WHICTS County ICT Programme Board - PowerPoint PPT Presentation

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WHICTS County ICT Programme Board

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Title: WHICTS County ICT Programme Board


1
Worcestershire Health ICT Services County ICT
Programme Board Presentation - Key Points
Notes (26th Nov 07) John Thornbury Director,
Worcestershire Health ICT Services John.thornbury_at_
nhs.net 078 667 213 71 (wictp_a_071126_00
_presentation.ppt)
2
Ag. 2 Actions from Last Meeting (17th Jul 07)
Actions (PCT)
3
Actions (Acute)
4
Actions (MHP)
5
Actions (ICT Specific)
6
Ag. 3 New / Escalating Actions(in addition to
follow up actions from previous meeting)
7
Ag. 4 - ICT Services Report (Operational)
  • Full report available (Attachments 1,2,3,4,5)
  • Service Availability
  • Networks Server consistently excellent
    (Detail Attachment 2)
  • Applications (Detail Attachment 1 Pg 3)
  • scheduled and unscheduled downtime consistently
    below 1
  • covers NCRS, Oasis, Oasis theatres, AE Patient
    First, CaB
  • Aug 07 last period when gt1 (AE Patient Fist - 5
    hrs scheduled, 10 hrs unscheduled).

8
Ag. 4 - ICT Services Report (Operational Contd.)
  • Service / Helpdesk Calls (Detail Attachment 1 Pg
    3-4)
  • Application Call
  • Calls closed (667 in Oct 07) exceed calls opened
    (657 in Oct 07)
  • Calls opened closed in same month consistently
    gt 90
  • Calls to CfH (NCRS, CaB, N3, RA, SUS) remain very
    low (231)
  • Above a function of additional staff agreed and
    changes to processes
  • Call makeup (Oct 07)
  • 40 Account set up
  • 28 NCRS
  • 25 Oasis
  • 3 CaB
  • 3 EDS
  • 2 AE Patient First
  • Service Desk
  • Calls closed (2377 in Oct 07) exceed calls opened
    (2292 in Oct 07)
  • Averaging 77 calls logged online.
  • GP extensive use of web facility to log calls
    (average 90 of calls)

9
Ag. 4 - ICT Services Report (Operational Contd.)
  • Provision of Equipment

10
Ag. 4 - ICT Services Report (Projects)
  • Full summaries available (Attachment 1 - Pg 10-12
    3)
  • SHA Report NPfIT Deployments (Detail
    Attachments 6 Pg 6, 15)

11
Ag. 4 - ICT Services Report (Projects)
SHA Report NPfIT Deployments (Contd.)
12
Ag. 4 - ICT Services Report (Projects)
SHA Report NPfIT Deployments (Contd.)
13
Ag. 4 - ICT Services Report (Projects)
  • (W2a) NCRS Community / Mental Health System.
    (PRIORITY 1)
  • Project now moved to operational running.
  • Risk W2A015 - concern continues that MH Change
    Managt role is stretched (IG / RA is included in
    JD).
  • Some equipment rollout and training requirements
    continue to be assessed.
  • Conversion of data to single PCT code completed.
  • (W2b) Choose Book (PRIORITY 1)
  • System continues to function well.
  • Service process significant risks
  • (W2_5_19i) WAHT reducing slots. Slot
    availability fallen to 14. Understood PCT
    written to GPs identifying alternative suppliers.
  • (W2_5_17i) Lack of Acute Implementation Manager
  • Proposal under development to increase
    utilisation to 50 by Mar 08.
  • SHA Report Detail Attachment 6 Pg 7-9,15

14
Ag. 4 - ICT Services Report (Projects)
(W2b) Choose Book (PRIORITY 1) (Contd. SHA
Charts)
15
Ag. 4 - ICT Services Report (Projects)
(W2b) Choose Book (PRIORITY 1) (Contd. SHA
Charts)
16
Ag. 4 - ICT Services Report (Projects)
(W2b) Choose Book (PRIORITY 1) (Contd. SHA
Charts)
17
Ag. 4 - ICT Services Report (Projects Contd.)
  • (W2c) Electronic Prescription Service (R1
    Technical) (PRIORITY 1).
  • GP Pharmaceutical suppliers slow to get systems
    accredited
  • PCT prescription rate is 4th highest in SHA. Q2
    up 113 on Q1.
  • 47 General Practices operational (31 in Jul)
    BUT 78 systems functional discussion with
    practices on usage.
  • 47 pharmacies operational (39 in Jul 07) BUT
    94 systems functional discussion with SHA as
    to how to encourage more use.
  • SHA Report Detail Attachment 6 Pg 10-11,15

