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NHS England and NHS Improvement Health Systems Support Framework (HSSF) www.england.nhs.uk/hssf/ 16 th Oct 2019 Bob Ricketts, Specialist Advisor Population Health Management

Health Systems Support Framework (HSSF)...•Personal Health Records Framework Refresh Scope 6 | Health System Support Framework (HSSF) Update To address these we have: •Consolidated

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Page 1: Health Systems Support Framework (HSSF)...•Personal Health Records Framework Refresh Scope 6 | Health System Support Framework (HSSF) Update To address these we have: •Consolidated

NHS England and NHS Improvement

Health Systems Support Framework (HSSF)

www.england.nhs.uk/hssf/

16th Oct 2019

Bob Ricketts, Specialist Advisor

Population Health Management

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• Current HSSF Framework Scope

• Framework Refresh Scope

• Market Engagement Timeline

• Supplier Feedback / Listening Outcome

• Lot 0 overview

• Next Steps

Contents

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The HSSF was created to provide the services needed to support integrated care. When it launched there was an expectation that it would change as the needs of ICS became clearer. It will therefore be refreshed periodically:

Current Framework Scope

Health System Support Framework (HSSF) Update

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We undertook a Request for Information (RFI) and pre

market engagement for the refresh during August /

September

The main themes were:

• Making the process more straightforward whilst retaining

the high quality threshold

• Using existing accreditations as evidence of supplier

capability

• Ensuring that there is greater alignment between

frameworks

Framework Refresh -Supplier Feedback Summary

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Our engagement identified the following priorities:

• Lot 0 Innovation Greenhouse

• Focussing offers for Population Health Management and delivering integrated care

• Development support for ICS

• System optimisation

We are also adding the following:

• Digitisation of NHS Continuing Healthcare

• Staff surveys

• Personal Health Records

Framework Refresh Scope

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To address these we have:

• Consolidated the questions and reduced duplication to

make the process clearer

• Broadened the existing questions to enable suppliers with

more niche products to respond (using existing

accreditations to support their response)

• Opened up the HSSF so that suppliers can bid to deliver a

subset of the services within any one category

• Ensuring the core standards in the contract are aligned to

those of other frameworks

Supplier Feedback Summary

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Framework Refresh Scope

Health System Support Framework (HSSF) Update

Enterprise-wide Electronic Patient Records (Acute, Mental

Health and Community Hospitals)

Local Health and Care Records

Strategy support Implementation support Infrastructure

ICT Infrastructure support and strategic ICT services

ICT Infrastructure Support services

Informatics, analytics and digital tools for Population Health,

Business and Clinical Intelligence

Population Health Intelligence Business and clinical

intelligence Research tools

Tools and applications that support direct patient care

Decision support tools Integrated care co-ordination

and management

Transformation and change

Development of service change and reconfiguration proposals

Transformation project and programme management

Organisational redesign, governance and payment and contract reform

Workforce and leadership development support

Specialist support for ICS development at system, place and neighbourhood level

Patient empowerment and activation

Support for implementing shared decision making and self-care programmes

Support implementing Personal Health Budgets and Integrated Personal Commissioning

Digital and remote technology Personal Health Records

System optimisation

Patient pathway optimisation and care model design

Patient flow solutions (including Control Centres)

Digitisation of NHS CHC Workforce deployment and e-

rostering

System assurance support

Provider relationship management and supply chain support

Financial and quality measurement and assurance

Provider modernisation and transformation

Medicines Optimisation

Surveys

Lot 0 – Innovation Greenhouse (Scaling innovation)

Infrastructure Intelligence Intervention

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A key change to the HSSF is the addition of Lot 0:

• It will be used to promote innovative solutions from

suppliers – not suppliers themselves

• Customers will be able to run a fast track procurement to

access the solutions, allowing them to be scaled at pace.

They will still need to assure themselves of the safety and

efficacy of a solution

• Standards will remain embedded in the process to ensure

interoperability

NHSX are also establishing a route to market for products

that currently fall into the scope of the NHS Apps Library. To

minimise overlap these are excluded from the scope of Lot 0.

Lot 0 - Overview

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Solutions on Lot 0 must fall within the scope of the HSSF and deliver against one of the following areas:

• Empowering the workforce; and / or

• Improving population / patient outcomes; and / or

• Integrating care; and / or

• Improving productivity including solutions that support delivery of the five NHSX missions:

• Reducing the burden on clinicians and staff, so they can focus on patients.

• Giving people the tools to access information and services directly.

• Ensuring clinical information can be safely accessed, wherever it is needed.

• Aiding the improvement of patient safety across the NHS.

• Improving NHS productivity with digital technology.

They must also:

• Address a problem that has been defined with input from Health and Social Care staff

• Be ready to deploy

• Provide evidence of a significant impact on patient or system outcomes

Lot 0 - Scope

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All suppliers on the HSSF will have a mechanism for

promoting their innovative solutions.

Lot 0 is aimed at organisations that would find bidding for

the full HSSF challenging, e.g. SMEs and startups. It will:

• Have a lighter touch assessment of a bidder’s core

capability

• Provide access to commercial development support

• Provide support to help Lot 0 suppliers ensure they

comply with the required technical standards

Lot 0 - Bid process:

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• Bidders would only be able to respond to procurements

through the HSSF using their Lot 0 solution or in

partnership with another HSSF supplier

• Places on Lot 0 will be time limited – after a 12 month

period, or when after 12 months the relevant section of

the HSSF is reopened, a bidder would need to either bid

for a full place on the HSSF, rebid for Lot 0 or would not

feature on the framework

But…

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• Suppliers interested in bidding for a place on the HSS Framework should register via NHS England’s e-tendering portal:

https://nhsengland.bravosolution.co.uk/web/login.html

• Suppliers may register at any time for future updates on Bravo::

Project reference: tender_4185 – HSSF - 2019

ITT reference: ITT_758 – HSSF - 2019

• Suppliers on the framework are encouraged to regularly refresh their partners and supply chains so you may also wish to approach one of them about opportunities to establish a sub-contracting relationship.

• HSSF accredited suppliers at

https://www.england.nhs.uk/hssf/supplier-lists/

What to do next?

Health System Support Framework (HSSF) Update

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Questions:

Health System Support Framework (HSSF) Update

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1. Interoperability standards

2. National contract standards

3. Technology and digital services practice

4. Information standards compliance

5. Digital, data and technology standards

6. Cyber standards

7. Open data standards & standards hub

8. Technology architecture standards

9. Accessible digital standards

10. Service management software & standards

11. Environmental standards

Annex A: HSSF Standards

Health System Support Framework (HSSF) Update

12. IT Hardware safety standards

13. Standards for providers of online primary care services

14. Standards for data driven technology, machine learning & artificial intelligence

15. Standards specified by MHRA

16. Clinical risk management standards

17. LHCR Programme Technical capabilities & Reference Architecture

18. PRSB common core information standards

19. Information governance framework for integrated health care (future released)

20. Information standards notices

Current standards included in the Call-Off agreement for Lot 1 and to will be transferred in the full framework during the refresh:

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Annex B: Embedding Standards

Health System Support Framework (HSSF) Update

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For more information about the Framework, access to guidance documents, the catalogue of suppliers etc. or for general enquiries please email:

HSSF Support Team:

- Email: [email protected]

- FutureNHS workspace: https://future.nhs.uk/connect.ti/HSSFCW/grouphome

- Website: https://www.england.nhs.uk/hssf/

More information:

Health System Support Framework (HSSF) Update