National Programme for Information Technology NPfIT

1
National Programme for Information Technology
(NPfIT)

• WMS SHA Update for
• Local Health Communities
• April 2005

2
Agenda

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

3
DIP and Contractual Update

• DIP has been signed (v8.2)
• 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

• 3 WMS PASs planned to go live on Tactical
  Instances
• Late delays with first two (Worcs
  Coventry/Community MH)
• Common issues
• availability of stable EUT environments
• lack of process and clarity of fixes to
  showstopper bugs discovered in local testing
• Three week delay (so far) has led to greater
  consequential delay because of level of
  uncertainty, but clarity is now emerging
• UHCW suffers same issues, but later deployment so
  unclear about final effect

5
WMSHA Early PAS risks

• Availability of tactical and strategic instances,
  migration approach SHA IT leads suggest
  employing a project manager
• Logon times
• Positive comments from early deployments
• NPfIT commitment to redesign for P1R2
• Spine dependence and reliability
• Significant improvements few visible problems
  nationally
• N3
• Progress with early adopters recently following
  escalation
• End User Training environments
• Cluster have purchased 150 available by mid
  June
• allocation method (capitation to SHA) means we
  will need to purchase more
• Possibly 11 extra, possibly costing 550k (over 5
  years)

6
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
• 2 announcements about GP systems
• CSC/EMIS relationship
• Any GP can have any GP system offered by any LSP
• No clarity yet about the practical implications
  of either, nor about fit with GP Lorenzo

7
PACS

• Pearse Butler (Cluster SRO) required assurances
  from SHAs
• All trusts will implement PACS by March 2007
• Capital funding will be available
• Recurrent revenue will not be a barrier
• Kevon Orford wrote to Trust/PCT CEOs
• Assurance has been given by WMS
• UHCW situation is a significant caveat
• Talks continue with NPfIT
• Proposals suggested for a way forward
• Contingency to be developed (GE within NPfIT)
• Trust to watch early adopters to end July
  possibly include St. Cross as an early adopter
• Approach to be agreed by end April

8
Choose and Book

• Dec 05 now one of top 3 national delivery targets
• DH scrutinising SHA/LHC plans and visiting all
  SHAs
• SHA concern that LHC rollout plans are not robust
• 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
• GP practice N3 rollout continues but later than
  planned

9
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)

10
Infrastructure

• Registration Authorities progressing
• All WMS organisations have nominated RA Managers
• SHA team registering these staff now, and
  providing support
• HR not universally keen
• Worcestershire CEOs to nominate appropriate HR
  leads
• 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 project GPs both
  done

11
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, with John Thornbury support,
  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

12
Communications

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

13
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, escaltion
• 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