PSRM7032: Strategic Risk Management for Newcastle Freeman Hospital

This report provides a strategic analysis and project plan for Newcastle Freeman Hospital's implementation of 5G-enabled robotic surgery. It begins with an executive summary, followed by a background of the organization, highlighting its commitment to advanced technology in cancer treatment. A strategic audit examines the hospital's internal and external environments using PESTEL and SWOT analyses, assessing strengths, weaknesses, opportunities, and threats. Section 1 details the organization's commitment, outlines a project plan with a one-year plan, and discusses qualitative and quantitative techniques, along with stakeholder management and communication. Section 2 covers budgeting, forecasting, and ROI, followed by a financial appraisal. Section 3 focuses on risk management, including risk analysis using force field analysis, risk evaluation development, resource assessment, and constraint analysis. The report emphasizes the challenges of implementing the technology, including the need for a strong 5G network and advanced robotic arms, and the strategic caution the hospital is taking in its approach. The report offers a comprehensive overview of the project's scope, risks, and potential benefits.

Running Head: PROJECT AND STRATEGIC RISK MANAGEMENT
PSRM7032: Project and Strategic Risk Management
Name of the Student
Name of the University

1PROJECT AND STRATEGIC RISK MANAGEMENT
Executive Summary
This report is based on the strategic analysis and project planning for Newcastle
Freeman Hospital that is looking to implement the new robotic surgery technology
within the next 2-3 years. This particular technology requires strong 5G network and
the doctors are able to conduct surgery from a remote location whereas the robotic
arms are on site conducting the surgery process as per the control of the surgeon.
This is currently an experimental technology that is now under testing in China and
UK will be able to utilise this technology once the network is upgraded to 5G within
the end of next year.

2PROJECT AND STRATEGIC RISK MANAGEMENT
Table of Contents
Background of the Organisation.................................................................................3
Strategic Audit............................................................................................................ 3
Section 1.................................................................................................................... 8
1.1 Strength of Organisation’s Commitment...........................................................8
1.2 Project Plan....................................................................................................... 8
1.3 One Year Plan for the Project..........................................................................10
1.4 Qualitative and Quantitative Techniques........................................................11
1.5 Stakeholder Management and Communication Plan.......................................12
Section 2.................................................................................................................. 12
2.1 Critical Discussion on Budgeting, Forecasting and ROI...................................12
2.2 Financial Appraisal of the Project....................................................................13
Section 3.................................................................................................................. 15
3.1 Risk Management............................................................................................ 15
3.2 Risk Analysis using Force Field Analysis..........................................................15
3.3 Development of Risk Evaluation......................................................................17
3.4 Assessing Resource Capability and Necessity.................................................17
3.5 Development and Application of Constraint Analysis......................................18
Section 4.................................................................................................................. 19
References............................................................................................................... 20

3PROJECT AND STRATEGIC RISK MANAGEMENT
Background of the Organisation
The organisation that has been chosen for study and analysis regarding
implementation of new technology is Newcastle Freeman Hospital, a cancer and
other diseases treatment hospital based in Newcastle upon Tyne, UK. The hospital is
well known and reputed for using advanced technologies in cancer treatment
procedures that have benefitted thousands of patients with initial or intermediate
stage cancers. With time, cancer research has been developed significantly and
also, various new technologies are being developed that are utilised for various
treatment processes (Nunna et al. 2015). Newcastle Freeman Hospital promotes the
use of latest technologies that are much more effective in cancer treatment
including diagnosis and surgery. The hospital has further plans for implementing
new technical devices that even further enhance the current operations. One such
technology proposed in the utilisation of 5G network connection for robotic surgery
process in which, the surgeon can operate from a remote location by using a robot
to perform the surgery process. This particular technology has already been
through initial testing in China where surgery has been successfully performed on a
test animal using the robot and 5G network connection (Zhang, Liu and Zhao 2018).
Similar technology is currently under development in UK and Newcastle Freeman
Hospital is one of the frontrunners in the country to implement this technology for
cancer diagnosis and tumour surgery.
Strategic Audit
The main strategic direction of Newcastle Freeman Hospital is to utilise highly
advanced technology in order to provide maximum quality of services to the cancer

