Update on the eHealth Programme

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Update on the eHealth Programme

• Paul Rhodes
• eHealth Programme Director

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Contents

• Policy and Investment
• Partnership and Governance
• Progress and Continuity
• Performance and Value

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eHealth is about enabling better care through the
use of information
NHS Scotland should be known for continuous
improvement and its relentless pursuit of
quality..In our discussions we need to look
at..developing a new strategy for eHealth by
Spring 2008, exploiting new technologies to
everyones benefit. Nicola Sturgeon (Sept 07)

• Better health better care takes us forward from
  Delivering for Health
• eHealth is a recognised enabler for both
• eHealth helps deliver key areas of the BHBC
  vision

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Planned Policy Activity to Spring 2008

• Discussions with Boards, Clinical Leads etc about
  the future direction of eHealth.
• Development of eHealth Financial Strategy
• December Strategy Board
• Further Stakeholder discussion
• Launch of new Strategy

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The updated eHealth strategy will provide a clear
direction for all eHealth initiatives

• Aiming for a practical, deliverable strategy
  building on existing work
• Currently engaging with stakeholders to ensure
  strategy delivers for Boards
• Some early consensus but different groups have
  different priorities
• Lots of calls on funding
• Updated strategy in Spring 2008

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Investment What was the spend in 2006-07?

• Revenue
• Nat 50.166m
• Local 81.689m
• Total 131.855m

• Capital
• Nat 29.573m
• Local 34.819m
• Total 64.932m

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Investment and the Spending Review
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Partnership and Governance

• More open dialogue
• Wider engagement in development
• More involvement from Boards in direction setting
  and management of national initiatives

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The eHealth governance structure will support NHS
Scotland to deliver
Minister
Chief Executives Group
SGHD Departmental Board

• Improved governance
• Clinical leadership
• Local/ national balance

NHS Board
eHealth Strategy Board
National eHealth Programme Board
eHealth Leads (NHS Boards)
Clinical Change Leadership Group
Local eHealth Implementation Board
National Clinical Reference Group
National Project Board
National programme board
Local Project Board
National Project Board
Local Project Board
Local Project Board
National Project Board
National Project Board
National project board
NSS
National Project Team
National Project Team
National Project Team
National Project Team
Local
National
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This overall structure will be supported by the
eHealth Directorate

• Strategy
• Architecture and design
• Change, benefits and communications
• Programmes

Paul Rhodes
Strategy
Programmes
Change, benefits comms
Architecture and design
Alan Hyslop
Jonathan Meddes
Elaine Heslop
Angela Mitchell
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Providing a clear way of integrating clinical,
business and technical decisions will reduce risk

• Information governance
• Architecture
• Design authority
• Standards and specialist working groups

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Progress and continuity
Concept
Early implementation
In use
CHI
ECS
ECS 2
PACS
Improve patient experience
SCI Gateway
Sexual health
SCI Store
PMS
IPACC
Secure best value
AE (EDIS)
Single sign-on
GCS applications
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Primary Care national projects

• Emergency Care Summary
• over 5.1 million records,
• 1015 patient opt outs (representing 0.02)
• total number of access since launch 338,752
• consideration of including child protection
  alerts
• Business Case being developed for extending
  content and access (including patients)

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Primary Care national projects

• Telecommunications
• all practices now migrated to new minimum
  standard 512 kbit/s (apart from 22 remote sites
  with ADSL issues)
• c. 4M p.a. spent on GP telecomms

• SCI Gateway
• c. 60K referrals transmitted per month
• but only 1500 discharges Department of Work
  Pensions claims now live

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Primary Care national projects

• NHSmail
• target of use of NHSmail encrypted for all
  clinical email
• currently 60 practice staff registered with
  NHSmail
• Service migrating to new platform when in place
  then 9 month target to move over all GPs and
  other NHS clinical staff

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Primary Care national projects

• Lab test results reporting (electronic into GP
  patient record)
• a key target for practices and SGHD
• recovery plan nearing completion
• new GPASS software in testing
• commercial systems .
• needs NHS Board SCI Stores at latest version
• big push anticipated over 2008
• ( Link between Cervical Cancer Screening and GP
  systems development complete, in testing)

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Primary Care national projects

• Docman
• 345 practices live
• NSS PSD projecting 567 live by December
• and complete roll out by March/April 2008

• GP2GP
• Electronic transfer of GP clinical data from any
  to any GP system
• Vision/EMIS currently working in England
• Business Case for Scotlands options, completion
  end December/Early January (NSS PSD)

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Integrated Primary and Community Care (IPACC)

• Consultation on the idea findings show
• concerns around access control
• not 1 priority for all NHS Boards
• Community Nursing Review may suggest different
  models for best IT approach
• Outline Business Case completed

• Pre-procurement requirements definition and other
  preparatory work underway, with extensive
  involvement of all stakeholders

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Performance and Value

• Project Delivery
• Benefits Delivery
• Delivery of Value

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Focusing on people and processes will maximise
the chance of benefits being realised

• Identifying the opportunities for improved care
  using existing systems
• Developing and rolling out a benefits management
  approach to all eHealth projects
• Recognising the people aspect of the change,
  initially focusing on establishing two-way
  communications

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We are taking a structured approach to
identifying opportunities from existing systems
Take a specific pathway on one Board and identify
opportunities
Identify specific opportunities from existing key
systems
Map generic pathways to applications and targets/
standards
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Programme Management for improved delivery

• Governance and skills key to improving outcomes
• Supporting new projects through lifecycle
• Providing a delivery blueprint
• Accountability
• Professionalising IT

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Summary

• Focus on outcomes and benefits
• Not just about new systems
• Focus on improved performance
• Focus on getting relationships right and broader
  partnership

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Integrated Primary and Community Care (IPACC)
Current numbers of practices per system Ascribe
11 EMIS  57 Gpass  744 INPS (Vision) 190
iSoft 16