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Navigating Existing Systems in NHS: Integration, Compliance, and Interoperability Strategies

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This agenda covers the landscape of Existing Systems Providers (ESPs) within the NHS, focusing on the integration of various health services, compliance roadmaps, and interoperability standards. Key topics include the role of Local Service Providers (LSPs), updates on compliance with systems like Choose and Book, and the evolution of patient demographic services. The session will also highlight the current status of systems and explore how ESPs fit into the broader NHS strategy for improving healthcare efficiency and user experience.

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Navigating Existing Systems in NHS: Integration, Compliance, and Interoperability Strategies

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Presentation Transcript

  1. Existing Systems Peter Dyke Programme Manager – Existing Systems NHS Connecting for Health 07834 602768 peter.dyke@nhs.net

  2. Agenda • Welcome to Existing Systems • Where do ESPs fit in • Example Compliance Road Map • The Compliance Plan • Current Status

  3. Welcome to: Existing Systems… • Outcome 2010? • LSP/GPSoC – interoperability/standards/choice • Replaced by LSP • Some legacy, some interoperability/standards/choice • Replaced by LSP • Replaced by LSP • Interoperability/standards/choice • Interoperability/standards/choice • Interoperability/standards/choice • LSP, GPSoC • Interoperability/standards/choice • Interoperability/standards/choice • Interoperability/standards/choice • Market Segment • GP • Acute PAS • Acute Departmental • MH/Community/Child Health • CDS Returns • Independent Sector • Social Care • Community Pharmacy • Prisons • Dentists • Out of Hours • Etc. Determining factors: Policy, LSP Capability LSP Mandate, DH Mandate, User/Media reaction

  4. “Existing System Providers” (ESPs) Independent Sector (CAB, SUS) Existing NHS PAS (CAB) Existing NHS GP (CAB, ETP, GP2GP, Summary Care Record) Social Care (eSAP) Community Pharmacy (ETP) Others Out of Hours, Screening, Dentistry etc NE LSP CSC/ iSOFT) Eastern LSP (CSC/ iSOFT) North West/ West Mids (CSC/ iSOFT) London LSP (BT CCA/ Cerner) Southern LSP (Fujitsu/ Cerner) “Local Service Providers” (LSPs) Lorenzo CRS Lorenzo CRS Lorenzo CRS Millennium CRS Millennium CRS Agfa PACS Agfa PACS GE PACS Philips PACS GE PACS (Delivered by Accenture) 2004200520062007 NPfIT: Where do ESPs fit in.. “Spine” (BT) SSB Spine Security Broker PDS Personal Demographics Service CAB Choose and Book (Atos/Cerner) SUS Secondary Uses Service LRS Legitimate Relationships Service PSIS Summary Care Record

  5. Care Record (ISTC) “Care Record (ISTC) Compliance” Ability of an ISTC system to fully interact with PSIS (potential for ISTC, not yet defined) Diagnostics (ISTC) “Diagnostics (ISTC) Compliance” Ability of a provider system to receive diagnostics requests/ send reports and share PACS images (planned but not yet defined) Choose and Book (CAB) “Choose and Book Provider Compliance” Ability of an ISTC system to offer appointment slots in real time to referrers (existing and implemented functionality in live NHS environment) Patient Demographics Access/Update (PDS) “PDS/IG Compliance” (Foundation) Basic ability for system/individual to access/update patient demographics Individual Authentication in Role (LRS) Validate an individual in a specific role to perform any task Security and Individual Authentication (SSB) Authorised Individual check (Registered with a valid Smartcard) Organisational Authentication (SDS) National Administrative Code (NACS) and System registration check Transaction Messaging (TMS) EBXML/HL7V3 capability created Basic Connectivity (N3, Connect) Fulfil basic obligations, gain basic communication links to NPfIT services ISTCs: Example Roadmap..

  6. The Compliance Plan…

  7. ESP Status • It exists… • 40+ systems live, and staying live • Working to improve efficiency, quality (E2E User Experience) • - NIC Systems • - GP Pan User Group • Scope expanding • - 20 ISTCs (170 sites) under ECN –December 2006 • - Summary Care Record started (go live March 2007) • - Social Services starts 2007 (towards eSAP, ESCR) • - Anticipating work on Out of Hours (NHS Direct, Adastra), Screening (Newborn Hearing), Dentists • (Note: LSPs responsible for departmental system integration, not ESP)

  8. Any questions?

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