There is a risk of lack of available capacity to meet the needs of the work stream plan of proposed Regular reviews at JT ASR PCB. work stream with the governance Work stream Engagement with leads to of AS&R programme and groups identify gaps in capacity and associated work plans, which alternative would mean that insufficient progress is made on delivery objectives There is a risk that the design and integrated commissioning model could not operate effectively due to being affected by a number of Effective engagement within Ongoing external constraints including the programme board, making constraints demand, flow, seasonal variations the most of resources. and external policies changes that may affect patient demand, resulting in ineffective model design and delivery. Effective engagement within the programme board. Use of Pressure on finance sustainability BCF opportunities to ensure requiring achievement of QIPP Sheffield pound is spent Finances & targets and redistribution of effectively to meet needs of QIPP resources from acute environment the city. Monitoring of QIPP to community based model of schemes, wider involvement delivery. of city wide services to enable delivery of savings. Planned changes in personnel There is risk of lack of continuation are anticipated and managed of key members of the programme effectively with a robust team including BI support, Comms handover. Unanticipated & engagement and lack of changes are managed at a resilience of PMO team, and lack of senior level to ensure as much Overall support to Neighbourhoods due to continuity as possible. programme lack of resources which can lead to Effective engagement with team affect the delivery of the providers, commissioners and programme and lack of progress locality managers working with having outcomes in place to with Neighbourhoods and monitor the performance across Citizens to identify key the Neighbourhoods and across priorities and actions for city city wide services. wide services. There is a risk that the programme will not reflect the purpose of the Governance arrangements are outcomes of AS&R and will not being revisited, ToR to be in Outcome of remain sensitive to the STP place, MoU is in place. Metrics programme Sheffield based plan due to a are being developed to number of factors e.g. lack of monitor the outcome and resources, lack of metrics in place, progress of the programme. governance arrangements which
Work stream groups There is a risk of lack of available capacity to meet the needs of the work stream plan of proposed work stream with the governance of AS&R programme and associated work plans, which would mean that insufficient progress is made on delivery objectives Regular reviews at JT ASR PCB. Engagement with leads to identify gaps in capacity and alternative Ongoing constraints There is a risk that the design and integrated commissioning model could not operate effectively due to being affected by a number of external constraints including demand, flow, seasonal variations and external policies changes that may affect patient demand, resulting in ineffective model design and delivery. Effective engagement within the programme board, making the most of resources. Finances & QIPP Pressure on finance sustainability requiring achievement of QIPP targets and redistribution of resources from acute environment to community based model of delivery. Effective engagement within the programme board. Use of BCF opportunities to ensure Sheffield pound is spent effectively to meet needs of the city. Monitoring of QIPP schemes, wider involvement of city wide services to enable delivery of savings. Overall programme team There is risk of lack of continuation of key members of the programme team including BI support, Comms & engagement and lack of resilience of PMO team, and lack of support to Neighbourhoods due to lack of resources which can lead to affect the delivery of the programme and lack of progress with having outcomes in place to monitor the performance across the Neighbourhoods and across city wide services. Planned changes in personnel are anticipated and managed effectively with a robust handover. Unanticipated changes are managed at a senior level to ensure as much continuity as possible. Effective engagement with providers, commissioners and locality managers working with Neighbourhoods and Citizens to identify key priorities and actions for city wide services. Outcome of programme There is a risk that the programme will not reflect the purpose of the outcomes of AS&R and will not remain sensitive to the STP Sheffield based plan due to a number of factors e.g. lack of resources, lack of metrics in place, governance arrangements which Governance arrangements are being revisited, ToR to be in place, MoU is in place. Metrics are being developed to monitor the outcome and progress of the programme.