ICT Strategy, Business Plan &
Business Case for Community
Information System
Siobhan Hanna
May 2009
Achievements Since 2007
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Replacement of CAH infrastructure to new,
harmonised, hospital grade network;
Improved security and governance
Infra ‘virtual’ helpdesk;
Trust-wide ICT Strategy;
Business Continuity plans for 88 Information
Systems;
Range of harmonisation and standardisation
projects;
Suite of Policies, procedures and user training.
ICT Strategy - Background
 4 Legacy Infrastructures
All mail & services “routed” through
DIS (BSO)
 Old & high maintenance equipment
 4 sets of policies, procedures, suppliers etc
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ICT Strategy Deliverables
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3 Year Plan - technical requirements
to create a single ICT infrastructure
Business Continuity requirements
Virtual Server
Single Global Email Address
Single Email
Improved Security
Archiving Solution
Information System Harmonisation
Costs (ICT 3 Year Strategy)
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£1,118,000 over 3 year period
Funding secured £365,000
Funding required £753,000
Source to be determined –
working closely with Regional
ICT Programme Board
Benefits of Strategy Implementation
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Improved ICT Capacity &
Capability
“Future Proofing”
Improved Security
Higher Resilience – less ‘downtime’
Improved User accessibility
Reduced Local ICT Support &
Maintenance
ICT Business Plan 2009/10
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Aspirations for achievement by March 2009
Includes Year 1 ‘technical & infrastructure’ plans
contained in ICT Strategy
Not all funding available (at present)
Governance Arrangements
Staffing Levels
Costs & Time Frames
ICT Business Plan – Trust-wide Projects
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PC Replacement Strategy (funded)
Microsoft Enterprise Agreement
(funded)
Video Conferencing (funded)
Year 1 ICT Strategy - data centre,
virtualised servers, global access
directory (partially funded)
ICT Business Plan – Acute Services Projects
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NIPACs (partially funded)
Electronic Referrals from primary care
(funded)
Filemaker Electronic Discharges (funded
for 1 year)
Theatre Management System (funded)
NIMATs (funded)
Patient Centre – document management,
partial booking (partially funded)
CaPPs – cancer patient tracking (funded)
ICT Business Plan – Community Care
Related Projects
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Clinical Manager – AHPs (funded)
Remote Access – duty social workers
(funded)
Commcare – domiciliary & independent
sector care (funded)
UNOCINI – single referral & assessment
for children (funded)
NISAT – pre-implementation (partially
funded)
Planning in 2009/10 for ‘Year 2’ Roll-outs
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Community Information System
Nurse Rostering
Transport System
Digital Dictation/ Voice Recognition
Remote Access Referral Triage
Roll-out of Electronic Discharge to
CAH site
Costs (ICT Business Plan)
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£11,808,500 – Regional Funding
£1,094,740 – CRL/ Slippage
£252,500 – Recurrent
£235,500 – non-recurrent
Summary – ICT 3 year Strategy &
Business Plan (2009/10)
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Ambitious & Challenging Programme
Significant funding requirements requiring
Local & Regional Support
However - success in securing funding in
2008/09
Small (and stretched) Team
Background – Community Information System
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Failure to Procure a Regional PCIS – Project
closed in 2008
Southern & Western Trusts – no robust
interim systems procured
May 2008 – regional ICT Programme Board
approved Southern & Western Trusts
proposal to develop a joint business case
Procurement process must allow other Trusts
to purchase the preferred information system
at a later stage
Benefits from Community Information
System
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Single client record accessible at point of
care
Reduction of manual systems – releasing
time to care
Integrated care record – improved
knowledge & communication
Improved management information
Identification of unmet need
Reduction of Risk
Non-Financial Option Appraisal
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8 options generated
3 options short listed:
– do nothing
– do minimum
– procure an integrated system
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Evaluated against weighted criteria:
– Quality of service provision
– Sustaining service delivery
– Strategic fit
– Ease of Implementation & Accessibility
– Risk Management
Financial Appraisal (Both Trusts)
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Financial Appraisal based over 10 year
period
Do nothing – no capital costs, £28M revenue
Do minimum – £0.6M capital cost, £29.5M
revenue
Procure Integrated System - £5.2M capital,
£37.5M revenue (capital available)
High revenue costs relate to software
licensing, hardware maintenance,
consumables, project implementation (nonrecurrent), staffing.
Preferred Option
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Procure an integrated information system with functionality to
ensure:
– Registration of all Trust clients and their care professionals
– Relevant client information is available to other care
professionals
– Record of care throughout pathway
– Data can be recorded in ‘real time’
– Improved, consistent & accessible management information
– Capacity for future development to meet changing service
needs
Estimated Timeframe
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Business Case to ICT Programme Board for Approval
June 2009
Business Case Approval November 2009
Tendering Process concluded May 2010
Award of Contract by September 2010
First Phase Roll-out December 2010
Trust Project Board to be established to determine
Phasing, communication & engagement following
business case approval
Summary
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Trust Board Approval is sought:
– ICT 3 Year Strategy to harmonise 4 legacy
Trusts infrastructure
– ICT Business Plan for 2009/10 (includes Year 1
of Strategy)
– Forward Business Case for Community
Information System to Regional ICT
Programme Board for Approval & Funding