So, the much-debated Risk Register for the NHS reforms has been leaked onto the Internet.
Personally, I’m still trying to interpret and digest its contents, and therefore my immediate thoughts aren’t more cogent than, “Wow, that’s a lot of stuff marked red!”
Some areas marked as red (i.e likely to happen, and would have a high impact) include, to take a couple of random examples:
By dismantling the current management structures and
controls, more failures, including financial, eg GP consortia
go bust or have to cut services, and credibility of the system
declines as a result.
Risk that transition is managed by people who are
themselves at risk, eg in organisations such as SHAs, PCTS,
may not be effectively managed, with risk of delays,
performance dips and key staff lost as a consequence.
There is a lack of clarity during the transition in terms of
accountability e.g. between board, PCTs, and Consortia
during the transition years and the first year of the new
system. This leads to delays and increased costs and poor
Okay, I know that the point of this risk register is to identify such risks and therefore work to eliminate them, but there really do seem to be a lot of them.