text: Budget variance less than 5%
Whole Life Cost: £131.16m
WLCost text: The Budgeted costs are based on the latest Outline Business Case, with the latest forecast costs being taken from the IaaS Full Business Case, the TAL Full Business Case (funding agreed to 2015/16) and the extension of the Choose and Book Service to March 2015. This Choose and Book extension represents an additional £1.95m forecast revenue expenditure in 2014/15. The impact of these changes is to reduce overall forecast expenditure by £16.02m compared to budgeted Whole Life Cost.
Sourcefile: IPA_2015.csv

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