Presentation given by HSCIC CSC LSP programme director Mary Barber, at EHI Live 2014.

1. Planning for life after the LSP Contracts
The challenge for “The North 215”
Mary Barber, Programme Director, HSCIC

2. Project Scope
• To support the Department of Health’s (DH)
request to exit services from the CSC Local
Service Provider (LSP) contract by 7th July 2016
with minimal exceptions
• To support NHS organisations through this
change process so that patient care is not
compromised
• To work with the market and other Government
bodies to use this opportunity to stimulate the
supplier market to the benefit of the NHS
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3. Organisations impacted
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266 NHS Organisations are Impacted
Data: 24 Oct 2014
Acute
Community
CCG (GP)
Mental Health
Ambulance
Social Care

4. Therefore…
• The majority of care pathways across the
region are impacted by the change
• The majority of NHS organisations will be
making plans for the provision of their future
Healthcare IT in line with their strategic plans
for the future
• The NHS has significant opportunity to exert
both its buying power and its desire to
interoperate across organisations
4

5. Market Size and Shape (Acute)
From Market Analysis
Carried out in early
2013:
• Top 3 suppliers have a 70%
market share between them
and have strong presence in
all three regions
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• CSC/iSoft is the leading
supplier
• 90% of market belongs to the
Top 8 Suppliers

6. Market Size and Shape (Community)
From Market Analysis
Carried out in early
2013:
• Top 3 suppliers have a 60%
market share between them
and have strong presence in
all three regions
• CSE is the leading supplier
with over 80% market share
in London
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7. Therefore…
• There are enough suppliers in the market to
create competition
• However the market is small for the level of
demand so the NHS should consider working
together to get the best deal and to avoid the
market being swamped
• The 2013 market was driven by the nature of
the national contracts, this is an opportunity
to create a more balanced and vibrant
marketplace
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8. Who is doing what?
Summary of exit options being selected
Some organisations
Have multiple systems
And appear in more
Than one exit option
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Acute Community CCG (GP)
Mental
Health
Ambulance Social Care
160
140
120
100
80
60
40
20
0
Unknown 13 64 0 3 0 0
GPSoC 0 0 90 0 0 0
Keeping existing systems 26 13 4 5 0 1
Procuring by 2016 24 10 1 4 6 0
Retiring systems 35 21 43 8 0 7
Unknown
GPSoC
Keeping existing systems
Procuring by 2016
Retiring systems

9. Support mechanisms: Procurement
• London Procurement Partnership (LPP) Framework
• Shared Business Services (SBS) Framework
• HM Government G-Cloud
• GP Systems of Choice (GPSoC)
• Non OJEU
• OJEU
• Lorenzo via the National Contract
• Extending existing contracts
• Using existing partnerships
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10. Support Mechanisms: Funding
• Any funding from DH will come via standard
routes such as loans and tariff
• Working with DH finance to provide
anticipated ballpark values for consideration
in budgeting cycle
• NHS organisations need to forecast their
expected spend on Healthcare IT
• NHS organisations need to impress of DOF’s
and CEO’s the need to treat Healthcare IT as
a strategic asset going forward
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11. Support Mechanisms: Other
• TechUK sponsored supplier days
• Requirements documentation
• Legal advice and perpetual licences
• Liaison with NHS England groups
• Regular briefing and information sharing
sessions, risk workshops
• Decommissioning and data repatriation
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12. Some Known Risks
• Funding
• Market capacity
• Framework capacity
• Timetable for commissioning of certain
provision
• Number of organisations not yet in a
positions to make plans
• Time
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13. Questions and further information
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Contact HSCIC at: CSCExit@hscic.gov.uk

14. Connect with us
www.hscic.gov.uk
@hscic
www.slideshare.net/hscic