Project Highlight Report

Sussex Health Informatics Service

000361 – NHS B&H: GP data upload for Summary Care Record Project Highlight Report

Project Reference: 000361 Report Date 28 May 2009 Reporting Period 1 May – 28 May 2009 Project Manager Libby Butler

1. Summary

The delivery of a NHS Care Record Service is a central part of NPfIT and NHS Connecting for Health. There are two essential components to the service; locally held Detailed Care Records and the nationally held Summary Care Records .In addition to these is the service (HealthSpace) that will allow patients to have access to their Summary Care Record.

The Summary Care Record (SCR) is a subset of the NHS Care Record Service. Initially it will contain a data set of current medications, allergies and adverse reactions, uploaded from individual GP practice information systems. However it is possible to submit more data items if this is agreed with the GP.

NHS Brighton & Hove wish to implement the rollout of the Summary Care Record (SCR) delivering robust, practical and user friendly GP summaries to be viewed by providers in unscheduled care settings through the Summary Care Record Application (SCRA) and/or any other SCR Application integrated system provider.

Following the initial national pilots (early implementer sites) NHS B&H agreed to proceed ahead of the national rollout, in line with suggested timescales set by Connecting for Health and the Strategic Health Authority. This included the need for a detailed plan to be developed for Wave Once practices by the the end of December 2008, a Public Information Programme to have started by the end of March 2009, thereby allowing for the first upload of GP data 16 weeks later (July 2009).

Updated March 2009: After consultation within NHS Brighton & Hove, changes to the localisation of the letter to patients have been identified, prior to the commencement of the Public Information Programme (PIP). Milestones within the project plan have been adjusted and the Public Information Programme is now scheduled to start in Q1 09/10 enabling go live in Q2 09/10. Wave 1 practices have delayed signing up to the memorandum of understanding and further negotiations are required between the GP practices and PCT.

000361-M-HI-MAY09 Author: Libby Butler Page 1 of 9 2. Project Milestones

(Please amend this box to reflect the Overall RAG status of the Project for Budget, Schedule & Quality and then enter the RAG status for each individual milestone below where indicated)) Budget Status A Schedule A Quality G

000361-M-HI-MAY09 Author: Libby Butler Page 2 of 9 Budget Status A Schedule A Quality G

b.Schedule Agreed % complete Forecast Variance Tolera RAG Red/Amber Status a.Budget Status Agreed BudgetedMilestone Actual ForecastCompletion Total Date Variance(Agreed Tolerance RAG Red/Amber(In no more Statusthan 2 sentences Status ExpenditureDate Expenditure to Expenditure (BudgetvForecast) v nce (Instate no reason more than for Red2 sentences or Amber Date Forecast) statestatus) reason for Red or Amber Pre Project Complete HIS 01/11/2008 100% 03/11/2008 0 % C status) ProjectAwaiting Start Up TBCHIS 01/11/2008 TBC100% TBC03/11/2008 TBC0 TBC% AC Currently managed within NHS Completeconfirmation re B&H funding from CfH Project Brief HIS 28/11/2008 100% 28/11/2008 0 % C Approved st TBC TBC TBC TBC % A Awaiting further clarification of Project1 draft PID Approved HIS 8/01/2009 100% 8/01/2009 0 % C costs from CfH and SHA. TBC TBC TBC TBC % A Current Stage

000361-M-HI-MAY09 Author: Libby Butler Page 3 of 9 b.Schedule Agreed % complete Forecast Variance Tolera RAG Red/Amber Status Status Milestone Completion Date (Agreed nce (In no more than 2 sentences Date vForecast) state reason for Red or Amber status) Initial Concept training HIS/PC 27/01/2009 100% 27/01/2009 0 % C received from CfH T

Wave 1 GP Practices PCT 1 1 / 0 2 / 2 0 0 9 100% 11/02/2009 0 % C identified and approved by Board PIP Go-live Plan PCT/HI 30/01/209 100% 11/02/2009 0 % C (Comms Plan) S complete Train the Trainer CfH 3/3/2009 100% 3/3/2009 0 % C Concept training session received from CfH PIP Go-live Plan PCT/HI 11/3/2009 100% 11/3/2009 0 % C approved by Board S PID Approval by Board HIS 11/2/2009 100% 11/3/2009 0 % C SCRA site identified PCT 27/02/2009 100% 11/03/2009 + 2 weeks % C

Data Quality Strategy PCT 11/02/2009 90% 10/06/2009 + 4months & AN Slipped due to resource issues approved by Project within NHS Brighton & Hove Board Comms Strategy PCT 31/01/2009 90% 10/06/2009 + 425 months % G approved by Board Training/Change HIS 31/01/2009 100% 13/5/2009 + 3.25 % C Strategy approved by months Board Wave One Training HIS 30/04/2009 100% 30/04/2009 0 % C Plan St Peters (SCR Concept) complete Wave One GP PCT 11/02/2009 100% 1/6/2009 + 4 months % C practices commitment

