Services Description
GPSoC Service
Name
GPSoC Service ID
DXS Point of Care
DXS-PoC01
Functionality/Service 1. DXS POINT OF CARE (DXS-PoC01)
Overview
1.1
DXS PoC is a comprehensive Clinical Decision Support System (CDSS). It allows
either National (NHS UK), regional (CCGs) Authorities and /or local practices to
organise, manage and distribute decision support information, (both documents and
data), to primary care users across their targeted jurisdictions.
Once a GP is working in a patient’s record, then all Decision Support information
1.2
relevant to the patient’s condition is made available to him/her in the consultation
workflow, without having to move in and out of disparate files and folders. The net
effect is that all primary care CCG personnel have immediate access to relevant and
uniformed support information that is tightly aligned to the Authority’s clinical, policy
and business objectives. Further to this, the application is geared towards supporting
primary care doctors, nurses and practice staff to deliver the quality standards
associated with Best Evidence Medicine.
1.3
DXS PoC is integrated and works seamlessly with all clinical systems and presents the
same user interface regardless of the GP Clinical IT System in use.
1.4
DXS Point-of-Care includes the following modules:

DXS Best Pathway – enables clinicians to instantly access recommended local and
national Care Pathways, Referral Forms, Patient Education and Guidance leaflets
including those approved by the local CCG.

DXS Directory of Services – allows clinicians to easily decide on the appropriate
local or national service providers, including those approved by the local CCG.

DXS Best Script – alerts clinicians to CCG Prescribing Advice, recommended
Medicine Switches, Traffic Light status and Medicine Compliance Reports.

DXS Best Triage – alerts the referrer that a selected referral is recommended for
triage with ability to send referral letter to local triage centre, and includes
communication facilities to help the ongoing management of such patient referrals.
All recommendations are presented to users via on-screen CCG customised alerts and enable
appropriate actions in the workflow.
Current Integrations with Principal Clinical Systems:
Supplier’s Current Integrations
DXS Products
DXSPoC01
Principal Clinical Systems
Emis
Yes
InPS
TPP
MicroTest
Yes
Yes
Yes
Table 2 - Bidders Principal Clinical Systems
Integrations
Note: DXS PoC01 is currently integrated and working with all Principle Clinical Systems.
Support
Standard Service Performance & Support:
Summary of Service Desk
DXS International plc provides first line technical support services to its end-users via a
Service Desk function. This support is in line with the requirements set out in the GPSoC
contract. The services meets full ITIL® best practice standards. The Support Desk is
accessed either telephonically, or via a fully automated web Service portal. The Suppliers
Support Desk functions include the following:

Incident Management;

Problem Management;

