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FOI REF: 20/258 01 July 2020
FREEDOM OF INFORMATION ACT I am responding to your request for information under the Freedom of Information Act. The answers to your specific questions are as follows: I wish to obtain the following documents: 1. ICT/IM&T/IS Strategy- The IT department strategy or plans, highlights their
current and future objectives.
Please see attached East Sussex Healthcare NHS Trust’s (ESHT) Digital Strategy.
2. ICT Org Chart- A visual document that presents the structure of the IT department please include name and job titles. If this cannot be sent, please work towards a structure with job titles.
Please see attached ESHT Digital Structure Chart. Please note that according to the Trust’s Freedom of Information Policy we only release the names of staff on Grade 8a and above, therefore names of staff below this grade have not been provided.
3. Annual or Business Plan- Like the ICT strategy but is more annually focused.
Please see attached ESHT Digital business plan.
Cont…/
4. ICT Capital Programme/budget- A document that shows financials budget on
current and future projects.
£
Digital Community TPP Rollout c/f 250,000
Digital ePMA 323,021
Digital Phase 2 BigHand (Dictation Scheme) + Change and Project costs
32,010
Diagnostics & Surgery
Ophthalmic IT systems integrated with other Trust systems
100,000
Out of Hospital
Enhancements to Pharmacy robotic systems (GS1 compliance)
97,000
Out of Hospital
Falsified Medicines Directive software 61,000
Digital Data Warehouse 150,000
Digital PAS Upgrade 200,000
Digital MediSite (ophthalmology) 54,000
Digital UPS Refresh/Battery 10,000
Digital Licence True Up 20,000
Digital Interfacing 60,000
Digital EDM Upgrade 20,000
If I can be of any further assistance, please do not hesitate to contact me. Should you be dissatisfied with the Trust’s response to your request, please write to Lynette Wells, Director of Corporate Affairs, East Sussex Healthcare NHS Trust (lynette.wells2@nhs.net) quoting the above reference. Yours sincerely Linda Thornhill (Mrs) Corporate Governance Manager esh-tr.foi@nhs.net
ESHT DIGITAL STRATEGY
Digital Enabled Care Services 2017-2022
Andy Bissenden- Associate Director of Digital
Clare Lippiatt – Senior Nurse ESHT Digital
Andy Slater – Chief Clinical Information Officer
Our vision
“To use digital information and technology to transform the delivery of patient centred healthcare.”
Our Mission Statement
“Develop an electronic patient record and the wider information management and technology infrastructure to support the delivery of excellent clinical care and the effective management of the Trust’s operations.”
How we will do this:
• To engage with patients, carers, ESHT community and acute
workforce at all levels and other stakeholders to inform the delivery of
our digital strategy
• To work collaboratively and aligned with ESBT Digital Board and STP
• To enable patients and clinicians to have the relevant information to
make pro-active healthcare decisions
• To ensure technology improves the ability of staff to provide a high
quality safe effective service whilst delivering financially sustainable
services
• To use information to predict/meet future healthcare needs from an
individual to a region wise basis
THE RIGHT INFORMATION, TO THE RIGHT PERSON, AT THE RIGHT TIME, FOR THE RIGHT DECISIONS.
Outcomes:
• Improve effectiveness and clinical outcomes.
• Improve effectiveness in planning for future healthcare needs
• Improve access to relevant information to the right person at the right time for
the right decisions
• Improved communication between stakeholders across the whole patient
pathway
• Give patients more control over their health and wellbeing and empower their
carers
• Reduce the administrative burden for care professionals
• Accessible and innovative use of IT to support patient safety and improve the
patient experience
• Support the delivery of ESHT business objectives and local / national priorities
ESHT 2020
The ESHT digital strategy is aligned with and supports the ESHT 2020 strategic objectives:
1. Safe patient care is our highest priority. We will provide high quality clinical services that achieve and demonstrate
optimum clinical outcomes and provide an excellent care experience for patients.
2. All ESHT’s employees will be valued and respected. They will be involved in decisions about the services they
provide and offered the training and development that they need to fulfil their roles.
3. We will work closely with commissioners, local authorities, and other partners to prevent ill health and to plan and
deliver services that meet the needs of our local population in conjunction with other care services.
4. We will operate efficiently and effectively, diagnosing and treating patients in timely fashion to optimise their health.
5. We will use our resources efficiently and effectively for the benefit of our patients and their care to ensure our
services are clinically, operationally, and financially sustainable.
