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This is an HTML version of an attachment to the Freedom of Information request 'Information relating to the forthcoming rollout of the SCR'.

Risk Log


Project Risk Log                     
Project Name: Summary Care Records   INFORMATICS PROGRAMME OFFICE                 
Project Manager: David Payne                     
                     Project       
1. BASIC RISK INFORMATION        2. RISK ASSESSMENT INFORMATION             3. RISK RESPONSE INFORMATION     
Risk No Dept. RR no. Risk CategoryDate Reported day-month-yearAuthorRisk Description / Risk Event StatementIssue TypeConsequence/ Impact 1L-5HLikelihood/ Probability 1L-5HRisk Rate (8+ Orange, 16+ Red)ColourLast Update day-month-yearAction Owner - ResponsibleImpact DescriptionTimeline Short=Immediate Concern Med=Proj Dev Issue Long=Introd. to Op IssueStatus of Response Mitigating Actionsconsequence/Impact H / M / LLikelihood/Probability H / M / LconsequencesResidual Risk ScoreCompleted ActionsPlanned Future ActionsProgress on ActionsProgress 09/07 RAG Risk Status Open / Closed / Moved to Issue
Column1Column2  Column15 Column3  Column7Column9  RAG Column8Column10Column11     Column12Column13  Column16Column14
SCRR1    15.12.08David PayneEngagement with First Wave Practices will be compromised with a lack of engagement with iSoft as to system readiness. There will be workflow impact which needs to be understood by the GP Practice  5210 05.02.09David PayneMay reduce willingness of user uptake until understood. May cause time constraints on GP workflow which may be unacceptable to the GP        Direct enagement with iSoft, via account manager and SCR lead. Escalation to SHA and CfH for more information. Discussed with other early sites. Workstream Lead appointed (Stephan Coupland)iSoft have an 'open day' planned for 23.02.09. iSoft will attend the March SHA Project meeting. Further investigation with early adopter sites and direct iSoft engagement.Workflow and planning information received from iSoft via CfH. Discussions with iSoft account manager and SCR contact. Staff scheduled for 'open' day  Open
SCRR2    15.12.08David PayneDelayed or inadequate Stakeholder Engagement will lead to a lack of uptake and awareness across the health economy 428 05.02.09Joanne StevensLack of awareness across stakeholder groups will reduce patient awareness and ability to make informed choice and HealthSpace uptake       Communications planning ongoing. Stakeholder mailout planned to coincide with PIP. Event planned for mid March, within existing PCT engagement process. Ongoing planning of enagement activitiesApproved Communications Plan and Communications Matrix Confirm/Organise stakeholder event. Further direct briefings.Draft Communications Plan under review and being updated. Provisional date agreed for engagement event being organised   Open
SCRR3    15.12.08David PayneLack of clear messages from CfH regarding the consent model and other key messages will compromise clinical stakeholder engagement and uptake  4312 05.02.09David PayneLack of uptake and willingness to participate by GPs. Confusion of messages to both clinicains and patients       Escalated to CfH lead and via SHA. Receipt of all available CfH documentation.Document a statement of understanding by NHS Medway and present to SHA and CfHBoard and internal discussions. Sufficient clarity to progress to the Pilot PIP  Open
SCRR4    05.01.09David PayneFailure to gain agreement and buy in from the First Wave Practices will delay the First Wave PIP and compromise user uptake 428 05.02.09David PayneFirst Wave Practices will not participate in the Pilot       Discussions with Practice Managers to explain process. Concept Training delivered. Agreement received to progress with the First Wave PilotContinue with the PIP and First WaveAgreement to commence the PIP  Propose Closure
SCRR5    05.01.09David PayneInadequate Executive ownership of the Project, at both PCT and SHA level, will cause inadequate ownership of risks, escalation of issues to CfH and provision of project resources 515 05.02.09Lois LerePoor project governance, management and escalation of risks and issues. Ineffective decision making.        Establish an effective Project Board and Governance structure, engage fully at K&M and SHA level with project groups. Maintain Project Board engagement and communicationProject Board meetings held, agreement of required resources and decisions   Propose Closure
