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The National Programme for
IT in the NHS in England
May 2005
National Programme for IT
Background
• Launched Spring 2002 by “21st Century IT” policy document
• Mobilisation from Q1 2003
• Procurement completed Q1 2004
• We are now 12 months into a 10 year programme
Overall Programme Challenges
Scale
Timetable
Complexity
Perception
2003 Retrospective
Challenges
• No market interest in NHS from world class suppliers
• Immature marketplace
• Funding and project profiles were not aligned
• Running six large (c. £1bn) procurements concurrently
Result
• On time delivery of procurements
2004 Retrospective
Challenges
• Supplier mobilisation of some 10,000 people
• Detailed specification work locally
• Clinical and managerial engagement
• Service readiness
Result
• Suppliers mobilised, some late
• Most of specification completed
• Some clinical and managerial engagement – more needed
• Many systems delivered
In Scope & Delivered
• Electronic booking
• Disaster recovery facilities
• NHS Care Records Service: - patient demographics - security (smartcards) - messaging protocols - reference data (of users, locations etc)
Out of Scope & Delivered
• Major new Email and Directory Service >100,000 users
• Quality management software to GPs
• Quality assessment software to GPs
2004 Systems
2005 Challenges
• Clinical and managerial engagement
• Increasing support for the Programme
• Picking up the pace in rollout
• External Environment
• Engineering delays
• Financing risk maturation
Actions to Address Current Challenges
• New SRO – John Bacon
• Start of Performance Management of NHS
• Clinical leads appointed
• Extensive refinement of plans with suppliers to ensure deliverability
• Some supplier replacement due to non-performance (as envisaged in contract structures)
It will continue to be difficult
Situation ReportIn Scope & Delivered / Imminent• N3 5,000 connections to GP surgeries• Secondary usage database• ETP live transmissions
Out of Scope & Delivered• Completion of QMAS• Completion of QOF• Payment by Results software
Service AvailabilityNPfIT Live Systems – September 2004 to
April 2005
SPINENetwork
(N3)Choose
and Book
North East LSP Accentur
e
East & East Midlands
LSP Accenture
London LSPCCA
North West & West
Midlands LSP CCA
Southern LSP
Fujitsu
Availability to date April % 99.76 N/A 100 99.27 99.21 100 99.12 100
Availability March % 100 N/A 99.67 99.89 99.84 100 99.83 N/A
Availability February % 99.86 N/A 99.9 99.81 100 99.15 N/A N/A
Availability January % 98.9 N/A 99.92 99.85 N/A 99.6 N/A N/A
Availability December % 99.6 N/A 99.49 98.48 N/A N/A N/A N/A
Availability November % 96.4 N/A 99.9 100 N/A N/A N/A N/A
Availability October % 99.9 N/A 100 N/A N/A N/A N/A N/A
Availability September % 99.3 N/A 98.6 N/A N/A N/A N/A N/A
Availability August % 98.47 N/A 98.91 N/A N/A N/A N/A N/A
Availability July (from 2nd) %
96.98 N/A 99.57 N/A N/A N/A N/A N/A
Monthly Availability Target % 99.8 99.2 99.5 98.67 98.67 99.8 99.2 99.87