2019 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: DHSC (D12) - see all reports for this organisation
Report year: 2019 (data is from Sept 2018)
Category: ICT - see all reports for this category
Description: Deliver NHS e-Referral Service to support paperless referrals and a paperless NHS by 2018, as a centrepiece of NHS England’s response to the Government’s Digital First and transparency initiatives. As per the scope of the original OBC, this report details the NHS e-RS Live Service project within NIB Domain F: Elective Care. The report excludes the enhancement of the service through the NIB Digital Referrals project.
DCA (RAG): Green
DCA text: Having achieved the major milestone of full use of the NHS e-Referral Service in October 2018, the recent IPA review has confirmed the closure of the e-RS Paper Switch Off programme. The review assigned an Amber/Green rating in the main down to an uncertain position with our current Full Business Case for further developments. Notwithstanding this the review team were complimentary about the achievement of full use across the GP to hospital estate. The SRO believes this to be a significant achievement and an exemplar in major programme delivery in the NHS. Work is now ongoing to ensure the sustainability of this position and to enhance the technology to deliver further patient benefits across this pathway and more widely.
Start date: 2012-03-29
End date: 2018-03-31
Schedule text: The delivery of strategic change to the core e-Referral Service project is aligned with the Paperless 2020 agenda. A revised strategic programme of change for the next five years has been submitted to the National Information Board (NIB) in March 2016 and approved. Future development of the service will sit within this framework (now called the Digital Transformation Portfolio). The NHS e-RS Live service is stable and Paper Switch Off (all 152 trusts raising GP to 1st outpatients referrals via e-RS) was completed in August 2018. The programme has remained on GMPP after closure pending independent assurance that the ongoing commercial arrangements are well managed and that the benefits are being delivered. Future development and enhancement to the service to March 2021 will be delivered through the Digital Referrals Programme Business Case, which supports ongoing delivery of change for a three year period. Live service costs will be managed through NHS Digital business planning processes throughout this period.
Baseline: £19.99m
Forecast: £22.85m
Variance: 14.00%
Variance text: The eRS Live Service is currently forecasting an overspend of £1.2m over the FY 2018/19. This comprises an overspend of £0.4m on Revenue and an overspend of £0.7m on Capital. This is accounted for by ? The additional capital costs to transition the service to Cloud hosting, which was approved by the relevant boards after the baseline budget was set. ? A revenue overspend on the Telephone Appointment Line (TAL) service, due to the costs of transition to a new supplier.
Whole Life Cost: £151.15m
WLCost text: A 13% project underspend is forecast. This was largely driven by the delay in go-live of NHS e-RS, meaning that costs before FY1617 were lower than planned, also a reduction in hosting costs were obtained, and TAL volumes were lower than expected due to effective promotion of the cheaper Manage Your Referral (MYR) self-service channel to patients.
Sourcefile: None

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Acknowledgement: GMPP data has been re-used under the Open Government Licence.