WHICTS County ICT Programme Board

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Worcestershire Health ICT Services County ICT
Programme Board Presentation (Notes
Actions) (notes from meeting are in red) (1st May
08) John Thornbury Director, Worcestershire
Health ICT Services John.thornbury_at_nhs.net 078
667 213 71 (wictp_n_080501_00_presentation.ppt)
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Apologies / Attendees
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Actions List (PCT)
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Actions List (Acute)
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Actions List (MHP)
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Actions List (ICT)
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Actions List (SHA)
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Ag. 2 Demonstration(ICNet - Infection Control
Management System)Claire Constantine
(Consultant Microbiologist and Infection Control
Doctor)Worcestershire Acute Hospitals NHS Trust
- WRHCarole Clive (Nurse Consultant Infection
Prevention and Control)Worcestershire NHS PCT
MHP Trust

• Attachment 1 - copy of presentation.
• Some Notes from ICT on project
• Go live commenced 12th Mar 08 (organism by
  organism).
• Closure processes anticipated late May / Jun 08.
• From ICT perspective, this has been one of the
  most successful projects it has supported
• Excellent engagement throughout Infection Control
  service structure.
• Clear, concise timely Project Executive
  leadership.
• Unambiguous forthright service specification IC
  Leads.
• Full appreciation of nature of risk within
  projects.

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Ag. 4 - Countywide ICT Strategy / Plan

• Plans submitted to SHA at close of financial year
  included
• Outline Implementation Plan to assist in
  contractual negotiations.
• A full single Worcestershire plan - based on
  follow up discussions with SHA around the initial
  plan (included OIP information).
• Self Assessment Checklist.
• A tailored Executive Summary for each Trust.
• JT confirmed that the SHA had received all
  necessary documentation
• JT indicated that District Audit had also
  recently concluded a review.
• The full plan contained
• 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. 4 - Countywide ICT Strategy / Plan (Contd.)

• In relation to Cluster / National negotiations
• Discussions are ongoing and will continue for
  another couple of weeks.
• The situation is fluid - the main work taking
  place at the moment surrounds such elements as
  walk in centres, palliative care and prisons.
• The Outline Implementation Plans submitted by
  LHCs have been taken into account (particularly
  around licencing for palliative care in the case
  of Worcestershire).
• A Detailed Implementation Plan will be
  distributed shortly after conclusion of
  negotiations, for our consideration.
• The SHA believe the structure of the plans now
  allow greater flexibility in the modules that can
  be taken and grouped together than previous as
  well as better tying in with local initiatives.
• CEO Input
• PB noted that CEOs had had only limited input to
  current negotiations. PB had raised this at SHA.
• Prisons
• For Worcestershire this would mean 4 contractual
  deployments.
• The system has wider functionality than current
  primary care system.
• The system is TPP which would potentially
  involve a new system for those EMIS GP systems
  currently used in prisons. Discussions would be
  necessary with those practices that also use EMIS
  in main practice.

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Ag. 5 - ICT Services Report (Operational)

• Full report available in Agenda
• Service Availability
• Networks Server consistently excellent

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Ag. 5 - ICT Services Report (Operational Contd.)

• Applications
• Quarterly un/scheduled downtime consistently
  below 1
• Covers NCRS, Oasis, Oasis theatres, AE Patient
  First, CaB
• 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 (Mar 08)
• 45 Account set up
• 28 Oasis
• 22 NCRS
• 2 EDS
• 2 CaB
• 1 AE Patient First
• Service Desk
• Mar 08 calls closed (2421) matching calls opened
  (2620)
• Averaging gt70 calls logged online. All users
  now appear to be making use of this service
  (previously championed by GPs).

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Ag. 5 - ICT Services Report (Operational Contd.)

• Provision of Equipment (Quarterly)

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Ag. 5 - ICT Services Report (Operational Contd.)

• Provision of Equipment (Last 3 Months)

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Ag. 5 - ICT Services Report (Projects)

• (W02b) Choose Book (PRIORITY 1)
• System continues to function well.
• Appointment of Director of Delivery (Simon
  Hairsnape) duties include revitalising CB
  Programme in County.
• Update awaited on
• Resolution of management issues.
• progress on utilisation plan to increase usage to
  50 by Mar 08. This figure is now 50 by Sep 08.
• It was noted that to achieve this the Acute would
  need to release more slots.
• (W02c) Electronic Prescription Service (R1
  Technical) (PRIORITY 1).
• GP Pharmaceutical suppliers slow to get systems
  accredited
• 49/67 (73) of General Practices are capable of
  being made operational.
• 18 remaining practices are iSoft Synergy
  accreditation expected Aug 08.
• 47/49 (96) are operational.
• 65/87 (73) of pharmacy systems are approved.
• 64/65 (98) of pharmacies live recent attempts
  to encourage use have been successful.
• PCT prescriptions transmitted rate is 4th highest
  in SHA. (0.5m per month)

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Ag. 5 - ICT Services Report (Projects Contd.)