Engagement & Feedback
Surveys across multiple staff groups indicate the need for a inclusive strategy. Dedicated Clinical engagement across nursing and medical supported by the Medical Director, SIRO and CCIO
“Patients would like staff
to know about them and
not to have to repeat
their information
numerous times”
“Our priorities for OOH
are around the
community transition and
the more mobile ways of
working including
telehealth, virtual
technology for
rehabilitation and
management”
Digital technology to support
all
Information Governance
Business Planning
Performance
Contracting
Clinical Care
Operations
Information & Business
Intelligence
Estates & Facilities
Management
Digital Strategy for all
East Surrey &Sussex Sustainability &
Transformation Plan (STP), Local Digital
Roadmap (LDR)
East Sussex Better Together Alliance
East Sussex Healthcare NHS Trust
Digital Strategy
ESHT Digital will support:
Each Strategy
has to build on
and support
the others
“Investing and effectively using IT can achieve better patient outcomes, reduce bureaucracy, improve patient safety and deliver efficiencies.” NHS England (2015)
Digital Maturity Assessment
Digital Connector
Digital Operator Digital Dinosaur
Digital Master
Operational Excellence
Custo
mer
Exp
erience
• Referrals (eRS)
• SystmOne – Community PAS
• Evolve – Electronic Document Management
• VitalPAC – Electronic Bedside Observations
• NHS Mail / Skype for Business
• Wifi infrastructure
• LAN upgrade
• Data Centre
Key Achievements
Digital by Default
Patient Centred
Paperless
Real time
Open Standards
Financially sustainable
Mobile
24/7
Secure
Simple and intuitive
Single Point of entry
Increase the Digital maturity
Digital Principals
• Robust and Safe
• Wan – COIN3
• Wifi – GovWifi, EduRoam & NHSGuest
• Lan with Power over Ethernet
• Cloud First then local Data Centre
• Storage
• Cyber Security
• Client Devices
• Bring Your Own Device
• DR / Resilience
Enabling Infrastructure
Good Staff / Patient
Communication
Effective Staff / Patient
Engagement
Improved productivity
Financial benefits
Improved staff/ patient
Experience
Enabling good communication
VOIP
Mobile
devices
Social
Media
Client video
Conferencing/
Skype
NHS Mail
IM BYOD
Intranet access
Apps
Ref: NHS Employers (2014) Improving staff engagement
eLearning &
Training
You Tube
Clinical Systems
Coin / PSN – HSCN Wide Area Networks
LAN/Wifi
Cloud Services / Server Infrastructure
End user Device / BYOD
Integration Engine - Orion Rhapsody
Social
Services –
Liquid
Logic
IDCR
General
Practice -
EMIS
Mental
Health -
CareFlow
Ambulant
Care
Patient Portal
Order
CommsDischarge
Summery
Referals -
eRS
111
Service
Palative
Care
Pathways
Communications – VOIP /Skype and VC
Analytics
BI / Warehouse
anonymised and
Non
PMI
DiagnosticsPharmacy - ePMAPAS – Allscripts/
Systone
Corporate Systems –
Finance / HRVendor Neutral
ArchiveEvolve/EDM
Security
SCRObservations
Information Management
Real time
Portal information
Day 1 Reporting
Open Standards
XDS, FHIR, HL7
API driven
Data Quality
SNOMED CT coding
Current initiatives
Virtual Clinics
Digital Dictation
Patient Flow / Live Bed
State Patient Portal
Referrals (eRS),Orders and Discharge
GS1- Trak4Safety
Electronic Pharmacy Medicine
Administration
Telephony / VIOP
• Review the ESHT best of breeds systems and the real need for a EPR
• Consolidate Systems
• Work up a detailed 5 Year plan with funding requirements
• Work with the Recover Director on Digital Pathways that drive the financial stainability
• Identify some key partners to work with in the industry
• Create a non technical version of the strategy for Patents and Staff
• Continue to lead and work with both the STP and ESBT
Next Steps
20
Five Year Digital Plan
Digital Maturity
Q3 18/19 19/20 20/21 21/22 22/23
Infrastructure Maturity
Patient Centred
Communication Maturity Security Maturity
Windows 10 Migration Replacement Phone System
VOIP
Patient Wrist Bands
Measure success, learn from failure,
innovate
Clinical System Maturity
Community of interested
Networks (HSCN)
EDM Scanning paper record
Storage Replacement
ePMA
Community PAS
PAS Upgrade & ECDS
East Sussex Wide SIP communication
EDM eForms
Patient Flow
Hospital @Night
GS1 Track4Saftey
Patient Observations Replacement
BYOD / VDI
Interactive Voice
Patient Portal Results
Complete PHR
Patient Portal Letters
Online Booking
Advance Threat Protection
Bexhill Hospital VIOP Migration
Fax Free Estate
Client Device Patching
Client Device Refresh
Warehouse
Care Connect
Community Sites VOIP Migration
EDGH VOIP
Skype Video Enabled
Transfer of Care
Conquest VOIP
Booking Contact Centre
Migrated
Virtual Consultations
Bleeps / Pagers Replacement
Self Service Checking
