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Primary care computing, doing things differentlyPresenter: Andrew MacBean
March 2014
Background/Context
• Background• Previous programmes• Foundation• PSBA• National Programmes (IHR, WCCG, 2DRX, MHOL etc. Etc.)
• Issues• Inconsistent implementation• Fragmented support• Expensive
• Opportunities in Wales• NWIS• Close links to government, health boards and professions• Manageable scale• Building on success
GP Clinical Systems Strategy
• Published in October 2010 after endorsement by WG, GP and Practice Managers representative groups, and Health Boards– Extensive consultation– Support from the profession
• Brief overview– Improve the provision of IT Services– Support local and national requirements– Data quality– Affordability and cost effectiveness
Before and After
Delivering the Strategy
Improvements to Network Capacity IT Refresh Programme
GP IT Support Service
Procurement of a new Framework Contract for GP Systems and Services
The New Framework Agreement
• A fully managed service procured under EU procurement regulations (£40M over 8 years)
• Includes:– Core GP System– Scanning & Document Management– WCCG– MHOL– IHR
Improvements to Network Capacity & Performance
• PSBA network is reliable and robust• Issues with circuits
– ADSL– Resilience
• Upgrade programme in 2013– 10 Mbps for the majority of sites
• Fully capable of supporting hosted services• What happens when connection to the network fails?
IT Refresh Programme
• Intended to keep the equipment in practices up to date• £1M per year• Has delivered:
– 8,700 PCs (all PCs < 4 years old)– 4,800 Printers (all capable of printing 2D barcodes)– Enhancements to local networks
• As a result we have very few equipment failures
GP IT Support Service - what is it?
• The GP IT Support Service is a service provided by the NHS Wales Informatics Service to manage IT Support in General Practice• ‘One stop shop’ for all practice IT-related issues• Single point of contact for IT support – the Primary Care Service Desk• IT specialist support provided out of 5 local offices:
Swansea/Cardiff/Pontypool/Mold/Bangor• Standard look and feel to PCs
GP IT Support Service - What are the benefits?
• Improved support for GP Practices• Burden of IT management reduced• Improved reliability and performance of systems• Improved security• Easier to make change• New improved e-mail• Improved value for money – 50% reduction in revenue• One AD Domain [with all other NHS Wales orgs]
Next Generation Clinical Systems
• Why do we have to change?– Security of personal information– Interoperability with other systems– Increased resilience and maintainability– Reducing the load on practices– Ageing technology
• Benefits– Delivered from multiple, secure data centres– New technologies to improve performance– Options for Disaster Recovery in the event of loss of premises– Improved authentication to systems– High availability and zero data loss
Work Programme Timeline
July 2012 July 2015Dec 2012 Dec 2013 Dec 2014
System Migration (473, approx 6 per week)
GP Systems Implementation
Initial Orders
Systems Setup
GP IT Support Service (660 sites, 8 per week)
PSBA Upgrade
Ongoing IT Refresh
Where are we?
• On track to complete the programme by July 2015– 40% of GMP migrated– 16 per month for remainder of programme
• National Applications– WCCG (99% of practices)– IHR (86% of population)– MHOL (66% of practices)
• Support– Good customer satisfaction– Improved support for Wales National Applications– Reported infrastructure faults down by 80%– No network outages
• New developments– GP2GP– Video conferencing (MS Lync)