<p> EHPB(09)44</p><p>National eHealth Programme Board Meeting - Minutes</p><p>Time/ Date: 14:00 – 16 June 2009 Location: SAH – Conference Room A&B</p><p>Attendees: Paul Rhodes eHealth Programme Director (chair) Cathy Kelly Co-chair Clinical Change Leadership Group Martin Egan Co-chair eHealth Leads group, NHS Lothian Marion Bain NSS eHealth Medical Director</p><p>Apologies: Jonathan Pryce Head of Primary Care Division, SGHD Liz MacDonald Consumer Focus Scotland Tony Wells Chief Executive, NHS Tayside Robin Wright Chair eHealth Leads group, NHS Lanarkshire Stephen Robinson Scottish Partnership Forum Joe Welsh Health Finance, SGHD Richard Wootton Director, Scottish Centre for Telehealth Alan Gall Director of Finance, NHS Grampian Mike Baxter Capital Investment Group, SGHD Michael Sullivan Health Finance, SGHD James Docherty Co-chair Clinical Change Leadership Group Douglas Griffin Director of Finance, NHS GG&C</p><p>In Attendance: Andy Robertson Director, NSS National Information Systems Group Jonathan Meddes Head of Architecture & Design, eHealth, SGHD Lesly Donovan Head of Programmes, eHealth, SGHD Alastair Bishop Head of Change & Benefits, eHealth, SGHD Heather Strachan NMAHP Clinical Lead, eHealth, SGHD Nadine Harrison Primary & Community Care, SGHD Ernest Beattie Programme Manager, NSS, NISG Rhona Jack Management Consultant</p><p>Minutes: Iain Horne eHealth Business Manager </p><p>1. Minutes of previous meeting: EHPB(09)34</p><p>1.1. The Board approved the minutes of the previous meeting.</p><p>1 F2240157 EHPB(09)44</p><p>2. Matters Arising.</p><p>2.1. Paul Rhodes informed the Board that the strategy board scheduled for 25 June had been cancelled due to the unavailability of non SG members of the strategy board. It has been agreed that papers scheduled for that meeting would be issued by correspondence over the next 6-8 weeks. 2.2. Change and Benefits have made contact with Primary Care on the Optometry Business case as agreed at the previous meeting.</p><p>3. GP Data extraction tool; EHPB(09)35</p><p>3.1. Paul Rhodes welcomed Nadine Harrison to the meeting who was attending to provide clarification to the points raised at the previous programme board prior to approving work on an outline business case. During the Discussion that followed the following points were made: 3.1.1. The OBC was necessary to investigate many of the points of clarification that were raised at the previous meeting. 3.1.2. This approach fits with the eHealth strategy in that it builds on existing systems. 3.1.3. The Project Initiation Document indicated that the outline business case (OBC) will not include data quality issues at this stage. 3.1.4. Some of the suppliers of GP IT systems consider they have data extraction tools. The maturity and relevance of these offerings should be considered in the OBC. 3.1.5. The OBC should also look at existing data extraction systems. Some of them work well. 3.1.6. The Emergency Care Summary is excluded from the remit of the OBC. 3.1.7. The overall cost case should be clear and include the costs of ‘retiring’ existing systems</p><p>3.2. The Board approved the PID to prepare on OBC.</p><p>4. Information Governance: National IT Systems review; EHPB(09)36&37</p><p>4.1. Paul Rhodes welcomed Rhona Jack & Ernest Beattie to the meeting. Rhona Jack introduced the papers and during the presentation outlined the overall aim, tasks, approach, framework and recommendations of the report. The key recommendations are contained in the executive summary and section 7 of the report. During the discussion that followed the following points were made: 4.1.1. This guidance is primarily for those involved with governance around projects.</p><p>2 F2240157 EHPB(09)44</p><p>4.1.2. The review looked at five systems to assess the template’s effectiveness. Two of those involved are doing further work using the template (SWISS & ECS) and reports are available on all of the reviews. 4.1.3. If the Board approve this framework as mandatory guidance more information on an underpinning implementation programme and resourcing is required. Suggest that further work be carried out with NSS and NHS Lothian to establish what could be the likely costs of implementing the IG improvements that are required by the framework. This should include an assessment of the risk associated with not implementing IG improvements that may be identified. This is a pragmatic approach given limited resources. 4.1.4. This framework would help to establish an audit trail and clarify issues of data ownership and control in areas where information is extracted from different systems. 