Planning for life after the LSP Contracts

The challenge for “The North 215”

Mary Barber, Programme Director, HSCIC

Project Scope

• To support the Department of Health’s (DH) request to exit services from the CSC Local Service Provider (LSP) contract by 7th July 2016 with minimal exceptions

• To support NHS organisations through this change process so that patient care is not compromised

• To work with the market and other Government bodies to use this opportunity to stimulate the supplier market to the benefit of the NHS

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Organisations impacted

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266 NHS Organisations are Impacted

Acute

Community

CCG (GP)

Mental Health

Ambulance

Social Care

Data: 24 Oct 2014

Therefore…

• The majority of care pathways across the

region are impacted by the change

• The majority of NHS organisations will be

making plans for the provision of their future

Healthcare IT in line with their strategic plans

for the future

• The NHS has significant opportunity to exert

both its buying power and its desire to

interoperate across organisations

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Market Size and Shape (Acute)

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• Top 3 suppliers have a 70% market share between them and have strong presence in all three regions

• CSC/iSoft is the leading supplier

• 90% of market belongs to the Top 8 Suppliers

From Market Analysis

Carried out in early

2013:

Market Size and Shape (Community)

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• Top 3 suppliers have a 60% market share between them and have strong presence in all three regions

• CSE is the leading supplier with over 80% market share in London

From Market Analysis

Carried out in early

2013:

Therefore…

• There are enough suppliers in the market to create competition

• However the market is small for the level of demand so the NHS should consider working together to get the best deal and to avoid the market being swamped

• The 2013 market was driven by the nature of the national contracts, this is an opportunity to create a more balanced and vibrant marketplace

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Who is doing what?

Summary of exit options being selected

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Acute Community CCG (GP)MentalHealth

Ambulance Social Care

Unknown 13 64 0 3 0 0

GPSoC 0 0 90 0 0 0

Keeping existing systems 26 13 4 5 0 1

Procuring by 2016 24 10 1 4 6 0

Retiring systems 35 21 43 8 0 7

0

20

40

60

80

100

120

140

160

Unknown

GPSoC

Keeping existing systems

Procuring by 2016

Retiring systems

Some organisations

Have multiple systems

And appear in more

Than one exit option

Support mechanisms: Procurement

• London Procurement Partnership (LPP) Framework

• Shared Business Services (SBS) Framework

• HM Government G-Cloud

• GP Systems of Choice (GPSoC)

• Non OJEU

• OJEU

• Lorenzo via the National Contract

• Extending existing contracts

• Using existing partnerships

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Support Mechanisms: Funding

• Any funding from DH will come via standard routes such as loans and tariff

• Working with DH finance to provide anticipated ballpark values for consideration in budgeting cycle

• NHS organisations need to forecast their expected spend on Healthcare IT

• NHS organisations need to impress of DOF’s and CEO’s the need to treat Healthcare IT as a strategic asset going forward

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Support Mechanisms: Other

• TechUK sponsored supplier days

• Requirements documentation

• Legal advice and perpetual licences

• Liaison with NHS England groups

• Regular briefing and information sharing

sessions, risk workshops

• Decommissioning and data repatriation

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Some Known Risks

• Funding

• Market capacity

• Framework capacity

• Timetable for commissioning of certain

provision

• Number of organisations not yet in a

positions to make plans

• Time

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Questions and further information

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Contact HSCIC at: CSCExit@hscic.gov.uk

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