• (W022) NSTS Closure (PRIORITY 1)
• Phase 1 now complete. Closure documentation in
  process of sign off.
• Phases 2 (Secondary Uses Services Reports) 3
  (Batch Trace Replacement) work updates awaited
  from National Team.
• Acute RA Management (sponsorship - not smartcard
  issuing) has not functioned well during period of
  project a continuing issue that needs to be
  addressed.
• BC indicated that guidance has been received
  concerning back office functions for the issuing
  of new NHS numbers.
• (W029) GP2GP (PRIORITY 1)
• Good progress
• Of initial 22 practices, 21 are now live (1
  withdrawn).
• Further 5 practices (InPS) now identified.
• (W03d) Maternity (PRIORITY 2)
• Significant issues arose in final testing.
  Escalated to Project Board.
• Project Team Supplier assessing impact of
  rectifying issues.
• Go live to be determined pilot deployment now
  scheduled Jun 08 but this is now tentative.
• Potential clinical risk requires further thorough
  testing of the system to give full confidence to
  clinical staff.
• Issues are being managed through Acute Board.

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Ag. 5 - ICT Services Report (Projects Contd.)

• PACS (PRIORITY 2)
• (W03i) WRH closed. (legacy data transfer
  contd. operationally)
• (W020) Comm POWCH, Evesham, Malvern Tenbury
  completed.
• Cluster Solution agreement to take RIS. Detail
  awaited.
• It was noted that SHA expect LHC to fund Cluster
  RIS. This is not what LHC understood. JK to
  escalate.
• (W027) Acute Medical Records (PRIORITY 2)
• Preferred supplier identified contract
  negotiations to commence without negating 2nd
  preference.
• (W036) GP OOH Tender (PRIORITY 2)
• ICT Services both service and ICT project
  management components.
• Preferred supplier to be recommended to PCT by
  close of Apr 08.
• Contract negotiations to follow.
• (W028) Infection Control Management System
  (PRIORITY 2)
• Go live commenced 12th Mar 08 (organism by
  organism).
• Closure processes to commence late May / Jun 08.
  

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Ag. 5 - ICT Services Report (Projects Contd.)

• (W034) AE (Tenbury) (PRIORITY 4)
• Live on 14th Apr 08.
• All AE deployments now live.
• (W023) Theatres (Alex. Hsp.) (PRIORITY 4)
• Go live commenced 1st Apr 08.
• Reporting tests now critical for sign off.
• Significant issues raised (across most projects)
  of Acute estates / facilities lack of response to
  requests for installation of power / network
  sockets.
• Roll out
• Kidd. Hsp. WRH to await Alex interfacing
  (c.Sep/Oct 08). Without this, double entry will
  need to take place.

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Ag. 5 - ICT Services Report (Projects Contd.)

• (W025) Web Publishing (PRIORITY 5)
• Migration of intranets nearing completion,
  Internet sites under development.
• Technical functionality moving forward and being
  tested.
• MHP needs to enhance its input to intranet /
  internet site discussions.
• (W050) Digital Dictation Pilot (PRIORITY 6)
• Previous Urology work successful.
• Pilot will now generate a framework of policies
  and procedures to allow roll out to other depts /
  sites without the need to start up separate
  projects.
• Pilot will cover rheumatology across 3 main Acute
  sites.

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Ag. 5 - ICT Services Report (Projects Contd.)

• Projects in Start-Up
• (W048) Order Results Pilot (PRIORITY 3)
• Pilot to test Anglia system for ordering of
  results. c.6-9 months.
• 3 General Practices.
• 5 Acute wards.
• Pathology, radiology and A.N.Other internal Acute
  service (e.g. porterage, non emergency patient
  transport etc).
• (W049) Palliative Care (PRIORITY 3)
• Countywide deployment.
• Covers WRH, Alex Hsp, Evesham Hsp, POWCH 3
  hospices.
• Considerable comms task and pre planning to
  ensure delivered in 12 week post PID sign off
  period.
• BC confirmed that this is 5 deployment units. BC
  to provide written confirmation to JT.
• (W033) Acute Incident Reporting (PRIORITY 4)
• Initiative to increase capture of incidents
  reported and to enhance subsequent management
  processes as well as improve the uptake of
  recommendations for actions.
• Upgrade to existing system (Datix) but involves
  significant remapping of processes service /
  ICT training.