4PROJECT AND STRATEGIC RISK MANAGEMENT
patients. Cancer is a major disease that is yet to have a complete cure. Various
surgeries and medical operations like chemotherapy are performed on the affected
patients but these treatments only provide temporary solution as the cancer has
extremely high chance of returning back again after sometime. Newcastle Freeman
Hospital has a research and development (R & D) department that is focussed on
implementing new and advanced technology in the current medical operations in
the hospital (Zhang, Liu and Zhao 2018). While diagnosis and treatment costs at the
hospital are significantly higher than other cancer hospitals in UK, the treatments
are much more effective and helpful for the patients. Hence, the hospital has
customers from various parts of Europe and has a strong flow of revenue
throughout the year, a large portion of which is spent on the research and
development department.
Considering the nature of this particular project, the proposed technological
implementation will benefit the patients significantly as the success rates of the
cancer surgeries are expected to increase by a considerable margin. Furthermore,
the situations in which the patients are deferred from the hospital due to absence of
the doctors will be minimised as with the robotic surgery, the doctors will be able to
perform surgery on the patients from a remote location (Lema et al. 2017).
However, one major constraint in this regard is that the doctor must have 5G
network available that is currently still under research and development and will
take some time for global implementation. Hence, the project cannot be initiated
until 5G network is not fully functioning in the country. Moreover, further research is
required for the development of the advanced robot that will be able to perform the
surgery on a human body (Soldani et al. 2017). The initial test robots used in China
are only suitable for operating small animals and are not yet safe and suitable for

5PROJECT AND STRATEGIC RISK MANAGEMENT
human operations. Hence, considering the major constraints in the project, it is
evident that the overall project will require a huge amount of investment from the
organisation throughout a period of 2-3 years. However, the organisation has decide
to proceed with strategic caution and hence, developed an initial one year plan that
will be further extended once the desired technological devices and upgrades are
available for use.
Analysis of Internal and External Environment of the Organisation
The overall external environment of Newcastle Freeman Hospital (NFH) can
be analysed using PESTEL analysis as follows.
Political – The political stability of UK where NFH operates presents the
opportunity for the organisation to launch various types of technology-aided
services in healthcare without any restrictions or political oppositions. However,
considering the critical nature of the technology in this project, there may be some
resistance by some opposition political parties regarding the ethicality of the robotic
surgery process.
Economic – Newcastle Freeman Hospital is one of the largest in UK and has a
strong revenue stream throughout the year. Moreover, the hospital also receives
occasional government funding for various medical research projects that focus on
developing new techniques using technology for combating diseases and other
problems with more efficiency and accuracy. Hence, economy for the organisation
is very much favourable for Newcastle Freeman Hospital.
Social – Social factor is generally favourable for Newcastle Freeman Hospital
as patients from entire UK as well as various parts of Europe and other parts of the

6PROJECT AND STRATEGIC RISK MANAGEMENT
world come to the hospital for treatment of serious diseases and illnesses. With the
strategic direction of the company focussing on enhanced surgery and treatment
processes using technology for the convenience and treatment of the patients, it is
expected that the social factor will further favour the company. However, there are
also other factors like untested technology and low chances for accurate treatment
of surgery, high pricing for each surgery or treatment process and others.
Technological – Newcastle Freeman Hospital is always known to be investing
in research and development of medical technology that can aid and enhance the
quality of medical services and treatments provided to the patients. Furthermore,
due to the huge amount of revenue generated each year as well as sufficient
government funding, the organisation can invest heavily in the medical research
and development department. Thus, Newcastle Freeman has favourable
technological factor in its strategic direction.
Environmental – One of the most recent strategies of Newcastle Freeman is
to utilise biodegradable and environment friendly equipments and medical devices
for the treatment of the patients. Every year, there is a huge amount of medical
wastes generated by the hospitals that can negatively impact the environment if
not disposed properly. Hence, Newcastle Freeman needs to focus on these factors
before implementing new medical technology.
Legal – The legal factors in this particular project involves ethical use of
various new medical technologies while operating or treating a patient in the
hospital. There might be severe legal issues if untested technologies are used on
the patients without their consent.