18
Ag. 4 - ICT Services Report (Projects)
(W2c) EPS (PRIORITY 1) (Contd. SHA Charts)
19
Ag. 4 - ICT Services Report (Projects)
(W2c) EPS (PRIORITY 1) (Contd. SHA Charts)
20
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.
  • Looking to complete Ph 1 work by close of Dec 07.
    Future users will be covered by Trust operational
    RA leads letters in process of being sent out.
  • Acute RA Management has not functioned
    continuing issue. Needs addressing by Trust as a
    matter of urgency.
  • (W29) GP2GP (PRIORITY 1)
  • Good progress for 22 practices involved
  • 11 live - further 5 booked for Nov 07
  • Discussions with remaining 6 taking place.
  • SHA Report Detail Attachment 6 Pg 12,15

21
Ag. 4 - ICT Services Report (Projects)
(W29) GP2GP (PRIORITY 1) (Contd. SHA Charts)
22
Ag. 4 - ICT Services Report (Projects Contd.)
  • (W3d) Maternity
  • Data sets for normal pregnancies now complete
    testing planned .
  • Data sets for abnormal pregnancies 20 complete
    service issue.
  • System performance issue to be addressed by
    Bluespier exception report raised and
    discussions ongoing.
  • Go live likely end of Mar 07 dependent on
    performance issue addressed.
  • PACS
  • (W3i) WRH closure processes commencing (legacy
    data transfer contd.)
  • (W20) Comm POWCH Evesham installed. Malvern
    Tenbury planned
  • Cluster Solution agreement to take RIS.
  • SHA Report Detail Attachment 6 Pg 4
  • PACS RIS Deployment Proposal Paper (Attachment
    7)
  • Options are to remain with existing RIS, or
  • Migrate to Cluster RIS offering.
  • Concerns over existing RIS to cover future
    information sharing requirements.
  • Recommend migration.

23
Ag. 4 - ICT Services Report (Projects Contd.)
  • (W36) GP OOH Tender
  • ICT Services covering project management for both
    service and ICT components.
  • Brief completed governance in place.
  • PQQ sent out.
  • (W28) Infection Control
  • Good progress service governance very good
  • Claire Constantine Project Executive
  • Clare Kambal Service Lead
  • Technical deployment commenced.
  • Administration training planned.
  • Go live anticipated close Jan 08.

24
Ag. 4 - ICT Services Report (Vacancies)
  • ICT Vacancies (Detail Attachment 5)
  • 1LS (11 posts)
  • 5 posts filled (1LS001, 002, 004, 006, 007)
  • 1 interview scheduled (1LS008)
  • 3 posts awaiting consideration (1LS009, 010,
    011)
  • 1LS009 IT Desktop Technician
  • 1LS010 IT Desktop Technician
  • 1LS011 IT Transportation Officer
  • 2 posts on hold (1LS003,005)
  • 1LS003 IT Desktop Technician (Junior)
  • 1LS005 IT Desktop Technician (Junior)
  • ICT Training (5 posts)
  • 3 posts filled (TRA001,002,005)
  • 2 posts awaiting consideration (TRA003,004)
  • TRA003 E-Learning Facilitator
  • TRA004 IT Training Officer

25
Ag. 4 - ICT Services Report (Vacancies Contd.)
  • Knowledge Management (5 posts)
  • 3 posts filled (KMT002, 003, 004)
  • 2 interviews scheduled (1LS001, 005)
  • Clinical Informatics (5 posts)
  • 4 posts filled (CIF001, 002, 003, 004)
  • 1 post to advert (CIF005)
  • Project Management (3 posts)
  • 3 posts awaiting consideration (PPM001, 002, 003)
  • PPM001 Project Manager (Senior)
  • PPM002 Project Manager (Standard)
  • PPM003 Project Manager (Junior)

26
Ag. 4 - ICT Services Report (Other)
  • Realtime Admissions, Discharge Transfer (ADT),
    Electronic Discharge Summaries (EDS) and Orders
    Results Communications.
  • Paper available Attachment 8.
  • Acute has requested update on when EDS and Orders
    Results Communications will be deployed.
  • A number of issues to be resolved first
  • Use of existing electronic ADT removal of ward
    based paper methods this require Acute Exec
    intervention ICT can only take the process a
    certain distance this has been reached.
  • The Bluespier EDS module has to be specified
    service input required.
  • An Orders Results Communications system has to
    be identified and funds made available for this
    additional purchase.
  • Deployment period for all 3 is significant
    unlikely that current schedule and these can be
    managed in parallel. May require additional
    change management, training and project
    management if to be brought forward as a matter
    of urgency.
  • Board needs to advise whether this is now
    considered a new priority and how to be resourced
    / other priority removed.

