health and justice pharmacy network meeting 30 …... 2 hmp pentonville – first of type to deploy...
TRANSCRIPT
www.england.nhs.uk
CROSS GOVERNMENT PROGRAMMES
Health and Justice Pharmacy Network Meeting
30 06 2015
Prison Prescribing Functionality Update
Delivering Health and Social Care Information Sharing across Government
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HMP Pentonville – First of Type to deploy – 19th November 2013
Sites now live • London X8 – final two sites August and September
• South East x3 – further two sites June and July
• East Midlands x4
• East of England x1
• North West x1
• Wales x2
Site due to go live next 8 weeks • South Central x3
• West Midlands x2
• Yorks and Humber x1
• North East x1
• South West x3
• Wales x1
Overview
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Statement of Readiness – key document
• Infrastructure changes to allow hatch e-administration
• Cell to Cell Administration
• Updating Medicines Policy
• Process mapping
• Formulary
• Custom Script
• PDG and Regimes
• Deployment prior to New System!
Clinical and Process Considerations
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Pre Go Live
• Infrastructure Audit / funding approval
• Engagement and wider cultural/business impact
• Roles and Responsibilities
• Demo units
• Formulary review and amendment
• Custom Script
• Checking Conversion tab – activities and unconverted numbers.
• Process mapping
• Policies and procedures
• Statement of Readiness / Booking Form
• Training – close to deployment
• New to Old and Old to New Impact – see brief last slide
This is not a definitive list – see Deployment plan / Go Live plan
Deployment Activities
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Go Live
• Finish all morning activities
• Clear down any pending meds
• Print out a number of patient/meds for validation
• Run conversion
• Import formulary and custom script
• Validate patients/meds to ensure no corruption of data
• Review and address any unconverted meds
• Input any agreed PDGs / Regimes
• Set organisational preferences / default times
• Have floor walkers/super users available for first shifts live
This is not a definitive list – see Deployment plan / Go Live plan
Deployment Activities
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HSCIC
Benefits Complied by Clinical Advisor
Statement of Readiness signed of by Governor and AT lead when ready
Booking Form submit 4 wks before to confirm booking slot
RFC HSCIC submit to CSC 3 wks before
CSC Enhanced Design Summary understand the changes made to the system
Business Change Assess understand the changes to the business
Training Guide for TTT to use to train end users
Upgrade Deployment Plan understand activities needed around deployment
Go Live Management Plan document and track Go Live
Deployment Documents & Activities
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Questions
and
Answers
Prescribing Roll Out
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Health & Justice Information
Service
Transition
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Background
• Offender Health IT (OHIT) has had a national prison healthcare IT system since 2010
• NHS England are responsible for commissioning prison healthcare services
• Current contract for the national system expires July 2016
• HSCIC is commissioned to produce a business case for the procurement of a replacement IT system
• Delivered under the Health and Justice Information Services (HJIS)
project:
• Phase 1: Residential Estate
• Phase 2: Temporary Estate
• Phase 3: Partner Integration
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Delivery: Phases of Project
Phase 1: Residential Estate
• A national Primary Care IT system building on existing system functionality
• Bespoke functionality for Residential care settings
• Integration with Spine Services
• Data extract to support NHS England secondary information reporting, include prescribing data (to enable equivalent of ePACT to support medicines optimisation programmes.
Phase 2: Temporary Estate
• National or local system approach to be confirmed Integration with Spine Services
• Integration between Residential and Temporary systems, like those in Police Custody, through common integration layer
Phase 3: Partner Integration
• Integration between HJIS system and CJS, Social Care and L&D through
middleware or platform (scope to be confirmed)
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Benefits • Continuity of care - A single primary care record that follows the patient from
the community into the prison and back into the community
• Improves the decision making capability of healthcare professionals in the wider NHS and social care through the legitimate sharing of patient information.
• Improves the ability of the NHS, criminal justice and local government to performance manage, both strategically and operationally, through access to integrated management information across Health & Justice.
• Development of national standards and improvements to quality of care provided to patients in the Health & Justice settings
• Additional functionality to improve medicines pathway and functions e.g. potential integration with other external systems/functionality such as Methasoft
• Remote working via portable devices that meet security requirements.
