QIPP focus for Yorks and Humber IT

Tags: Community Connelly GP Lorenzo NME PCTs Solution Summary Care Record Telehealth TPP

07 Jul 2009

More than 50% of GP practices in NHS Yorkshire and the Humber will be on TPP’s SystmOne by the end of the financial year.

But delivery of the Lorenzo electronic patient record remains a significant risk, according to a board paper presented to the strategic health authority.

IT plans outlined in the report to this month's board say "progress has been excellent” on the deployment of SystmOne, but there are still concerns that a fit for purpose Lorenzo will not be delivered or will be significantly delayed.

The paper also says the North, Midlands and East clusters of the National Programme for IT in the NHS are a top priority for Christine Connelly, head of the Department of Health's Informatics Directorate.

Report author Phil Molyneux, the SHA's chief information officer, says the NHS’ renegotiated contract with local service provider CSC has given it two strategic solutions- Lorenzo and SystmOne.

He says SystmOne will be fully integrated into Lorenzo and that Lorenzo Releases 3 and 4 will include primary and community functionality.

His report says: “The new contract means the NHS in Yorkshire and the Humber will be able to build on the investment that has already been made in TPP SystmOne in this region, for the duration of the contract.”

At the same time, he says the new contract “means that the NHS in Yorkshire and the Humber has already made significant progress towards achieving an integrated patient record.”

However, the report says there is a risk that a fit for purpose Lorenzo will not be delivered, which could result in trusts suffering a planning blight, benefits not being delivered and significant financial savings not being made.

It adds: “The [NPfIT] programme team continues to work with trusts to mitigate the impact of any further delay.”

The report says Lorenzo Release 1 is live on a limited basis in Bradford Teaching Hospitals NHS Trust and that Release 1.9, which contains patient administration system functionality, is about to go live in three organisations outside the SHA.

Meanwhile, all 14 primary care trusts have TPP SystmOne as a community solution and 13 out of 14 PCTs have SystmOne as their child health solution with the 14th due to go live by August.

All prisons are expected to be live with SystmOne by October and 410 practices, more than 50% of the SHA's total, will be live by the end of the financial year.

Against this background, the SHA's NPfIT programme has identified five key areas to focus on.

Number one is supporting the Quality, Innovation, Productivity and Prevention (QIPP) initiative, which is identified in another board paper as a key priority for the authority.

That paper says technology can help to deliver QIPP through extended use of the NHS Care Records Service to enable information sharing and greater integration of care, the development of mobile solutions for NHS staff, telemedicine and teleconferencing.

The other four target areas are to establish a long term conditions and telehealth care programme, to roll-out the SystmOne Community module so it is used by 70% of community staff, to deploy the Summary Care Record and Release 2 of the Electronic Prescription Service and to enable access to SystmOne in all accident and emergency departments.

The report from Molyneux says SystmOne is already being deployed in secondary care organisations, giving access to a shared record to allied health professionals, and community staff such as health visitors, as well as A&E departments.

Fiona Barr

TPP named as CSC strategic solution (08 May 2009) (7)
Yorkshire Darzi centres use TPP (07 Jan 2009)
Three more early adopters for Lorenzo (19 May 2009) (9)
CfH on the brink of new deals with CSC and BT (14 Apr 2009) (12)

Reader's Comments

what about gp2gp

08 Jul 09 18:07

Systmone in this area will soon cover more than 50% of practices - but please dont forget that 'practices' is a useless measure. What counts is patient records - and for that the figure is much much less. funny they didnt mention that!

and of course nationally the percentage of records coming from systemone practices when nex patients register is much smaller even than that.

so what does systemone need to do? join up to gp2gp of course - offering a massive savingin time and an improvement in quality of care to new patients joining a gp list.

so why are they not doing it? could it be that if everyone is on gp2gp then there really is no particular need for a remote server multipracitce it system?

Reply from TPP

10 Jul 09 09:07

To address the questions raised by the reader above (in 'what about gp2gp'):

NHS Yorkshire and the Humber cares for 5.12 million people.

The model of shared care provided by SystmOne is such that whatever a patient's geographical location or care setting, if they are then registered for care elsewhere, their record can be made available. SystmOne performs more than 7,000 such transfers every month.

Since the start of 2009, of all patient registrations at GP practices using SystmOne in Y&H, 30% resulted in an electronic record transfer from another SystmOne organisation.

The answer to the reader's question 'Why are they not doing it [joining GP2GP]?' is 'We are.' TPP is currently going through the accreditation process for GP2GP with SystmOne and is working hard to achieve this as soon as possible.

NHS Yorkshire and the Humber cares for 5.12 million people.

10 Jul 09 10:07

3.1 million people in the Y&H area (60% of the population) are registered at a GP practice using SystmOne. Taking into consideration patients registered with other services using SystmOne, e.g. Community/Child Health, the total number of patients in the region with a SystmOne record rises to 4.37 million (85% of the population).

The model of shared care provided by SystmOne is such that whatever a patient's geographical location or care setting, if they are then registered for care elsewhere, their record can be made available. SystmOne performs more than 7,000 such transfers every month.

Since the start of 2009, of all patient registrations at GP practices using SystmOne in Y&H, 30% resulted in an electronic record transfer from another SystmOne organisation.

The answer to the reader's question 'Why are they not doing it [joining GP2GP]?' is 'We are.' TPP is currently going through the accreditation process for GP2GP with SystmOne and is working hard to achieve this as soon as possible.