IT Connectivity Project Deployment of NPEx to enable laboratory to laboratory electronic communication, delivering a safer, more efficient and effective flow of work between NHS Board laboratories, reducing manual input and errors and releasing staff time.
● Deployment progressing in NHS
Ayrshire and Arran, NHS
Lanarkshire and NHS Forth Valley.
● NHS Highland now live.
● Expansion planning with NHS Fife,
NHS Lothian, NHS Borders, NHS
Tayside, NHS Grampian, NHS
Dumfries and Galloway, NHS
Greater Glasgow and Clyde and
NHS Highland.
● Benefits identified for IT Connectivity
Project.
Delivered this period
Challenges
Actions for next period
This Period Last Period
● Concerns with NHS Forth Valley
that further delays to system set-
up will mean inability to meet full
implementation by 31/03/20.
● NHS Ayrshire and Arran have
experienced intermittent issues
with web connections which has
delayed progress with
commencing UAT in the live
environment. A solution was put in
place on 30/01/20.
● NPEx Scottish User Group
Roadshow – 19/02/20.
● Progress deployment in NHS
Ayrshire and Arran, NHS Forth
Valley and NHS Lanarkshire.
● Continue to refine template to gather
benefits data.
● Expansion planning progressing into
other areas e.g. neuroimmunology,
virology, QFiT, microbial PCR and
Lymes.
National Laboratories Information and
Intelligence Platform (NLIIP) NLIIP seeks to deliver clinical and business intelligence at a local, regional and national level from automated feeds, to enable effective,
intelligence led delivery of laboratory services.
● Proof of concept delivered in
partnership with Public Health
Intelligence (PHI). Significant
challenges identified due to the lack
of standardisation of coding,
nomenclature, reference intervals
etc. across the country
● Project put on ‘pause’ Apr19-Oct19
due to reduction in Transformation
Funding
● Options appraisal process
commenced in October with PHI
being accepted to progress work
forward
Delivery to date
FY19/20 deliverables
FY20/21 deliverables
● Deliver initial dashboards
● Continue to bring on board
laboratory disciplines
● Identify further opportunities for
data linkage to derive system value
from having access to national
laboratory data
● Recommendation of PHI as bidder
accepted by Laboratories Oversight
Board (LOB) in Dec 19
● Commencement of NLIIP build and
delivery utilising Agile Framework
for delivery
● Delivery against information
governance requirements
● Agreed with PHI as a 2.5 year
programme of work, focussing on
bringing on board disciplines at
different intervals
This Period Last Period
Innovation Workstream Added in August 2019, the Innovation Workstream seeks to deliver demand led innovation and set a positive relationship working with industry as a partner to identify solutions to some of the biggest challenges in relation to delivery of a Distributed Service Model
Delivered this period
● Connecting with wider stakeholder
group and laboratories staff newer
into profession
Challenges Actions for next period
This Period Last Period
● Continue follow up meetings with
chosen companies and make decision
as to progress to test bed partnership
● Investigate further funding streams
● Investigate need for Industry Advisory
Board
● Further discussions with companies that
presented at Innovation Event
● Possibly at least one solution to each
challenge and ongoing discussion with
companies to determine if appropriate
to progress to test bed partnership
● Aiming that by March 2020, all
additional meetings with companies will
have taken place
Standardisation Following the learnings delivered by NLIIP, it has been acknowledged that there is a need for standardisation of coding, nomenclature, reference ranges and practice across the country. Required for data usage, readiness to adopt LIMS and patient safety.
Delivered this period
Challenges
● Support Networks in delivery of
March workshops
● Agree resource requirements for
networks to progress key actions
● Networks to identify, priorities,
current work, gaps and resource
requirements to generate action
plans
● Agree timeline for project
Actions for next period
This Period Last Period
● Completion of mapping codes–
this now has to be reviewed by
Networks
● Signed off adoption / mandate
process for formalised governance
arrangements
● Draft model for data archetypes for
genetics and microbiology
circulated to Std. Group for review
● Workshops arranged for HaTS &
Immunology for March 2020
● SMVN Workshops ongoing to
November 2020
● Resource availability
● Capacity in network work plans to
take this work forward
Digital Pathology (emerging) Following the endorsement by the Laboratories Oversight Board (LOB) of a Digital Pathology & Pathology Data for Scotland proposal, a short life working group has been established to take this project forward.
Delivered this period
● Existing procurement framework
agreement already in place.
