WHICTS County ICT Programme Board

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Worcestershire Health ICT Services County ICT
Programme Board Presentation - Key Points
Notes (15th Jan 08) John Thornbury Director,
Worcestershire Health ICT Services John.thornbury_at_
nhs.net 078 667 213 71 (wictp_a_080115_00
_presentation.ppt)
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Ag 2 - Previous Actions List (PCT)
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Ag 2 - Previous Actions List (PCT)(Contd)
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Ag 2 - Previous Actions List (Acute)
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Ag 2 - Previous Actions List (Acute) (Contd.)
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Ag 2 - Previous Actions List (MHP)
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Ag 2 - Previous Actions List (ICT)
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Ag 2 - Previous Actions List (ICT) (Contd.)
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Ag. 3 - Countywide ICT Strategy / Plan

• DoH full guidance for IMT Plans (21st Dec 07)
  Attachments 1.
• Completion of 1st draft (Attachment 2) by close
  of Jan 08 full plan by close of Mar 08.
• PCTs to act as leads in delivery (based on
  governance set up 2007/8).
• LHC based plan, PLUS
• Provider Trusts (incl. PCT as provider) to have
  individual IMT plans. We recommend Trust
  sections within a single LHC based IMT plan.
• Full plans must contain
• Operational level detail for 2008/9
• Local service transformation plans requiring IMT
  input.
• Service benefits planning from IMT perspective.
• Clear outline of governance arrangements.
• Investment against baseline as well as local,
  regional Nat devt.
• Capacity and capability planning.
• Longer Term Plans to 2010/11
• Anticipated service priorities.
• Progress towards Maturity Model.
• Indicative roadmap for regional and national
  solutions.

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Ag. 3 - Countywide ICT Strategy / Plan (Contd.)

• We also have the following as guidance
• SHA guidance to PCTs (Attachment 3) on Assurance
  Frameworks (Peter Spilsbury letter 17th Oct
  07)
• Our NHS Our Future focus on 8 clinical
  pathways
• Investing in Health 7 Big Challenges
• 2008-9 Operating Framework
• Setting out concept of vital signs for action,
  including
• Cleanliness and infection control
• Improving access (18WW GP)
• Reducing health inequalities and promoting health
  and well being particularly addressing
• Cancer
• Stroke
• Childrens services
• Maternity
• A range of existing and new ICT specific
  deliverables, incl.
• Confirming migration to national systems.
• Heavy emphasis on primary care based systems.
• Migration to a mature infrastructure.

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Ag. 3 - Countywide ICT Strategy / Plan (Contd.)

• Initial summary provided last month.
• Current Jan 08 version
• Addresses new areas in final version of DoH
  guidance.
• Biggest dependencies on completion of initial
  version
• Trusts confirmation on initial service priorities
  MHP known.
• Budget to be agreed by CEOs.
• Clarification on DIP agreements awaited from SHA.
• Send this initial plan to SHA by close of Jan 08,
  then..
• Trusts finer detail on service priorities.
• Finer detail on deployment schedule against Jan
  08 plan.
• Update DIP should Cluster / National system
  functionality change.
• Finer detail of resources allocation against Jan
  08 plan.
• Full plan end Feb 08 for sign off at Board (17th
  Mar 08.)
• Full plan to SHA for close of Mar 08.

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Ag. - ICT Services Report (Operational)

• Full report available (Attachment 4)
• Service Availability
• Networks Server consistently excellent

• Applications
• Quarterly un/scheduled downtime consistently
  below 1
• Covers NCRS, Oasis, Oasis theatres, AE Patient
  First, CaB
• NCRS rose to 2 (aborted upgrade) and Oasis to
  2.8 (planned CaB upgrade) in Dec 07. Aug 07
  last period when gt1.

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Ag. 4 - ICT Services Report (Operational Contd.)

• Service / Helpdesk Calls
• Application Call
• Calls closed continue to match calls opened.
• Calls opened closed in same month consistently
  gt 90
• Call Cost to CfH have now been suspended.
• Call makeup (Dec 07)
• 43 Account set up
• 25 NCRS
• 26 Oasis
• 1 CaB
• 4 EDS
• 1 AE Patient First
• Service Desk
• Dec 07 Calls closed (2155) exceed calls opened
  (2124)
• Averaging gt70 calls logged online.
• GP extensive use of web call logging (average 90
  of calls)

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Ag. 4 - ICT Services Report (Operational Contd.)

• Provision of Equipment

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Ag. 4 - ICT Services Report (Projects)

• (W2b) Choose Book (PRIORITY 1)
• System continues to function well.
• Update awaited on
• management issues discussed at last meeting
  (Acute action 13)
• progress on utilisation plan to increase usage to
  50 by Mar 08.
• (W2c) Electronic Prescription Service (R1
  Technical) (PRIORITY 1).
• GP Pharmaceutical suppliers slow to get systems
  accredited
• 48 (72) of General Practices are technically
  live.
• 43 (64) are operational (4 on last month).
• 53 (61) of pharmacies are claiming payments
  (10 on last month) BUT 94 systems functional
  discussion with SHA as to how to encourage more
  use.
• PCT prescription rate is 5th highest in SHA. Q2
  up 113 on Q1

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Ag. 4 - ICT Services Report (Projects Contd.)

