SHA Report for Local Health Community Programme Boards December 2005

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SHA Report for Local Health Community Programme
BoardsDecember 2005
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To Cover

• Cluster/New SHA - News
• Performance Management
• P1R1 PASs
• P1R2
• Primary Care
• PACS
• Choose and Book
• Electronic Transmission of Prescriptions/EPS
• Secondary Uses Service
• Choose and Book
• Supplier Attachment Scheme
• Finance
• Infrastructure
• Communications and Stakeholder Engagement
• Registration Authority

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PROPOSED CHANGES TO GOVERNANCE AND STRUCTURES AT
CLUSTER AND WEST MIDLANDS LEVEL

• CLUSTER
• New Governance paper under review
• Restructured Cluster Programme Board slimmed
  down, Chief Executive level attendance
• Executive group beneath
• 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
• WEST MIDLANDS
• early move to single West Midlands-wide support
  for NPfIT single Programme Board, CIO, team
• Cynthia Bower (MD, BBC SHA) to lead this work
• further work required on links to LHCs, links to
  other SHA functions eg. performance management
  etc

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Performance Management

• Process launched in October, poor data quality
• November reports now validated, improved but
  still significant data issues
• Meeting held with Cluster/DH issues recognised
• December data does not look much better
• DIPv9 agreement work November

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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 was first Erlanger
  deployment on November 21st uncertainty re
  daycare fix delivery
• RJ AH delayed
• Critical Issues, particularly relating to acute
  functionality, continue to be tracked and
  addressed with patches to Erlanger
• Fleming currently unclear as focus on getting
  large acute deployments live with Erlanger

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WMSHA Early PAS Schedule

• Worcester Community
• Fully migrated - Live on Erlanger
• Coventry PCT
• Fully migrated mainly clerical users have
  started roll-out to clinical
• Planning for move to Erlanger just before
  Christmas
• Hereford Acute
• Planning for February 2006
• South Warwickshire
• In Plan for March 06 discussions on delay
  Trust (with CSCA) to submit completed formal
  request for change of date
• GEH suspended Possibly running Jan-July 2006
  will also need to submit formal request for
  change of date
• UHCW suspended until after new hospital opens
• NB Difficult scheduling issues next year (EUTEs)

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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

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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

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PACS

• UHCW to take Southern Cluster RIS PACS (GE)
• RIS and PACS expected January 2006
• Further CSCA slippage remediation plans unclear
• Hereford PACS connection on hold
• Other WMS PACS 12/2006 01/2007
• 7 key milestones in new DH performance monitoring
  3 being actively managed

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Choose and Book

• WMS bookings need to accelerate
• Worcester now has Integrated PAS booking More
  national support (inc. technical)
• LHCs need to update Mani Dhesi (MD) on any issues
  around GP system upgrades
• New End-point registration process backlog
  almost gone
• Rollout of extended choice unclear

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Electronic Transmission of Prescriptions (ETP)

• Phased approach now adopted
• Phase 1 (by summer 06) - essentially technical
• National rollout is beginning
• iSoft Synergy/Lloyds initial implementation
  happening in North Warks
• Need to run on the backof CaB plans
• LHCs need to start planning the GP side
• Lead/Project Manager required now
• Strategy, allowances and implementation guidance
  now published

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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

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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
• More guidance out mid-December (from Recovery
  Support Unit)
• West Midlands has been allocated 3 support
  resources
• Philip Burgess (ex CEO)
• Pat Gartside (ex Modernisation Lead for Coventry)
• Wendy Clarke (ex North Staffs IT Director)
• Work underway to agree consistent West Midlands
  SHA ISIP approach and links to LDP revision

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LDP revision

• Guidance out very shortly (this week ?)
• Will need to revise IMT plan
• Link to ISIP

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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
• LHCs must have plans to cover full exposure

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Finance

• Capital allocations
• SHA will only provide capital where committed, or
  essential for targets, and can be spent by March
• SHA finance still looking for LHCs to offer back
  capital for brokerage this should include
  looking at IT capital

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Finance

• CfH Implementation funding (the 84m)
• SHA will only provide revenue where committed, or
  essential for targets, and can be spent by March
• SHA will hold back full cover for LHC SAS
  liabilities (but LHCs can then spend their
  reserve so should be nil effect)
• SHA will hold back money obviously slipping into
  2006/07

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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

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Communications and Stakeholder Engagement

• Porter Novelli campaign - all staff in the
  process of receiving leaflet
• Consider electronic circulation/local
  intranets/Team Briefs etc. as backup
• DVD available on NHS CRS available via
  orderline has had a good reception.

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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