No.

Risk Heading

Definition

Allocation

public sector

private sector

shared

5.1

Non-availability of facilities

The operator will incur deductions from the availability payment for non-availability.

5.2

Non-performance of services

Payment will only be made by the NHS body for services received.

5.3

Poor performance of services

The operator will incur deductions from the performance payment for the poor performance of services.

5.4

Changes in the size of the allocation of resources for the provision of health care

There is a risk that the resources allocated to the area are reduced or increased. If such changes do occur, there may be a need to re-scale the provision of services.

5.5

Changes in the volume of demand for patient services

There is a risk that the volume of demand for health care will change, because of changes in the size of the catchment area. This may occur because there is, for example: an unexpected increase in the size of the population, leading to an increase in demand; or the provision of a new alternative provider health care, leading to a reduction in demand.

5.6

Unexpected changes in medical technology

Unexpected changes in medical technology may lead to a need to re-scale or reconfigure the provision of services. For example, if the increase in day surgery is greater than expected, the total number of required beds may fall.

5.7

Unexpected changes in the epidemiology of the people in the catchment area

Unexpected changes to the epidemiology of the people in the catchment area may lead to a reconfiguration or re-scaling of the provision of services.

5.8

Unexpected sudden increases in demand, due to major incident

There is a risk of large unexpected increases in demand (e.g. due to a major incident).

5.9

Estimated income from income generating schemes is incorrect

There is a risk that income generating schemes, such as car parking and retail outlets, generate less or more income than expected.