1. Intellect & DHID Joint Plan Creating a healthy and vibrant market in Healthcare IT 2nd May 2012

2. Agenda • Objective • Background to the Joint Plan • Introducing the team • Current Status • Overview • Information Strategy • Information Governance • Standards, Requirements, Accreditation • Procurement • Next Steps

3. Joint Plan Ultimate Objective: Deliver more benefit to patients Benefit to patients Users Suppliers Solutions Suppliers provide the IT solutions that the NHS use to care for patients The more effectively we work together in a healthy and vibrant market the greater the patient benefit we will deliver

4. Background • NHS National Programme for IT (NPfIT) ran from 2001-2011 • Provision of key national systems (e.g. Spine, Choose and Book, N3) • Central purchase/provision of local systems (LSP Care Records and PACS) • Partial market coverage achieved • Open Market announced September 2011 • DHID/Intellect partnership to help foster a “healthy and vibrant market” • Draft DHID/Intellect Joint Plan published for consultation November 2011 • Initial Version Joint Plan published January 2012 • Senior Managers appointed to lead workstreams • Workstreams considered the key issues in more depth • Initial progress reports produced including initial recommendations

5. Introductions Programme Sponsors Katie Davis, MD NHS Informatics, DH Julian David, Director General, Intellect Programme Co-Leads Jon Lindberg, Head of Healthcare, Intellect (Int) Peter Dyke, Head of Industry Liaison, DH Informatics Information Strategy Henry Pares (DH) Jon Lindberg (Int) Standards, Requirements & Accreditation Mark Reynolds (DH) Mark Treleaven(Int) Informed Customer Deborah El-Sayed (DH) Margaret Edwards (Int) Procurement Peter Dyke (DH) Eddy Peers (Int) Information Governance Kathy Mason (DH) Martin Strange (Int)

6. Workstream Status Information Strategy Information Governance/Information Sharing Standards/Requirements/Accreditation Procurement Informed Customer Market Position Measurement G G A/G G A/G A/G

7. Information Strategy Workstream Jon Lindberg Head of Healthcare, Intellect www.intellectuk.org/healthcare

8. Developing and promoting industry positions • Industry response to Information Revolution consultation January 2011 • Led to industry – DH/NHS workshops throughout 2011: information security and governance; technology strategy; patient information and access; interoperability • In December 2011 industry/DH ran 3 targeted workshops to help inform the development of the information strategy: • People’s access to their health and care records • Capturing data once and sharing • Information Governance

9. Identified further work during January – March to support the deliver of the strategy: digital identity, national infrastructure services, interoperability / core minimum standards, and specific technology solutions • Culminated in industry paper outlining recommendations and industry views and a case study library to be published alongside strategy • Next phase: follow launch with implementation plan, working with local NHS, Social Care, managers and clinicians, and patient representatives.

10. Information Governance Workstream Martin Strange Head of Information Governance & Caldicott Guardian, Lloyds Pharmacy

11. The Problem: from personal experience at Lloydspharmacy - • We develop our own Patient Record software incl. NPfIT EPS and PDS links • Existing commercial and professional constraints • Historical decisions and architectures • Securing laptop and mobile data – encryption • 14% of this countries dispensing data – little used • Engagement with the developing standards for spine connection and IG – then the CAP process • RPS ethical standards – ill defined in IG and IT terms • Not green field IT, we start from a different position • Our Risk:Cost analysis may be different – different brand value • DPA and IG concerns holding back our proactive use of data for patient benefit

12. The work done so far: • A consolidated guide to the IG and security requirements for spine connection – the draft IG Baseline Specification - available now • Preliminary feedback of industry issues and perceptions • A new draft standard for Pseudonymisation of Patient Data from the Information Centre

13. What are our next steps?: • Continue to collate industry issues as fed back to us • Take feedback to the draft IG Baseline Specification • Input and react to the Caldicott Review • Develop a forum for suppliers and their customers to understand the requirements of IG and the opportunities arising from the Caldicott Review

14. Standards, Requirements and Accreditation Mark Reynolds Director, Information Standards Board Service www.isb.nhs.uk

15. Procurement Workstream Peter Dyke Head of Industry Liaison NHS Conecting for Health www.connectingforhealth.nhs.uk/industry

16. Procurement Workstream: Just some of the input we had… “Arm's length working: reluctance to engage other than by email and forms. Due to fear of transgressing procurement rules and lack of confidence in knowledge of what they are buying” “Formulate effective national contract Ts & Cs that are easy to call off....and incorporate standards based interoperability” “An environment where ICT is regarded as valuable and within normal processes rather than a risky and a painful addition” “Protracted timeframes” “Fast shortlisting to get to meaningful dialogue with a few quite quickly” “We need more multi vendor frameworks..” “Improve sponsorship extending it from IM&T to wider management” “Good is when you get awarded single tender or have enough senior level relationships that mean you never have to go through the procurement process” “Notwithstanding OJEU allow Trusts to engage with innovative suppliers to bring them on board in a rapid and cost effective manner. Allow Trusts to help them scale their products as joint partnerships” “SMEs disadvantaged”

17. Most of the time we are united in delivering benefit to staff and patients Benefit Procurement Procurement (decide to change) Procurement (decide to stay) New solution delivers greater benefits over many years Current solution delivers benefit over many years Time

18. Procurement: Our thoughts and next steps.. See our report for full details, but the following would appear to be of some help: • Publish the Business Case process for all to understand • Refresh/update and publish “standard” commercial terms • Openly publish requirements for commonly used modules • Reconsider framework contracts for the various market segments • Provide a programme of support for procurement staff (across customer and supplier sides of the process).

19. Full report and next steps • Full report published at www.intellectuk.org/healthcare www.connectingforhealth.nhs.uk/industry/support • ALL comments welcome • Subject to ongoing support/approval, develop delivery plans and implement during 2012 • Next quarterly update: July 2012

20. Questions