STRUCTURE: There is an “extreme” risk that the failure to reconfigure acute services in East Berkshire could harm the reputation of Bracknell and Ascot Clinical Commissioning Group, board papers say.

The CCG’s risk register for June identified the following potential risks to the Shaping the Future reconfiguration:

  • “Insufficient resources” to manage the implementation of a new urgent care centre in Bracknell;
  • A lack of council engagement in the implementation of the plans;
  • A lack of effective communications to explain what the changes will mean in practice to residents in Windsor, Ascot and Maidenhead.

There was also a need to explain that there will be a “transitional phase” with double running, where new rehabilitation services would be set up, and run alongside existing services before the latter are closed down.

Extra communications support has been secured from the Central Southern Commissioning Support Unit.

There was also an agreement that there would be additional resources for the project management and procurement support.

A “community engagement forum” is to be set up, with improved patient engagement plans to ensure the public are involved in the implementation of the plans.

The risk was scored four out of five for impact, and three out of five for likelihood, giving an “extreme” rating overall.

The complexity of an acute sector reconfiguration programme could jeopardise clinical commissioning groups’ efforts to plan services and save money.

Bracknell and Ascot CCG’s risk register for June states: “There is a risk that the complexity of the service reconfiguration required in Berkshire East will delay commissioning plans and jeopardise planned savings and therefore impact on the long term financial viability of CCGs and Heatherwood and Wexham Park Foundation Trust.”