4.1.5. It was noted that many of the suggestions did not have significant costs attached to them. 4.1.6. The Guidance is extensive and it may be helpful presentationally if the elements that should be completed are presented together rather than incorporated with the explanatory guidance. This should be considered by eHealth leads and CCLG. 4.1.7. Given the interest the strategy board have in Information Governance issues eHealth will consider if this paper should go to the Strategy Board 4.1.8. While eHealth leads and the Clinical Change Leadership Group have been consulted on the draft guidance they should consider the draft version presented to the Board at this meeting along with the findings of the NSS/Lothian work outlined at 4.1.4. Following on from that a further paper reporting on the outcomes of that work, along with revisions to the draft guidance, should be submitted to the Board. Action; Andy Robertson & Martin Egan to identify 2 suitable projects to use the framework and report back to the Programme Board at a future date.</p><p>5. PACS & RESEARCH: EHPB(09)38&39</p><p>5.1. Andy Robertson introduced a letter and covering paper to the Chair of the PACS project boards from SINAPSE (Scottish Imaging Network - A Platform for Scientific Excellence) which sought representation on the PACS board and an exchange of PACS information to assist research. 5.1.1. There is currently a local agreement with NHS Lothian around image sharing and SINAPSE would like a national agreement. 5.1.2. No mention of the associated costs of this and who would pick them up. It would be reasonable to assume that research bodies would pick up any additional costs.</p><p>3 F2240157 EHPB(09)44</p><p>5.1.3. This is the first time that the Board has been asked about sharing information for research but it would be expected that requests like this will increase as information flows increase. The demand for information could be significant. The IG concerns are significant and there are some issues around the academic world being aware of these. 5.1.4. The agreement with NHS Lothian has taken several years to agree. If this agreement was national there could be performance issues on the NHS network given the size of the image files. 5.1.5. The Board is aware that medical advances often start off as clinical research and become medical best practice, and there are linkages in that. 5.1.6. The Board recognises that part of SG policy is to strengthen Scotland as a centre of Health research. 5.1.7. The Board considered that it was up to the PACS board to agree appropriate membership of the project board. 5.1.8. The Board agreed NSS should discuss this further and a more detailed proposal should go to the PACS board before coming to the eHealth Board. Action: Andy Robertson to progress.</p><p>6. Programmes Update: EHPB(09)40.</p><p>6.1. Lesly Donovan introduce the latest programmes update which dealt with the clinical portfolio covering SCI Gateway, SCI Store, CHI 2, PMS, Theatres, NaSH, CHI, PACS & telehealth activities. 6.1.1. There was a risk around increasing the number of users on ECS leading to capacity problems at Boards. There is not a sense of the probability of this happening. CMO guidance restricts access to certain groups. This guidance may have to be reviewed to consider other users. 6.1.2. There have been discussions around using the CHI number to contact people in the event of a flu pandemic. This may produce data quality issues that have to be dealt with. 6.1.3. ATOS have been developing their CHI 2 replacement proposal to deliver a model that will be cost neutral over the life of the replacement based on increased investment in early years. 6.2. The Board noted the latest update.</p><p>7. VPR Discovery response: EHPB(09)41</p><p>7.1. Jonathan Meddes introduced the response to the original VPR Discovery commissioning brief with the proposed approach. eHealth have approved the funding of £200k to take this project forward. The following points were made: 7.1.1. The consortium would find it helpful to have sight of the outcomes of the survey recently undertaken on behalf of CCLG on the clinical information priorities for the portal.</p><p>4 F2240157 EHPB(09)44</p><p>7.1.2. It will also be necessary to make sure links are made between developments in SCI store and any work toward a national clinical portal. 7.2. The Board noted the response.</p><p>Action: Cathy Kelly to provide Martin Egan with details of survey. Lesly Donovan to speak with SCI store.</p><p>8. eHealth Clinical Portal; EHPB(09)42</p><p>8.1. Jonathan Meddes introduced the programme brief for the clinical portal with a view to obtaining the Board’s approval. The contents of this report have been widely discussed at eHealth leads and the CCLG. One of the short term actions is to get a programme manger in place. 8.2. The Board approved the programme brief</p><p>5 F2240157</p>