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

Dec 24, 2015

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Page 1: ICT Strategy, Business Plan & Business Case for Community Information System Siobhan Hanna May 2009.

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

Information SystemInformation System

Siobhan Hanna

May 2009

Page 2: ICT Strategy, Business Plan & Business Case for Community Information 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.

Page 3: ICT Strategy, Business Plan & Business Case for Community Information System Siobhan Hanna May 2009.

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

Page 4: ICT Strategy, Business Plan & Business Case for Community Information System Siobhan Hanna May 2009.

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

Page 5: ICT Strategy, Business Plan & Business Case for Community Information System Siobhan Hanna May 2009.

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

Page 6: ICT Strategy, Business Plan & Business Case for Community Information System Siobhan Hanna May 2009.

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

Page 7: ICT Strategy, Business Plan & Business Case for Community Information System Siobhan Hanna May 2009.

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

Page 8: ICT Strategy, Business Plan & Business Case for Community Information System Siobhan Hanna May 2009.

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)

Page 9: ICT Strategy, Business Plan & Business Case for Community Information System Siobhan Hanna May 2009.

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)

Page 10: ICT Strategy, Business Plan & Business Case for Community Information System Siobhan Hanna May 2009.

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)

Page 11: ICT Strategy, Business Plan & Business Case for Community Information System Siobhan Hanna May 2009.

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

Page 12: ICT Strategy, Business Plan & Business Case for Community Information System Siobhan Hanna May 2009.

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

Page 13: ICT Strategy, Business Plan & Business Case for Community Information System Siobhan Hanna May 2009.

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

Page 14: ICT Strategy, Business Plan & Business Case for Community Information System Siobhan Hanna May 2009.

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

Page 15: ICT Strategy, Business Plan & Business Case for Community Information System Siobhan Hanna May 2009.

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

Page 16: ICT Strategy, Business Plan & Business Case for Community Information System Siobhan Hanna May 2009.

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

Page 17: ICT Strategy, Business Plan & Business Case for Community Information System Siobhan Hanna May 2009.

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.

Page 18: ICT Strategy, Business Plan & Business Case for Community Information System Siobhan Hanna May 2009.

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

Page 19: ICT Strategy, Business Plan & Business Case for Community Information System Siobhan Hanna May 2009.

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

Page 20: ICT Strategy, Business Plan & Business Case for Community Information System Siobhan Hanna May 2009.

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