Portfolio and key programme overview as at Page 1 of 5 Portfolio Headlines  The Department of Health has agreed the OBC and enabling works for Broadmoor to progress to FBC for the redevelopment.  Revised “do minimum” option for St Bernards option has been approved by the Trust Board.  FT programme remains green/amber, however milestones so far are on track.  Design of the re-provision of adult local services in B Block is progressing, time scales for the use of this interim accommodation need to be defined. RAG key for programme delivery statusKey Programme Risks RED – not on target to deliver on time or within budget, and/or significant risk of not delivering AMBER – issues/risks identified in time/finance/ delivery which may affect delivery and/or milestones GREEN – on target to deliver on time and/or within budget Impact of St Bernard’s redevelopment on longer term re-provision of local services Local Services continue with multiple projects needing stakeholder buy-in FT programme remains green/amber due to significant number of tasks in critical path Social Enterprise project needs external resource and advice to progress. Recovery Programme reporting agreed and will go to TMT monthly for information Summary of Key Programmes Programme May JunJulComments/Detail Foundation Trust Programme The FT programme remains green-amber. HDD1 independent assessment, Quality Governance Framework Review and SHA Board Interviews have been completed. Local Services Programme   New reporting format through project boards. Risks associated with some of the relocations/moves need to be managed. Good progress is being made with some of the enabling projects (see LS programme report) Specialist and Forensic Programme  Projects reported to be progressing, risks re: commissioning remain Recovery Programme  Reporting format through CSUs has been agreed and monthly report will go to TMT for information. Cultural change is identified as a risk/issue in all three CSUs. St. Bernard’s Redevelopment ProgrammeRevised business case with new ‘do minimum’ option completed with all Q&As incorporated, approved by Trust Board and submitted to NHSL. OBC approval due mid-August. Broadmoor Redevelopment ProgrammeDecision to support Broadmoor Hospital Redevelopment Programme has been agreed by DH – milestones go green but programme remains green-amber until split of PDC : Loan agreed for the FBC.

Portfolio and key programme overview as at Page 2 of 5 ProgrammeHeadlinesKey Issues and Delivery Risks Foundation Trust Programme Lead: Nigel Leonard This programme is now Green/Amber because of the numerous tasks in critical path. HDD1 independent assessment completed Future Governor training supplier recommendation for Programme Board approval. Quality Governance Framework Review completed SHA Board interviews completed Knowledge base created and populated to capture external submissions £ - Period 3 spend for 12/13 is in line with the re-profiled draft budget Dependencies impacting in next 2 months: Updated partnership arrangements for Local Services. Required for end Spring Estates Strategy and Workforce Strategy reviewed by the Board by end July. Updated Quality Strategy as part of a wider Clinical Strategy exercise. Governor development activity during summer Second FT consultation completed. Issues Significant increase in the number of tasks within the FT application critical path Section 7 is not yet compliant with NHSL and DH guidance, however the Trust is working with KPMG to complete this work Inadequate resourcing of the FT application Risks Uncertainty in future commissioning intentions and levels of savings required Milestones: July - September 2012 – SHA Committee Observations September 2012 – Final Draft IBP October 2012 – HDD2 Assessment November 2012 – NHSL Board to Board April 2013 – Formal FT Application submitted to Department of Health Specialist and Forensic Programme Programme Lead: Andy Weir This programme is AMBER because of the potential commissioning issues identified in delivery risks All projects mapped and tracked in CSU Service Plan to be monitored at SMT. All projects reported to be on track. On-going – Commissioning arrangements are a risk to some projects, in particular what the new commissioning landscape for “prescribed services” will look like, and where the prescribed services will be commissioned from. CSU Director in on-going discussions with SCG regarding future provision and commissioning intentions.

Portfolio and key programme overview as at Page 3 of 5 ProgrammeHeadlinesKey Issues and Delivery Risks Local Services Programme Programme Manager: Michael Doyle This programme is AMBER because of the number of change projects with interdependencies within the programme, and with St Bernard’s redevelopment In-patients Project Board: The planning to achieve a phased move of the Ealing inpatients from JCW into B Block (interim solution) is progressing. Quality Impact Assessment completed to support using Glynn ward as the interim older peoples service ward from early Community Project Board: Hounslow Adult Assessment Team base works at Lakeside on track to be completed 9 th July ’12. Ealing Adult Assessment Team base refurbishment (Cherrington Hse)- completion 10 th August. Ealing West Recovery Team base refurbishment at The Limes unit - completion9 th July. Assessment & Recovery work streams completing packages of care for clusters 7 & 8. OPS/Dementia Project Board: Staff consultation supporting the OPS/Dementia developments ended 1 st July ’12. The OPS redesign project plan has been signed off by the Programme Board. Moving forward with allocating staff to teams. CAMHS Project Board: Successful staff action planning event was held on June 12 th with over 90 staff participating. Work streams set up to take forward work on clinical care pathways and service redesign. Enabling Projects: Choose & Book (direct booking) pilot will go live in H&F with 8 GP practices on the 9 th July. Adult Assessment Team & H&F Memory /Dementia Team will accept GP electronic referrals direct into MH clinical assessment slots on RiO. Service User 24/7 Telephone support Line (operational 2 nd April ’12) received 785 calls in first 8 weeks. Phase 2 business plan completed and discussed at LS SMT. Preferred option to extend the service to Carers agreed Payment By Results Project: Project Plan signed off by Programme Board. Cluster training has commenced Secondment advertised - Care packages development. Draft commissioner report specification has been provided to IT for development. The timeframe for the reconfiguration of OPS community teams and the development of the Dementia teams in each borough have slipped. There are a number of risks associated with these delays including organisational reputation with commissioners, increased staff costs, and reduced patient experience. The planned move of Ealing older people wards (JCW) during the winter increases the risk associated with patient safety. There are risks associated with the implementation of Payment by Results. This relates to the fact that the shadow tariff may not match the actual costs, as well as the accuracy of the Clustering data. There is a risk that the timeframe (Nov 12) set by the St Bernard’s redevelopment programme board for vacating JCW of all inpatient wards and services will not be achieved. Slippage on the OPS/Dementia community teams redesign has led to significant additional spend on community budgets. Key July Milestones (detailed report available in programme report) Re-cluster the OPS caseload to ensure accurate caseloads for dementia and functional teams. Consultation paper for H&F ward reconfiguration – 2 Assessment Wards and 2 Recovery Wards. Agree space allocation at Armstrong Way for Ealing CAMHS move from St Bernards. Refurbishment of The Limes (Hounslow Assessment) & Cherrington House (Ealing Assessment) completed. Electronic referral pilot (H&F) go live with 8 GPs.

