Service Change Assurance Reconfiguration Grid Nicola Allen Cheshire

Service Change Assurance - Reconfiguration Grid Nicola Allen Cheshire & Merseyside

Assurance thresholds In May 2015, it was agreed that: The Investment Committee should review the assurance conclusions and take decisions for all schemes where one of the following conditions applies: • Impact on any NHS Trust or NHS Foundation Trust that is in special measures or where the reconfiguration is in respect of services where there has been enforcement action; • Requires transition or transaction support of more than £ 20 m from NHS England funds (not including CCG funds); or • The total turnover of the affected services (for all sites impacted by the transition, at current prices) is above £ 500 m in any one year. The Chief Financial Officer should review the assurance conclusions and take decisions for all schemes where one of the following conditions applies: • Impact on any of the distressed health economies as currently or subsequently defined; • Requires transition or transaction support at a value of less than £ 20 m from NHS England funds (not including CCG funds); or • The total turnover of the affected services (for all sites impacted by the transition, at current prices) is above £ 350 m in any one year. The Regional Director should oversee assurance for all schemes beneath these thresholds. 2 2

The assurance process 3

Cheshire & Merseyside Reconfiguration Grid There are currently 9 schemes on the C&M grid, 3 of which are reported to the central business unit as indicated below: Name of Scheme 1 Caring Together – a new approach to achieving excellent health and social care services in Eastern Cheshire 2 Healthy Liverpool 3 Relocation/expansion of Clatterbridge Cancer Centre to Liverpool – creating a comprehensive cancer centre for Cheshire and Merseyside 4 Relocation of Scott Clinic (Medium secure Mental Health) Mersey Care NHS Trust 5 Alder Hey Children’s NHS Foundation Trust 6 Royal Liverpool University Hospital Redevelopment Project 7 Liverpool Women’s Hospital 8 Breast Screening Review in Cheshire, Warrington & Wirral 9 Cheshire & Merseyside Maternity Services Review Reducing Variation & Improving Outcomes for Maternity Services across Cheshire & Merseyside (RV&IO Project)) Reported on National Grid? 4