SHA Report for Local Health Community Programme Boards November 2005

1
SHA Report for Local Health Community Programme
BoardsNovember 2005
2
To Cover

• National News
• Performance Management
• P1R1 PASs
• PACS
• Choose and Book
• Secondary Uses Service
• Communications and Stakeholder Engagement
• Supplier Attachment Scheme
• ETP
• GP Systems

3
Commissioning a Patient Led NHS

• Fewer SHAs
• Fewer PCTs
• Mental Health
• Other provider services
• Acute change
• Shared services - IT

• Management focus
• Investment uncertainties
• Technical architecture, instances
• Local networking
• Deployment scopes
• Data merge, demerge
• LSP contracts
• Role and headcount of Cluster, SHAs
• New patient system reqs
• New business system reqs
• FTs, ISTCs

4

• PROPOSED CHANGES TO GOVERNANCE AND STRUCTURES AT
  CLUSTER AND WEST MIDLANDS LEVEL
• CLUSTER
• Restructured Cluster Programme Board slimmed
  down, Chief Exec level attendance
• Growth in Cluster headcount especially to
  support better requirements definition, product
  scoping and delivery, deployment management.
  Unclear whether there will be additional support
  for implementation
• Proposed Cluster workstream structure
• Potentially cluster Chief Exec reporting to
  SRO
• WEST MIDLANDS
• early move to single West Midlands-wide support
  for NPfIT single Programme Board, CIO, team
• single strategic contact with CSC, cluster, CfH
  etc
• further work required on links to LHCs, links to
  other SHA functions eg. performance management
  etc

5
Performance Management

• Process launched in October, poor data quality
• November reports with SHAs for validation,
  improved but still signficant data issues
• Attempt to monitor PAS, CAB, ETP, PACS, GP
  systems, N3
• New Cluster process for requesting changes to
  project dates
• DIPv9 to be agreed Nov

6
Deployment Status 24/10/05
39
12th Dec
N Staffs, GM NE Sector, Bolton Theatres
36
5th Dec
RJAH
Liverpool, S Sefton, SouthportFormby Salford
CPAS
33
Go- Live Barometer
St Helens Knowsley
21st Nov
32
7th Nov
S Staffs 5 Boroughs Partnership
30
Trafford North South St Helens Knowsley
Theatres
31st Oct
28
Blackpool Fylde Coast- Theatres
26th Oct
Birmingham Child PAS (AE)
27
17th Oct
26
Central Lancs, West Lancs, Bolton CPAS,
3rd Oct

• Live Project Stats
• 27 Projects Deployed
• Over 342 Sites/Locations
• 8,970 Live Users
• 46,205 Registered Users
• 39 Expected by end Dec 05

23
30th Sept
Dudley CPAS
26th Sept
22
Fylde Coast PAS
21
12th Sept
Royal Liverpool Theatres
20
5th Sept
Coventry CPAS
19
31st Aug
Pennine Care MH PAS
31st Aug
SW CPAS Nth, Central Sth
18
17th Aug
17
Worcester CPAS
14th Aug
SE CPAS Tameside, Stockport
16
31st July
15
NW CPAS Ashton, Leigh, Wigan
25th July
N Cumbria CPAS
14
18th July
13
Withington
9th July
12
Shropshire
4th July
11
Sandwell
Stockport, Morecambe Bay, Tameside, GM SE, SW,
NE, NW Communities, S Bham, Lancs Care, N
Cheshire
10
Mar - Apr
NWWM/LSP 21.5.1d
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P1R1 PASs

• Birmingham Childrens went live 17/10/05 - on
  Damadian initial observations include
• Reporting / extract issues
• Need for effective NHS go-live planning,
  resources, contingency
• Worcs Comm 1000 user go-live is second Erlanger
  deployment on November 21st uncertainty re
  daycare fix delivery
• Fleming BKM now unclear (was 04/01/2006)

