National Health Services Funding Issue Assignmemt Sample

Background of the National Health Service and its challenges:

This presentation aims to focus on the Funding issues of the National Health Service or NHS.

The vast majority of the NHS funding comes from general taxation and NICs or National Insurance Contributions.

In 2022-23, the spending of NHS was £ 181.7 billion, and the vast majority of the spending was related to day-to-day activities.

Currently, NHS Egland is facing challenges like:

1. Longer waiting time for the treatment at NHS
2. Difficulty in maintaining quality and standard in healthcare services being offered by NHS to individuals with specific needs
3. Limited access to specific treatment by the patients

Project Strategy

The aim of this presentation is to develop a project for initiating an NHS fundraising program.

The purpose of the project will be: to launch and initiate a targeted fundraising program for NHS to address constraints like prolonged waiting time for treatment, Limited access to certain treatments, and difficulties in providing high-quality healthcare services to patients.

Therefore, the objectives of this project will be:

1. Develop and design targeted fundraising initiatives for NHS.
2. Include public-private partnerships.
3. Advocate the increased government funding.
4. Develop a fundraising project to address the current challenges of NHS, enhance patient care, reduce the waiting time, and expand the accessibility of treatment at NHS for patient

The type of this project is Healthcare Fundraising initiative for NHS. This involves strategic planning and execution of the project by establishing and including public-private partnerships and advocacy of the Government of the UK.

The drivers of this project will be:

1. The stakeholders: Patients, Shareholders of NHS, Government of the UK, Healthcare workers and care professionals
2. Financial Stability: a stable and strong financial foundation to address the operational challenges and improve service efficacy
3. Community support: involvement of the population of the UK and community
4. Innovative Healthcare solution: technologies, Treatment Modalities, research, and Development,
5. Healthcare Infrastructure

In recent times, the NHS has been facing challenges related to staff shortages. On the other hand, the number of appointments for healthcare consultations in England are new record level. Additionally, in 2022-23, the spending of NHS was £181.7 billion and this vast majority of spending was on day-to-day activities which include Staff salaries, Healthcare service provision, and so on. To meet the staffing gap and improve the service efficacy of NHS, the fundraising program is important.

Project Lifecycle for Healthcare Fundraising Initiative for NHS

Initiation: this step will include defining and setting up the project goal, objectives, and scope. At this step, the focus will be given to establishing a project team with stakeholders, like community representatives, healthcare workers, Government, fundraising experts, and healthcare employees of the NHS

Planning: at this stage, the focus will be given to developing a comprehensive fundraising strategy by including targeted initiatives, public-private partnerships, and an advocacy plan

Execution: Launch the fundraising program by leveraging channels like online platforms, corporate partnerships, and community events. At this step, the focus will be given to developing public-private collaboration through strategic partnerships with philanthropic organistaion, NGOs, and other businesses.

Other steps of the project lifecycle will be:

1. Monitoring and control
2. Communication and Engagement
3. Evaluation
4. Adaptation and Scaling
5. Closing of the project

Project Methodology

considering the dynamic aspects of the fundraising program of NHS and the need to maintain flexibility in a project to include changes, Agile methodology will be the best fit. It will allow the iterative development, and involvement of the stakeholders, and provide scope of including changes in any stage of the project work.

Budget and timeline of the Project

Phase	Timeline	Budget allocation
Initiation	One month	£10,000 (team setup, resource allocation)
Planning and Development	Three months	£20,000 (Strategy development)
Project Installation	Five months (on-going process)	£100,000 (project cost and events)
Monitoring and Maintenance	Throughout the project work	£20,000 (evaluation, checking, and control )
Training to the staff	Throughout the project	£20,000 (training, and engagement of the staff)
Project closing and post-implementation support	One month	£50,000 (project summary, integration of ongoing support)

Project Definition

This proposed project “Funding for the NHS” needs to achieve the following objectives:

1. Raise the funding and bridge the funding gap in NHS
2. Mitigate the financial challenges in NHS to improve patient care
3. Address the challenges in NHS: prolonged waiting time for treatment, limited accessibility of certain treatments
4. Include public-private partnerships and advocacy of Government to carry out targeted fundraising initiatives
5. Improve Healthcare infrastructure and effectiveness of healthcare services for NHS

Problem Statement

The areas in NHS healthcare service facilities that need attention are prolonged waiting time for treatment, limited accessibility of specific treatment by the patient, and financial challenges to provide high-quality healthcare facilities to the patients in NHS. According to the report published by “The Health Foundation”, in July 2023, the waiting list for routine checkups at hospitals in England has increased to 7.69 million. This value indicates that on average 390,000 people used to wait to access basic treatment facilities for more than a year. On the other hand, the emergency care service provision of NHS is also under pressure, in 2022-23 almost 70.9% of the patients were admitted, discharged, and transferred to another hospital within 4 hours of admission. In the UK, more than 410,093 people used to wait for more than 12 hours on trolleys to access emergency services. additionally, underfunding is another important challenge that the NHS is going through.