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Ag. 5 - ICT Services Report (Projects Contd.)

• (W055) Map of Medicine Pilot (PRIORITY 2)
• Involves generating a framework to support other
  care pathway deployments interested in using MoM
  steps to deploy.
• Early adopter pilot proposal to SHA recently
  successful.
• MoM supporting County Diabetes Care Pathway
  Group.
• Knowledge Management Team also to advise.
• (W056) GP Led Health Service (PRIORITY 1)
• ICT providing generic pm assurance to service
  based project.
• Delivery of service in Dec 08.
• Rigorous scoping critical to ensuring
  expectations met.

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Ag. 5 - ICT Services Report (Vacancies)

• Total of 11 Vacancies Open in Directorate
• 1 post awaiting consideration
• CIF007 (Senior Application Support Administrator)
• 3 being advertised
• 1LS012 (IT Desktop Technician),
• CIF006 (Application Support Administrator),
• TRA005 (I T Training Officer)
• 0 interviews scheduled
• 3 Appointments made (positions serving notice)
• 1LS011 (IT Equipment Transportation Officer ),
• CIF005 (Clinical Informatics Specialist),
• PPM004 (ICT Project Manager (Standard))
• 4 posts on hold
• 1LS003 (IT Junior Desktop Technician),
• 1LS005 (IT Junior Desktop Technician),
• TRA003 (E Learning Facilitator),
• TRA004 (I T Training Officer)

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Ag. 6 Knowledge Management

• RA Smart-carding service in operation.
• National Review of NHS Library Services (summary
  in Agenda) in England
• Highlights key purposes for library knowledge
  services in the NHS as supporting
• clinical decision making by patients, their
  carers as appropriate, and health professionals.
• commissioning decision and health policy making.
• research.
• lifelong learning by health professionals.
• library and related knowledge and information
  services are part of the core business of all NHS
  organisations.
• Majority of recommendations are already in place
  in Worcestershire.
• NSF for Quality Improvement
• Defines outcomes for library/knowledge services
  in the NHS in England
• Ensures library and knowledge services are
• aligned to the business needs of the NHS
• delivering to need and expectation
• meeting international and national quality
  standards
• Worcestershire Health Libraries already comply
  with current library accreditation scheme and
  have developed performance indicators for
  monitoring service provision.

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Ag. 7 Information Governance

• IG Compliance summary (Acute) available in
  Agenda.
• It was noted that the county had achieved green
  RAG status across the 3 Trusts.
• Encryption tool
• CfH have centrally procured MacAfee Safeboot as
  the encryption tool of choice.
• WHICTS has obtained a copy of the software (on
  behalf of the 3 Trusts) and is waiting for the
  licence key to be provided.
• Noted that licence key understood to be centrally
  funded.
• County Information Security Role
• Ruth King commenced role on 3rd Mar 08.
• Previously been IT Security Officer for
  Littlewoods On-Line
• Picking up the agenda re
• IG Toolkit requirements.
• Recent scrutiny around data in transit etc.
• Is dealing with many queries relating to safe
  transfer of Person Identifiable Data (PID) which
  is a useful indication that people are becoming
  more aware and cautious. She is also liaising
  with the PCT and MHPT IG leads on same issues.

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Ag. 8 - Monthly Budget Report

• To Be Tabled. Attachment 2 (text) 3
  (spreadsheet).
• Noted that GPSoC reimbursements are used for
  primary care.
• It was noted that a revenue stream may become
  available
• JK to discuss with JT possible uses.
• Need to consider how this may alleviate
  anticipated future shortfall to funding.

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Ag. 9 - Any Other Business

• Customer Satisfaction Survey.

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Ag. 9 - Any Other Business (contd.)

• Health Informatics Benchmarking Club.
• Acute Projects - Service Representation
• JT noted that the Acute Executive has agreed that
  it will ensure that service representation and
  resources are available as part of project
  adoption.
• Investing for Health Delivering Our Clinical
  Vision for a World Class Service
• Launch event on Tue 3rd Jun 08
• PCT CEOs asked to nominate from local work.
• Agreed to put forward ICNet Infection Control
  project and e-Consent project.

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Ag. 10 Date Time Next Meeting
Schedule