000361-M-HI-MAY09 Author: Libby Butler Page 4 of 9 b.Schedule Agreed % complete Forecast Variance Tolera RAG Red/Amber Status Status Milestone Completion Date (Agreed nce (In no more than 2 sentences Date vForecast) state reason for Red or Amber status) confirmed – St Peters Wave One GP PCT 30/6/2009 0% 30/6/2009 0 % G practices commitment confirmed – Matlock Road Wave One GP PCT 31/05/2009 100% 31/05/2009 0 % C Unable to proceed due to ongoing practices commitment supplier delays confirmed – Goodwood Court Project Initiation HIS 31/01/2009 90% 30/06/2009 + 5 months % G Slipped due to uncertainty Complete regarding GP practice commitment and following further advice the PCT have decided to alter the content/approach of the Public Information Programme (PIP) Wave One Patient PCT/HI 31/03/2009 30% 20/7/2009 + 2.5 months % G Slipped due to above, Eection Information S purdah and GP practice readiness Programme (PIP) Commenced SCR Benefits HIS 30/04/2009 0% 30/06/2009 + 2 months % G Dependant upon confirmation of workshop complete GP practice commitment and SCRA site Wave One Project Go- HIS Unplanned 0% Unplanned U live (Data upload) SCR Wave One Project HIS Unplanned 0% Unplanned U Implementation complete SCR Wave One HIS Unplanned 0% Unplanned U Evaluation Complete SCR Project Closure HIS Unplanned 0% Unplanned U

000361-M-HI-MAY09 Author: Libby Butler Page 5 of 9 000361-M-HI-MAY09 Author: Libby Butler Page 6 of 9 3. Project Workstreams

Workstream Responsibility RAG Status Comments/Action Identified

Project Management Sussex HIS Amber Current PCT Project Manager due to go on maternity leave June 2009, interim cover to be arranged. Communications PCT Amber PCT have approved letter content. Forwarded to HIS/SHA for approval. Concerns raised regarding internal resources PALS PCT Amber Resource issues identified for full roll-out. Concept training dates still to be confirmed. Stakeholder engagement PCT/Sussex HIS Green Stakeholders confirmed within Stakeholder Plan. Communications to be issued in line with PIP commencement dates. Initial updates being provided at PEC, LHC Boards etc at request Data Quality PCT Amber Issue re availability of data quality resource within the PCT to cover the full SCR programme within NHS B&H. Proposal has been submitted to the SHA and approved for an additional staff member, subject to agreed approach to PIP and commencement of PIP. NHS Brighton & Hove have agreed to support continued IM&T DES II payments for 2009/10. Technology Sussex HIS Amber Dr H’s practice identified as ‘First of Type’ for ISOFT Premiere. TPP recently accredited by CfH for full rollout (NHS B&H Wave Two). Issues regarding EMIS web and Graphnet identified. Costs now identified with regards to integrated Adastra. Business Change / Training Sussex HIS Green Train the Trainer Concept training received end March 2009. Concept training commenced at Dr N’s practice and feedback is positive. Session to be arranged for PALS team & PALS volunteers. Further session to be scheduled with the Eaton Centre. Initial business change work (new patients process) to commence once GP practice commitment confirmed. Information Governance Sussex HIS Amber Monitoring of national position and feedback. Further specification to be agreed with GP system suppliers regarding changes to consent model. 4. Products/ Work completed during this period

000361-M-HI-MAY09 Author: Libby Butler Page 7 of 9  Project Team meeting – 6 May  Project Board meeting – 13 May 2009  Project Team Conference Call – cancelled  Attendance at CfH Planning & reporting Tool review  Strategy approval  PIP content approved  Project Documentation updated  ISOFT Supplier Training session (Gillingham)  Conclusion of Concept training – St Peters  Approval of NHS Brighton & Hove replacement resources  Attendance and initial presentation at TPP SystmOne user group meeting  ‘FOT’ review

5. Products/ Work to be completed during next period  Project Handover  Confirmation of Wave One GP practices (slipped from April 2009)  Project Board meeting – 10/6/2009  Project Team meeting – 3/6/2009  Data Quality Strategy approval  Data Quality Planning  Recruitment of project resource (NHS Brighton & Hove)  Engagement with Matlock Road  Further engagement with potential Wave Two practices  Concept training for PALS Team including volunteers  Progress with PIP Go-live Plan to include approval of patient letters, PIP pack and mailing

000361-M-HI-MAY09 Author: Libby Butler Page 8 of 9  Review and revise project plan  Implementation of Stakeholder Plan  Schedule meeting with South East Health contacts re involvement with project

6. Project Risk and Issue Status

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7. Dependencies  GP practices have IM&T DES Level 2 accreditation  GP practices agree to participate  SCRA sites identified  New national CfH consent model is approved  GP system suppliers are accredited by CfH for SCR functionality

8. Project Change Control Not yet applicable

000361-M-HI-MAY09 Author: Libby Butler Page 9 of 9