• (W22) NSTS Closure (PRIORITY 1)
• Very good progress currently the 3 Trusts are
  within top 19 nationwide, having completed
  technical go live.
• Ph1 work essentially technically closed
  training will continue over Jan / Feb 08.
• Acute RA Management (Acute action 11a, 11b) has
  not functioned continuing issue. Needs
  addressing by Trust as a matter of urgency.
• (W29) GP2GP (PRIORITY 1)
• Good progress for 22 practices involved
• 17 live (6 on last report).
• Discussions with remaining 5 taking place.
• (W3d) Maternity (PRIORITY 2)
• Data sets for normal pregnancies now complete
  testing planned .
• Data sets for abnormal pregnancies continue to
  be developed.
• Go live likely end of Mar 08 / Apr 08.

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Ag. 4 - ICT Services Report (Projects Contd.)

• PACS (PRIORITY 2)
• (W3i) WRH closure processes commencing (legacy
  data transfer contd.)
• (W20) Comm POWCH Evesham installed. Malvern
  Tenbury started.
• Cluster Solution agreement to take RIS. Detail
  awaited.
• Acute Medical Records (PRIORITY 2)
• Selection criteria nearing completion.
• (W36) GP OOH Tender (PRIORITY 2)
• ICT Services both service and ICT project
  management components.
• Spec, OJEU advert, PQQ competitive dialogue
  complete.
• Invitation to Submit Final Offers sent out.
• (W28) Infection Control (PRIORITY 2)
• Technical deployment 95 complete.
• Training planned for Jan 08.
• Go live anticipated close Jan 08.

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Ag. 4 - ICT Services Report (Vacancies)

• ICT Services Directorate (Total)
• 2 posts awaiting consideration
• 5 to advert
• 5 interviews scheduled
• 1st Line Support
• 2 posts awaiting consideration
• 1LS012 (IT Desktop Technician)
• 1LS013 (IT Junior Desktop Technician (Andrew
  Coburn))
• 1 to advert
• 1LS011 (IT Equipment Transportation Officer )
• 3 interviews scheduled
• 1LS008 (IT Junior Desktop Technician)
• 1LS009 (IT Desktop Technician)
• 1LS010 (IT Desktop Technician)

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Ag. 4 - ICT Services Report (Vacancies Contd.)

• Knowledge Management
• 2 interview scheduled
• KMT001 (Library Informatics Assistant,
  Worcester/Evesham)
• KMT005 (Library Informatics Assistant,
  Kidderminster)
• Clinical Informatics
• 1 to advert
• CIF005 (Clinical Informatics Specialist)
• Project Management
• 3 to advert
• PPM001 Project Manager (Senior)
• PPM002 Project Manager (Standard)
• PPM003 Project Manager (Junior)

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Ag. 5 Information Governance

• Key Points From Last County IG Forum Meeting
• The Acute Trust IG Officer had been unable to
  commit fully to their IG role as they have been
  providing cover for Information Services. Now
  resolved.
• Date now set for interviews for WHICTS
  Information Security Officer 11 Jan 2008
• Worcs PCT IG Officer has left post to take up a
  new role in the organisation. This vacancy is set
  to be advertised soon.
• David Nicholson has written (4th Dec 07) to all
  NHS CEOs regarding IG and esp. patient data
  transfers. A checklist of immediate actions to
  be taken for securing data in transit has been
  published by CfH in the form of the Good Practice
  Guidelines, which cover the transfer of person
  identifiable data by means of portable electronic
  media
• Ian McGregor in his role as Information Security
  Officer has begun this work by emailing out to
  all senior managers and heads of services to
  urgently review arrangements that are currently
  in place where person identifiable data is sent
  in digital format. A subsequent report and action
  plan are to follow.
• Issues Requiring Organisational Senior Management
  Attention
• IG01 - Out of Hours RA Support - RA support will
  need to be provided for out of hours staff who
  require access to NHS Connecting for Health
  compliant applications
• IG02 - WHICTS IG related policies - need
  renewing.
• IG03 - Statement of Compliance - 17 key standards
  that all Trusts need to agree to before receiving
  access to the N3 network. At present, each Trust
  falls short on compliance in one area or another.
• IG04 transfer of patient data David
  Nicholson, the Chief Executive of the NHS in
  England has written to all NHS Chief Executives
  about IG and transfers of patient data.
  Subsequent reports and action plans are to be
  produced urgently.

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Ag. 6 - Monthly Budget Report

• Attachment 5 (text).
• Attachment 6 (figures).

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Ag. 7- Any Other Business

• Information Security Policy (Attachment 7).
• Mobile Devices Policy (Attachment 8).

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Ag. 8 Date Time Next Meeting
Schedule