Existing Systems Peter Dyke Presentation to HL7 User Conference Wednesday 9 th February 2005

2 Agenda A view of the market Deployment Spine Compliance “LSP Compliance” Existing Systems Guidance Questions?

3 A view of the market The fragmented systems and supplier base will consolidate in the various market niches. Many systems will cease to be supported within the NHS market A number of existing suppliers will remain in the NHS market, for a prolonged period or in increasingly niche and specialist areas IDX Carecast iSOFT Lorenzo % 50% 100%

4 Deployment LSP core Service in early adopters Wider geographical Coverage of Trusts/PCTs Deeper clinical functionality within trusts/PCTs where LSP is deployed CRS Spine Enabled by NPfIT working with existing PAS/EPR and GP system suppliers Enabled by LSPs working with existing specialist/ departmental systems Providers (“Cluster Portfolio”)

5 Spine Compliance/ “LSP Compliance” NCRS Spine AccentureCSC Fujitsu CCA iSOFT (Lorenzo)IDX (Carecast) Specialist 1 System A System C System B System D Department 2 System F System E Specialist 1 System U System W System V Department 2 System X System Z System Y GP PAS ISTC Pharmacy Spine Compliance“LSP Compliance”

6 Potential LSP Interfaces LSP Interface Engine NCRS Spine Trust Interface Engine LSP enables interface and publishes specifications and updates (ongoing process) Appropriate interfaces developed and implemented for existing trust systems (retained) Existing PAS/HIS LSP Core Solution Trust LSP Other systems (not connected) Specialist or Departmental Systems

7 For more information: Version 2 out now!

8 Summary Existing systems will continue to exist but the market is complex –Expect consolidation Existing systems sustained by –Spine Compliance (NPfIT) –“LSP Compliance” (LSP) Published and public guidance: – Help for NHS and suppliers alike –Cluster Existing Systems Representatives