1. Bowel Screening Project Overview Rhys Blake Head of Business and Service Development

2. Project purpose and objectives Design and implement a national population based bowel screening programme Begin screening by end 2008

3. Project Initiation Document Project Initiation Document detailed the process for taking forward the Ministerial requirement to design and implement a national population based bowel screening programme

4. Project phases PHASE 1 Initiation PHASE 2 Preparation PHASE 3 Implementation

5. Key objectives Phase 1: April 2007 – September 2007 –Establish Project Team and Steering Board –Approval of Project Initiation Document –Stakeholder analysis –Undertake initial risk assessment –Undertake Rapid Policy Appraisal Health Impact Assessment on draft bowel screening policy

6. Key objectives Phase 2: October 2007 – October 2008 –Establish service model –Request expressions of interest from interested NHS Trusts (July 2007) –Undertake options appraisals for laboratory, administrative functions etc –Appraise IT infrastructure options –Capacity planning and initial consultation with service Endoscopy, Surgery and Pathology –Options appraise FOB test

7. Key objectives Phase 2: October 2007 – October 2008 –Prepare information for public and service users –Prepare All-Wales policy –Establish ongoing training needs –Produce costed recommendations for roll out of screening –Agree timetable for implementation –Commence implementation

8. Key objectives Phase 3: Implementation –Establish All Wales Management Group –Implement IT system –Recruitment –Partnership with NHS in Wales Meeting with interested parties Evaluation of local services

9. Key objectives Phase 3: October 2008 onwards –Pilots –Make necessary adjustments and roll out programme across Wales

10. Project assumptions Project will ‘go live’ end 2008 Project will be a priority for team members Organisational changes Emerging IM&T structures Resources will be allocated Key staff will be made available by other organisations Funding will be made available to complete tasks

11. Organisation Project Steering Board Project Team Endoscopy, Training and Capacity Planning Subgroup IT Subgroup Biochemistry & Histopathology Subgroup Marketing and Communications Subgroup All Wales Policy and QA subgroup Operations and Admin subgroup Velindre NHS Trust Board/Exec Board Project Quality Assurance Team

12. Communication Communication and engagement is crucial to the successful management of change and implementation of a new service Communications managed by Marketing and Communications sub-group

13. Communication aims Key stakeholders (those required to introduce screening) are engaged (and feel engaged) with the project Stakeholders are clear about what the project is intended to achieve, why it is needed and how the outcomes are to be achieved To ensure full public/user involvement as far as is reasonably practicable There is a good take-up of screening (measure to be determined)

14. Project risks (1) Health Commission Wales seeking recurring cash releasing savings from Screening Services. Programme may be subject to recurrent financial pressure before implementation has started. –Impact: Major - May severely disrupt and delay project. Risk to programme operations –Countermeasures: WAG to reiterate funding is ring fenced and protected for a minimum number of years as recommended by Steering Board

15. Project risks (2) Timescale to specify, procure or develop, test and implement an entirely new IT system (or systems) to be operational by October 2008 –Impact: Major - Fundamental to completion of project and ability to start programme –Countermeasures: Risks to the quality of the new system(s) and their support unknown at present as suppliers are not yet identified. Risks to be managed through procurement process

16. Project risks (3) Insufficient service capacity/quality to take on screening workload –Impact: Major - Programme unable to implement to planned timescale due to service constraints –Countermeasures: Increased training, phased implementation. Project team assistance to provider Trusts to put in place required capacity/quality in advance of implementation

17. Project risks (4) Ability to secure professional medical consultant input into the project and local implementation teams due to other clinical/service demands –Impact: High - Will affect project effectiveness and pace of implementation –Countermeasures: WAG to reiterate to Trusts expectation that relevant staff will be released to assist with project and implementation if risk remains/increases

18. Project risks (5) Emerging IM & T structures affecting the ability to implement programme efficiently and effectively –Impact: Major – will affect implementation of IM & T systems –Countermeasures: Project to work with Informing Healthcare to align strategy and minimise disruption to roll out/implementation

19. Conclusions Objectives accomplished –Design and implementation of a national population based bowel screening programme –Screening to begin by end of 2008 (October) Within timescale and budget