CSC Alliance

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CSC Alliance

• SAP and the Local Service Provider

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Agenda

• NpfIT and the National Care Records Service
• The Local Service Provider for Birmingham
• Lorenzo and its support for SAP

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The National Care Record Service Programme Road
Map
Full integration
Contracts awarded
Patient records, eBooking Prescribing
NASPs LSPs connect
Local Service Providers
Patient choice Service improvement
National Programme for IT
Procurement Delivery
The NHS Plan
Wanless Report
Increase investment in Health Double IT spend!
Shifting the balance of power
is designed to support the transformation of
patient care
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Structure of the National Programme for IT (NPfIT)
eTransfer of Prescriptions
eBooking
NASPs
ICRS Data Spine
Transaction Messaging Service
NorthWestWestMidlands
NorthEastHumberside
EastEastMidlands
London
SouthEast South West
LSPs
NHSnet / N3 National Network
NISP
N3 National Network
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National Care Records Service (NCRS)

• Demographic data - e.g. name, dob, address
  details, - all held nationally and accessible
  through local systems
• Lifelong confidential health record of patient
• drug allergies
• details of operations and/or conditions
• medication history
• pathology, radiology and other results
• a summary of contacts with care providers
• Access to electronic records 24 hours a day
• Records can be shared across health care
  providers and all care settings

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Programme Timetable
2005
2004
2006
2007
2008
2009
2010
Phase 1
Phase 2
Phase 3
Design Build Ph 1 Rel 1
Deploy Ph 1 Rel 1
Design Build Ph 1 Rel 2
Deploy Ph 1 R2
Design Build P2 R1
Deploy Ph2 R1
Design Build P3
Deploy P3
Design Build P2 R2
Deploy P2 R2
Support
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CSC and the North West West Midlands Cluster

• Population 12 million
• Employees 300,000 (Incl. IT Staff 2500)
• SHAs 6
• Health Communities / Economies 31
• Acute Trusts 50
• Mental Health Trusts 13
• Primary Care Trusts 60
• GP Practices 2500
• Installed systems 5700
• Annual IT spend 220m
• Contract duration 9 year deal
• Contract value- 973 million

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Roll-Out Plan For Birmingham

• Projects already started
• University Hospital Birmingham Acute PAS
• Royal Orthopedic Hospital Acute PAS
• Birmingham Childrens Hospital Acute PAS
• Heart of Birmingham and Sandwell Community PAS
• Starting in near term (during 2004)
• North Birmingham Community PAS
• Birmingham Womens Hospital Acute PAS
• Continuing incremental deployment on a single,
  SHA-wide, database

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Lorenzo core service model

• Management information
• Organisational modelling and planning
• Screening and surveillance
• Clinical audit
• Epidemiology
• Clinical research

• Knowledge-based clinical requests
• Equipment requests
• Service requests

• Care plans
• Care pathways
• Pathway merging
• Care-driven resource management

• Results mgmt
• Device interfaces
• Laboratory management
• Radiology management

• Active decision support (branching)
• Passive decision support (alerting)
• Evidence-based best practice
• Authoring support

• Structured and un-structured data capture
• Dictation and annotation
• Clinical terms, assessments, observations
• Auto-citation, auto-negation

• Duty of care and role declaration
• Configurability
• Personalisation
• Context management
• User experience
• Device technologies
• Citizen participation

• Intelligent searching
• Multi-facility patient identity management
• Demographics, HL7v3 support for PDS

• Drug data (reference terminology)
• Prescribing
• Medicines administration
• Pharmacy management

• Guaranteed delivery between two or more parties
  (system system, system-user)
• Semantics preserved
• Notification
• Escalation
• Collaboration support
• Multi-disciplinary team support

• Demand mgmt
• Resource mgmt
• Departmental mgmt

• Duty of care
• Encounter mgmt
• Referral mgmt
• Capacity mgmt

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Healthcare services deployed across many
different care settings
Healthcare services
Care settings
Health economy
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Scope Of SAP
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Summary

• CSC will implement the National Care Records
  Service within Birmingham
• This will include support for SAP across all care
  settings
• It is a long-term relationship with additional
  functionality being added in stages
• Work has already begun in Birmingham and will be
  extended to cover all areas