Rebranding NHS Connecting for Health

1
National News

• Rebranding NHS Connecting for Health
• John Bacon SRO role mainstream performance
  management ?
• Some admission of delays
• Spine decoupling project
• Porter Novelli campaign - Patient and Public
  awareness and rights
• Integrating NPfIT / 10 HIC / workforce, combined
  benefits plans
• Do Once and Share

2
Agenda

• Early PASs
• P1R2
• PACS
• Choose and Book
• SUS
• Infrastructure
• Communications
• Programme Management

3
DIP and Contractual Update

• Still a funding gap
• Current WMS risk is c3m over contract life
• Contractual only for early projects (inc. Worcs
  CMH)
• Other 2005 projects indicative final dates to
  be agreed by end of May
• Planning for 2006 (P1R2) in October/November
• CSCA achieved Bundle Key Milestone (BKM) with
  caveats
• CCN signed around CSC delays, Authority delays
  and extra functionality

4
WMSHA Early PASs

• Wave 1 timetable reviewed post BKM in light of
  numbers of bugs found in late CfH testing
  /deployment testing
• Worcs/Coventry Community probably live with
  Damadian release
• Coventry Admin pilot July
• Worcs Pilot August Full September
• UHCW under review
• Common issues
• EUT environment stability much improved, but
  further testing to be completed
• lack of process around fixing bugs discovered in
  testing and live running
• WMS escalation to Cluster
• Technical environments
• Quality of software and level of bugs
• Bug-fixing (process timliness)
• Compensation
• Incremental delay and inability to plan properly
• Strategic Instances and Legitimate Relationship
  Service (LRS)

5
Release Scoping
6
WMSHA Early PAS risks

• Availability of tactical and strategic instances,
  migration approach SHA IT Programme Board
  approved employing a project manager
• Uncertainty around LRS availability leads to
  issues around sequence/priority/timescales of
  wave 2 projects
• End User Training environments
• Cluster have purchased 150 available by mid
  June
• allocation method (capitation to SHA) means we
  will need to purchase more
• Will review level of need in light of replanned
  wave 1 projects
• Possibly 12 extra, possibly costing 600k (over 5
  years)

7
P1R2 and Clinical Systems

• P1R2 delayed to December 05
• Northern Clusters working group to look at NPfIT
  plan to de-risk clinicals by loosening coupling
  of spine and local NCRS
• GP systems
• CSC/Cluster working through practicalities of how
  to implement recent announcements
• Hosted EMIS PCS (Alternative GP system) possibly
  from end of year
• GP Lorenzo still the strategic solution

8
PACS

• Business cases should be complete by now
• Capital requirements to be notified to SHA by
  16/5 for case to go to capital group on 19/5
• UHCW situation is a significant caveat

9
Choose and Book

• LHCs have submitted revised rollout plans
• SHA ABC taskforce visiting all PCTs
• Directory of Service should be complete by end
  June
• 30 GPs should be registered by end June
• PCTs to have commissioning rules in place by end
  June
• ATOS Project manager allocated as an SHA resource
  need to agree how to best use this resource,
  and the rest of the CB resource

10
Secondary Uses Service

• Rollout delayed, and timescale unclear now
  expect phased rollout from June
• Training plan being developed nationally
• Outstanding issues re effective information
  support for Payment by Results
• Next User group meeting 6/5 (April cancelled)

11
Infrastructure

• Registration Authorities progressing
• Most WMS organisations now have registered RA
  Managers
• SHA team registering remaining staff now, and
  providing support
• HR not universally keen
• But this will be pursued
• Role based access control (RBAC) proving complex
  and time-consuming
• workshop held
• more NHS input sought
• will improve (but not necessarily quickly)
• Some problems with RA equipment supply
• Need to manage to ensure PAS projects GPs both
  done

12
Infrastructure

• N3
• Timely delivery of connections still unacceptable
• However, BT nominally achieved target of 6000
  connections, but not all signed off by NHS.
• Still significant outstanding issues re
• Group connections (incorporating COINs and VPNs)
• Support for PACS
• Keith Boardman leading for SHA and escalating
  issues with NPfIT/Cluster
• Service Desks
• Processes for interaction between Local/NPfIT/CSC
  service desks are being clarified
• Some training (ITIL) available
• Service Desk Managers forum set up to work
  through issues and share good practice

13
Communications

• National work Porter Novelli
• Information/campaign for NHS staff from June/July
• Public campaign from Autumn linking to
  deployment projects

14
Programme Management Governance and Programme
Management Review

• Reviews at Cluster, WMSHA all issued in draft,
  discussed at Boards
• WMS workshop on implementation of recommendations
• Will lead to increased standardisation and rigour
  in
• Risk and issue management, escalation
• Change Management
• Planning
• Monitoring and Reporting
• Decision making clarity of authority at each
  level
• Detailed, resourced action plans to be debated at
  April SHA IT Programme Board

15
Longer Term Priorities

• Interim solutions, business systems etc
• Change Management / Strategic alignment/ HICs etc
• NHS resources and capacity
• Shared services / effective support
• SHA Business Plan
• SHA Information Strategy (Audit requirement)