SCRR6    05.01.09David PayneIndadequate Project resources and skills will delay and compromise effective delivery of all required workstreams 428 05.02.09Lois LereInadequate project deliverables, delays, failure to meet quality standards       Ongoing review of requirements with SRO. Effective communication and working with IPO. Identified workstream leadsDetailed workpackages, formalisation of workstreams and leads. Ongoing involvement of the IPOBasic workpackages for Communications workstream. Identified leads for HealthSpace, benfits and iSoft  Open
SCRR7    07.01.09David PayneLack of successful communication to vulnerable and hard to reach patient groups may compromise the equity of roll out and mean all patients are not fully enagaged to inform the consent decision 326 05.02.09Kim EaglestoneCertain patient groups will not be given the opportunity of informed consent       Planning Mailout to external stakeholder groups and organisations to coincide with Patient Mailout. Working with relevant patient and stakeholder groups Stakeholder engagement event, drop in sessions, further Communications planningStakeholder mailout planned, stakeholder event being planned in discussion with Kim Eaglestone  Open
SCRR8    07.01.09David PayneNegative messages from the media both nationally and locally, concerning wider personal data security may impact on stakeholder perception and take up 248 05.02.09Joanne StevensNegative impact on internal and external and patient stakeholders        Proactive early engagement with media and PCT and CfH Communications LeadsMonitor media interest. Possible radio interviews. Maintain engagement at SHA level. Media Brief approved, to be released at the start of the PIP  Open
SCRR9    19.01.09David PayneDeceased Patients are not removed from the GP and Exeter systems until notification from Births Deaths and Marriages, this may lead to the mailout still being sent to deceased patients 2510 05.02.09David PayneCause distress to deceased patient families, may cause negative publicity for the PCT and project        Discussed with Practice Managers, numbers idientified as low. Names were sought but it was not possible to remove names from the exeter download, explained to Practice Managers.Monitor impact and endeavour to minimise impact on further wavesTo montior following the Patient mailout  Open
SCRR10    15.01.09David PayneThe arrangements for the mailout may not be organised to meet the planned PIP start date 428 05.02.09David PayneMissed Milestone, reduced credibility of the project, confused stakeholder messages       Effctive planning of the Mailout via KPCA, discussions and lessons learnt from other sites (e.g. Stoke, SW Essex)Mailout commences 09.02.09. Document Lessons learntMailout planned  Open
SCRR11    15.01.09David PayneThe patient letter may not be fully and correctly worded and approved to provide the correct messages and choices to patients 325 05.02.09David PayneAmbiguity of messages, reduced opportunity for informed patient choice        Wide review of the Letter via various forums and individuals. Review of early adopter letters. Board approval processCapture and review of feedaback from stakeholdersFeedback awaited  Open
SCRR12    22.01.09David PayneExpected Benefits and Benefits realisation Planning may not be identified and planned to effectively measure the benefit outcomes 339 05.02.09Lois LereIt will not be possible to measure the impact on patient care and deliver the full potential of this solution.        Benefits lead identified, two K&M workshops attended. Engagement with K&M programme leadsFurther engagement and working with K&M and SHA leads. Produce a Benefits Realisation PlanSessions planned with K&M Lead  Open
SCRR13    05.02.09David PayneCfH Funding remains unclear. Conflicting messages have been received from CfH and the SHA as to the exact funding we may receive. It had been agreed at 12k, then 12k per Practice was suggested. CfH will not clarify. 248 05.02.09David PayneIt will be difficult to plan the local funding requirement until clarification and confirmation is gained from CfH. Should not prevent project resourcing.       Escalated to SHA, Becky gaylor, and CfH, Matt Watson. A formal request sent to Matt Watson for funding.Continue to escalate, review at February Project Board.Response awaited from SHA/CfH.  Open
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
     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