Aligning NPfIT with the needs
of the NHS
Mark Horncastle
C&M Change Manager - CSCA
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The National Programme for IT is not just about Technology, it
is about Real Change:
• Providing a uniform standard of care across the whole country
• Quicker response to patients’ needs - Improving patient choice &
access to services
• Giving health professionals the whole story about a patient – not
just a narrow slice of information
• Providing information for better, safer care decisions
• Reducing risk
It’s the biggest Business Change Programme in the world!
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NPfIT will Deliver a Wide Range of Benefits…
Patients – It will:
– Support choice and access to services
– Speed diagnosis & treatment
– Improve care
Clinicians – It will:
– Save time through reduced duplication
– Aid decision making through improved information
– Support the treatment of more patients
The Trust Board - It will:
– Support pledges to transform healthcare
– Assist in meeting targets and business imperatives
…delivery of these benefits is key to all our stakeholders
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It is also about …..
• Information to support delivery of care
• NHS Modernisation targets
• Choose and Book
• Payment By Results
• Service reconfiguration
• Agenda for Change
• Shift to Primary Care based services
• Informed commissioning
• Demand management/Capacity
• …..
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Why should we align NPfIT ?
• Link together key business drivers / objectives
• Engage service transformation / modernisation
• Prevent silo planning
• How does NPfIT support key drivers / objectives
• Create deliverable and manageable plans
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How do we link these together ?
• SHA and LHC LDP planning for 05-08
• Planning Framework
– Existing Commitments
– New National Targets
– Locally set Targets
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Existing Commitments
Date
No.
Q3 04
Q4 2004
Q1 2005
Q2 2005
Q3 2005
Q4 2005
Q1 2006 … Q4 2006 … Q4 2007
Commitment
1
Reduce A&E Wait to 4 hrs
2
Guaranteed access to PC professional within 24hrs
2a
Guaranteed access to PC doctor within 48hrs
3
Amb Trust respond to 75% A calls in 8 mins
4
Amb Trust respond to 95% A calls in 14/19 mins
5
Amb Trust respond to 95% B calls in 14/19 mins
6
2 Wk max wait from GP ref to 1st o/p for Cancer
7
2 Wk max wait standard for RACP Clinics
8
3 month max wait for revasculation
9
Cancelled ops offered binding date (or £) in 28 days
10a
Access to crisis services for all MH patients
10b
Comprehensive Child & Adol MH Service
11a
All apps booked "for convenience of patient"
11b
Patients able to choose at least 4-5 providers
12
Max time 1 mth for diag to treatment for Cancer
13
Max wait 2 mth from urg ref to treatment for Cancer
14
800,000 smokers form all groups quitting by wk 4
15a
In PC update registers for advice and treatment to NSFs
15b
In PC ensure registers cover majority high risk patients
16a
Minimum of 80% of diabetics to be offered DR screening
16b
100% of diabetics to be offered DR screening
17
Max 3 month wait for o/p appointment
18
Max 6 month wait for I/p treatment
19a
Inc by 10% prop of HAs receiving thrombolysis in 60mins
19b
Inc by 10% prop of HAs receiving thrombolysis in 60mins
19c
Inc by 10% prop of HAs receiving thrombolysis in 60mins
20
Reduce delayed transfers of care to minimal level
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New National Targets
No.
Date
2007
2008
2009
2010
National Target
Health of the Population
1a
Mortality from CHD and Stroke by 40% in under 75s
1b
Mortality from Cancer by 20% inunder 75s
1c
Mortality from suicide by at 20%
2
Reduce Health inequalities by 20%
3a
Reduce smoking rates to 21% (26% in manual groups)
3b
Halting year on year increase in child (under 11s) obesity
3c
Reduce under 18 conception rate by 50%
Long Term Conditions
4
Reduce emergency bed days by 5%
Access
5
Maximum 18 week wait from GP referral to treatment
6
Increase participation in Drug Treat Progs by 100%
Patient/User Experience
7a
Increase proportion of older people supported at home by 1%
7b
Increase proportion of older people supported at home by 1%
7c
Proportion of older people intensively supported at home up by 34%
8
Sustained National Improvements in NHS Patient Experience
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Local Targets
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How do we link these together ?
• Modernisation Agenda
– Top 10 High Impact Changes
– Improvement Partnership for Hospitals
• Capital Programme / Clinical Priorities
• IM&T
– NPfIT Detailed Implementation Plan (DIP)
– Local IT activities and initiatives
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Modernisation Agenda
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How do we link these together ?
SHA / LHC Key
Drivers
(High Level LDP)
Strategic Alignment
Categories
NPfIT Roadmap
Targets mapped
Top 10 Mapped
Local targets /
IM&T
CEG integration
(Functionality)
(Future Roadmap)
DIP
Service Redesign
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Example strategic alignment categories:
– Emergency Care Reform i.e. 4 hr wait
– Elective Care Reform i.e. 18 week referral to Treatment
– Chronic Disease Management i.e. Diabetes
– Joint Working i.e. Single Assessment Process
– New Business Model i.e. Practice Based Commissioning
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What does this deliver ?
• Define high level strategy and key service drivers i.e. North
Mersey Future Healthcare project linked to “Model of Care”
• Opportunity to review service redesign
• Prevention of silo planning
• Develop roadmap of how / when NPfIT delivers against
Service imperatives
• Allow for non NPfIT initiatives to be taken into account
• SHA & Health Community based
– SHA
– LHC
– Mental Health
– Networks i.e. Cancer, Renal etc..
• Output to support LDP and DIP planning
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• Progress in Cheshire & Merseyside
– Met with key stakeholders at SHA and N Mersey LHC to agree
approach
– Agreed framework based around key Service drivers, national /
local targets and modernisation agenda
• Next actions
– Agree executive sponsorship
– Engage “Heads of Service” at SHA and North Mersey LHC
– Reviewing capital programme with SHA
– Agree output
• Key Drivers i.e. Chronic Disease Management
• Strategic Categories i.e. CHD
– Agree timelines
– Roll-out across other LHC’s / networks
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How can YOU help drive the programme ?
• Ensure the Alliance understand your business
drivers and needs
• Provide the right focus
• Modernisation
• Business Imperatives
• IM&T
• Clinical support
• Stop Projects stalling
• Due to lack of resources
• Engage and commit the right resources
• Funding / resourcing willingness and ability
• Make it Happen
• Commit people to programme
• Provide visible leadership
• Provide advocacy and champions
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Questions
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