All Patient Letters Mailing House
SMS Reminder
Online Pre Assessment
Supported Self
Management
Intranet Go Live
Server Consolidation and Virtualization
Community LAN
Upgrade
Productivity Suite
Share experiences with wider
NHS
EDGH LAN Upgrade
Conquest LAN
Upgrade
Integration Migration
Data Centre Firewall
BI Portal
Maternity Replacement
eRS referrals
AE Bedside Observations
Digital Pathways
PAS PDS
Single Sign on
Enterprise Printing
24/7 Monitoring
Certify Cyber Security Essentials Plus / ISO 27001
Network Access control
Introduce STP
security compliance standards
Isolate legacy systems
Staff Education &
Regular communicati
ons campaigns
PACS/RIS/VNA
Cloud Migration
Wearable Devices & Apps
Online Communities
22
Risks & Issues
• Sources of Funding – Limited Trust Capital
• Need to move to a Revenue model support
BAU
• Resources
• STP Delivery and demands
• ESBT requirements
Boards
• Trust Board
• Finance & Investment Committee
• Audit Committee
Directors
• Associate Director of Digital
• Director of Finance (SIRO)
• Chief Clinical Information Officer
ESHT Groups
• Digital Steering Group
• Digital Champion Group
• Financial Improvement Groups
• Quality improvement Groups
Digital Team
• Information Governance Manager
• ESHT Digital Team
• Digital PMO
• Information Management
• Senior Nurse ESHT Digital
“ESHT Digital Governance structure will ensure ESHT Digital services are appropriately positioned across the Trust and wider health and care economy”
Governance
1. ‘East Sussex Better Together’ Programme Board Paper (13th April 2016), ITEM:
42/16
2. Sussex and East Surrey Sustainability & Transformation Plan (2016), Sussex and
East Surrey Footprint, NHSE South, Michael Wilson, Chief Executive, Surrey &
Sussex Healthcare NHS Trust
3. NHS Employers- Improving staff engagement briefing.
http://www.nhsemployers.org/Aboutus/Publications/Documents/Improving_staff_
engagement_Briefing_68.PDF
4. THE FORWARD VIEW INTO ACTION: Paper-free at the Point of Care - Completing
the Digital Maturity Self-assessment, NHS England, November 2015
5. https://www.england.nhs.uk/digitaltechnology/wp-
content/uploads/sites/31/2015/11/dig-maturity-guid-11-15.pdf
6. Forrester Research Inc. (2014) The State of Digital Business
7. ES&S Local Digital Road map 2017
References
Associate Director of ESHT Digital Andy Bissenden
Head of Digital Services Kevin Richardson
Clinical Systems Manager Nick Turner
Business Change & IT Training Manager
Chris Bullimore
Client Devices Team Lead
Digital Service Support Manager & RA Manager
Information Security & Engagement Lead
ITIL Change Manager
Patient Systems Lead
Development Lead Paul Chantler
Server BAU Operation
Data Quality Lead
Clinical Devices & Applications Team Manager
ESHT Digital Structure
Clinical Nurse Information Officer
Clare Lippatt
Digital Programme Manager Jo Ranger
Test Lead
Senior IT Change & Training Lead
Senior Project ManagerNick Hamilton
Senior Network Consultant John Avann
COIN Administrator
Operations Manager Chay Poole
Digital Co-Ordinator & Project Support
Data Centre & Hosting ServicesSwitchboard Manager
CCIO & Deputy CCIO
UTC Clinical Hub
Integration to PAS
VNA - HardwareEvolve UpgradeDigital PathologyEnterprise Printing - Phase 2
Legacy OS Retirement
Tech build
Machine migration
Build/Infrastructure/Integration
Post go-live activity
Config/Train
Config/Train
Scoping Endo
TrainHSCC ERS Config
Config/Train (TBC)Development of Aspirant
Business Case
Jul
Interface devt and test
Config/TestConfig/Train
Config/Test
Business continuityTraining prep
Data WarehouseBI Workstream (defining business reqs)
RecruitmentClosureAccomm set up
Config/Train
Config of system(s)Config/Test/Trai
Scoping DW levelsHardware
Bed Management - Live Bed State/Clinical Noting
Patient Safety - eObsTest
Train
Migration
Decommissioning
Install/
Train
Data Warehouse 'As Is' Platform Move
Test
Scoping/design
TestGroup/schedule platform move
Board round
push
Hospital @ Night
Train
ED/ED DigitisationScoping Test
Patient Safety - Remaining Modules Scoping BuildTest
Notes: July go-live for CSR and Early Discharge
Jun
Scoping
User migration
Notes: July go-live for pilot
Notes: September go-live for pilot phase
Notes: June go-live for IT Service Desk, July -
August for rapid rollout of telephony at
Eastbourne DGH and September -
November for Conquest (TBC)
Notes: Job Descriptions currently under review
Scoping ConfigTest
Closure
Train
Train
AD Migration
Feb Mar
Ordercomms
Digital Service Desk
ePMA
Da
ta W
are
ho
us
eAug Sept Oct Nov Dec Jan
Ne
rve
cen
tre
Badgernet
SystmOne
Telephony
Notes - August go-live for Fracture Liaison TBC
Notes: Upgrade in July, August for Requesting and October for
Endoscopy (TBC)
Attend Anywhere