1. Mapping of Objectives to Guiding Principles.
NHSScotland Shared Services Laboratories Programme.
January 2017

2. We want to achieve A future proof model
Service resilience across NHSScotland
A sustainable, resilient workforce
Delivery of 2020 Vision and support transformation
Value for money
Aim: Functional distribution of laboratory resource that enables equitable delivery of high quality health care independent of location.

3. Future proof model
Increasing demand and new models of care developing
What is causing the need for change?
Existing configuration unable to respond (ageing, silos)
Why do we need to change?
Increasing risk of failure / investment need
Why now?
To put in place a flexible, scalable configuration of facilities that can meet future demand
What do we want to achieve? 1 4 5 9 10 11 12 13 15
Click on number above to move to the linked guiding principle

4. Service resilience across NHSScotland
Variation in form and function across Boards
What is causing the need for change?
Service model does not facilitate cross border working
Why do we need to change?
Risk of failure as service model not resilient
Why now?
To enhance service resilience through minimising variation and enabling cross border working
What do we want to achieve? 1 3 4 5 9 10 11 12 13 15
Click on number above to move to the linked guiding principle

5. Workforce
Staff supply issues – right skills and knowledge, right place
What is causing the need for change?
To provide a sustainable, resilient workforce
Why do we need to change?
Imminent risk to service sustainability and development
Why now?
To provide a sustainable, resilient, adaptable workforce linked to a credible workforce plan
What do we want to achieve? 3 4 7 11 13 14 15
Click on number above to move to the linked guiding principle

6. Delivery of 2020 Vision and support transformation
2020 Vision – improving quality of healthcare
What is causing the need for change?
Need to refresh outdated technology/ageing infrastructure and spread good practice currently happening in silos.
Why do we need to change?
Change required/happening now – support delivery of the NHSScotland Clinical Strategy
Why now?
To provide improved and equitable outcomes for patients (2020Vision) by reconfiguring to support NHS transformation
What do we want to achieve? 1 2 3 4 6 7 8 10 11 12 13 14 15 16
Click on number above to move to the linked guiding principle

7. Expenditure/Investment
Financial pressures across the health care system
What is causing the need for change?
Shrinking budgets and competing demand for revenue and capital
Why do we need to change?
Need to make savings meet CRES targets at a time when investment is needed
Why now?
Deliver demonstrable value for money, reduce/avoid expenditure to enable appropriate investment in effectiveness
What do we want to achieve? 1 2 3 4 6 7 8 9 10 11 12 13 14 15 16
Click on number above to move to the linked guiding principle

8. What do we want to achieve?
Guiding principle 1
Enables national planning of services while enabling a focus on local needs (right testing, right place, and right time).
What do we want to achieve?
Applies
A future proof model √
Service resilience across NHSScotland
A sustainable, resilient workforce
Delivery of 2020 Vision and support transformation
Value for money
Click on objective in the table to return to the objective details slide.

9. What do we want to achieve?
Guiding principle 2
Is aligned with National Clinical Strategy, supporting health care improvement with a Triple Aim focus.
What do we want to achieve?
Applies
A future proof model
Service resilience across NHSScotland
A sustainable, resilient workforce
Delivery of 2020 Vision and support transformation √
Value for money
Click on objective in the table to return to the objective details slide.

10. What do we want to achieve?
Guiding principle 3
Employs a once for Scotland approach through an appropriate governance structure.
What do we want to achieve?
Applies
A future proof model
Service resilience across NHSScotland √
A sustainable, resilient workforce
Delivery of 2020 Vision and support transformation
Value for money
Click on objective in the table to return to the objective details slide.

11. Enables national workforce planning. What do we want to achieve?
Guiding principle 4
Enables national workforce planning.
What do we want to achieve?
Applies
A future proof model √
Service resilience across NHSScotland
A sustainable, resilient workforce
Delivery of 2020 Vision and support transformation
Value for money
Click on objective in the table to return to the objective details slide.

