Presentation to Heart of Birmingham Teaching Primary Care Trust NHS ICT Strategic Developments

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Presentation to Heart of Birmingham Teaching
Primary Care TrustNHS ICT Strategic
Developments Local Plans Gordon ForsterMary
Green
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Overview

• HOBtPCT Strategy
• Objectives of the National Programme for IT
• Core Programme Elements
• National Timetable
• Next Steps
• Questions

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HOBtPCT IMT Strategy

• Why should we have an IMT Strategy?
• An IMT strategy is vital because, in
  supporting the business objectives of the
  organisation, value for money can be maximised
  through planned and targeted IMT developments

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HOBtPCT IMT Strategy

• What is an IMT Strategy
• It will define how the organisations information
  needs, will be provided for and managed.
• It should derive from and support the overall
  business strategy and contribute to actual
  business benefits.
• It should also include reference to supporting
  policies, programmes of work and implementation
  of the infrastructure required to meet business
  objectives.
• It should reflect the national IMT Strategy.

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HOBtPCT IMT Strategy

• Initial items to consider for inclusion
• Information needs of GMS2
• Implementation of ICRS, eBooking, ePrescribe
• Integrated Primary Care Solutions (GPs,
  Community Services Links to Partner
  Organisations)
• Supporting delivery of Clinical Governance
• Increasing access to IT systems/services
• Workforce training and development
• Security and Data Sharing Policies
• Data Quality Issues
• Infrastructure, Hardware standards

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Objectives of the National Programme for IT

• Improve the patient experience and the quality of
  care
• Support service reconfiguration with modern IT
• Improve the capacity of the NHS to deliver change
  and reform
• Change working and clinical practices
• Support frontline clinicians in delivering
  improved patient centred care.

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Core Deliverables

• Lifelong electronic health records for every
  person in the country
• Round-the-clock on-line access to patient records
  and information about best clinical practice, for
  all NHS clinicians
• Genuinely seamless care for patients through GPs,
  hospitals and community services sharing
  information across the NHS information highway
• Fast and convenient public access to information
  and care through on-line information services and
  telemedicine
• The effective use of NHS resources by providing
  health planners and managers with the information
  they need.

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Key Streams of the National Programme

• Integrated Care Records Service (ICRS) Online
  Health Records
• NHS Spine
• E-Booking
• Electronic Transfer of Prescriptions (ETP)
• Infrastructure
• Security Confidentiality

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ICRS scope and roles
National ICRS
Local ICRS
Nationally built by NASPs and locally implemented
by LSPs
Locally configured and locally implemented by LSPs
Sample Set of Generic Processes
Confidentiality
Screening
Ambulatory Care Management
NHS Spine
Authentication
Clinical Correspondence/Summary
Domiciliary Care Management
Personal Demographic Services
Master Patient Index (eMPI)
Resource scheduling
Clinical Noting
Order Entry
Bed Management
Integrated Care Pathways
E-prescribing
E-booking
Clinical Decision Support
Results Reporting
Casenote and Film Tracking
Image Management
Graphical Analysis
Mental Health Act Administration
Management Information
Flexible Toolkit to Support Range of Data and
Viewing Requirements
INTEGRATED CARE RECORD SERVICE
Cardiology
Radiology
Palliative Care
Colposcopy
Anaesthesiology
Radiotherapy
Child Health Screening
Diabetes
Theatres
Pathology
Respite Care
Nephrology
Intensive Care
Maternity
Old Age Psychiatry
Trauma
Rehabilitation
Endoscopy
Range of Care Settings
Common Services
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Supporting the NHS Plan
Infrastructure
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HOBtPCT IMT StrategyNext Steps

• Development of the Strategy
• - Method
• - Working Group
• - Timetable
• Involvement with National Projects
• - Current Status of Projects
• - ICRS Selection Process

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WEB Sites

• http//www.doh.gov.uk/ipu/whatnew/deliveringit/nhs
  itimpplan.pdf
• http//www.nhsia.nhs.uk/nhsnet/pages/default.asp
• http//www.natpact.nhs.uk/uploads/4imandt.pdf

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National Target Dates

• Long-listing of Suppliers complete for LSPs and
  NASPs implementation commences Apr 04
• Short-list of 3 Suppliers for the E-booking
  system contract - implemented by Sept 05
• OJEC Contract Notice issued to deliver broadband
  NHS Network (N3) operational from Apr 04
• Piloting of Electronic Transfer of Prescriptions
  commenced full implementation by Apr 07
• Implementation of National NHSMail and Directory
  Services operational - complete

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Short Term Implications

• Output Based Specification details of
• Planned roll out
• Legacy and Migration
• Schedules of local requirements
• Full Business Case
• Agreed costs savings based (still being
  modelled)
• Local and National funding stream alignment
• Commercial arrangements (still being modelled)
• Local Engagement
• We need to mobilise resources to achieve LSP
  contract
• particularly senior/planning/finance resource,
  senior clinicians, commissioning leads?
• Can local resources be dedicated to this
  programme now?