The key lessons learned that are currently identified on the Capital Evaluation Section of the NHS Estates website are
Effective Change management is required as is flexibility in design to ensure changes in clinical practice do not cause significant design changes;
Risk assessment must be undertaken and accompanied by an effective risk management process throughout the life cycle of a project;
Effective financial monitoring of the outturn cost of projects is essential.
Sufficient management resources must be made available to enable effective implementation of a scheme;
Project objectives and milestones must be clearly defined from the outset of any scheme.
Recommendations ("lessons learned") from the NAO report on Guys Hospital Phase III Development:
There must be a single point of responsibility for projects in client organizations;
All scheme costings must be realistic and supported by a comprehensive risk assessment and risk management strategy;
All sources of funding should be confirmed prior to progressing any projects;
Project managers should be appointed at the earliest possible stage of any scheme and the individuals should be involved throughout the scheme;
Design briefs should be frozen at the earliest possible stages of a scheme;
Timescales must be realistic;
Project Directors must have the skills and experience necessary to successfully implement projects.
11 April 2002