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Registration and Patient Records
– Residential Setting
• Patient registration following the same process as followed in Primary and Community care.
• System will allow the access to the patient’s medical record and transfer of this single medical record back into the community following the patient.
• System to provide improved outcome monitoring and commissioning
• General Practice Extraction Service to enable participation in national data extractions
• Calculating Quality Reporting Service to enable participation in quality services
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What is happening now?
• A transition from the current healthcare IT system to Phase 1 of a new system
• 152 places of detention, approx. 90,000 detainees
• Preparing the existing live estate for business and technical changes, including;
• Spine connectivity
• Smartcard coverage across the estate
• Increased NHS Number coverage
• Data cleansing and removing duplicate records
• Preparing new sites that will be added to the contract
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Procurement timetable for phase 1 IT
Replacement
1
4
Milestone Date
ITTN opens 20/05/2015
Clarification deadline 17/06/2015
Initial Tender Close 22/06/2015
Negotiation Commences 15/07/2015
Negotiation Closes 15/09/2015
Best and Final Offer Opens 16/09/2015
Best and Final Offer Closes 29/09/2015
Standstill, Debrief, Award 07/10/2015
Contract Signed March 2016
Option A – Incumbent July 2016
Option B - Other July 2017
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Overview of Transition timings
New IT system
live
Training complete
Local business changes complete
Contract signed
with supplier
Preferred supplier known
Oct
2015
March
2016 a) Ongoing
b) May 17
a) Ongoing
b) June 17 a) July 16
b) July 17
a) Incumbent: Award of contract July 2016, Not necessarily linear progression of
Business Change and Training.
b) Other: Award of Contract July 2016, implementation July 2017
Progression through Business Change and Training will be linear,
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Roles and Responsibilities
Key Stakeholder Roles and Responsibilities
HJIS Phase 1 Transition Steering Group
Define and plan for OHIT transition to Phase 1
NHS England HJIS Team
Define, support and communicate business change
requirements and activities
HSCIC OHIT/HJIS Team
Provide technical support, assurance and guidance
NHS England Local Teams
Support and ensure local business change is achieved in
required timescales
System supplier
Deliver new IT system in accordance with the contract
End Users
Assist with data cleansing and realise the benefits of the
new system
IT Providers (e.g. Commissioning Support Units)
Deliver local business change
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Business Change
Activities Overview
• Smartcard Access
• Cleaning data, including NHS Number Project
• Baseline of assets
• Preparing for end user training
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Smartcard Access
• All users will require a Smartcard to access the new system
• Current smartcard users will need cards updating to reflect
new health and justice Organisational Data Service (ODS)
codes by March 2016
• Registration Authority services will be commissioned
centrally
• Smartcard access will enable the electronic transfer of FP10
prescriptions and discussions are ongoing about the potential
for electronic transfer of prison prescriptions.
• Further information will be provided once planning is
completed
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Cleaning data
Need to ensure that records / data is as clean as possible prior
to loading onto the new system
• NHS Number Project
• Identification of NHS Numbers will allow data cleaning of
duplicate records
• Template and Read Code development
• Additional Data Quality work to be undertaken locally
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Baseline of assets
• Incoming Supplier will need knowledge of the IT assets
• Ensure compliance with minimum hardware requirements
• Assets include:
• Hardware – PCs, laptops, printers,
• Software - applications
• Licences – any software applications
• NHS England Business Change to lead on creation of Asset
Inventory
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Preparing for end user training
• High level training plan to be developed by OHIT Transition to
Phase 1 Group
• Training will be centrally commissioned
• Training will use the Train the Trainer model and cascade
training locally across NHS England Area Team locations
• Training will map to the deployment slot plan
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Next Steps
• Business change activity planning phase
• Engage with IT providers
• Communications
• Regional workshops with End Users /
Commissioners
• Strategic Meetings, i.e. SEG
Sign up to the OHIT/HJIS Bulletin for latest news
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Useful contacts and links Contacts:
• Angie Whitfield, NHSE Business Change Lead
0782 4124413
• Tracy Davis, OHIT Senior Project Manager, [email protected]
07795 503513
Communications: • OHIT/HJIS: http://systems.hscic.gov.uk/offender
• Newsletter: http://systems.hscic.gov.uk/offender/signupohit
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Questions?