GP IT Regional Workshops - IT Services

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GP IT Regional
Workshops:
Sue Cooke
Doug Scott
Lee Harrison
Laurie Pennington
7th February 2016

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Today’s session – key aims:
• Welcome and Introductions
• Morning Session:
• GP IT Operating Model Overview
• Digital Primary Care Maturity Assurance (DPCMA) Model
• GP IT LPF Procurement Support:
• Introduction and Process
• Support Tools Available
• Commercial Procurement Support
• After Lunch:
• Opportunity for in-depth discussion
• Q&As

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Securing Excellence in GP IT Services
2016/18 – 3rd Edition
• Revised 2016/18 – 3rd Edition
• Draft Addendum
• Support Available
GP IT Operating Model
Sue Cooke, GP IT Programme Lead,
NHS England

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“New GMS Contract 2003: Investing in General Practice” (the Blue Book):
• Published Feb 2003
• Outlined agreement between NHS Confederation & General Practitioners
Committee of BMA on a new practice based contract in General Medical
Services (GMS)
• Chapter 4 - makes provision for modernisation of Information
Management & Technology in General Practice
• Commissioners, rather than practices, responsible for funding purchase,
maintenance, future upgrades & running costs of integrated IT systems as
well as telecommunications links to branch surgeries & other NHS
infrastructure and services - to facilitate use of IM&T within primary care
GP IT Background – contractual requirements:
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• From 1st April 2013, NHS Commissioning Board (NHS England)
accountable for delivery of primary care information services –
taking over from PCTs, including GP IT Services
• Commissioning and operational management responsibility of GP
IT & associated funding delegated to CCGs via:
• NHS Commissioning Board directions under the NHS Act 2006
as amended
• NHSE retains responsibility for:
• Ownership of NHS GP IT capital assets (inclusive of legacy IT
transferred from Primary Care Trusts)
• Commissioning Primary Care IT Enabling Services (PCES)
Accountability/Responsibility:
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Securing Excellence in GP IT Services
• GP IT Operating Model - initially published December 2012
• What does this document do?
• Provides a commissioning framework
• Describes the operating system, leadership & overall accountability and
responsibility for the delivery of GP IT – national, regional, local
• Sets out key elements necessary to support effective delivery of GP IT
including:
• Financial procedures & associated controls
• Governance arrangements, including roles / responsibilities
• Leadership required to achieve excellence
• Service Schedule / GP IT Services
• NHSE responsibilities for Primary Care IT Enabling Services

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Core and Mandated:
• Technologies and systems required to deliver Primary Care Essential Services
(ie registered list based) and (contractually) mandated services and compliance
• These are the ‘must be done’s’ for CCGs to commission
• Revised Operating Model - additional ‘core and mandated’ GP IT requirements:
• Remote access to the clinical system at the point of care (mobile working)
• Electronic messaging for direct patient communication ie SMS
• Local Digital Strategy
• Specialist support for practices including services IT & cyber security
• GP Data Quality Service – including data quality training, advice &
guidance

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Enhanced Primary Care:
• Focussed on the technologies, systems & support services which enable &
improve efficiency and effectiveness of GP including primary care at scale
• Supporting primary care at scale, extended hours working and
confederated working
• Strategic rather than tactical solutions
• Discretionary – to be developed & agreed locally to support local strategic
priorities & commissioning strategies to help improve service delivery
• Investment in these areas should support CCGs local digital strategy, LDRs,
STPs
• Funding may be accessed via a variety of routes including GP IT
revenue/capital, ETTF/STF funding, local business case/local investment
including GP investment

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Transformational Primary Care:
• Focussed on the technologies, systems & support services which enable new
models of care, service integration, wider GP functions, Multi-specialty Care
Providers (MCP) & Primary & Acute Care Services (PACS) organisational
models.
• Supporting new models of care/STP whole systems initiatives & change
• Strategic rather than tactical solutions
• Discretionary – to be developed & agreed locally to support local strategic
priorities & commissioning strategies to help improve service delivery
• Investment in these areas should support CCGs local digital strategy, LDRs,
STPs
• Funding may be accessed via a variety of routes including GP IT
revenue/capital, ETTF/STF funding, local business case/local investment
including GP investment

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Primary Care IT Enabling Services:
• Fundamental support services provided to General Practice - directly funded &
commissioned by NHS England regional DCO teams
• Service provision includes:
• Registration Authority support services
• Information Governance support services
• Clinical Safety Officer support
• NHSmail administration support
• Other primary care contractors – regional DCO assurance role as part of local
commissioning arrangements
• Co-commissioning arrangements – devolving commissioning responsibilities
versus ‘at scale’ efficiencies – local decision?