27
Ag. 4 - ICT Services Report (Other Contd.)
  • GP System of Choice (GPSoC).
  • Aimed at supporting healthcare by standardising
    systems over time, to a set of approved suppliers
    and systems ultimately resulting in migration to
    a fully integrated model (Level 6) with the NHS
    Care Records Service and other healthcare systems
    .
  • Centrally negotiated contracts with system
    suppliers provide economies of scale, whilst also
    relieving some financial pressure in GP system
    purchases from PCTs. Some costs remain for PCTs
    and GPs depending on the migration path chosen.
  • Changing practice systems outside the natural
    migration path requires a business case to be
    developed by the practice and approved by the
    PCT. This is not funded by GPSoC.
  • Strategic migration plans are required by SHAs
    from each PCT by close of Dec 07. ICT has
    drafted (Attachments 9, 10, 11) framework on
    behalf of PCT - treated as a portfolio of work as
    individual projects (CaB for Level 1, EPS for
    Level 2, GP2GP for Level 3) are in place.
  • Hosting is an option from Level 2 onwards in
    addition to additional functionality.

28
Ag. 4 - ICT Services Report (Other Contd.)
  • Home Working Summary of Technology Office
    Considerations.
  • Paper available Attachment 12.
  • Initially raised from request to identify current
    technological options to support service based
    flexible working requests.
  • Paper focuses on
  • Current technology available from ICT Services
    and its current use not just administrative
    (e.g. OOH Pathology).
  • Extensive broadband coverage making technology
    options viable.
  • Benefits to employer and employee.
  • Responsibilities of both parties.
  • Recommendations / Next Steps
  • Discuss the potential benefits in principle for
    home working for the Trust as a whole, as well as
    to specific sections of the Trust.
  • If favourable, assess the business case for home
    working.
  • Better cost benefit analysis.
  • Assessment of likely take up.
  • Determine likely rollout of technology.
  • If favourable determine the approach.

29
Ag. 4 - ICT Services Report (Other Contd.)
  • Portfolio Management
  • Paper available Attachment 13.
  • Initial discussion paper to identify whether
    Board wishes to examine more closely the
    extension of existing project management coverage
    to other service based work.
  • Paper focuses on
  • Emphasis on service programmes driving work
    programme.
  • Few projects are primarily ICT focussed but
    virtually all use ICT danger that focus on
    service delivery is lost in ICT deployment.
  • ICT has the majority of accredited project
    managers this should potentially be a resource
    for all.
  • If remit widened, benefits / implications,
    potentially include
  • Centralised expertise on tap subject to
    adoption criteria.
  • Enterprise based view on service development
    priorities removes duplication and aids
    benefits realisation processes supporting LDP.
  • Centralised project resource pool, removing delay
    in appointment of more expensive temporary non
    local project managers. The current resource
    pool would be inadequate require fund pooling.
  • Centralised reporting on whole programme and
    project portfolio.

30
Ag. 4 - ICT Services Report (Other Contd.)
  • Estates Management (ICT Strategy)
  • Agreed at Jul 07 meeting to discuss how Trust
    Estates departments ensure that ICT are included
    in early discussions regarding
  • Refurbishments / relocation of services that
    either affect existing ICT resources or may
    adjust existing ICT plans. There have been
    occurrences of site moves taking place shortly
    after expensive infrastructural work.
  • Policy decisions on booking building work and
    access to sites for ICT suppliers.
  • Child Health
  • Mandate to be received (Attachment 14)
  • Health Visitors and School Nurses within
    Worcestershire do not currently have access to a
    universal Community IT system.
  • The current CCH2000 child health system has also
    been adopted by the Cluster as the Connecting for
    Health (CfH) tactical solution in advance of
    Lorenzo.
  • No licencing issues to stop deployment commencing
    locally in 2008/9 ahead of CSCA DIP timetable
    (close of 2008/9).
  • Recommend implementation for Health Visitors,
    School Nurses and other community staff working
    with children.

