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Update from the National PACS team
Author: David Jennings
Date: 15 November 2005
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What is NHS Connecting for Health?Objectives
• To deliver a 21st century health service through the efficient use of information technology
• To improve the quality and convenience of care by ensuring that both those who receive and administer care have the right information at the right time
• To implement projects vital to the NHS modernisation programme using IT to directly improve the patient experience and clinical care
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What is NHS Connecting for Health delivering?
Core programmes• NHS Care Records Service• Choose and Book• Electronic Transfer of Prescriptions• PACS• N3
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Key features of NHS PACS• Ensured controlled access to images, whenever, wherever
– images shared outside individual Trusts• Future proofing
– backed by the full service, support and technicalcapabilities of NHS Connecting for Health
• Wide impact – will have a positive impact on any specialty that uses
fixed or moving images • Guaranteed service, performance and support
– guarantee of technical support
• Integration of images with patient records – NHS PACS will be tightly and securely integrated
with the NHS Care Record Service
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Implementation• Determined at a cluster level, working with Local
Service Providers (LSPs)• on-going collaboration with the National Team, SHAs and
Trusts• creation of planning and implementation teams
• Timing: aiming to achieve100% deployment of PACS by March 2007
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Progress to date• Contracts now signed in all clusters• Deployment plans agreed• 6 sites are now live • Hundred’s of thousands of patient
images taken and stored• Local business cases being completed
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Support• Implementation toolkit under development• PACS National Implementation Reference Group• National Clinical Reference Panel• Local teams• Business case template• Communications materials available for local use• www.cfh.nhs.uk/programmes/pacs• nww.cfh.nhs.uk/implementation/pacs
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Lessons learntObservations and learnings:• Project team• Finance• Communication• Technology• Modalities • Training• Data migration
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Project team• Local project management essential – takes most of
main PM’s time
• Gaining interest and engagement of clinicians is critical, but challenging
• Involvement of executives to ensure sponsorship• Importance of Service Improvement
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Finance• Important to understand the additional expenditure
that may be incurred by the Trust• Likewise identification and baselining of benefits is
critical
Communication and engagement• Roles and responsibilities of suppliers, LSP, Trust,
cluster and national PACS team must be clearly communicated
• Identify clinical leaders to engage local clinicians
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Technology• Suppliers need to advise Trusts about the
different software options and functionality available early in the project
Modalities• Contact legacy modality suppliers in the early
stages since it can take several months to obtain all the required info
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Training• Training should be provided as close to go-live
date as possible• Use of Peers and involvement of wider team
advisable
Data Migration• Needs to be completed before
core PACS go-live
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Vision and the future• Vision to include more than traditional imaging• Support policy such as the 18 week target• Support capacity and demand issues by
separating acquisition and reporting• Drive consistency and standards – use of
national guidelines / protocols / training
