Mary Barber the close of the national pacs programme

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Mary Barber from Connecting for Health speaks on the closure of the national PACS programme. What does this mean and what have we learned.

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Mary Barber the close of the national pacs programme

  1. 1. Picture Archiving and Communications System (PACS) The close of the National PACS programme What does this mean? What have we learned?
  2. 2. COMMERCIAL IN CONFIDENCEPicture Archiving and Communications System (PACS) Not a bad place to start! • 128 Acute trusts across England with PACS by end 2007. • Many also updated their RIS and deployed central archives. • 150 organisations implemented image sharing by March 2010. • Every week, over 20,000 studies are shared between organisations – safely electronically. • Every month, over 2 million patients benefit from digital imaging technology. • Over £1bn in financial benefits delivered. • Significant improvements in clinical workflow and patient care. » So why change?
  3. 3. COMMERCIAL IN CONFIDENCEPicture Archiving and Communications System (PACS) Future vision Locally procured and implemented PACS, RIS and imaging archives tailored to the needs of local healthcare communities Because • Locally managed and controlled contracts brings decision making closer to the patient and local healthcare community. • Local decision-making allows for more tailored solutions depending on need. • Potential for lower local costs. • New technology available, more benefits possible. • Healthcare communities who naturally work together can enable information-sharing more effectively. • Can improve contracts and solutions: based on lessons learned to date.
  4. 4. COMMERCIAL IN CONFIDENCEPicture Archiving and Communications System (PACS) Shared risk “To move forward is healthy, to do so without learning from the past is foolhardy” Overall higher Procurement costs Loss of clinical service Additional Cost Patient Safety Local Trusts Loss of Benefits Department of Limited market supply Cost Unhappy Staff Health Legal Challenge Poor Reputation Suppliers Loss of revenue
  5. 5. COMMERCIAL IN CONFIDENCEPicture Archiving and Communications System (PACS) Support available We remain in this together! • Help to develop Trust’s own statement of needs. • Help to form consortia where Trust’s wish to. • Set of core requirements: “what good looks like” agreed. • Market analysis completed and shared. • Exit boards in place once needed. • Standard document templates. • Technical support, especially for data repatriation. • Extensions provided where desired. • Trusts choose the level of support they need.
  6. 6. COMMERCIAL IN CONFIDENCEPicture Archiving and Communications System (PACS) National plan BT Contract: 21 Trusts. 2 or 3 may go early 2012 and 2013, and two or three in 2015 but most planning for June 2014. Consortia are being discussed in line with mergers and patient flows CSC Contract: 74 Trusts in all, 56 in 9 consortia. 42of these are in procurement with 12 planning to use the NHS SC framework. 3 non consortia trusts are in procurement and 2 looking to NHSSC Accenture Contract: 31Trusts in all, 23 have taken the extension and will not exit before June 2014, 1 has issued an OJEU and 4 plan to use the NHSSC framework in 2012. Two regional consortia are being discussed CSC Contract Trusts re-procure and exit General Pattern of BT contract Trusts Re-procure and exit Exit Accenture contract Trusts Re-procure and exit June June June June June 2013 2015 2012 2014 2016 Proposed CSC Initial CSC local Data Stores Transition assistance Other Retirement assumption Key Dates And CSC contract expiry BT contract BT contract Existing transition expiry assistance March 12 13 OJEUs Accenture Accenture Accenture contract Plus 1 PIN Contract expiry Contract expiry Agreed transition Coverage Date for Trusts Date for Trusts Assistance and data centre 64 Trusts Who have not taken Who take extension retirement extension
  7. 7. COMMERCIAL IN CONFIDENCEPicture Archiving and Communications System (PACS) The NHS could do much more with imaging technology and gain even more benefit “The only way to make sense out of change is to plunge into it, move with it, and join the dance.” Alan Watts
  8. 8. COMMERCIAL IN CONFIDENCEPicture Archiving and Communications System (PACS) Imagine the possibilities... 1. Create a central accessible patient imaging data repository. 2. Set up “follow the sun” reporting. 3. Allow non-radiology clinicians to share and report on their own specialities, or not report if they felt there was no need! 4. Establish a “radiology reporting service centre”. 5. Split image acquisition from reporting and set up imaging centres. Why not? 1. Have imaging centres in primary care? 2. Enable GPs to take patients images and get reports back in >hour? They could tell patients if they need to be referred or not and what for! 3. Train surgeons to interpret imaging? Challenging stuff! But gets return on investment!
  9. 9. COMMERCIAL IN CONFIDENCEPicture Archiving and Communications System (PACS) In conclusion • Learn from the past don’t dismiss it. • Take care not to lose what’s already been gained. • Work together to manage the risk. • Understand the overall picture and where you fit in. • Use the materials available. • Look for more benefits from digital imaging overall.

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