7PROJECT AND STRATEGIC RISK MANAGEMENT
The internal environment of the organisation can be analysed through SWOT
analysis as shown in the following table.
Strength Weakness
The main strength of the organisation is
that it has a strong brand value and is
one of the most preferable destinations
for patients seeking treatments for
diseases like cancer. Thus, a strong
revenue stream is always available for
the organisation. In addition, there are
also government funding for the
organisation that it can invest in medical
research and development.
Considering the internal factors
associated with the organisation, there
are no significant weaknesses as the
organisation always stays updated with
latest technical setup and the nurses
and the support staff are kept well
trained and updated.
Opportunity Threat
The introduction of the new 5G
technology presents the hospital with
the opportunity to research and
implement the new proposed robotic
surgery technique that can increase the
efficiency and success rates of various
complex surgeries.
The main threat is that entire technical
setup required is very complex and
expensive and moreover, many other
hospitals are also looking to implement
this new technology after the initial test
results from China have been published.

8PROJECT AND STRATEGIC RISK MANAGEMENT
Section 1
1.1 Strength of Organisation’s Commitment
Newcastle Freeman uses a customer centric business model and focuses
strongly on the enhancement of the treatment procedures and surgeries for the
treatment of the patients. Newcastle Freeman Hospital promotes the use of latest
technologies that are much more effective in cancer treatment including diagnosis
and surgery. The hospital has further plans for implementing new technical devices
that even further enhance the current operations. One such technology proposed in
the utilisation of 5G network connection for robotic surgery process in which, the
surgeon can operate from a remote location by using a robot to perform the surgery
process. The main benefit of utilising these advanced technologies is that it
enhances the accuracy and success of complex surgeries. Moreover, with the
robotic surgery technology, the doctors will be able to conduct surgeries remotely.
Thus, it is evident that the organisation is completely committed to provide high
quality treatment procedures for the patients so that the success rates of the
surgeries and other treatments are boosted massively with the assist of technology.
1.2 Project Plan
The overall project involves the implementation of the 5G Robotic Surgery
Technology within the period of next 2-3 years or more. The main requirements of
the project include a strong 5G network and highly advanced robotic arm that is
able to perform critical and complex activities like surgery on human body. Once 5G
network is available in UK from the end of 2020, the organisation will be able to
implement the robotic surgery technology in which, the robotic arms will perform
the surgery as controlled by the surgeon from a remote location using the 5G

9PROJECT AND STRATEGIC RISK MANAGEMENT
internet connection. Any less developed network like 4G is not desired as it will
result in lag in the robot from the instructions and the surgery process may be
affected negatively. As per the requirements of the project, research will be initiated
on the robotic surgery technology and once 5G network is available, testing can be
initiated on test animals before receiving license and implementing in the new
robotic surgery wing of the hospital.
Based on the requirements of the project, the work breakdown structure can
be developed as follows.
WBS Task Name
0 One Year Plan for 5G Robotic Surgery Launch
1 Technological Planning
1.1 Determine the Technical Requirements for the Robotic Surgery
1.2 Provide Funding for the Research and Development Team
1.3 Develop the Technical Setup Required for the Robotic Surgery Purpose
1.4 Testing of the Technical Setup Prototype
1.5 Demo Testing of the Prototype
2 Property Purchase
2.1 Purchase Property for Setting Up Robotic Surgery Wing of the Hospital
2.2 Set Up Basic Hospital Amenities in the New Wing
3 Technological Implementation
3.1 Installation and Implementation of 5G Network for the Surgery
3.2 Installation of Technical Set Up for Robotic Surgery
3.3 Testing of the Working of Surgery Robots
3.4 Testing of the 5G Network
3.5 Use Test Animals for Conducting Remote Surgery with Robots
4 Robotic Surgery Wing Opening
4.1 Open Hospital Wing for Patients
4.2 Use of Robotic Surgery Process on the Cancer Patients
4.3 Deduction of Purchase Value from the Amazon Pay Balance of the Customers
4.4 Monitor the Success of the Robotic Surgery Processes
4.5 Receive Feedbacks from the Surgeons Regarding the Entire Surgery Process
5 Review and Future Planning
5.1 Review the Effectiveness of the Technology
5.2 Review the Surgeons' Feedbacks
5.3 Determine the Projected Success Rates for the Robotic Surgery Process in Next Few Years
5.4 Develop Future Planning for Implementing Robotic Surgery in More Areas
5.5 Develop and Submit Documentation
1.3 One Year Plan for the Project
The one year plan for the project is shown in the following table.
WBS Task Name Duration Start Finish
0 One Year Plan for 5G Robotic Surgery Launch 340 days Tue 03-03- Mon 21-06-21