12. What do we want to achieve?
Guiding principle 5
Allows the free flow of materials, information, data, knowledge and skills across organisations.
What do we want to achieve?
Applies
A future proof model √
Service resilience across NHSScotland
A sustainable, resilient workforce
Delivery of 2020 Vision and support transformation
Value for money

13. What do we want to achieve?
Guiding principle 6
Enables optimised demand on services locally and nationally via appropriate interfaces with users and planners.
What do we want to achieve?
Applies
A future proof model
Service resilience across NHSScotland
A sustainable, resilient workforce
Delivery of 2020 Vision and support transformation √
Value for money
Aim: development within NHSScotland.
Click on objective in the table to return to the objective details slide.

14. What do we want to achieve?
Guiding principle 7
Supports local education and training of laboratory, other NHS personnel and students to ensure optimal delivery and usage of laboratory resource.
What do we want to achieve?
Applies
A future proof model
Service resilience across NHSScotland
A sustainable, resilient workforce √
Delivery of 2020 Vision and support transformation
Value for money
Click on objective in the table to return to the objective details slide.

15. What do we want to achieve?
Guiding principle 8
Ensures a sustainable laboratory service provision configured to deliver what is required locally to deliver equitable patient access and outcomes across NHSScotland (right testing, right place, right time frame; support delivery of optimal patient flow and capacity).
What do we want to achieve?
Applies
A future proof model
Service resilience across NHSScotland
A sustainable, resilient workforce
Delivery of 2020 Vision and support transformation √
Value for money
Click on objective in the table to return to the objective details slide.

16. Delivers services designed on lean principles.
Guiding principle 9
Delivers services designed on lean principles.
What do we want to achieve?
Applies
A future proof model √
Service resilience across NHSScotland
A sustainable, resilient workforce
Delivery of 2020 Vision and support transformation
Value for money
Click on objective in the table to return to the objective details slide.

17. What do we want to achieve?
Guiding principle 10
Enables appropriate standardisation of systems and processes, and sharing of resources and best practice (Simplify, Standardise and Share).
What do we want to achieve?
Applies
A future proof model √
Service resilience across NHSScotland
A sustainable, resilient workforce
Delivery of 2020 Vision and support transformation
Value for money
Click on objective in the table to return to the objective details slide.

18. What do we want to achieve?
Guiding principle 11
Has an infrastructure that enables maximisation of return on investment in laboratory services (e.g. optimal use of distributed capacity).
What do we want to achieve?
Applies
A future proof model √
Service resilience across NHSScotland
A sustainable, resilient workforce
Delivery of 2020 Vision and support transformation
Value for money
Click on objective in the table to return to the objective details slide.

19. What do we want to achieve?
Guiding principle 12
Focussed on delivery of efficient, effective, resilient, and affordable laboratory services that address waste, harm and variation in terms of both service provision and clinical application of their outputs (deliver efficiencies and invest in effectiveness).
What do we want to achieve?
Applies
A future proof model √
Service resilience across NHSScotland
A sustainable, resilient workforce
Delivery of 2020 Vision and support transformation
Value for money
Click on objective in the table to return to the objective details slide.

20. What do we want to achieve?
Guiding principle 13
Enables appropriate distribution of services to deliver economies of scale and to enable investment in new or complex technologies.
What do we want to achieve?
Applies
A future proof model √
Service resilience across NHSScotland
A sustainable, resilient workforce
Delivery of 2020 Vision and support transformation
Value for money
Click on objective in the table to return to the objective details slide.

21. What do we want to achieve?
Guiding principle 14
Is able to innovate and has developed mechanisms to enable rapid translation of best practice/guidance and the benefits of new technologies uniformly into national approaches.
What do we want to achieve?
Applies
A future proof model
Service resilience across NHSScotland
A sustainable, resilient workforce √
Delivery of 2020 Vision and support transformation
Value for money
Click on objective in the table to return to the objective details slide.

22. Supports delivery of POCT in primary and secondary care..
Guiding principle 15
Supports delivery of POCT in primary and secondary care..
What do we want to achieve?
Applies
A future proof model √
Service resilience across NHSScotland
A sustainable, resilient workforce
Delivery of 2020 Vision and support transformation
Value for money
Click on objective in the table to return to the objective details slide.

23. What do we want to achieve?
Guiding principle 16
Supports of clinical research and other forms of research and development within NHSScotland.
What do we want to achieve?
Applies
A future proof model
Service resilience across NHSScotland
A sustainable, resilient workforce
Delivery of 2020 Vision and support transformation √
Value for money
Click on objective in the table to return to the objective details slide.