IM

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IMT - Understanding the Requirements21st May
2008
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Agenda

• Introductions and Objectives
• Scene Setting London Programme for IT 10 mins
• Group work IMT Requirements for a
  Polyclinic 50 mins
• Haringey PCT Super Health Centres 20 mins
• Summary and next steps

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Objectives

• Gain better understanding of LPfIT
• Explore in more detail what is perceived to be
  required from IMT to support Polyclinics
• Gain insight of the challenges and opportunities
  from hearing a PCT Case Study

This is your session, so we promote open sharing
of ideas and experience
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Thoughts sheet

• What IT have you seen / or come in contact with
  that a Polyclinic could benefit from?

• What principles should IT underpin within a
  Polyclinic?

• Any additional questions, thoughts or comments?

How can I stay involved with IMT developments?
No more hand-held paper records
Use of self-arrival pod for visitors (takes photo
and provides bar-coded badge)
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Healthcare for London

• NHS London Programme for IT Scene Setting
• Wanda Hemmings

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Background

• NHS National Programme for IT (NPfIT) was
  launched in 2002
• It is the largest non-military IT project in the
  world
• A key driver was the first Wanless Report
• This highlighted the need for investment in the
  NHS and IT in particular in order to modernise
  service delivery

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Vision for NHS Care Records Service

• Electronic patient records for every patient
• Secure but accessible by patients and those
  caring for them
• Replace NHS current fragmented systems that mean
  information is locked into silos
• Up-to-date patient information will be available
  whenever and where ever they are seen

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Problems we are working to solve
Cartoon kindly provided by www.francartoons.com
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Problems we are working to solve
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Delivery
National Summary Care Record
London Shared Patient Record
Acute System (Cerner)
Mental health System (RiO)
Primary care System (INPS and EMIS)
Community System (RiO)
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Achievements to date

• All digital x-rays systems deployed ie PACS
• Five acute systems
• 60 mental health trusts live
• More than 50 community trusts live
• 76 GP systems
• 2 electronic single assessment process
• 7 theatre management systems
• 25 child health systems
• Over 50 of GP practices able to send digital
  prescriptions, and over 50 of pharmacies able to
  receive them

As at April 2008
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The Challenge - will the CRS roadmap meet
requirements?

• Information sharing across care-settings,
  including
• Discharge Summaries
• Referral messages
• Assessments
• Inpatient admissions
• Results
• Requests
• Patient query / report

Integration
Integration

• Complex information sharing, including
• Referrals
• Assessments
• Inpatient admissions
• Assessments
• Requests Results
• Care pathways
• Discharge Summaries
• Prevention, screening and surveillance
• Patient summary and SPR Query
• Advanced decision support

Time
Time
2007/08
2009/10
2010/11
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Ensuring that IMT can support

• Continuity of Care
• Patient Safety
• Mobile workforce
• Integration of systems and therefore services

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Questions ?
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Agenda

• Introductions and Objectives
• Scene Setting London Programme for IT 10 mins
• Group work IMT Requirements for a
  Polyclinic 50 mins
• Haringey PCT Super Health Centres 20 mins
• Summary and next steps

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Aim and approach

• AIM
• Better understand the IMT requirements for a
  Polyclinic
• APPROACH
• Role play as Polyclinic Service Managers, asking
• What IT do I need?
• What data will I need?
• What processes IT can enable?

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IMT Expectations Group Work

• At your Tables
• Work through your allocated Service Areas
• Consider IT, data and processes to be supported
  by IMT
• Capture on post-its, prioritise and place on
  flip-charts
• Ensure you have someone prepared to report back

50 minutes40 work10 - report back
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Your Services
Out-of-scope General practice Pharmacy Co-located
Services Dentistry But consider How does your
service integrate with them?

• Table 1
• Community Services
• Diagnostics
• Table 2
• Outpatient Services
• Minor Procedures
• Table 3
• Urgent Care
• Interactive health information services LTC

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Agenda

• Introductions and Objectives
• Scene Setting London Programme for IT 10 mins
• Group work IMT Requirements for a
  Polyclinic 50 mins
• Haringey PCT Super Health Centres 20 mins
• Summary and next steps

20
Agenda

• Introductions and Objectives
• Scene Setting London Programme for IT 10 mins
• Group work IMT Requirements for a
  Polyclinic 50 mins
• Haringey PCT Super Health Centres 20 mins
• Summary and next steps

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Projected Deployments to the end of 2008/9

• 29 out of 31 PCTs live with RiO (currently 20 are
  live)
• 8 out of 10 Mental Health trusts live with RiO
  (currently 6 are live)
• 100 of GP practices in London will have their
  system supported by NPfIT (currently 96)
• There will be 15 (of 31) trusts running acute
  systems supported by the Programme (10 Cerner and
  5 iSOFT)

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What we need to do

• Refresh the strategic vision in context of
  Healthcare for London and the Informatics Review
  to ensure it meets the needs of the NHS
• Work with suppliers and the NHS to make the
  products more attractive
• Get better user buy in by improving the
  governance arrangements
• Drive more flexibility into the LSP contract so
  that the needs of the end user are given greater
  priority

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Thank you

• Nigel.brokenshire_at_nhs.net
• Wanda.Hemmings_at_nhs.net
• Trish.miles-crust_at_nhs.net