All proposals must clearly demonstrate

By Kim Willis,2014-07-11 16:22
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All proposals must clearly demonstrate ...

    Manchester PCT

    (Draft) Quick guide to commissioner business case gateways

It is fundamental to recognise that the business case, in the context of this

    process, is a case for the commissioner to procure a new pathway or a change

    to a current pathway. It is NOT a provider business case to bid to supply a

    service. Such bids are appropriate at the procurement stage of commissioning

    that occurs following this commissioning business case process.

Key SBCT Summary Business Case Template

     OBC Commissioner Outline Business Case

     FBC Commissioner Full Business Case

This Quick guide is NOT the commissioner business case guide and should not be

    used as such. Proposals must follow the detail of the Commissioner Business Case

    Approval Guide.





Gateway 1 PBC, Associate Director of Commissioning and clinical

    governance approval (aligns to Stages 1 and 2 of the Business

    Case Guide)

Must do’s Complete SBCT

     Complete service specification (internal proposals**)

    Follow/ complete ‘Checklist to approve a business case’

Conclusion Approved for procurement (if gross value <?50k)

    Or; Approved to move through gateway (if gross

    value >?50k)

    Or; Not approved

Gateway 1 Notes

     Gateway 1 has two stages. The first is a recommendation by the

    Summary Business Case Panel that acts as an initial filter to the

    overall commissioning business case process. The second is the

    formal approval process of the PBC board.

    The Summary Business Case Template (re-produced in Appendix 1 of

    the guide) is a proposal template and must be completed to be

    considered for approval and in order to move through Gateway One.

    In addition to the SBCT, a service specification must be attached to

    internal proposals. It is often possible that the service specification can

    be incorporated within the SBCT. Advice on this can be obtained from

    the Business Support team.

    For external proposals, service specifications can be attached in

    support of the proposal.


    The PCT is not bound by submitted service specifications. That is, a

    proposal may be approved but the service specification will not

    automatically be the procured model of provision. This caveat is

    necessary to protect against conflicts of interest.

     For internal proposals, advice must be sought from Business Support

    regarding the degree of detail required in the SBCT. The level of such

    detail will depend on the size of and risks in individual proposals.

     **Internal proposals are defined as those coming from formal PBC

    routes or from commissioning and support directorates within the PCT.

    Gateway 2 PEC and Business Case Committee approval (aligns to stage 3

    of Business Case Guide)

Must do’s Complete OBC

     Complete FBC (if <?250k AND after approved by committee)

Conclusion Approved for procurement (if gross value <?250k)

    Or; Approved to move through gateway (if gross

    value >?250k)

    Or; Not approved

Gateway 3 PCT Board approval (aligns to stage 4 of Business Case Guide)

    Must do’s Complete FBC (after approved by Board)

    Conclusion Approved for procurement

    Or; Not approved

Gateway 2 and 3 Notes

    Advice must be sought from the Business Support team as to the level

    of detail required for each stage of the OBC and FBC as this will vary

    according to the size of and risks associated with individual proposals.

    Regardless of the origins of a proposal approved at Stage 1 and 2 of

    this process, it is the role of the commissioner to develop the

    commissioner OBC and FBC.

    This means that Stages 3 and 4 are completed by the


General Notes

The volume of proposals passing through Gateway 1 may be such that prioritisation

    needs to occur. This, alongside the effectiveness of the process as a whole, will be

    reviewed on an ongoing basis and may lead to revisions of the process.


Proposals are commissioning proposals, not procurement proposals, and as such

    must not propose the procurement solution. That is, proposals must be to ‘install/

    develop/ change/ reform/ (de-) commission’ a service and not propose the

    organisation from whom the service should be procured. Any such proposals will

    either be not considered or be adapted to be a commissioning proposal and

    subsequent approval will be on this basis and not on the basis of the proposed

    procurement approach.

In order to cost a proposal, procurement advice must be sought. The internal system

    for this is that, after identifying the non-financial preferred option, business support

    will liaise with the contracts function to establish a likely procurement scenario for

    costing. This does not constitute a decision to procure on that base, rather it is the

    initial view of the likely best procurement option, pending detailed assessment at the

    time of actual procurement. For external proposals, any procurement scenario

    used to cost a service will be assessed by the PCT against all other

    procurement options.

Organisations, Directorates, functions, and groups are expected to self-filter

    proposals. That is, to minimise submission of inappropriate bids. To this end,

    proportions of bids put forward by individuals and groups will be monitored and poor

    performance will need to be followed up with focussed training on the process.

All proposals must clearly demonstrate:

    1. Direct fit with PCT strategy and objectives;

    2. Demographic and clinical evidence in support of bid;

    3. Financial viability for the commissioner (via full impact assessment);

    4. All other elements detailed in the ‘Checklist to approve a business case’

    re-produced in Appendix 1 of the guide;

    5. That engagement and support has been obtained from*

    Clinical governance

    Patient Public involvement

    Public health

    Finance (Business Support)



    Corporate governance

    Risk management

    *Proposals from provider organisations will be expected to obtain this

    engagement from their own resources. On receipt of an external

    proposal, the commissioner will validate against each of the above to

    it’s own satisfaction. The PCT can advise on how to obtain the

    required engagement where a provider does not have the necessary

    infrastructure to source internally.

Demonstration of the above does not guarantee approval of proposals. However,

    failure to demonstrate the above will reduce the likelihood of a proposal being



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