Honouring the lived experience: Rape and Sexual Assault‎ Victims Taskforce option appraisal report

A report summarising the approach, methodology, findings and recommendations of the options appraisal exercise carried out in June 2018 as part of the Chief Medical Officer's Taskforce to Improve Services for Victims of Rape and Sexual Assault.

Appendix 2: Option Appraisal Process

Participants Briefing Paper for Option Appraisal

A. Purpose of this briefing

This briefing sets out information on the process for Option Appraisal of services to people who have experienced sexual assault & rape across Scotland.

B. How are we planning to do this?

The Scottish Government sets out very clearly the process for Informing, Engaging and Consulting People in Developing Health and Community Care Services[4], which this process has followed.

The SLWG confirmed the list of benefit attributes (07th June, 2018).

  • A sub-group of the Taskforce have ranked the attributes in order of importance which will be shared with the participants at the event. (07th June 2018)
  • The same sub-group of the Review Board have given a weighting to each benefit attributes in line with the ranking. (15th June, 2018)

We have:

1. Agreed the key features according to the vision for future services to victims attached to each of the benefit attributes to be used as a guide for participants to score each option accordingly

2. Ranked the criteria in order of importance (subject matter experts)

3. Weighted the criteria (subject matter experts)

3.1 The benefit attributes are based on the six dimensions of healthcare quality and include key features relevant to the delivery of future services attached to each. A paper giving more detail can be found in the information pack.

The group of key informants discussed the "ranking" and "weighting" of the attributes or "what is most important to this service change" prior to the event.

C. Weighted Scoring Method explained

The weighted scoring method is a form of multi-criteria analysis. It involves identification of all the non-monetary factors (or "attributes") that are relevant to the service change project; the allocation of weights to each of them to reflect their relative importance; and the allocation of scores to each option to reflect how it performs in relation to each attribute. The result is a single weighted score for each option, which may be used to indicate and compare the overall performance of the options in non-monetary terms.

This process necessarily assigns numeric values to judgements. These judgements should not be arbitrary or subjective, but should reflect expert and service user/lay representatives' views, and should be supported by objective information.

To achieve meaningful results which decision-makers (NHS Lanarkshire and key partners) can rely on, it is important that all stakeholders are represented and that:

1. the exercise is not left to the 'experts', but is undertaken by a group of people who represent all of the interested parties, including, for example, those who are directly affected by the project, and those who are responsible for its delivery;

2. the group possesses the relevant knowledge and expertise required to make credible measurements and judgments of how the options will impact upon the attributes;

3. the group is led by an objective person to steer the process, probe opinions, promote consensus and avoid prejudice; and

4. the justification for the group's chosen weights and scores is fully explained

D. Benefit Attributes

The criteria ranking is in order of their importance (1 - 6) where 1 is the most important, 2 is a little less important and so forth until all 6 are ranked. The weightings are applied across the ranking to reach a total of 60.

Benefits Criteria 'Attributes' Final Ranking Final Weighting
Person-Centred 1 2.0
Effective 2 0.8
Safe 3 0.6
Equitable 4 0.4
Timely 5 0.2
Efficient 6 0.1

The event will:

  • Assess the potential benefits of different options against the information presented
  • Assess options as objectively using agreed benefits criteria

The outcome of this exercise utilising individual participant scores will be used at the stakeholder event to score the improvement options against the above ranked/weighted attributes.

E. What am I expected to do at the Option Appraisal Meeting?

Note - This exercise will be led by NHS Lanarkshire facilitators who will support and guide the group through every step of the process.

You are required to do the following:

  • On the 27th June you will be expected to:

Morning session:

  • You will consider the six benefit criteria headings and the key features of each as they relate to the services and the proposed improvement models.
  • There will then be group discussion of the options where additional information and detail can be further discussed using all information shared with experience and knowledge of key informants present. There may be one or more groups involved in discussion.
  • You will then fill in an individual score sheet. These sheets will be added together to produce a recommendation from the group.

Afternoon session:

  • The second groupwork session will ask you to make use of the information presented and score the proposed models and combinations against the stated criteria (Influencing factors) to support the assessment of the right location or locations for the future delivery of the services in Scotland.
  • These scores will be collated for each group and for all attendees and reported after the workshop in a full report of the event.
  • The report will be circulated within a four week period of the event to al attendees.

You will be invited to complete an evaluation form on the day and a report capturing the outcome of the day will be sent to you after the event. Outputs from the workshop will be reported to the Taskforce being shared with the Scottish Government.



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