Portfolio and key programme 0verview as at Page 4 of 5 Work StreamHeadlinesKey Issues and Delivery Risks St Bernard’s Redevelopment Programme Programme lead: Vickie Holcroft This programme remains AMBER/ RED because there are significant internal and external factors which still may impact on delivery. Revised business case with new ‘do minimum’ option completed with all Q&As incorporated, approved by Trust Board and submitted to NHSL Further Development of the programme for all known works on the St B site £ - Capital spend within budget Availability of Capital Resources – future funding due to uncertainty regarding land sales (inc Broadmoor scheme). Availability of Revenue to support future clinical model. Planning Consent for the front of site land sale may delay land sale receipt and impact upon commencement of JCW demolition. Vacation of JCW by Nov 2012 – inc. future location for Local Older Adult Services. Staff resources issue at NHSL may slow approval of OBC and impact on programme. Milestones: Completion of relocation of John Conolly Wing services (Nov 2012). OBC approval by NHSL mid Aug 2012 Occupation of new MSU April/May 2015 Broadmoor Redevelopment Programme Programme lead: Vickie Holcroft This programme has turned GREEN/AMBER because the DH have agreed the OBC for the Redevelopment however the split between PDC & Loan needs to be agreed for the FBC. Milestones are green. Decision by DH to support the redevelopment has been received – redevelopment milestones now green and on track, programme green/amber until £ split PDC:Loan for FBC agreed. Further progress regarding alternative solution to the planning condition relating to the road – draft submission made to BFC OJEU advert and MOI/PQQ completed Further progress made to development of contractual documentation for OJEU for Main Contractor. OJEU advert planned for July 2012, subject to OBC approval. Further Q&A received from DH/HMT. Responses completed and Programme Director, Acting CEO and Acting Finance Director met with DH and Treasury representatives on 31 May £ - Expenditure is within PDC approval Further PDC will be provided following OBC OBC approval Split of Loan:PDC to be agreed with DH for the FBC submission Milestones: DH approval for the OBC formally given 11 July FBC submission Sept FBC approval – Apr 2013 Planning Approval for Main Scheme March 2012 Dependencies: Split of Loan v PDC to be agreed to enable the FBC to be finalised for the end of August ahead of the Gateway review, Programme Board approval and Trust Board approval.

Portfolio and key programme 0verview as at Page 5 of 5 Work StreamHeadlinesKey Issues and Delivery Risks RecoveryProgramme Programme Sponsor: Steve Trenchard This programme remains AMBER because there are still delays and issues in some of the projects. Local Services: Recovery Hub location is still being decided on, however virtual hub work progress is extremely positive, with excellent service user engagement. Other strands to be developed. Peer Support workers have been trained, £ an issue which needs resolving with commissioners. Social Enterprise project still needs external resource to support process and advise on transition from NHS service to Social Enterprise, with risks and issues mitigated – to be shared with LBE START project progressing well. Training on PSI and Recovery in workforce training plan Broadmoor: Recovery Hub plan in progress for Broadmoor – links to CQUIN targets START project – Sheffield Ward slow progress due to ward reconfiguration, staff changes and location change. Henley ward progressing well. CPA – CQUIN target 2012 /13 requires the use of an Outcomes Framework in the CPA that will identify / promote recovery orientated practice inclusive of goal setting and outcomes. All three high secure hospitals involved. Re-designed recovery training (co-facilitated with expert by experience) continues to be delivered. Feedback from staff very positive. Recovery Strategy to be signed off at SMT 19 th July Specialist & Forensic: START project delayed on Avebury due to change of ward manager and staff sickness. Aurora ward progressing well. Practice Development Nurse for PSI appointed, commences August ’12. Recovery Hub sessions booked for secure environment. Service User Recovery Newsletter - First edition published & Book of Service User Stories in progress Communications: Meeting set up to develop communications strategy Recovery Hub location needs to be decided on in an appropriate setting. Structure and resource to support this needs addressing – review scheduled for August 2012 – insufficient infrastructure to support expected delivery Financial issues re: Peer support workers needs resolving – lead identified in local services. Social Enterprise has risks associated with transition from NHS service to social enterprise, with staff terms and conditions, governance, finances etc. included. External consultancy and resource to be sort to mitigate, and provide advice and recommendations for next steps. Financial implications for Trust and LBE to be scoped. Issues re: culture change and philosophy continue in all three CSUs Changes in staffing/turnover and reconfigurations in in-patient wards impact on staff being able to increase awareness and practice of recovery oriented care. Recovery initiatives and work linked to CQUIN targets could become tick box exercises