Addressing these issues is considered to be important to improve the overall healthcare service facilities of the NHS by ensuring equitable, high-quality, and timely care services for every patient.

Business Case, comparison to multiple options

Outline of Business Case:

1. In the current time NHS is facing challenges due to the:

1. Lack of staff
2. Lack of funding
3. Lack of healthcare infrastructure

Investment Appraisal:

option	Cost	Benefit	Social Impact
Targeted fundraising	Moderate investment	Increase funding option	Enhance the well-being of the community, develop equitable healthcare
Government Funding	Advocacy cost	Sustainable and strong financial support,	Improved health and well-being of public, comprehensive healthcare services
Public-private partnership	Collaboration expenses	Diversified funding, improved healthcare infrastructure	String community partnership,

Justification of the project

According to the case scenario and similar another report, it was seen that prolonged waiting time, limited access to healthcare treatment, lack of healthcare infrastructure, and underfunding are the major issues that the NHS is currently facing. The proposed project aims to increase the funding for NHS through a targeted fundraising program involving both private and public collaboration and government support.

This project will address the issues like financial challenges of NHS, improve the efficacy of patient care services, and ensure timely access to treatment. Internal support from healthcare professionals, and care workers, as external supports like the community, government, and stakeholders of NHS are important to ensure the success of the project.

PBS, WBS, and CBS

PBS or Product Breakdown Structure

1. Fundraising Campaigns:

1. Community events
2. Corporate partnership
3. Onlien platform

1. Government advocacy:

1. Public Awareness program
2. Government lobbying

1. Public-Private Partnership

1. Philanthropic Engagement

WBS or Work Breakdown Structure

1. Project Planning
2. Execution of fundraising program’
3. Monitoring and Controlling the track
4. Communication and Engagement, Training
5. Scaling

CBS or Cost Breakdown Structure

1. Planning the cost – team setup and feasibility study
2. Cost for project Execution
3. Cost related to Training to the staff, and monitoring
4. Cost for Engagement- Cost related to promotion and PR campaign
5. Scaling cost

Work Breakdown Structure

• Project pre-setup – in the context of the NHS Fundraising project, the project pre-setup will include the initial planning phase including a multidisciplinary team, defining the goal and objective of the project, allocating key resources
• Feasibility study- this step includes a comprehensive analysis of the funding landscape or assessing the financial climate, fundraising sources for the NHS project
• Project design: at this step, the focus will be given to structuring the campaign, developing advocacy strategies, and outlining the partnership
• Project initiation- launch a fundraising campaign, form the partnership, and initiate an advocacy effort
• Implementation- this step refers to initiating or executing the fundraising campaign, monitoring the progress, and implementing necessary changes based on the feedback
• Project ending- this step involves summarising the outcome of the project work.

Risk Register

Risk	Stages of Risk Assessment	Risk Management Strategies	Mitigation Strategies
Shortage of funding	Identification, assessment	Diversify the sources, develop a contingency plan	Use of proactive fundraising campaigns
Resistance from Stakeholders	Identification, analysis	Use of effective communication, stakeholder engagement	Conduct stakeholder analysis and feedback
Legal changes	Identification, evaluation	Regular monitoring and analysis of the steps, counsel legal representative	Regular updates of legislative practices
Dependency on technologies	Identification and analysis	Assessment of stakeholders, developing a contingency plan	Implementing alternative technologies,

Risk Register of NHS Funding Project

In the above slide, the risk register of the NHS funding project has been developed by including identification, assessment, and addressing the potential risks and mitigation plan in tabular format. The potential risks of the project are shortage of funding, resistance from stakeholders, use of technologies, and legal changes. Risk management strategies, such as diversifying funding sources or improving communication, are recommended, while mitigation strategies include specific activities to reduce harm. This table is a comprehensive tool that promotes proactive risk management and ensures that the project team is well-prepared to traverse problems, hence facilitating the effective execution of the NHS fundraising drive.

Stakeholder Management Plan: Mapping Power/Interest

Stakeholders	Power	Interests
Government	High	High
NHS staff, healthcare worker	Moderate	High
philanthropies	High	Moderate
Local Community	Moderate	Moderate
Healthcare regulators	High	Moderate
General population	Low	Moderate

The Stakeholder analysis

The Stakeholder plan for the NHS Fundraising project identifies the key stakeholders of the project. The objective of the project is to increase funding for NHS for developing health infrastructure, reduce funding shortfalls, and improve healthcare service facilities. according to the tabular format, the project team will include fundraising expertise, healthcare workers, government, NHS staff, Local community, and Healthcare regulators. To mitigate conflict between the stakeholders, open communication, conducting regular stakeholder engagement and assessment programs, and addressing their concerns promptly will be the best and preferable approaches. Additionally, clearly defining roles and responsibilities, and ensuring transparency in working plans and decision-making can also help to mitigate the conflict between stakeholders. By putting in place efficient dispute resolution procedures and actively including stakeholders in important project choices, it is possible to foster alignment and trust, reduce the likelihood of disagreements, and encourage a cooperative approach to the NHS fundraising initiative's successful completion.

