North Derbyshire LHC

1. North Derbyshire LHC David Hill Primary Care NCRS Project Manager

2. Jigsaw Puzzles In the Land of the Possible Dos & Don'ts Of NCRS Implementation

3. Stay Focussed. Why we are Doing This • The Right Patient • The Right Information • The Right Treatment • The Right Place • The Right time It’s All About Better Patient Care! David Hill NHS Primary Care NCRS Project Manager

4. North Derbyshire LHC • 3 PCTs • 58 GP practices • 289 GPs • 357,000 Patients • 1 Crooked Spire David Hill NHS Primary Care NCRS Project Manager

5. Dr Singh Nth Wingfield 4 GPs 6500 patients Ex Premiere Site Dr Sengupta Bolsover 2 GPs 3500 Patients Ex System 6000 2 Practices “LIVE” David Hill NHS Primary Care NCRS Project Manager

6. DON’T PANIC! David Hill NHS Primary Care NCRS Project Manager

7. Sod’s Law, Murphy’s Law Hobson’s Choice……. • “Anyone who has never made a mistake has never tried anything new.” • Albert Einstein David Hill NHS Primary Care NCRS Project Manager

8. A Very Steep Learning Curve David Hill NHS Primary Care NCRS Project Manager

9. Team Work • Project Manager • The Practices • Data Quality • Medicines Management • ETD • Senior Management • IMT Heads David Hill NHS Primary Care NCRS Project Manager

10. Hall of Fame • David Hill: Project Manager • Nikki Hinchley: Data Migration Lead • Richard Vickers: Primary Care Informatics • Marianne Cox: Primary Care Informatics • Christine Shone: Practice Support Officer • Gill Ashton: Practice Support Officer • Colin Howard: North Derbyshire IT Manager (Primary Care) • Geoff Andrew: North Eastern Derbyshire IT Manager (Support Services) • Chris Hadnam: HIS IT Officer • Russell Whelpton Senior IT Officer • James Galpin: HIS IT Officer • Edith Whitehead: ETD lead • Jan Pollock: IT Trainer • Mike Maguire: IT trainer • Liz Middleton: Registration Agent • Rob Pearson: Registration Agent • Helen Williams: Medicines Management • Denise Shaw: Medicines Management David Hill NHS Primary Care NCRS Project Manager

11. Project Leadership • Top level • Middle • Coal face (NHS & LSP) David Hill NHS Primary Care NCRS Project Manager

12. Communication • To the Team • To the Practices • To the PCT • To the LHC • Rest of the World David Hill NHS Primary Care NCRS Project Manager

13. We the Customer……………. • LSP is the service provider. • Don’t accept a “service” that falls below agreed expectations. • Don’t deliver a system that doesn’t deliver. • Don’t make promises you cant keep! David Hill NHS Primary Care NCRS Project Manager

14. The Practices • Understand practice dynamics • Identify clinical champion • Identify key staff • Work around practice schedules • Listen & understand individual concerns • Supply resources, practice is lacking • Its often the little things……. David Hill NHS Primary Care NCRS Project Manager

15. 3 Key Jigsaw Pieces…….. • Migration • Migration • Migration David Hill NHS Primary Care NCRS Project Manager

16. Lessons Learned • Managed Carefully • PRIMIS • Medicines Management • Take Your Time. David Hill NHS Primary Care NCRS Project Manager

17. Other Pieces of the Puzzle N3 Registration Authority IT Installation ETD David Hill NHS Primary Care NCRS Project Manager

18. Other Pieces of the Puzzle N3 Registration Authority IT Installation ETD David Hill NHS Primary Care NCRS Project Manager

19. Other Pieces of the Puzzle N3 Registration Authority IT Installation ETD David Hill NHS Primary Care NCRS Project Manager

20. Other Pieces of the Puzzle N3 Registration Authority IT Installation ETD David Hill NHS Primary Care NCRS Project Manager

21. Other Pieces of the Puzzle N3 Registration Authority IT Installation ETD David Hill NHS Primary Care NCRS Project Manager

22. Service Desk • Get One! • Open all Hours • Trained • Train Practice • Train IT Staff David Hill NHS Primary Care NCRS Project Manager

23. Don’t Expect Perfection….. “And the day came when the risk to remain tight in a bud was more painful than the risk it took to blossom.” David Hill NHS Primary Care NCRS Project Manager

24. Benefits Realisation • Written into PID • Identified by end users • Identified resource (business manager) • Resourced and planned • Controlled & documented • Benefits achieved report David Hill NHS Primary Care NCRS Project Manager

25. Actual Benefits • Managed Service (no discs, no patches, mutilex, back ups.) • Data Secured Off-site. • Main & Branch sites: real time data input (no replication) • New hardware, complete system upgrade (inc. server). • Automated GP QMAS points David Hill NHS Primary Care NCRS Project Manager

26. Actual Benefits • Improved Pathology Links (no dial up) • Data Improved in Migration (More points) • Consistent data collection – using a common interface for problems, prescribing, reminders, sensitivities etc • Instant access to PDS patient registration • Integrated to Choose & Book and other National Applications David Hill NHS Primary Care NCRS Project Manager

27. Remember…….. • The Right Information • The Right Treatment • The Right Place • The Right Patient • The Right Time Its All About Better Patient Care! David Hill NHS Primary Care NCRS Project Manager

28. Last word to Albert “Yesterday idolized, today hated and spit upon, tomorrow forgotten and the day after tomorrow promoted to Sainthood. The only salvation is a sense of humour.” Einstein

29. Questions?

30. david.hill@nederbypct.nhs.uk