8
WMSHA Early PAS Schedule

• Worcester Community
• Planning for main go-live on Erlanger 21 November
• Coventry PCT
• Have fully cutover to LSP PAS (clerical use only
  at present)
• Planning for move to Erlanger just before
  Christmas
• Hereford Acute
• Planning for February 2006
• South Warwickshire
• Planning for end March 06
• GEH suspended
• UHCW suspended until after new hospital opens
• NB Difficult scheduling issues next year (EUTEs)

9
P1R2 Project Encore

• NHS / Cluster have defined NHS requirements
  support for plurality / choice, emergency reform,
  elective reform long term conditions
• Gap analysis undertaken substantial
• Initial CSC/Cluster solution proposals
  disappointing to be reworked
• Delivery of P1R2 and subsequent clinicals is
  linked to Project Encore, therefore not currently
  agreed
• Linked to LSP Re-planning

10
Primary Care Systems

• GP Choice
• CfH working on CSC/EMIS deal
• Others to follow
• No final commercials yet
• Offers more integration (undefined) than
  standalone, less than Lorenzo GP
• Impact on Lorenzo GP deal being reviewed

11
PACS

• UHCW to take Southern Cluster RIS PACS (GE)
  Orders placed RIS expected January 2006
• Further CSCA slippage remediation plans unclear
• Hereford PACS connection on hold
• Other WMS PACS 12/2006 01/2007

12
Choose and Book

• WMS bookings need to accelerate
• Worcester now has Integrated PAS booking More
  national support (inc. technical)
• LHCs need to constantly update Mani Dhesi (MD) on
  local priorities for GP system upgrades
• New End-point registration process backlog
  decreasing escalate specifics to MD
• Rollout of extended choice unclear

13
Electronic Transmission of Prescriptions (ETP)

• Phased approach now adopted
• National rollout is beginning
• iSoft Synergy/Lloyds initial implementation
  happening in North Warks
• Worcestershire accelerated rollout LHC
• Need to run on the backof CaB plans
• LHCs need to start planning the GP side
• Strategy and allowances published

14
SUS

• Major issues with pilots, particularly data
  quality full implementation deferred to April
  2006
• Problems with initial training trying to secure
  further training
• PbR coverage issues (eg. Critical Care next year)
• Future enhancements eg. integrated commissioner
  view of primary and secondary care Summer 06

15
Change and Benefits

• Integrated Service Improvement Plans (ISIP)
• Acceptable plans submitted by all LHCs WMS
  green light
• Field test sites including Hereford, worcester
  have all reported
• Guidance for next Phase on ISIP website - updated
  ISIPs and benefits realisation plans by March
  2006 part of LDP refresh
• Work to agree consistent West Mids ISIP approch
  and links to LDP refresh

16
Supplier Attachment Scheme (SAS)

• 1st WMS secondee has started 3 more in
  pipeline, plus active enquiries
• SAS remains a significant financial risk issue
  for LHCs in 05/06 further work to try and
  reduce exposure

17
Finance

• Capital allocations
• SHA will only provide capital where committed, or
  essential for targets, and can be spent by March
• CfH Implementation funding (the 84m)
• SHA will only provide capital where committed, or
  essential for targets, and can be spent by March

18
Infrastructure - Service Management

• National First Line Support Service (FLSS)
  procurement on-going
• Pilot work commenced around direct connection
  between Local and CSC Service Desks
• Local service desks have to be enabled, to
  support CaB
• Readiness criteria circulated to LHCs
• Need to be assessed in next few weeks

19
Communications and Stakeholder Engagement

• The latest CfH Stakeholder Communications
  Toolkit issued (Sept.)
• Porter Novelli campaign materials (for staff)
  currently being distributed.
• DVD available on NHS CRS available via
  orderline.
• Mark Webster, Bill Boyle - good news stories
  required

20
Registration Authority

• SHAs now more involved in card distribution/stock
  management
• No overall card shortage, contrary to some
  reports
• New leaflet for distribution with cards