1. ICT Update
October 2016

2. Background What ICT supports for PTHB Users = 2400
Locations – 30 supported sites over whole of Powys and sites in Cardiff
Mobile users – Over 300 VPN users
Wide area network by PSBA
Over 60 local switches supporting Local area networks/WIFI points
Servers (30 physical servers 70+ virtual servers)
Devices 1300 supported but increasing with WCCIS
Local applications supported 39
National applications 69 (National or other HB)
Staff 10 fte (PTHB and PTHB funded pooled ICT staff)
Support Ratio = 1 fte per Approx 240 users / devices

3. Infrastructure – current work
Local Network improvements
WIFI improvements (Sept 2016)
Joint broadcasting
Self registration public WIFI
Increased access points MTED
Further coverage required for WCCIS
GP WIFI
WCCIS device deployment
server upgrade
Archiving
Possible mobile upgrade

4. Infrastructure issues
No defined application support (best endeavours)
Service issues. Approx. 60% of all calls logged with PTHB IT are fixed by the service desk at first point of contact, staff often bypass the first line team altogether and go directly to second line support (Walk ups / direct telephone and contact).    
BC and DR gaps. Documented processes work in progress currently 60% completed expected completion 31/3/2017
Whilst we have comprehensive backups, they are not tested or monitored.

5. The National Programme
Out of Hours Service
Welsh Clinical
Portal
Clinician access
– where care
is delivered
Individual
Health
Record
e-referrals/
discharges
GP systems
(lifelong record)
New hospital/
Community systems
My Health Online
Patient access – over the internet
Current hospital
systems
Radiology IS
Laboratory IMS
Prescribing
Scheduling
Ordering

6. National programme - progress
WCCIS
Implementation in progress
First joint installation for Wales
Live date end November 2016 (Phased until end March 2017)
PTHB have installed
Welsh Clinical Communication Gateway (WCCG) - electronic referrals
My Health Online (MHOL) – Patient access to GP repeat prescriptions and appointments on-line
Individual Health Record (IHR) – Out of Hours access to GP system information
Theatres module of Myrddin (Myrddin is the National PAS system)
Current focus
Welsh Community Care Information System (WCCIS) – Joint project Powys going Live Nov 2016
Cross border electronic referrals (England)
Welsh Clinical Portal – (Medicine Transcribing & Electronic Discharges - MtED)
NIAAS – National Audit tool

7. National programme – issues
PTHB is often last to install a national product due to the need for other health boards to be live because PTHB often use other health services. E.g. test requesting
PTHB are leading on Cross border (England) the National programme has limited benefits to PTHB without a cross border (England) capability.
There is a lot of national work which requires PTHB involvement but capacity is limiting e.g. ward management system, POCT, ICNET etc.

8. Opportunities
Integrated resources (these have been identified as improvements in the ICT service improvement plan)
The partnership vision is for a joint ICT team for both PCC and PTHB maximising the skills and capacity that exist in the two teams.
To do this we have defined joint processes for incident and problem management (based on ITIL).
Better understand service requests from incidents and measure responses accordingly
Create an improved relationship between 1st and 2nd line support teams
Co-location of PCC and PTHB staff
Improved access to IT and processes based on first and second line (reduce the need for walk in’s)
Setup a service management board
Modernise services
Smartphones / BOYD
Improving BC/DR through cloud deployments
Agile working via cloud services
Improve telephony including VOIP (2017/18)
Supporting staff to get more from their IT