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• GP IT Services are underpinned by this nationally developed template agreement
which:
• Outlines terms governing provision and receipt of GP IT & GPSoC services
• Replaces previous PCT Practice Agreement
• Sets out the basis on which a CCG will provide services to practices and each
practice’s responsibilities in respect of receipt of these services
• Appendices - customised based on local need:
• Summary of services table
• Support and maintenance service levels
• Escalation procedure
• Business justification form – guidance/example for migration of GPSoC services
• CCGs required to sign Agreement with each GP practice (GMS, PMS or APMS
contractors offering Primary Care Essential Services to a registered patient list)
• Pre-requisite for the provision of GP Systems of Choice (GPSoC)
CCG Practice Agreement:
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• GP clinical systems accredited against national standards
• RFA
• Common Assurance Process for GP Systems (CAP-GP)
• Introduced compliance levels ‘GPSoC Solution Maturity Model’ – to
encourage system development
• Guaranteed choice of clinical system (every GP)
• ‘Choice’ consistent with local development plans (or their
equivalents) supported by local business cases & service level
agreements
• Practices not expected to exercise right to ‘choice’ more frequently
than 3 yearly
GP Systems of Choice (GPSoC):
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• Revenue - £186m nationally:
• £173m devolved to CCGs / CCG ‘fair share’ baseline allocation
• Uplift of £27m (£146m 2015/16) – release of transition monies - recognition of cost pressures
• Primary Care IT Enabling Services - £11m (£8.6m 2015/16)
• Central:
• Depreciation
• DPC Maturity Assurance
• Informatics Capability Support for CCGs - develop appropriate support arrangements/Regions
• Capital - two year capital plans:
• Capital investment plans – develop with reference to GP IT Operating Model:
• Core & Mandated
• Enhanced and Transformational
NB: variety of funding opportunities for enhanced/transformational ie BAU GP IT capital, ETTF – need to identify
appropriate funding streams/avoid duplicate funding
• 2017/18 and 18/19 - December 2016 submission - detailed requirements to inform 2 year budget allocations
• 2019/20 and 20/21 requirements requested where known for information/forward planning
• Must comply with the NHSE financial guidance:
• Minimum unit cost threshold for individual networked equipment of £250 each
• All GP IT capital investments require a CCG PID to support the capital business case approvals process
GP IT Funding Arrangements:
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• Health and Social Care Network implementation for general practice
• Wi-Fi implementation for general practice – Dec 2017
• SNOMED Clinical Terms (SNOMED CT) – April 2018
• National Data Security Standards for Health and Social Care/Cyber Security
• Estates & Technology Transformation Fund (ETTF) - clarification of capital treatment
• DPC Maturity Assurance model – development plan
• GP IT Lead Provider Framework dynamic support template
• New models of care – MCPs/PACs
• NHS Standard Contract / Changes
• GP Connect/Interoperability
• Online Consultation Programme (e-consultation)
• Guidance re ‘Open Source – software or services bought with public funding
• Funding Pressures/challenges eg:
• Primary Care IT Enabling Services – clinical safety officer support
• Clinical Pharmacists in general practice (part of GPFV commitment)
Draft Addendum – GP IT Operating Model:
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Key Programme Contacts
Health & Social Care Network (HSCN)
Patrick Clark, Programme Manager
Email: patrickclark@nhs.net
Further info:
http://systems.hscic.gov.uk/hscn
WiFi
David Corbett, Programme Head, NDH
Digital WiFi Lead
Colin Thacker, Senior Project Manager,
NHS WiFi, NHS Digital
General enquiries: 0300 303 5678
Email: enquiries@nhsdigital.nhs.uk
SNOMED:
Denise Downs, Implementation &
Education Lead, NHS Digital
Debbie Robson, Project Manager, NHS
Digital
Email: snomedprimarycare@nhs.net

