From West Hampshire CCG:
“If all the other steps are completed, this stage should take around 3 months, depending on your CCG’s approval timelines/processes
Think about option appraisals early on, and the benefits and disadvantages of a ‘do nothing’ option. A benefits realisation exercise (patient outcomes, system/productivity benefits, quality outcomes and cost benefits) should also be undertaken – NASH really helped with the evidence.
Undertake baseline mapping of current resources to understand the unmet need.
Handy tips for making a coherent case:
- State the whole case up-front in a single paragraph; i.e. executive summary including key messages and benefits/outcomes/investment
- Business case submissions often require a cover sheet. Maximise the use of this by including key arguments up front
In developing the business case:
- Ensure you have an information analyst on the steering group
- Involve all key stakeholders especially CCG member GPs, your relevant clinical lead and patient representatives
- Engage with your finance lead early on, and use their language with the business case. Including finance early on in the process is a good idea and certainly in advance of committee approval
- Work together on the cost modelling. Factor growth into your cost modelling
- If CCG funding is unavailable, you could try alternative sources of funding such as the Academic Health Science Network (AHSN) or make a case for pump priming (e.g. one year only). Explore three financial scenarios, worst case, most likely case and best case; costings will include full work up of expected caseload and activity, not forgetting provider on-costs
- In building the case, utilize peer reviewed evidence and best practice examples such as NICE epilepsy Quality Standards, NASH findings and other sources such as National directives. Reference to Five Year Forward View is recommended
Align with CCGs priorities. Ensure that your case is a QUIPP programme, so that it remains high profile and delivery is closely monitored. Programme Management Offices (PMO), have resource to support you, so we recommend you work with them.”