Leicester, Leicestershire and Rutland (LLR) Local Digital Roadmap 2016 - 2021 Contents Foreword for Local Digital Roadmap 2 5. Capabilities 38 5.1 Paper free at Point of Care groups 1. Introduction 4 of capabilities 38 1.1 Our Journey in Delivering the 5.1.1 Records, assessments and plans 38 Five Year Forward View and Personalised 5.1.2 Transfers of care 41 Health and Care 2020 4 5.1.3 Orders and results management 43 1.2 Overview of Organisations Covered 6 5.1.4 Medicines management and optimisation 43 1.3 Sustainability and Transformation Plan 5.1.5 Decision support 45 (STP) Alignment 6 5.1.6 Remote care 46 1.3.1 Better Care Together (BCT) 7 5.1.7 Asset and resource optimisation 49 1.4 Leicester, Leicestershire and Rutland (LLR) 5.2 16/17-17/18 Universal capabilities 54 Context 8 5.3 Capabilities Delivery Plan 55 2. A vision for digitally-enabled 6. Information Sharing 56 transformation 19 6.1 Information Sharing Strategy 56 6.2 Information Governance 56 6.3 Interoperability Strategy 57 3. Baseline Position 20 3.1 Current Technology Landscape 20 7. Infrastructure 58 3.1.1 Data Sharing 20 3.1.2 Patient Access 21 3.1.3 Electronic Prescriptions 21 8. Minimising risks arising from 3.1.4 Electronic Clinical Correspondence 21 technology 63 3.1.5 Business Intelligence 21 3.1.6 System Access 22 9. Timescales and Delivery of the 3.1.7 Pathways 22 Local Digital Roadmap 64 3.1.8 Patient Focused Apps 22 2016/17 64 3.2 Rate limiting factors 23 2017/18 66 2018/19 68 4. Readiness 24 2019/20 70 4.1 Digital Maturity 27 2020/21 72 4.1.1 Analysis of results and trajectory of capability 27 4.2 Benefits management 32 10.Summary 73 4.3 Funding 33 Appendix 1 - Digital Maturity Index 4.4 Estates and Transformation Funding Summary Results 76 (ETTF) to Support LLR Technology Appendix 2 - Universal Capabilities 76 Priorities 34 Appendix 3 - Capabilities Deployment Schedule 88 4.5 Overarching Governance and Co-Ordination 36 Glossary of Terms 93 4.6 Portfolio, Programmes and Projects 37 4.7 Technology Enabled Research and Innovation across LLR 37 Leicester, Leicestershire and Rutland (LLR) Local Digital Roadmap 2016 - 2021 1 Foreword for Local Digital Roadmap Leicester, Leicestershire and Rutland closer working and any issues that need resolution (LLR) health and social care Information and we will continue to build on this. An example of this cooperation is the embedding and rollout of Technology (IT) community has an LLR shared public sector Wi-Fi. The Sustainability and overarching ambition to use an integrated Transformational Plan will build on the work done patient/client record which we recognise through Better Care Together that will support the Five Year Forward View (FYFV). The Sustainability and will be significantly better for patient care Transformational Plan will be underpinned by the and safety, and also deliver significant Local Digital Roadmap. Overall, the LLR IT community efficiencies to the LLR health and care has been working in a collaborative way for a number system. of years and have credible plans in place the support the delivery of new technology projects. We recognise that any strategy inevitably changes and develops over time and the digital strategy We recognise that national systems and contracting changes more quickly than most because a new arrangements do not currently help the move to development can change the situation overnight. We better integrated working but we are committed realise that different clinical systems may be more locally to address those issues for the benefits of suitable for different organisations but the points of patients and residents of LLR. contact between these organisations must be totally integrated to ensure seamless pathways for patients. We feel it is important that organisations develop An updateable transferable care plan is the first their own IT strategies and developments within the priority on this transition towards a fully interoperable LLR framework and not in isolation. care record. As a national solution has yet to be implemented we see it as a priority locally to push this Our roadmap includes embracing new technology forward but we recognise that using existing systems to support self-care and promote remote access to and national solutions where possible is better than health and social care. ad hoc or separate systems. We are also committed to the vision of paper free at point of care as we see this We are committed to building on and further is both efficient and safer for patient care. Integrating progressing the work on population health analysis records across health and social care remains a that has already become and will be progressed priority and we continue to address the technical and during the progression of the roadmap. Information Governance (IG) issues surrounding this There are several projects across the health and e.g. use of the National Health Service (NHS) number social care community that are rolled out and not as the primary identifier in real time is well progressed fully embedded and it is are ambition to have full but not sorted within social care. implementation of all current projects which will help us towards paper free at point of care and better Better Care Together (BCT) in LLR has inherited a good service efficiencies. IT community with good working relationships and a monthly meeting and it is very useful to have social Our ambition remains to have a fully integrated and care, primary care, secondary care, community care paper-free electronic health economy as soon as the emergency care, Commissioning Support Unit (CSU) technology and IG will allow it and we are determined and Health Informatics Service (HIS) IT professionals to drive the progress towards this as we realise and other partners meeting together to discuss that this is of crucial importance to the safety and efficiency of the LLR health and social care system. Leicester, Leicestershire and Rutland (LLR) Local Digital Roadmap 2016 - 2021 2 Dr Tony Bentley FRCGP Chairman, Leicester, Leicestershire and Rutland Better Care Together, Information Management & Technology Enablement Group On behalf of the LLR BCT IM&T Enablement Group Members: FIRST NAME LAST NAME ORGANISATION (Alphabetical order) Vikesh Tailor Arden & GEM CSU Simon Clements Arden & GEM CSU – IG Mary Barber Better Care Together Andrew Ahyow East Leicestershire & Rutland CCG Sharon Rose East Leicestershire & Rutland CCG Tim Sacks East Leicestershire & Rutland CCG Steve Bowyer EMAS Tony Bentley Leicester City CCG Clare Sherman Leicester City CCG Ashok Popat Leicester City Council David Mell Leicester Partnership Trust Steve Pugh Leicestershire County Council Simon Edmonds Leicestershire County Council Luvjit Kandula Leicestershire Pharmacy Committee Tim Glover Leicestershire Police Ian Wakeford LHIS Tirath Singh LHIS Aruna Garcea LLR Alliance Alison Tyers LLR Alliance Gemma Miller LOROS Luke Feathers LOROS – Palliative Medicine Mike Kitching Patient Participation Rep. Sandra Taylor Rutland County Council John Clarke UHL NHS Trust Steve Jackson UHL NHS Trust Nick Pulman West Leicestershire CCG Ian Potter West Leicestershire CCG Jennie Caukwell West Leicestershire CCG Leicester, Leicestershire and Rutland (LLR) Local Digital Roadmap 2016 - 2021 3 1. Introduction This Local Digital Roadmap (LDR) covers • Enable me to make the right health and care organisations within the Leicester, choices • Give care professionals and carers access to all Leicestershire and Rutland (LLR) footprint. the data, information and knowledge they Its intention is to support the Five Year need Forward View and deliver a paperless NHS • Assure best value for taxpayers • Support care professionals to make the best at point of care. use of data and technology • Efficiency and Safety The LLR health community are committed to deliver high quality services for Leicester, Leicestershire and We have made significant progress with some Rutland. The Local Digital Roadmap is aligned to the innovative examples and further developments in LLR Sustainability Transformation Plans (STPs). It is the pipeline in regards to local new models of care also linked with the LLR Better Care Together (BCT) and the development of MSCP models of care. We programme. New models of care generated from the recognise that we have challenges ahead to support STPs will be fully supported by Information Technology these developments by further driving the use of and as a prominent enabler for change. Health and Social exploiting technology to drive efficiency and dissolve Care Organisations within LLR are fully committed operational organisational and service boundaries as and work together to ensure that digital technology is demanded by the Five Year forward View and GP five used to improve the quality of care and service for the year forward. population. Within LLR hospitals, community and home, clinical 1.1 Our Journey in Delivering the Five Year and social care, formal and informal settings, we will Forward View and Personalised Health and Care increase reliance on modern electronic workflows to 2020 share and store patient information across specialties. We want greater consistency and efficiency in The five year forward view sets out a clear direction transfer of information to and from primary care for the NHS , showing why change is needed and and secondary care and is something we are what it will look like. We have over the last two years wanting to achieve more and more through robust harnessed the message within this and the associated interoperability between