● Integration with existing initiatives
● Interface with LIMS procurement
consortium to ensure coordination
and synergies are achieved.
Challenges Actions for next period
This Period Last Period
● Third Meeting of Digital Pathology
SLWG arranged for 07/04/20.
● Produce Briefing Paper on current
procurement status for review.
● Contact Phillips to arrange for a
presentation of current technologies
and possible options for
NHSScotland.
● Second meeting held on 03/02/20 to
continue discussions around the key
workstreams for National Digital
Pathology in Scotland.
● Draft Briefing Paper on image formats
and interoperability produced for review.
by the group.
● Agreement on the requirement to
generate a Data Retention Policy and
identify the most appropriate data
storage solution.
Digital Strategy (emerging) A short life working group has been set up tasked to define a digital strategy for the future distributed laboratory services model emerging in the context of an evolving health care delivery model heavily reliant upon data, information and knowledge management and systems interoperability
Delivered this period
● Significant developments already
underway in the absence of an
agreed strategy.
● Governance arrangements for any
emergent groups owning and
implementing the strategy.
● Integration with existing initiatives
and groups
Challenges Actions for next period
This Period Last Period
● Second Meeting of Digital Strategy
SLWG re-arranged for 18/02/20.
● SLWG members to review initial draft
of high level Digital Strategy and
provide feedback.
● High level vision for digital future of
diagnostics
● Outline of future requirements identified
to frame a digital strategy that enables
delivery of DSM value proposition.
● Draft 10 year Digital Strategy for
Laboratories produced and shared with
members of the SLWG.
Cell Pathology Service Review The programme seeks to design a full Distributed Service Model by the end of FY20/21 through national discipline review
Delivered this period
● Reliance on resource from labs
service to support this work
● Timeliness of data gathering
● Buy-in for all disciplines
Challenges Actions for next period
This Period Last Period
● Sign off data questionnaires
● Book study visits
● Commence user engagement
● Start data gathering
● SLWG with expanded membership to
include each NHS Board
● Listening event held
● Draft user engagement plan
● Draft questionnaire for service data
gathering
● Draft questionnaire for workforce data
gathering
● Timeline for workshops and write up of
business case
Cell Path Study Visits
Rigshospitalet - Copenhagen University Hospital, Denmark
This Period Last Period
● Hosts Per Jørgensen & Prof. Liselotte Højgaard
● Arrive Copenhagen evening of 6th meet host, Laboratory tour 7th April
● Why Denmark? Similar geographical and logistical challenges, and similar population size
● Hosts Kevin Sandeman & Josefin Persson
● Travel from Copenhagen evening of 7th or morning of 8th April TBC
● Why Malmo & Lund? – Sectra acknowledges this site as the biggest digital pathology infrastructure
in the world, uniting 2 university hospital units and 2 lesser units with 15 scanners and an integrated
and open LIS-PACS solution. Scanning 1 petabyte of data within 8 months of operation on histologic
slides.
Malmo & Lund, Skane, Sweden
Immunology
Delivered this period
● Time commitment for
Immunologists
Challenges Actions for next period
This Period Last Period
● Sign off timeline
● Draft staff survey based on recent
survey circulated in NHS Tayside
● Commence user engagement
● Start data gathering
● Begin workshop prep – proposing 2nd
week in June
● SWOT complete
● Movement of samples drafted
● Draft timeline agreed
Risks, Issues & Dependencies Summary Risks Issues
Red 0 1
Amber 10 0
Green 8 0
Risk • There is a risk that the financial governance required to ratify the funding for the next phase of the programme delays or prevents funding being released.
Issue • There is an issue with the FV implementation of NPEx. A technical issue exists causing a delay on the forecasted date of 31st March 2020, after which there will be no allocated technical resource available from NSS to support.
Distributed Service Model
National Programme
IT Connectivity
– NPEx
deployment
National Laboratories
Information and
Intelligence Platform
Discipline Specific
Service ReviewsStandardisation
Innovation
Results Plus – Access
Collaborative
(scoping)
Digital Pathology
(scoping)
LIMS
Consortium
(governance)
North• IT
• Quality
• Point of Care Testing
• Remote and rural
• Infrastructure
• Workforce
East• Managed service contract
• Service review
• Single handed consultant
• Point of care testing
• Communication
West• TB provision
• Haematopathology redesign
• Regional infection control
management for OOH
• Regional antimicrobrial
resistance guidelines
• Review outsourced services
eg. Environmental water
Regional Programmes
National Laboratories Programme Work Plan