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Full Business Case for the Merger of Colchester Hospital University NHS Foundation Trust and the Ipswich Hospital NHS Trust

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Full Business Case for the Merger of Colchester Hospital University NHS Foundation Trust and the Ipswich Hospital NHS Trust Full Business Case for the merger of Colchester Hospital University NHS Foundation Trust and The Ipswich Hospital NHS Trust 22 March 2018 Final Draft Version – Prepared for Trust Board 29 March 2018 Colchester Hospital University NHS Foundation Trust and The Ipswich Hospital NHS Trust Merger Full Business Case 2 | P a g e Colchester Hospital University NHS Foundation Trust and The Ipswich Hospital NHS Trust Merger Full Business Case Contents Contents .................................................................................................................................................. 3 Abbreviations .......................................................................................................................................... 7 1 Executive Summary ......................................................................................................................... 9 1.1 Introduction ............................................................................................................................ 9 1.2 Background ............................................................................................................................. 9 1.3 The case for change ................................................................................................................ 9 1.4 Benefits of merging ............................................................................................................... 10 1.5 The ESNEFT mission, vision and philosophy ......................................................................... 11 1.6 How ESNEFT will operate as a single organisation ............................................................... 12 1.7 The new organisational operating model ............................................................................. 13 1.8 Financial case ........................................................................................................................ 15 1.9 Programme governance and timeline .................................................................................. 16 1.10 Communication and engagement......................................................................................... 16 1.11 Conclusions and recommendations ...................................................................................... 16 2 Introduction .................................................................................................................................. 19 2.1 Purpose of the Full Business Case ......................................................................................... 19 2.2 Agreeing the OBC and the preferred form of transaction .................................................... 21 2.3 Structure of this document ................................................................................................... 21 2.4 Arrangements for the oversight and development of the FBC ............................................ 22 3 Background ................................................................................................................................... 25 3.1 Background to CHUFT and IHT .............................................................................................. 25 4 The case for change for CHUFT and IHT ....................................................................................... 35 4.1 The drivers for change .......................................................................................................... 35 4.2 Driver: Clinical models of care provision are changing ......................................................... 35 4.3 Driver: Recruitment and retention challenges ..................................................................... 38 4.4 Driver: Financial viability ....................................................................................................... 39 4.5 Driver: Delivering transformational change ......................................................................... 40 4.6 Driver: Demographic factors ................................................................................................. 42 4.7 Driver: Impact of technology ................................................................................................ 45 4.8 System risks if the merger does not proceed ....................................................................... 47 4.9 Conclusion ............................................................................................................................. 47 3 | P a g e Colchester Hospital University NHS Foundation Trust and The Ipswich Hospital NHS Trust Merger Full Business Case 5 The new organisation.................................................................................................................... 49 5.1 Introduction .......................................................................................................................... 49 5.2 Mission, vision and philosophy ............................................................................................. 49 5.3 Organisational objectives ...................................................................................................... 50 5.4 How ESNEFT will operate as a single organisation ............................................................... 51 5.5 Element 1: Governance ......................................................................................................... 52 5.6 Element 2: Clinical operating model ..................................................................................... 57 5.7 Element 3: Corporate model................................................................................................. 60 5.8 Element 4: Enablers .............................................................................................................. 62 5.9 Element 5: People and organisational development ............................................................ 65 5.10 Element 6: Education and training ........................................................................................ 68 5.11 Element 7: Capacity and capability to deliver change .......................................................... 70 5.12 Element 8: Performance management ................................................................................. 77 5.13 Benefits ................................................................................................................................. 79 6 Financial Strategy .......................................................................................................................... 83 6.1 Introduction .......................................................................................................................... 83 6.2 Overview ............................................................................................................................... 84 6.3 Key developments since the OBC ......................................................................................... 85 6.4 Historic trust performance and STP context ......................................................................... 85 6.5 Forecast methodology .......................................................................................................... 89 6.6 Standalone positions (Step 1 and 2) ..................................................................................... 89 6.7 ESNEFT before adjustments (Step 3) .................................................................................... 98 6.8 Merger benefits and integration costs (Step 4) .................................................................... 99 6.9 Enlarged Partnership Post Adjustments (Step 5) ................................................................ 103 6.10 Sensitivities (Step 6) ............................................................................................................ 105 6.11 Closing the Gap ................................................................................................................... 107 7 Transaction and integration ........................................................................................................ 109 7.1 Organisational form of the transaction .............................................................................. 109 7.2 Transaction governance ...................................................................................................... 109 7.3 Post-transaction implementation ....................................................................................... 115 7.4 Overview of key risks and mitigations ................................................................................ 115 8 Communications and stakeholder engagement ......................................................................... 120 4 | P a g e Colchester Hospital University NHS Foundation Trust and The Ipswich Hospital NHS Trust Merger Full Business Case 8.1 Progress and approach since the OBC ................................................................................ 120 8.2 Communication and engagement strategy ........................................................................ 121 8.3 Equality impact assessment ................................................................................................ 121 8.4 Travel impact assessment ................................................................................................... 121 8.5 Engagement activity ...........................................................................................................
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