Working in partnership with suppliers – outsourcing vs insourcing. Dr Cormac Breen, CCIO, Gguy’s and St Thomas’ NHS Foundation Trust

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This document discusses the differences between insourcing and outsourcing IT projects within healthcare. It notes that insourcing allows more control over design and standards but involves managing more unknowns, while outsourcing provides tried-and-tested solutions but less control. It recommends outsourcing for standard tools, insourcing for non-standard projects linked to service redesign, and maintaining good relationships with all suppliers. The key is choosing the right approach based on the specific project's needs.

Moving from why to how:CCIOs
and the power of collaboration
#CCIO

Working in partnership with
suppliers – outsourcing vs
insourcing
#CCIO

Dr Cormac Breen
CCIO,Guy’s and St Thomas NHS
Foundation Trust.
#CCIO

Insourcing or Outsourcing – what a
choice!
Working in partnership with suppliers
(whoever they are)
Cormac Breen
Chief Clinical Information Officer
Guy’s and St Thomas’ NHSFT

Guy’s and St Thomas
• Large multi-site clinical provider: tertiary, secondary
and community services
• Core systems iCM and iPM (iSoft) in acute settings
• Core system RiO in community
• Centralised laboratory services (GSTS) and
Radiology
• Departmental and Legacy systems in abundance
• Getting more into network care
• Part of King's Health Partners

Compare and contrast
Insourcing
Design the product
Assemble the technical team
Trying and testing
Set / adopt standards
Set timescale
Assemble the delivery team
Manage (down) expectations
Cope with unknowns
Deliver / deploy
Transition to service / BAU
Outsourcing
Get what you’re given
Tried and tested (in theory at
least)
Have standards imposed
Given product
Have timescale set
Receive delivery team
Manage (up) expectations
Be delivered / deployed to
Transition to service / lock down

Compare and contrast
Agile / iterative
Identify your ‘problem’
Design a clinical process solution
Do a bit, deploy, measure, adjust
the clinical process
Do a bit, deploy, measure, adjust
the technology
Repeat through some cycles
….
Learn to manage your teams and
adjust velocity and scope
accordingly
Traditional waterfall
Identify your system
Pick your clinical process, bend it
or mend it
Make the clinical change?
Acquire the system and resources
Deploy (having held breath)
Hope not to turn blue…
…
Is the end result what you
anticipated

13
What is preferable?
• If it's a standard tool, works well, needs little
redesign or configuring - outsource
• If it's non-standard, nothing quite fits, or is closely
linked with service redesign - consider insourcing
(all or in part)
• If a deployed product needs some adaptation to
changing requirements - grey area
• Essential - good relationship with whichever are
your suppliers, internal or external

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