ICT Strategy, Business Plan & Business Case for Community Information System Siobhan Hanna May 2009

Achievements Since 2007 Replacement of CAH infrastructure to new, harmonised, hospital grade network; Improved security and governance Infra ‘virtual’ helpdesk; Trust-wide ICT Strategy; Business Continuity plans for 88 Information Systems; Range of harmonisation and standardisation projects; Suite of Policies, procedures and user training.

ICT Strategy - Background 4 Legacy Infrastructures All mail & services “routed” through DIS (BSO) Old & high maintenance equipment 4 sets of policies, procedures, suppliers etc

ICT Strategy Deliverables 3 Year Plan - technical requirements to create a single ICT infrastructure Business Continuity requirements Virtual Server Single Global Address Single Improved Security Archiving Solution Information System Harmonisation

Costs (ICT 3 Year Strategy) £1,118,000 over 3 year period Funding secured £365,000 Funding required £753,000 Source to be determined – working closely with Regional ICT Programme Board

Benefits of Strategy Implementation Improved ICT Capacity & Capability “Future Proofing” Improved Security Higher Resilience – less ‘downtime’ Improved User accessibility Reduced Local ICT Support & Maintenance

ICT Business Plan 2009/10 Aspirations for achievement by March 2009 Includes Year 1 ‘technical & infrastructure’ plans contained in ICT Strategy Not all funding available (at present) Governance Arrangements Staffing Levels Costs & Time Frames

ICT Business Plan – Trust-wide Projects PC Replacement Strategy (funded) Microsoft Enterprise Agreement (funded) Video Conferencing (funded) Year 1 ICT Strategy - data centre, virtualised servers, global access directory (partially funded)

ICT Business Plan – Acute Services Projects NIPACs (partially funded) Electronic Referrals from primary care (funded) Filemaker Electronic Discharges (funded for 1 year) Theatre Management System (funded) NIMATs (funded) Patient Centre – document management, partial booking (partially funded) CaPPs – cancer patient tracking (funded)

ICT Business Plan – Community Care Related Projects Clinical Manager – AHPs (funded) Remote Access – duty social workers (funded) Commcare – domiciliary & independent sector care (funded) UNOCINI – single referral & assessment for children (funded) NISAT – pre-implementation (partially funded)

Planning in 2009/10 for ‘Year 2’ Roll-outs Community Information System Nurse Rostering Transport System Digital Dictation/ Voice Recognition Remote Access Referral Triage Roll-out of Electronic Discharge to CAH site

Costs (ICT Business Plan) £11,808,500 – Regional Funding £1,094,740 – CRL/ Slippage £252,500 – Recurrent £235,500 – non-recurrent

Summary – ICT 3 year Strategy & Business Plan (2009/10) Ambitious & Challenging Programme Significant funding requirements requiring Local & Regional Support However - success in securing funding in 2008/09 Small (and stretched) Team

Background – Community Information System Failure to Procure a Regional PCIS – Project closed in 2008 Southern & Western Trusts – no robust interim systems procured May 2008 – regional ICT Programme Board approved Southern & Western Trusts proposal to develop a joint business case Procurement process must allow other Trusts to purchase the preferred information system at a later stage

Benefits from Community Information System Single client record accessible at point of care Reduction of manual systems – releasing time to care Integrated care record – improved knowledge & communication Improved management information Identification of unmet need Reduction of Risk

Non-Financial Option Appraisal 8 options generated 3 options short listed: – do nothing – do minimum – procure an integrated system Evaluated against weighted criteria: – Quality of service provision – Sustaining service delivery – Strategic fit – Ease of Implementation & Accessibility – Risk Management

Financial Appraisal (Both Trusts) Financial Appraisal based over 10 year period Do nothing – no capital costs, £28M revenue Do minimum – £0.6M capital cost, £29.5M revenue Procure Integrated System - £5.2M capital, £37.5M revenue (capital available) High revenue costs relate to software licensing, hardware maintenance, consumables, project implementation (non- recurrent), staffing.

Preferred Option Procure an integrated information system with functionality to ensure: – Registration of all Trust clients and their care professionals – Relevant client information is available to other care professionals – Record of care throughout pathway – Data can be recorded in ‘real time’ – Improved, consistent & accessible management information – Capacity for future development to meet changing service needs

Estimated Timeframe Business Case to ICT Programme Board for Approval June 2009 Business Case Approval November 2009 Tendering Process concluded May 2010 Award of Contract by September 2010 First Phase Roll-out December 2010 Trust Project Board to be established to determine Phasing, communication & engagement following business case approval

Summary Trust Board Approval is sought: – ICT 3 Year Strategy to harmonise 4 legacy Trusts infrastructure – ICT Business Plan for 2009/10 (includes Year 1 of Strategy) – Forward Business Case for Community Information System to Regional ICT Programme Board for Approval & Funding