10PROJECT AND STRATEGIC RISK MANAGEMENT
20
1 Technological Planning 115 days Tue 03-03-
20 Mon 10-08-20
1.1 Determine the Technical Requirements for the Robotic
Surgery 30 days Tue 03-03-20 Mon 13-04-20
1.2 Provide Funding for the Research and Development
Team 15 days Tue 14-04-20 Mon 04-05-20
1.3 Develop the Technical Setup Required for the Robotic
Surgery Purpose 40 days Tue 05-05-20 Mon 29-06-20
1.4 Testing of the Technical Setup Prototype 15 days Tue 30-06-20 Mon 20-07-20
1.5 Demo Testing of the Prototype 15 days Tue 21-07-20 Mon 10-08-20
2 Property Purchase 60 days Tue 11-08-
20 Mon 02-11-20
2.1 Purchase Property for Setting Up Robotic Surgery Wing
of the Hospital 30 days Tue 11-08-20 Mon 21-09-20
2.2 Set Up Basic Hospital Amenities in the New Wing 30 days Tue 22-09-20 Mon 02-11-20
3 Technological Implementation 50 days Tue 03-11-
20 Mon 11-01-21
3.1 Installation and Implementation of 5G Network for the
Surgery 10 days Tue 03-11-20 Mon 16-11-20
3.2 Installation of Technical Set Up for Robotic Surgery 10 days Tue 17-11-20 Mon 30-11-20
3.3 Testing of the Working of Surgery Robots 10 days Tue 01-12-20 Mon 14-12-20
3.4 Testing of the 5G Network 10 days Tue 15-12-20 Mon 28-12-20
3.5 Use Test Animals for Conducting Remote Surgery with
Robots 10 days Tue 29-12-20 Mon 11-01-21
4 Robotic Surgery Wing Opening 50 days Tue 12-01-
21 Mon 22-03-21
4.1 Open Hospital Wing for Patients 5 days Tue 12-01-21 Mon 18-01-21
4.2 Use of Robotic Surgery Process on the Cancer Patients 45 days Tue 19-01-21 Mon 22-03-21
4.3 Deduction of Purchase Value from the Amazon Pay
Balance of the Customers 45 days Tue 19-01-21 Mon 22-03-21
4.4 Monitor the Success of the Robotic Surgery Processes 45 days Tue 19-01-21 Mon 22-03-21
4.5 Receive Feedbacks from the Surgeons Regarding the
Entire Surgery Process 45 days Tue 19-01-21 Mon 22-03-21
5 Review and Future Planning 65 days Tue 23-03-
21 Mon 21-06-21
5.1 Review the Effectiveness of the Technology 5 days Tue 23-03-21 Mon 29-03-21
5.2 Review the Surgeons' Feedbacks 15 days Tue 30-03-21 Mon 19-04-21

11PROJECT AND STRATEGIC RISK MANAGEMENT
5.3 Determine the Projected Success Rates for the Robotic
Surgery Process in Next Few Years 15 days Tue 20-04-21 Mon 10-05-21
5.4 Develop Future Planning for Implementing Robotic
Surgery in More Areas 10 days Tue 11-05-21 Mon 24-05-21
5.5 Develop and Submit Documentation 20 days Tue 25-05-21 Mon 21-06-21
1.4 Qualitative and Quantitative Techniques
The recommended qualitative technique for evaluating and monitoring the
impact of improvement plan is to collect feedbacks from the patients and their
families and analyse the same in detail.
The recommended quantitative technique for evaluating and monitoring the
impact of improvement plan is to analyse the potential benefits of the new
technology on the surgery and treatment processes.
The SMART measures to monitor and manage the proposed project are as
follows.
Specific – To identify if the implemented technology is acceptable to the
patients
Measurable – To determine if the surgery success and accuracy in increased
after the implementation of the technology
Attainable – To achieve 99% success in complex cancer surgeries within 2
years of implementation of the technology
Relevant – To determine if the proposed implementation can be further
enhanced and there are future opportunities new medical technologies