Team Organisation – RACI Matrix

RACI stands for: Responsible, Accountable, Consulted, Informed

Role	Project Management or PM	Fundraising Lead or FL	Governmental Liaison or GL	Communication Lead or CL	NHS Staff Coordinator or NC
Project planning	R	A	C	I	C
Campaign for fundraising	R	A	I	C	C
Engaging stakeholder	R	C	I	A	I
Budget management	R	A	C	I	C
Relation with government	I	C	A	R	I
Coordinate the NHS Staff	C	C	I	I	R

Description

A project Sponsor is a senior executive who offers high-level guidance and provides investment to the project management work by linking with organisational leadership. On the other hand, the role of a project manager is to carry out and supervise day-to-day activities related to the project work, and execution of the project task, and ensure that the project is progressing successfully and will be completed within the stipulated timeline.

The RACI matrix refers to the roles and responsibilities, that facilitate effective communication. For this proposed project Agile methodology has been selected to maintain flexibility and adaptability at every step of the project work, involving community within the project, and delivering functional components enabling the NHS to show the initial success of the project

Communication plan

Stakeholders	Way to communicate
Stakeholders	Email, face-to-face meetings
Community	Social Media, Ads, Newsletter
Local healthcare regulators	Report, Team Meeting
Government	Team Meeting, email
NHS Staff	Report, face-to-face interaction

Tuckman Theory of team development

In developing a successful team for the NHS fundraising program, Tuckman's theory can be used to foster effective team development, communication, teamwork, along negotiation within the team.

Tuckman’s stages of Team Development involve:

1. Forming- at this stage focus will be given on establishing tea role by defining goals
2. Storming: encouraging for open communication within the team and resolving conflict among stakeholders
3. Norming: promote collaboration and set norms
4. Performing: Optimisation of team productivity
5. Adjourning: Determine the achievement

Communication: communication in team development is essential to create an open channel for transferring information between project managers and top employees. Additionally, regular updates of the project work need open communication. On the other hand, teamwork is important for the project to develop a collaborative working environment where every stakeholder of the NHS Fundraising initiative can work cooperatively and encourage them to actively listen and seek clarification to hierarchy for ensuring the successful completion of the work. Negotiation with the project team is essential to create a win-win solution and develop clear objectives. By incorporating these elements, the NHS project team can navigate the Tuckman team development stages by enhancing communication, strengthening teamwork, and improving listening skills with negotiation. These can contribute to ensuring the overall success of the fundraising program.

Scheduling – critical path

Task	Duration
Pre-setup of the project	1 week
Feasibility study	2 weeks
Design of the project	2 weeks
Resource allocation and planning for the campaign	2 weeks
Training to the staff and stakeholders of the project	1 weeks
Initiate the project	2 weeks
Implementation	Ongoing
Completion of the project	1 month

Critical pathway discussion

Conclusion

To conclude this, it can be stated that:

1. The NHS fundraising initiative aims to address the critical challenges through strategic planning, involvement of public-private collaboration, and targeted fundraising program
2. In this project, leveraging Governmental advocacy, engagement of philanthropic organisations, and public-private partnership can promote the increase of funding for NHS
3. The NHS fundraising campaign is important to reduce the waiting time, improve the accessibility of services, and improve the service facilities to the patients.

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References

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Bowles, J., Clifford, D. and Mohan, J., (2023). The place of charity in a public health service: inequality and persistence in charitable support for NHS Trusts in England. Social Science & Medicine, 322, p.115805.https://www.sciencedirect.com/science/article/pii/S0277953623001624

Holbeche, L., (2023). The agile organization: how to build an engaged, innovative and resilient business. Kogan Page Publishers.https://books.google.com/books?hl=en&lr=&id=ojfAEAAAQBAJ&oi=fnd&pg=PP1&dq=NHS+funding+raising+campaign+agile+project+management&ots=S7DyzXgAaM&sig=Vjslp7U7G0M3aJ2bQDtrFu5cyEo

NHS England (2023). NHS England» Service improvement and transformation. [online] www.england.nhs.uk. Available at: https://www.england.nhs.uk/mat-transformation/matrons-handbook/service-improvement-and-transformation/#:~:text=Patient%20harm%20is%20reduced%2C%20operational.

Samarasekera, U., (2023). How to fix the NHS. The Lancet, 401(10374), pp.333-334. https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)00232-5/fulltext

www.health.org.uk. (2023). Nine major challenges facing health and care in England - The Health Foundation. [online] Available at: https://www.health.org.uk/publications/long-reads/nine-major-challenges-facing-health-and-care-in-england#:~:text=Staff%20shortages%20are%20widespread%20across.