21st Century ETD

1
21st Century ETD

• Karen Smith, Programme Manager (Service
  Implementation)
• NHS Connecting for Health
• North West and West Midlands Cluster
• Web www.connectingforhealth.nhs.uk/regions/west

2
This morning

• Direction of travel
• Overview of functional roadmap for Lorenzo
• Changing role of the trainer
• Key challenges

3
National Programme for IT Key Delivery Systems
NHSMail A central email and directory service for
the NHS No of users 210,589
N3 Providing IT infrastructure and broadband for
the NHS No of users Over 1 million
PACS Capture, store, display and distribute
static and moving digital medical images No of
users 3,300
NHSMail
N3
PACS
National Programme for IT
NHS Care Records Service
ETP
NHS Care Records An individual electronic NHS
Care Record for every patient in England No of
users 287,713
Choose Book
ETP To make prescribing and dispensing safer,
easier and more convenient for patients No of
users 24,717
Choose Book Electronic booking service offering
patients greater choice of hospital or clinic No
of users 46,948
4
Other developments

• Electronic staff record
• Financial systems
• IT skills
• Project management/programme management skills
• A much more complex picture for trainers

5
Roadmap for the future
LE2.0
LE2.2
LE3.5
LE4.0
Functional Area
Phase 1
Phase 2
Phase 3
LE3.5 PMI Update, Orders, Results, Discharge
Summary, Waiting List, Outpatient, ADT,
Prescribing, LORENZO Primary Care, Clinical
Documentation, Patient mgmt, Mental Health Admin,
Community , Day Care, AE, Clinical Services,
Maternity, Caseload Management
LE4.0 Fully Integrated Health Care Solution
Inpatient Medication Orders, Medication
Administration, Care, Active Care Plans,
Integrated Care Plans, Device Integration,
Surgical Services, Charting
Clinicals iSOFT i.CM
LE2.0 and LE2.2 i.CM Clinicals Orders, Results,
Discharge Summary
PAS iSOFT i.PM
LE2.0 and LE2.2 i.PM Waiting List, Outpatient,
ADT, Mental Health Administration, AE, Caseload
Management
Maternity iSOFT Evolution
Evolution Maternity Solution
Primary Care PSE
LORENZO Primary Care GP and Primary Care Solution
Theatres iSOFT Ormis
Ormis Theatres
i.LAB Pathology Solution
Pathology iSOFT i.LAB
i.PHARM Pharmacy Stock Control Solution
Pharmacy iSOFT i.PHARM
Non iSOFT Applications Ambulance -
Medtronics Child Health HSW Diabetic
Retinopathy - HSS
6
Successful deployment has training at its heart
Go Live
Stage 0 Prepare for Implementation
Stage 1 Initiate
Stage 2 Local Design
Stage 3 Prepare for Go Live
Stage 4 5 Go Live and Support
SDRC 4
SDRC 1
SDRC 2
SDRC 3

• Trainers need to be involved throughout the
  deployment lifecycle
• Authority Trainers are no longer PAS trainers
  only
• They need to be able to communicate how the
  solution will be used in a clinical context,
  using their local Future State Design
• They are key Change Agents interacting with ALL
  End Users and influencing the deployment teams

7
Training is the key

• Supports safe implementation
• Supports changes in ways of working trainer as
  the agent of change
• Supports ongoing development of systems
  providing real experience of using products in
  real situations
• Develop the skills and understanding of the
  trainer explaining why as well as how
• Portfolio of training not just PAS training
• Trainers need to be multi skilled, able to adapt
  to new situations
• Understanding of business processes and NHS
  strategic direction