Change and Release Management; and,

Capacity Management.
The Supplier’s support hours are:
08h0: – 19:00 Monday – Friday (inclusive)
Email service available 24 x 7 (inclusive)
Incident Management
The Supplier provides a service desk and support function to our user base which caters for
incident and problem reporting and escalation, service requests and complaint logging. Users
are also offered direct access to our technical support analysts on our toll free telephone
number.
Problem Management
Problems are managed through closure within the Supplier’s MSM solution. Measurement is
against start and closure times of problem records in accordance with required service levels.
Change Management
Changes are managed via the Supplier’s ITIL aligned Service Management Software.
Release Management
Each Supplier release is done in accordance with the Supplier/Client pre agreed release
management processes and procedures for notifying, engaging and reporting on releases.
Supplier’s Notice: The Supplier shall provide the Client with not less than 7 days' notice of
a cancellation or a postponement of a Release and should not proceed with Releases which
cause the Data Controller to breach its obligations under the Data Protection Legislation.
Availability Standard:
The Supplier’s system
availability is 99.5% across
24 hours per day, 365 days
per year. The availability
measure excludes planned
downtime which is shown
below.
The Supplier will use the
following amount of
Permitted Downtime for the
purposes of implementing
Changes or other exceptional
circumstances:
 Sixty minutes per month
for each Component
System or part thereof
and a further 12 (twelve)
hours for each
Component System or
part thereof per year to
be used at any time
provided that no single
period exceeds four
hours;
 In order for any period of
Planned Downtime to
constitute Permitted
Downtime, the Supplier
must request and receive
authorisation for the
relevant Planned
Downtime from the
Service Owner; and,
 Unless agreed otherwise
with the Client in
exceptional
circumstances the
Supplier shall ensure that
all Permitted Downtime
is carried out in NonSupport Hours.
Incident Fix Times Standard:
Management of a Service
Failure can only start when
the Supplier’s Helpdesk has
been made aware of the
failure. The Suppliers
Standard Fix Times are:
Severity1: < 2 hours
Severity 2 : < 4 Hours
Severity 3 : < 16 Hours
Severity 4: < 48 Hours
Severity 5 : < 144 Hours
Helpdesk Standard:
Supplier’s Support Hours:
07:30 – 19:00 Monday –
Friday (inclusive of B ank
Holidays)
09:00 – 13:00 Saturday
Email service available 24 x7
(inclusive)
Web logging -24x7
Call Answer Time:
Call answer time 180 seconds
(90%)
Call answer time 270 seconds
(99.5%)
Email Support:
90% <= 30 minutes from
time of logged receipt.
Note:
Calls receiving an automated
response or placed into a
queuing system shall not be
deemed to have been
Answered.
Dependencies
Infrastructure dependencies
The Supplier offers Subsidiary Modules Services that interoperate with the GP Principal
Clinical Systems. It is in this context that The Supplier is in the main dependent upon the
Principal Systems to provide GPSoC compliant infrastructure.
The Supplier’s Products/Services are generally released to a “cluster” of GP Practices via a
single sale to a CCG. In this regard, the Bidder is dependent on the CCG release
authorisation and, where appropriate, access to the CCG network.
The Bidder’s Products/Services are classified as GPi2 and are located within the GP
Practices. In this regard, The Suppliers services are dependent on the end-user(s) having
access to the following hardware and software:
CPU
Memory
Free Hard drive Space
Resolution
Display
Operating System
Internet Connectivity
Core II Duo or Core II Quad (Server), Pentium 4 - 2GHz
(Workstation)
4GB RAM
3GB (Server), 120MB (Workstation)
1024x768 or better
32bit Colour
Windows XP, Windows 2003, Windows Server 2008,
Windows Vista, Windows 7, Windows 8
Required
Updating of the Supplier’s Product(s) / Service(s) requires a connection to the Internet. This
must be available either via modem or LAN connection, or that a Mirror Server is available
on a WAN that is updated from the primary DXS Update Server.
Local Personnel dependencies
The Supplier’s Product(s) and Service(s) are dependent on the cooperation of the following
local personnel:
 CCG Clinical Content Managers – provision and updating of clinical content where
applicable
 Practice Manager or Practice IT Manager – Local Technical Infrastructure
access (where appropriate);
 Practice Administrative Staff - Access for installations;
 Practice staff - Product training; and
 Practice staff - training on logging faults with the Dibber’s Support Service.
Note to Training:
The success of the training strategy is dependent on the full co-operation of the CCGs and
GP Practices in making time available and limiting “no-shows” and cancellations. A CCG
HR policy mandating basic IT skills for all applicable CCG and GP practice staff needs to be
implemented by an agreed date. The Supplier has recently implemented innovative “virtual
classroom” training. This proving to be successful, in demand and cost effective, and meets
the needs of busy overloaded GPs and their flexible training needs.
Related Products or
Services
Where multiple products and services are offered by the Bidders that have some form of
interdependency e.g. one product or service needs to first be in place before this one can be
provided or vice-versa then this should be identified here
None
Related Products or Services that are enabled or can be provided more efficiently
consequent to this Product or Service being in place

