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National Programme For It (N Pf It)
- 1. What are the challenges facing PCTs in the implementation of the National Programme for IT (NPfIT) Connecting for Health Brendan O’Loughlin MBCS CITP 24 th February 2009
- 6. National Programme for IT (NPfIT) “ Improving Health, Improving Lives ” Connecting for Health Brendan O’Loughlin MBCS CITP 24 th February 2009
Editor's Notes
- Discuss the different orgs/communities and how a holistic approach could/should be adopted to implementing (I guess it’s called Programme Management). Touch on Governance Stakeholders and how the systems affect the different communities Summary care record and single patient record What are the challenges facing PCTs in the implementation of the National Programme for IT (NPfIT)
- In order to set the context lets first consider what the NPfIT is, albeit at a high level: 1). Dept of Health, Delivering 21 st Century IT support for the NHS, The Wanless Report 2001 recommended stringent centrally managed national standards for data and IT and a doubling of IT spend. 2). Estimates of total cost of delivery range between 6.5 and 20 billion pounds at last count 3). In effect one could refer to it as a business transformation programme with IT one of the core underlying enablers not forgetting at the heart of this initiative is the primary goal of improving the quality patient care across all points of engagement 4) E.g. by such initiatives as: e.g. NHS Care Records Service Summary care record Single patient record Connectivity via the National Network N3 aka “the Spine” in order to provide secure access to patient data at the point of need – wherever that may be, in GP surgeries, Health Centres and Walk-in facilities. The focus is often seen as IT and whilst new and innovative IT solutions are a prerequisite, the programme is not or should not be about IT itself.
- The Challenges faced by Primary Care Trusts Extremely complex relationships across the programme involving various organisations and communities; a real mix of competing entities with different quite often conflicting agendas and different priorities thus creating a whole plethora of competing dynamics e.g. National and local govt bodies, NHS Connecting for Health, 10 SHA’s, GP Practices, Community care, hospitals, GP’s, clinical professionals and of course patients! It follows then that the risks profile arising from such a complex programme will be notable across a number of key areas; not least from a political angle with the incumbent government and the high public profile the programme has and the ever increasing scrutiny it comes under. Making sure we have the pre-requisite technical expertise in order to deliver solutions that are performant, reliable and secure; at the heart of this key consideration is the security, accuracy, completeness and availability of patient data. A major challenge faced by PCT’s is the need to ensure they are conversant with the prevailing regulations governing the programme and fully compliant and seen to be fully compliant e.g. The Caldicott Principles : The Committee also developed a set of six general principles for the safe handling of personal- identifiable information regardless of format - electronic, paper, verbal, or visual IM&T DES (Direct Enhanced Services) : support practices in achieving accredited data quality standards.
- The Challenges faced by Primary Care Trusts Its about moving the programme forward using a holistic approach that is both flexible and adaptable to the needs of the programme whilst not losing sight of its the core principles, primary objectives and deliverables. Its about strong governance; the efficient application of the essential controls for identifying and mitigating the various sources of risk; aligned with robust and formalised supply and 3 rd party management, financial controls and inclusiveness of the stakeholder communities A programme management framework that is lean, fit for purpose, flexible and adaptable and Its about engaging with the various communities involved and
- In Summary provide high quality health care via the provision of services that deliver best practice and meet national performance standards Its about moving the programme forward using a holistic approach that is both flexible and adaptable to the needs of the programme whilst not losing sight of its the core principles, primary objectives and key technology deliverable e.g. NHS Care Records Service and high specification Patient Administration Systems (PAS) Its about strong governance; the efficient application of the essential controls for identifying and mitigating the various sources of risk; aligned with robust and formalised supply and 3 rd party management, financial controls and inclusiveness of the stakeholder communities Essentially its about providing a quality care service based around the patient in order to ensure the PCT contributes in some way towards delivering on the promise of improving health, improving lives.
- Closing slide