Presented by

Simon HardenHead of IT, East Sussex Hospitals NHS Trust

for Andrew RuddAssociate Director of Purchasing

Future direction and how it impacts on PAC’s ?

Delivering 21st Century IT(NHS in England)

BuildLife-long

HealthRecordService

ProvideBookingsService

ProvidePrescriptions

Service

Partner with eGov & IT Industry to deliver compliant, open systems & clinical applications

- National, Regional, Local, phased approach- EPR standard system specification first priority

Accelerate connecting the NHS withsecure Broadband

Build National data and data-interchange standards based on open technology

Create foundation services for NHS IT architecture -authentication, consent & confidentiality

National Direction and Performance Management of IT- manage funding, procurement process, application portfolio

- assist introduction of new working practices- capture & re-use experience / knowledge

National Strategic Programme - Architecture

Procurement Strategy

Procurement Strategy

STHAPSP

STHA or Group of STHAs

STHA or Group of STHAs

National Infrastructure

EmailDirectory

Authentication

SLA

Health Records Infrastructure (HRI) and other National Services (e.g. NHS Wide Clearing Service)

eBookingDomain

PSP

EPR, Pas,PACS, GPs

ETP servicesLAN providers

SLA

Where are we now ?

Infrastructure

• Single national re-procurement of NHS net

• National email and directory – preferred supplier stage

• Supporting framework contracts for local IT needs e.g. LAN, PC’s supporting software – in place.

Where are we now ?

eBooking

• Currently working with two shortlisted PSP’s

• Contract in place for booking systems supply

• Initially direct implementations by this/these PSP’s then potential for managed integration to StHA PSP

Where are we now ?

Electronic Transfer of Prescriptions (ETP)

• No procurement currently

• 3 pilot services

• Either Vertical PSP (like eBookings) or Integrated to StHA PSP’s ?

Where are we now ?

Integrated Care Record Services

• Draft Procurement Strategy

• Contract with 2-5 PSP’s to work at StHA level –

– Integration and implementation partners

– Each PSP will bring an aligned consortium of vendors

– Each PSP will work (through SLA’s) with other elements of the programme

Role of the centre

Role of the Centre

STHAPSP

STHA or Group of STHAs

STHA or Group of STHAs

National Infrastructure

EmailDirectory

Authentication

SLA

HRI and other National Services

eBookingDomain

PSP

EPR, Pas,PACS, GPs

ETPLAN Providers

SLA

ProvidesNational Contracts

ForBackbone

infrastructure

Role of the centre

HRI and other National Services

EPR, Pas,PACS, GPs

ETPLAN Providers

Role of the Centre

STHAPSP

STHA or Group of STHAs

STHA or Group of STHAs

National Infrastructure

EmailDirectory

Authentication

SLA

EPR, Pas,PACS, GPs

ETP

SLA

ProvidesNational Framework

Contractsfor

STHA levelPSP with choice

eBookingDomain

PSP

Role of the centre

Role of the Centre

STHAPSP

STHA or Group of STHAs

STHA or Group of STHAs

National Infrastructure

EmailDirectory

Authentication

SLA

eBookingSuper vendor

SLAProvides Standards,

specs and accreditation

for PSP’s consortium

HRI and other National Services

EPR, Pas,PACS, GPs

ETP

Role of the centre

HRI and other National Services

EPR, Pas,PACS, GPs

ETPLAN Providers

Role of the Centre

STHAPSP

STHA or Group of STHAs

STHA or Group of STHAs

National Infrastructure

EmailDirectory

Authentication

SLA

EPR, Pas,PACS, GPs

ETP

SLA

Provides contract for single national eBooking

domain PSP

eBookingDomain

PSP

Role of the centre

Role of the Centre

STHAPSP

STHA or Group of STHAs

STHA or Group of STHAs

National Infrastructure

EmailDirectory

Authentication

SLA

eBookingDomain

PSP

SLA

HRI and other National Services

EPR, Pas,PACS, GPs

ETPLAN Providers

Provides contract for single national Super Service provider for

HRI

Role of the centre

Role of the Centre

STHAPSP

STHA or Group of STHAs

STHA or Group of STHAs

National Infrastructure

EmailDirectory

Authentication

SLA

eBookingDomain

PSP

SLA

HRI and other National Services

EPR, Pas,PACS, GPs

ETPLAN Providers

Provides and manages funding

for compliant PSP decisions

Role of the PSP

Role of the PSP

STHAPSP

STHA or Group of STHAs

STHA or Group of STHAs

National Infrastructure

EmailDirectory

Authentication

SLA

eBookingDomain

PSP

SLA

HRI and other National Services

EPR, Pas,PACS, GPs

ETPLAN Providers

ManagesSLAs with National ServicesInc Infrastructure provider(s)

Role of the PSP

Role of the PSP

STHAPSP

STHA or Group of STHAs

STHA or Group of STHAs

National Infrastructure

EmailDirectory

Authentication

SLA

eBookingDomain

PSP

SLA

HRI and other National Services

EPR, Pas,PACS, GPs

ETPLAN Providers

Interfaces to other NHS national services

Eg HR services, NWCS

ICRS PSP’s

PSP’s

• Construct a consortium of vendors and service providers

• Deliver ICRS requirements that comply with national standards

• Work to National SLA’s with other providers

• Work with the programme to identify innovations that can be applied nationally

• Work with the programme and StHA to expand or contract the scope of services

ICRS PSP’s

Contract arrangement

• Service contracts based on PSP delivery responsibility within an StHA

– Service payments based on delivery of agreed service

– PSP responsible for all sub-contracts, taking all interface risks

ICRS PSP’s

Implementation approach

• Phased delivery – StHA’s in waves

• Initial scope based on local priorities and national requirements e.g. eBooking and ETP

PAC’s ?

• Will form part of ICRS PSP consortium

• Current PAC’s contracts will form part of local legacy which StHA’s and PSP will agree upon

• Timescales for implementation are part of a planned rollout (being planned) which will not commence for at least a year

• The danger of planning blight is being addressed. In general procurements should continue

Supplier messages ?

• Continue current good work with DH (PASA/MDA)

• Continue/begin discussions with potential national ICRS PSP partners

• Maintain communication links with progress on national programme