N3 / Help the Hospices - Connecting Hospices Workshop

1. N3 / Help the Hospices - Connecting Hospices Workshop John Hemsley Business Leader N3 Self Funding Customers

2. Domestics

3. Objectives of the day • The objectives of today are to: • Provide a description and background to N3 • Benefits to a Hospice of being connected to N3 • Present the options available to a Hospice • Overview and detailed • Provide an opportunity for questions and answers • Outline the next steps for up you to gain access to N3

4. Agenda

6. Gossip, Rumour and Salacious Tittle Tattle Dr Steve Plenderleith March 2008 Possibly !!

7. THEN

8. “The Magnificent 7 10 and me” • Northern Cluster Meeting Jason Coleman Cluster Lead JColeman@trinityhospice.org.uk Dr Julia Riley Cluster Clinical Lead julia.riley@rmh.nhs.uk • Southern Cluster South East Region - - South West Region - Peter Thomson Peter.Thomson@rowcroft-hospice.org.uk - Chris Halling-Brown CHalling-Brown@prospect-hospice.net • Northern Cluster North West Region - Liam McCarthy lmccarthy@sah.org.uk North East Region - Darren Harvey DarrenHarvey@stoswaldsuk.org Midlands Region - Tony Colson tony.colson@bsmh.org.uk Eastern Region - Darren Holmes Darren.Holmes@stbarnabashospice.co.uk • Steering Group Dr Steve Plenderleith s.plenderleith@helpthehospices.org.uk

9. Proposed Meetings • Annual National Meeting – September/October • Organised by Help the Hospices • National speakers on new areas of interest • Followed by Steering Group Meeting • Cluster Group meeting – March/April • Formal in part, summary produced, may be followed by informal session • London • Southern • Northern • Regional Meetings – November/December - June/July • Informal, mentoring/networking group • SE, SW • NW, NE, Midlands, Eastern • London

10. A letter to the SHA’s I am writing to ask for your help in addressing some of the barriers that hospices, as key voluntary sector providers of palliative and end of life care, are encountering in gaining connection to the NHS IT network.Help the Hospices is the national membership body for hospice care, representing almost 200 independent hospices across the UK. We work to help our members to deliver the very best care for patients and their families through education, training and support, as well as providing a national voice for the hospice movement. I enclose, for your information, a list of hospices within your region. Hospices play a major role in the delivery of local services to those approaching the end of life. They provide holistic support to people facing a terminal diagnosis, and supply over 75 per cent of specialist palliative inpatient capacity within the healthcare system, by working closely in collaboration with NHS clinicians. Many hospices have been trying to establish a connection with the NHS network since the National Programme for IT began. Their success has been variable, depending often on the interest and good will of local IT professionals within the NHS. Others have faced significant barriers where professionals have either lacked interest in working with organisations outside the NHS or have been unsure whether they have the permission to develop such links. The latest guidance from the Department of Health on information management (Guidance on Preparation of Local IM&T Plans for 2008/09) clearly articulates an expectation that localities will work with NHS organisations on these issues. It stated that in developing local IT plans there is a need to “develop information sharing arrangements with independent sector providers of NHS funded care”. We hope that this unambiguous reminder will encourage greater local dialogue and progress in all areas. Palliative and end of life care is also receiving increasing attention from Government, with the development of a national End of Life Care Strategy, and recognition within the NHS Operating Framework and the emerging NHS Next Stage Review. A key part of improving and developing end of life care in all communities will be the technological infrastructure which supports the process. The availability of up-to-date patient information for all providers of palliative and end of life care is crucial to delivering service improvements. I hope that you will be able to clarify with those working to implement the roll out of the NHS IT network in your region, including PCTs in your area, that they can and must engage with hospices and ensure connection to the network. NHS Operating Framework 2008 -09

11. NOW

12. CfHDigital Information Governance TeamHospice Requirements • Information Governance Management101, 102, 103, 105, 106 107, 109 (if applic.), 110, 111, 112, 113 • Confidentiality and Data Protection Assurance 201, 202, 203, 204, 205, 206, 208, 210, 214 (if applic.) • Information Security Assurance 301, 303 (smart cards if applic.), 305, 306, 307, 308, 313, 314 (if applic.), • Clinical Information Assurance401, 403, 405 • Not 603 FOIA • Tie in with Healthcare Commission standards?

13. THANKS - Policies • St Catharine’s Hospice • Saint Francis Hospice • St Mary’s Hospice • St Oswald’s Hospice • Farleigh Hospice • Rowcroft Hospice • Katharine House Hospice • N London Hospice • Southport & Ormskirk • St Peter’s Hospice • Pasque Hospice More Needed Library

14. Software Review • RiO – A good work in progress. • Infoflex – update needs writing up. • SystmONE & Crosscare – need updating. • Palcare – Struggling with new MDS.

