The National Programme for

IT in the NHS in England

May 2005

National Programme for IT

Background

• Launched Spring 2002 by “21st Century IT” policy document

• Mobilisation from Q1 2003

• Procurement completed Q1 2004

• We are now 12 months into a 10 year programme

Overall Programme Challenges

Scale

Timetable

Complexity

Perception

2003 Retrospective

Challenges

• No market interest in NHS from world class suppliers

• Immature marketplace

• Funding and project profiles were not aligned

• Running six large (c. £1bn) procurements concurrently

Result

• On time delivery of procurements

2004 Retrospective

Challenges

• Supplier mobilisation of some 10,000 people

• Detailed specification work locally

• Clinical and managerial engagement

• Service readiness

Result

• Suppliers mobilised, some late

• Most of specification completed

• Some clinical and managerial engagement – more needed

• Many systems delivered

In Scope & Delivered

• Electronic booking

• Disaster recovery facilities

• NHS Care Records Service: - patient demographics - security (smartcards) - messaging protocols - reference data (of users, locations etc)

Out of Scope & Delivered

• Major new Email and Directory Service >100,000 users

• Quality management software to GPs

• Quality assessment software to GPs

2004 Systems

2005 Challenges

• Clinical and managerial engagement

• Increasing support for the Programme

• Picking up the pace in rollout

• External Environment

• Engineering delays

• Financing risk maturation

Actions to Address Current Challenges

• New SRO – John Bacon

• Start of Performance Management of NHS

• Clinical leads appointed

• Extensive refinement of plans with suppliers to ensure deliverability

• Some supplier replacement due to non-performance (as envisaged in contract structures)

It will continue to be difficult

Situation ReportIn Scope & Delivered / Imminent• N3 5,000 connections to GP surgeries• Secondary usage database• ETP live transmissions

Out of Scope & Delivered• Completion of QMAS• Completion of QOF• Payment by Results software

Service AvailabilityNPfIT Live Systems – September 2004 to

April 2005

      SPINENetwork

(N3)Choose

and Book

North East LSP Accentur

e

East & East Midlands

LSP Accenture

London LSPCCA

North West & West

Midlands LSP CCA

Southern LSP

Fujitsu

                 

Availability to date April % 99.76 N/A 100 99.27 99.21 100 99.12 100

Availability March % 100 N/A 99.67 99.89 99.84 100 99.83 N/A

Availability February %   99.86 N/A 99.9 99.81 100 99.15 N/A N/A

Availability January %   98.9 N/A 99.92 99.85 N/A 99.6 N/A N/A

Availability December %   99.6 N/A 99.49 98.48 N/A N/A N/A N/A

Availability November %   96.4 N/A 99.9 100 N/A N/A N/A N/A

Availability October %   99.9 N/A 100 N/A N/A N/A N/A N/A

Availability September %   99.3 N/A 98.6 N/A N/A N/A N/A N/A

Availability August % 98.47 N/A 98.91 N/A N/A N/A N/A N/A

Availability July (from 2nd) %

96.98 N/A 99.57 N/A N/A N/A N/A N/A

Monthly Availability Target %   99.8 99.2 99.5 98.67 98.67 99.8 99.2 99.87