Principal Clinical Systems are considered by DXS to be a related product as DXS adds
significant functionality to such systems.
Related Products or Services that need to be in place to enable this Product or Service or
allow this Product or Service to be delivered more efficiently
Principal Clinical System(s) i.e. Emis, InPS, TTP tec.
Pricing Information
Product or Service Name
DXS POINT OF CARE
Pricing Approach
Standard Price (£’s)
Unit Price (£’s);
License &Charges:
DXS PoC Solution includes:
- DXS Best Pathway;
- DXS DOS
- DXS Best Triage
- DXS Best Script
£1500
Per practice per annum
£0
Included in License Fee
Support and Maintenance:
DXS PoC Solution. Includes:
- DXS Best Pathway;
- DXS DOS
- DXS Best Triage
- DXS Best Script
Deployment Charges:
The following charges are
expressed as being per CCG,
regardless of practice numbers
within the CCG:-
DXS Best Pathway;
£10,000
-
Initial once off content setup per
200 documents per CCG. Note:
This is the core module and is a
compulsory component of DXS
Point of Care. The deployment of
each of the additional modules
listed below is optional These
supplementary modules can be
activated individually at any
time during the duration of the
agreement.
DXS DOS
Initial once off content setup for
basic listing for 300 services per
CCG
£6,000
-
DXS Best Triage
Once off setup & deployment fee
for Triage Centre with no limit
on number of triage alerts.
£21,000
-
DXS Best Script
o PAD
o DXS Switch
o DXS Compliance
Checker
Once off setup fee for CCG PAD
(Prescribing Advice Database)
£10,000
Once off setup fee for CCG
Medicine Switches.
Once off setup fee for CCG
Medicine Compliance Checker.
£15,000
£15,000*
Post Deployment Charges:
For changes and additions to
content.
*NB: If customer takes both
Switch and Compliance Checker
then the 15,000 setup fee is only
charged once
Charged at day rates. Usually SDI
3,4 & 6 and SA 6.
None unless otherwise agreed to
with client.
Where alternative prices are available for variant levels of service,
these must be elaborated below. These variant services must be
consistent with those identified within Annex A of Schedule 4.1
(Supplier Solution).
Description of Variant Service (as Price of Variant Service
elaborated in Annex A of
Schedule 4.1 (Supplier Solution)
Service Variant description 1:
Unit Price (£’s);
None
Unit of charge (e.g per practice,
per device, per patient etc);
Service Variant description 2:
Time period (e.g.one-off
charge, per month, per quarter
,per annum etc.)
Unit Price (£’s);
None
Service Variant description 3:
None
ETC.
Integrations with Principal
Clinical System Providers
Unit of charge (e.g per practice,
per device, per patient etc);
Time period (e.g.one-off
charge, per month, per quarter
,per annum etc.)
Unit Price (£’s);
Unit of charge (e.g per practice,
per device, per patient etc);
Time period (e.g.one-off charge,
per month, per quarter, per
annum etc.)
ETC.
Where there is a current or proposed integration with a Principal
Clinical System Provider, details should be provided of any price
differences that apply for:
Compliant / non-compliant Lot 1 integrations or variations; and
Price Variations that are dependent on the identity of the Principal
Clinical System Provider
None
Invoicing Terms
Invoice frequency (e.g. monthly, quarterly, annually)
License Charges – Quarterly in advance
Invoice delivery period (e.g. 5 working days after end on month; 15th
of month following service period etc.)
7 days after end of Quarter
Other invoicing terms:
Deployment Charges
- 50% on signature of agreement
- 50% on signoff of content by client
Payment Terms
Due date for payment (e.g. 30 days after receipt of invoice)
30 days after receipt of invoice
Details of any early payment discounts
None
Any other payment terms
None
Discounts
Details of any volume discounts, including details of the volume bands
and the discounted price applying to each discount band
None
Details of any multiple service discounts, including the service
combinations that qualify for a discount and the discounted prices
applying to each combination
None offered
Details of other available discounts. e.g.to different customer
types(e.g. large/small; new/existing), by geographical area, by
sectorNone
Dependencies
Detail all dependencies on 3rd parties (e.g. Call Off Ordering Party,
Practice, other supplier) relating to the provision of the product or
service
Infrastructure dependencies (networks, hardware, software etc.)
No special requirements
Service dependencies
No special requirements
Local Personnel dependencies
No special requirements
Related Products or Services
Where multiple products and services are offered that have some
form of interdependency e.g. one product or service needs to be first in
place before this one can be provided or vice-versa then this should be
identified here;
Related products or services that can be provided at a lower price
consequent to this product or service being in place
None
Related products or services that need to be in place to enable this
Product or Service or to allow this Product or Service to be delivered
more efficiently
None
Resource Based Pricing
Where charges contain an element of charging for staff time (e.g.
training, consultancy services or bespoke activity) then such charges
should be referenced to the SFIA day rates contained within the
supplier details section of the catalogue together with any non-staff
components contained within the charge (e.g. training materials,
room hire etc.)
Training (SFIA Rate: Business Change 3)
Other pricing information
Deployment arrangements: costs, duration and activities associated
with the deployment of this product or service
Support and Maintenance and Deployment charges are as inserted
above in Pricing Approach. Any Post Deployment services will be
provided at rates detailed in Day Rate table. Usually a combination
of SFIA BC3, SDI4 & 6 and SA 6.
Post deployment charges are for additions/changes to content
provided by the customer (CCG). In the initial deployment we allow
for the setup of 200 documents. However, as an example some of
our existing customers (CCG’s) have already provided DXS PoC over
700 documents. The average charge for a document (maximum of 5
pages) is £60.
Due to the customisable nature of the DXS PoC offering, deployment
duration times are agreed to on a per client basis.
Training of users is agreed to between DXS and client and charged
at day rates. Training currently leans heavily towards “virtual
classrooms” which is far more cost effective. The charge for a
Virtual Classroom session is £200 which can accommodate up to 10
attendees.
Exit arrangements: costs, duration and activities associated with the
termination of the supply of this product or service
None