Moving from Strategy to Delivery

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Moving from Strategy to Delivery

• Ben Hutchison
• ---
• Business Case Architect

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The Work-streams of the Single Record
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Business Case Analysis

• Consideration of
• The current position
• Investment objectives
• Benefits and risks

At 3 levels
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Moving from Strategy to Delivery

• The Business Case Process
• Strategic Outline Case (SOC)
• Outline Business Case (OBC)
• Full Business Case (FBC)
• Stakeholder engagement proposals
• Timescales

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The five case model
Strategic Outline Case (SOC)
Outline Business Case (OBC)
Full Business Case (FBC)
Strategic case
Economic case
Increasing detail
Commercial case
Financial case
Management case
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Building the Business Case
Business strategy
Options appraisal
Procurement strategy
Local Economy / Community implementation
Number of local cases to be confirmed during OBC
development
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Approval Timeline
Gateway 0 Mid November 2004
Gateway 1 2 End November 2004
Gateway 3 May 2005
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Local Implementation Timeline
Early adopter gateway 4 September 2005
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Stakeholder Engagement

• All Wales involved in
• Strategic Outline Case (today)
• Local Full Business Cases
• Working groups with representatives involved in
• Outline Business Cases
• Developing specifications
• Procuring toolkit
• If you want to be involved, mail

stakeholders_at_sip.wales.nhs.uk
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Strategic Outline Case givens (1/2)

• Coverage All of Wales (i.e. one shared solution)
• with interface management in place to deal with
  cross border flows of patients and staff to and
  from England
• Scotland Ireland are out of scope
• Scope is all health data, accessible by everyone
  who needs access to it
• This includes feeds from private health and
  social care
• Social care and private health systems themselves
  are out of scope

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Strategic Outline Case givens (2/2)

• Actual location of record
• resolved by technical architecture and maybe
  distributed (i.e. some corporate and some local)
• Virtual location of record
• Looks as if it is in a single place and is
  orderly
• Visible through single interface
• More security than just username and password a
  pre-requisite
• Minimum two factor authentication (e.g. security
  card and password)