15. IGSoC – Information Governance ToolkitHELP ! • LPfIT London IG Group meets every 2 months 3.4.08, 29.5.08, 31.7.08 @ 14:00 - to attend please contact london.communications@nhs.net Invite from Stephen Elgar  • Others – by the time these slides go out.

16. NEXT

17. N3 Spine 30 IGSoCRequirements Hospice Specific Laboratory Results Activity Data Secure NHS e-mail Clinic Booking e -Prescribing EPR SNoMed CT e - Staff Record NELH Community Systems INFO Prescrip-tions PACS Hospital Systems

18. ESR • Electronic Staff Record • Do hospices need it ? • Can we have it?

19. Education, Training and Development (ETD) series replaces ECDL • NHS ELITE (eLearning IT Essentials) • NHS Health (eLearning for Health Information Systems) • NHS National Learning Management System (NLMS), linked to the Electronic Staff Record (ESR). • Electronic Staff Record http://www.esrsolution.co.uk/ • Microsoft NHS Resource Centre

20. Laboratory Results Community Systems Secure NHS e-mail • Northern Clusters • Lorenzo by another name • Part of the LSP contract ? • London • RiO being rolled out to PCT’s & Mental Health Trusts • Is it available for hospices? • Southern • Millennium for all! • ACSS Activity Data PACS e -Prescribing EPR SNoMed CT INFO Prescrip-tions

21. ACSS • Additional Supply Capability & Capacity Framework Lot 2 Clinical Information Technology Services • Set up to cover specialities and areas of NHS IT need, not covered in the original LSP contracts. • Tendering has just closed for companies applying for eligibility to supply to specialities within Lot 2. • Long list of companies involved available on their website. • TPP not there • CSE Servelec are.

22. Service Category Hospice Care: (2.8) Objective of this Service Category: This Service Category encompasses the requirements for hospice services Details removed as document not available for publication – yet.

23. ACSS • Further Info needed • Potential for bulk buys • Who negotiates for hospices and who pays • SHA ? - SHA ? • LSP ? - LSP ? • HtH ? - Hospice ? • Clusters ?

24. Freedom of Information Act 2000: Designation of additional public authorities • Consultation document • Cost implication or just another requirement • 603

25. THE FUTUREMore Ideas Welcome!

27. Help the Hospices/ICT HubIT Survey 2008 Seminar 18 March 08

28. Agenda • Introduction • The survey results • Basic hospice demographics • The IT team • IT governance • IT infrastructure • Business and system applications • Security • Hot topics • Skills, training and support • Next steps

29. IT Survey 2008 Objectives To enable HtH and its Hospice Connect cluster groups to focus on those areas where hospices most need help To enable HtH to establish which common services and suppliers are being used, to apply leverage and gain value To provide Hospice IT teams with useful sector data to benchmark against

30. Hospice Demographics

31. Hospice Income Total replies = 90 52 17 15 6

32. Number of IT Users Total replies = 98 30 28 20 12 8

33. IT Team

34. Team Size Of those with an in-house team, about 70% have 2 or less IT staff. Average number of staff increases in line with number of users: Total replies = 85 8

35. Managed Services

36. Managing User Requests

37. IT Governance

38. IT Budgets Operating Budget Capital Budget 26 24 15 13 5 Total replies for both = 83 44 19 11 8 1

39. IT Decision Making Total replies = 75 57 48 40 9 6

40. IT Strategy 21 24 25 13 Total replies = 83

41. Policies and Agreements Total replies = 83 • Top 3 in place • Data Protection: 79 (95%) • Use of Internet/Email: 69 (83%) • Information Security Policy: 59 (71%) • Top 3 planned • Communications Policy: 20 (25%) • Information Security Policy: 18 (22%) • Internal Service Level Agreement: 17 (21%)

42. Compliance Total replies = 82 Top ‘aware and compliant’ = Data Protection: 71 (87%) Top ‘aware and planning response’ = Freedom of Information: 29 (35%) Top ‘unaware’ = Email Retention: 26 (32%)

43. Management Processes Total replies = 80 Top ‘have in place’ = incident/problem management: 47 (59%) Top ‘planning’ = asset management: 22 (28%) Top ‘no and not planning’ = change management: 28 (35%)

44. IT Infrastructure

45. Hardware Servers Desktops Laptops PDAs Printers/copiers Network equipment

46. Suppliers The Top 4 (total replies = 76)

47. Hospice Connect Cluster Groups Total replies = 52

48. Business and system applications

49. Most Common Applications • Desktop = XP: 71 /77 • Server = Server 2005: 63 /70 • Email = Exchange 2003: 44 /71 • Human Resource = bespoke: 13 /74 • Payroll = Sage: 36 /75 • Finance = Sage: 52 /74 • Fundraising = Donorflex: 35 /75 • Patient & Family Info = Palware: 30 /77 • Lottery = Sterling Members: 26 /73

50. Security