Worcestershire ICT Planning Event

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Worcestershire ICT Planning Event

• Overview of health community
• Business priorities and IT plan
• IT arrangements, legacy etc
• Background to implementation plan
• Hotspot issues
• Proposed changes to implementation plan

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Worcestershire overview 1

• 6 NHS organisations
• Redditch and Bromsgrove PCT
• South Worcestershire PCT
• Wyre Forest PCT
• Worcestershire Acute Hospitals Trust
• Worcestershire Mental Health Partnership
• Hereford and Worcester Ambulance Service
• Worcestershire County Council / Social Services
• Population circa 540,000
• Generally affluent, healthy, some pockets of
  deprivation

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Worcestershire Overview - 2

• Main hospitals
• Worcester (WRH) PFI hospital
• Redditch (Alexandra)
• Kidderminster (TC NHS with independent
  Orthopaedic centre)
• Community Hospitals
• Evesham
• Princess of Wales, Bromsgrove
• Pershore
• Malvern
• Tenbury
• Tertiary services from Birmingham, Wolverhampton,
  Coventry, Cheltenham

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Worcestershire overview - 3

• Recent history (Investing in Excellence,
  Kidderminster changes, Acute merger)
• Significant financial challenges

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Business Requirements - 1
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Business Requirements - 2
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IT arrangements

• Worcestershire Support Service Agency provides IT
  and Information support to PCTs, Mental Health
• Acute and Ambulance Trust have in-house functions
• Some discussion re countywide service
• Joint development programme / pooled budgets for
  several years successes include
• Libraries / Knowledge Management / Web
  Development
• Infrastructure
• Primary Care ICT Investment

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Legacy highlights - 1

• Reasonable infrastructure LANS, WANS, PC stock
• PAS Capula being implemented
• Community and Mental Health iSoft PIMS
• Child Health CCH2000
• Pathology - 3 antiquated iSoft-owned systems
• Radiology CRIS3 strategic ?
• PACS Siemens and Phillips
• AE Remass and MSS replace by Capula
• Theatres ORSOS, Theateman, PerSe replace by
  Capula
• Clinical Information Bluespier
• CSW repository being implemented
• Various smaller deparmentals
• GP Systems 33 EMIS, 22 Torex, 6 InPractice, 3
  SeeTec, 2 Exeter, 1 in-house 66 out of 67 will
  be RFA 1.2 by March

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Hotspot issues

• Capula PAS procurement
• Capable legacy ?
• Contract novation ?
• Implementing clinical modules
• CSW repository procurement
• Fit with CSC architecture
• PACS way forward
• Siemens at WRH, Phillips at Kidderminster TC
• Way forward for Alex and Community hospitals

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Hotspot issues - 2

• Pathology procurement at WAHT
• Issues with Isoft Community / Mental Health
• Side letter and current Torex upgrade work
• Future role of Bluespier Clinical Information
  System in Acute Trust
• Need for consistent infrastructure, issues re
  thin client etc

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Discussion Points

• CSC concerns on published Worcestershire plan
  feasibility of plan re Lorenzo development
  schedule
• Identifying capable legacy
• Responsbilities / costs where legacy can be
  upgraded
• Responsibilities / costs where legacy is replaced
• Responsibility for interfaces etc
• Understand user capabilities (esp.re view of a
  whole patient record) at all stages
• Confirm additional costs plus payment types (mix
  cap and rev etc ?)
• Pathology
• PACS at Alex / Community
• Confirm position re new GP systems
• Clarify CSC local activities which will require
  support eg. Infrastructure and readiness
  surveys
• How do we fully understand solution set
• What is offered, by sector, in which phases
• Interfacing / legacy integration required
• Implementation effort
• Infrastructure impact

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Discussion Points - 2

• Connection to spine what messages / systems,
  what local effort
• NSFs, SAP etc
• Next Steps Process from here to costed
  implementation plans by March