QAH HospitalPortsmouth Hospitals NHS Trust Board of Governors Trust Advisory Group: IT Strategy Update & eCommunications Chris Tite, Head of IT March 2014

QAH HospitalPortsmouth Hospitals NHS TrustPage 2 Content: IT Strategy Overview Clinical Information Systems Programme E-Correspondence: Now and in the Future

QAH HospitalPortsmouth Hospitals NHS Trust IT Strategy: Key Elements Governance IT Department Strategic Clinical / Corporate IT Development Programme IT Department Tactical Clinical / Corporate IT Developments Strategic Clinical / Corporate ICT Development Programme Governance IT Infrastructure

QAH HospitalPortsmouth Hospitals NHS Trust IT Strategy: Key Elements Governance IT Department Strategic Clinical / Corporate IT Development Programme IT Department Tactical Clinical / Corporate IT Developments Strategic Clinical / Corporate ICT Development Programme Governance IT Infrastructure

QAH HospitalPortsmouth Hospitals NHS Trust IT Strategy: Key Elements Governance IT Department Strategic Clinical / Corporate IT Development Programme IT Department Tactical Clinical / Corporate IT Developments Strategic Clinical / Corporate ICT Development Programme Governance IT Infrastructure

QAH HospitalPortsmouth Hospitals NHS Trust IT Strategy: Key Elements Governance IT Department Strategic Clinical / Corporate IT Development Programme IT Department Strategic Clinical / Corporate ICT Development Programme Governance IT Infrastructure

QAH HospitalPortsmouth Hospitals NHS Trust IT Strategy: Governance IT Strategy Committee: Ensures IT Strategy remains aligned to Business Strategy Approval body for IT investment proposals over £30K Ensures Trust IT investments improve quality, efficiency and cost-effectiveness of services provided Clinical Information Systems Programme Board: Ensures the CIS Programme delivers improvements in the quality & cost-effectiveness of services on time and to budget IT Clinical Reference Group Provides specialist clinical advice to inform the development, prioritisation and implementation of the IT Strategy so that it improves the quality and cost-effectiveness of services

QAH HospitalPortsmouth Hospitals NHS Trust IT Strategy: The Vision Thing… ‘ All data digitised from the first point of contact with the patient, and all relevant information readily available to care professionals and managers at the touch of a screen.’

QAH HospitalPortsmouth Hospitals NHS Trust IT Strategy: Key Content (1) To transform its care of patients the Trust needs an effective, modern, fully-integrated Clinical Information System (CIS) which: presents all relevant information on a patient that has already been recorded to the next clinician involved in their care helps them quickly order the right tests and tells them when results available supports them in making good decisions on diagnosis and treatment helps them communicate, both inside and outside the Trust, and arrange subsequent treatment without delay. Integration is key to ensuring data collected once & available to all

QAH HospitalPortsmouth Hospitals NHS Trust IT Strategy: Key Content (2) Achieving this via incremental ‘best-of-breed’ route is time- consuming and expensive We will contract with a single CIS solution provider whose platform includes additional ‘bolt on’ modules that will most likely lead to a rationalisation and standardisation of the majority of clinical (and possibly corporate) systems onto a core platform We will enter into a long-term partnership with a CIS solution provider which is motivated to deliver the clinical and efficiency improvements the Trust needs This contract will include provision of the resources to help clinical services achieve the process changes needed for them to fully exploit the new technologies provided

QAH HospitalPortsmouth Hospitals NHS Trust IT Infrastructure FinanceWorkforce Asset Management Other Corporate Solutions Risk Management BIMobile Telehealth Web (Internet, Intranet & Extranet) Patient administration Electronic Document Management Clinical Workstation Order CommsEPR Digital Dictation Patient Monitoring Clinical Specialties: ED Pathology PACS/RIS Pharmacy Maternity Theatres Critical Care Oncology Diabetes Clinical Workflows

QAH HospitalPortsmouth Hospitals NHS Trust Clinical Information Systems Programmes: Objectives Improved efficiency of clinical services Improved quality of patient care Increased patient safety Improved patient experience Good quality data underpinning good clinical and management decision-making

QAH HospitalPortsmouth Hospitals NHS Trust Strategic CIS Programme: Timelines (1) Sep 2013 – Jun 2014: Discovery Clinical process / systems familiarisation Market research / supplier engagement / informal site visits Apr – Jun 2014: Programme Initiation Stakeholder engagement / awareness raising Programme structure / resources / methodologies May – Dec 2014: Requirements Gathering Patient pathway workshops / process mapping Departmental / other stakeholder validation workshops Requirements documentation Outline Business Case

QAH HospitalPortsmouth Hospitals NHS Trust Strategic CIS Programme: Timelines (2) Jun 2014 – Aug 2015: Procurement OJEU, PQQ, ITT, etc. Competitive dialogue rounds & shortlisting Preferred supplier Full Business Case Aug 2015: Contract award Sep – Nov 2015: Pre-Implementation Data centre / hardware environment preparation & installation Infrastructure preparation Implementation planning / structure / resources Jan : Implementation

QAH HospitalPortsmouth Hospitals NHS Trust Programme Management Rob Osborne WORKSTREAMS Communications & Engagement (Lead: Sarah Snowdon) Information Technology (Lead: Phil Kenney) Procurement (Lead: Mark Futcher) Market Analysis (Lead: Mike Sugden) Requirements Gathering (Lead: Rob Osborne) Finance (Lead: Sandie Leeming) Tactical Work Programme (Lead: Julie Brown) Programme Support Programme Governance

QAH HospitalPortsmouth Hospitals NHS Trust Strategic CIS Programme: The Resource Challenge 04/14 10/1410/15 04/15 Oceano ED System ICE in Radiology VitalPAC Reprocurement Mainstreaming VitalPAC System Tactical CIS Programme Strategic CIS Programme Familiarisation Market Research Programme Initiation Stakeholder Engagement Process Mapping Requirements Documentation OJEU / PQQ ITT / Tenders Evaluation OBC FBC Supplier Negotiations Contract Award Implementation ICE Trust-Wide Order Comms E-Prescribing & Medicines Admin iDesktop Roll-OutWi-Fi For Patients eCorrespondence With GPs

QAH HospitalPortsmouth Hospitals NHS Trust eCorrespondence – Current & Future Approaches TypeNowTacticalStrategic Patient appointment letters Paper via post Paper Secure log-in Appointment reminders Text GP referrals received Paper via post Electronic message Clinic letters to GPs Paper via post.pdf attached to nhs.net Electronic message Discharge Summaries Paper via post.pdf attached to nhs.net Electronic message ED attendance summaries Paper via post.pdf attached to nhs.net Electronic message