ICT Strategy, Business Plan &ICT Strategy, Business Plan &Business Case for Community Business Case for Community

Information SystemInformation System

Siobhan Hanna

May 2009

Achievements Since 2007Achievements 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 - BackgroundICT 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 DeliverablesICT Strategy Deliverables

3 Year Plan - technical requirements to create a single ICT infrastructure

Business Continuity requirements Virtual Server Single Global Email Address Single Email Improved Security Archiving Solution Information System Harmonisation

Costs (ICT 3 Year Strategy)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 ImplementationBenefits 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 2009/10ICT 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 ProjectsICT 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 ProjectsICT 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 ICT Business Plan – Community Care Related ProjectsRelated 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-outsPlanning 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)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 & Summary – ICT 3 year Strategy & Business Plan (2009/10)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 SystemBackground – 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 Benefits from Community Information SystemSystem

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 AppraisalNon-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 (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 OptionPreferred 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 TimeframeEstimated 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

SummarySummary

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