Caring Together case study relating to a key risk identified on the NHS Eastern Cheshire CCG Governing Body Assurance Framework

1. Caring Together Risk
Management Mitigation Plan
Fleur Blakeman, Strategy and Transformation Director
July 2015

2. Overview/Context
• Caring Together Risk Register reviewed monthly by the Caring
Together Programme Management Group
• Reviewed quarterly by the Caring Together Leadership Forum
• Caring Together Delivery risk created in March 2014
• Initial risk rating of 15 (likelihood 3 x impact 5)
• Current risk rating of 15 (likelihood 3 x impact 5) having reduced
in February 2015 to coincide with the appointment of key staff
• Appetite for risk remains at a risk score of 12
• Whilst there are robust plans in place it is the translation of
these plans into action and our ability to deliver the pace and
scale of change
• Hence the risk score remains unchanged at the present time

3. Controls
• Robust controls in place
• Provider Forum now established
• Governance of the programme to be further strengthened
through the establishment of the Caring Together
Commissioning Alliance and reviewing the role and membership
of the Caring Together Programme Management Group

4. Caring Together
Leadership Forum
Eastern Cheshire
Providers
Programme Management Group
(PMG)
Business Group
(Finance, Investments,
Contracts)
Care Professional Board
(CPB)
(Quality Standards,
Outcomes,
Interdependencies)
Integrated Care
System
Direct Care Services
Health and Wellbeing
Board
System Enablers
Commissioning Alliance
NHS England, Eastern Cheshire CCG,
Cheshire East Council , Public Health,
(Other CCGs?)
Key
Governance / Assurance
Leadership Forums
Working / Delivery Teams
Programme Management / Delivery
Advisory Groups
… Non Statutory accountability /
decision making
‘GOVERNANCEANDASSURANCE’‘DELIVERYANDIMPLEMENTATION’
NHS England
Cheshire East
Council
Eastern Cheshire
CCG
Communications and Engagement
Cultural Transformation
Caring Together Governance Structure

5. Mitigations
• Revised Governance Structure agreed November 2014
• Establish Caring Together Commissioning Alliance (July 2015)
• Leadership Forum workshop held in May 2015 and further
meetings of system leaders planned to develop absolute clarity
of the scope of the programme, pace and scale of change
• Regular Stakeholder meetings
• Champions event September 2015
• Monthly Caring Together newsletter
• More rigour and discipline regarding the workstreams
• System wide dashboard
• Standards and outcomes framework