31
Ag. 5 - Countywide ICT Strategy / Plan
  • Operating Framework (ICT) awaited, however
  • SHA (16th Nov) draft guidance for IMT Plans
    Attachments 15, 16, 17.
  • Completion of 1st draft 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 that these
    are a section within the main LHC based IMT
    plan.
  • Plans must contain
  • Operational level detail for 2008/9
  • Local service transformation plans requiring IMT
    input.
  • Benefits planning against service deliverables
    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.

32
Ag. 5 - Countywide ICT Strategy / Plan (Contd.)
  • We also have the following as guidance
  • SHA have provided guidance to PCTs (Attachment
    18) on Assurance Frameworks (Peter Spilsbury
    letter 17th Oct 07)
  • Our NHS Our Future focus on 8 clinical
    pathways
  • Investing in Health 7 Big Challenges
  • National draft Performance Framework (targets)
    we have a copy of these.
  • We have existing and new national service
    challenges PLUS local priorities previously
    identified that appear to require rollover
  • Reducing health inequalities and promoting health
    and well being.
  • Extend Improve Joint Commissioning
  • Supporting efficiency use of public health
    information Infection Control.
  • OOH
  • Financial balance
  • GPSoC
  • 18WW

33
Ag. 5 - Countywide ICT Strategy / Plan (Contd.)
  • Initial summary provided (Attachment 19)
  • Produced ahead of guidance so fuller checks
    against guidance now required.
  • Comments on Summary welcomed.
  • Biggest dependencies on completion
  • Trusts forward initial thoughts on service
    priorities MHP already available.
  • Draft budget to be agreed by CEOs.
  • Clarification on DIP agreements.
  • Matching of resources against initial plan.
  • Intend to distribute 1st draft of summary by
    close of Dec 07, then..
  • Fuller plan for 15th Jan 08 Board send to SHA
    by close of Jan 08, then..
  • Full plan for end Feb 08 ahead of sign off at
    Board meeting of 17th Mar 08.
  • Fully signed off plan to SHA for close of Mar 08.

34
Ag. 5 - Countywide ICT Strategy / Plan (Contd.)
Production of Plan (NB Due to recent receipt of
guidance a Red RAG may merely indicate that
clarification on terminology is awaited, not
necessarily that work has not been completed)
35
Ag. 5 - Countywide ICT Strategy / Plan (Contd.)
Production of Plan (Contd.)
36
Ag. 5 - Countywide ICT Strategy / Plan (Contd.)
Production of Plan (Contd.)
37
Ag. 5 - Countywide ICT Strategy / Plan (Contd.)
Production of Plan (Contd.)
38
Ag. 6 Information Governance
  • Full report available (Attachment 20)
  • Statement of Compliance (SoC)
  • Agreement (based on 17 standards) between Trust
    and CfH.
  • Actions plans have been submitted.
  • Each Trust currently fails in one area or another
    compliance by Mar 08.
  • New version IG Toolkit
  • Now includes knowledge base framework,
    requirements under SoC (above) and additional
    requirements for PCTs to support PbR and
    Secondary Uses.
  • Next version was due in Sep 07 still awaited.
  • RA resource issues continue (Attachment 21)
  • Countywide Security Officer has now left post
    to be changed support tbc.
  • MHP NCRS Change Manager also IG and RA Lead
    question as to whether person will be able to
    commit fully to each area.
  • MHP RA Agent 6 month sabbatical in Sept 07.
    exacerbates issue.
  • Acute Trust - relies solely on part time RA
    Management.
  • OOH coverage for CaB, NCRS, EPS.
  • National RA process / equipment configuration
    changes exacerbate issue.
  • Inter-agency Information Sharing Protocol out of
    date Acute to sign standard.
  • Care Record Guarantee specific reference for
    compliance (Attachment 22)

39
Ag. 7 - Monthly Budget Report
  • Attachment 23 (text).
  • Attachment 24 (figures).

40
Ag. 8 - Any Other Business
  • Draft Meeting Schedule beyond Jan 08.
  • Intention is to continue with quarterly meetings
    but include a Mar 08 and Apr 08 meeting for
    finalising plan / sign off.
  • Draft schedule in next slide

41
Ag. 9 Date Time Next Meeting
Previous Schedule Agreed (also in Attachment 25)
Draft Schedule to be Agreed
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