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Digital Primary Care
Maturity Assurance
(DPC MA):
Lee Harrison / Doug Scott

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Driving digital adoption through
assurance?
www.primarycare.nhs.uk

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What this module will offer?
For General Practice For CCGs For NHSE (National & Regional)
Can review progress against core
GP IT requirements, as outlined in
the GP IT Operating Model
Assurance that CCG meeting the
requirements of the GPIT Operating
Model and associated
GMS/PMS/APMS requirements
Assurance that quality and value are
being maintained and delivered
consistently across primary care
services
Can demonstrate service quality and
standards in reviews with regulators
e.g. CQC
Support CCGs in re-procurement of GP
IT service provision via the Lead
Provider Framework
Demonstrates value for money and
effective use of NHS investment
Can inform federations identify areas
for future collaboration and/or
requiring CCG investment
Can be used as evidence within CCG
Improvement and Assessment
Framework reviews
A view on the quality of GP IT
service provision and progress
towards digital maturity across the
GP IT estate
Can be used as evidence when
applying for additional funds e.g.
Estate and Technology
Transformation Fund (ETTF)
To inform the development of Local
Digital Roadmaps (LDRs) and
Sustainability and Transformation Plans
(STPs), helping to identify areas for
further investment.
Provide an outcomes-based digital
maturity assurance tool that will
support CCGs, GPs and NHSE
DCO/Regional Leads as promised in
the GPIT Operating Model

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• Can we demonstrate value for money?
• Can we be assured that the services delivered are safe, are of the required quality
and meet our contractual arrangements?
• Where do we need to invest in the future to meet the ambitions of the General
Practice Forward View (GPFV)?
• Can we easily identify areas for development and/or investment to support the
ambitions of our Local Digital Roadmaps(LDR’s) and Sustainability &
Transformational Plans (STPs) across the CCG, learning from General Practice
innovation?
• Are there opportunities for the CCG to share learning from General Practice
across the wider Health & Care system to meet the ambitions of the 2020 vision,
FYFV & the local CCG strategy?
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As a commissioner what do we need
to know ?

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Digital Maturity Views
• Data can be interrogated/searched in a number of ways…..
• The data can be cut in multiple ways in order to provide different
views depending on individual need.
• This helps pinpoint data pertinent to different national
programmes (e.g. GP2GP) and on national objectives (e.g.
Paper-free at the point of care 2020).

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Data Flows
CCG General Practice
DPC MA Module / Primary Care Web Tool
CCG
Data
Capture
HSCIC /
National
Systems
Datacapture
PracticeView
Datacapture(eDec)
Data flowData flow
26 indicators
taken from
HSCIC:
• IGT
Toolkit
• POMI
• Daily
Booking
Reports
• GP2GP
Utilization
report
50 indicators
asked to
CCGs
31 indicators taken
from eDEC

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Data Granularity and Access
GP
Practice
level
CCG level data (52 indicators)
CCG level data is primarily gathered directly from CCGs and
represents the services commissioned by the CCG for practices in
their area.
Data gathered at this level is applied to each individual GP practice
that falls within the CCGs remit.
Example: There is a comprehensive ongoing training and clinical
system optimisation service to support GP Principal clinical
systems and national clinical services available to all practices
GP Practice level data (55 indicators)
GP practice level data is unique to each GP surgery and is
gathered from the GP electronic declaration (eDEC) and from
HSCIC.
Example: The practice is using Gp2GP to transfer patient records
between practices (GMS Contract)
GP
Practice
level
GP
Practice
level
GP
Practice
level
CCG Level

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Assessment Criteria and access
• Questions are currently largely biased towards “capability”. However will move
towards “utilisation” once assurance matures.
• Data is viewable by anyone registered on Primary Care Web Tool (NHS Staff).
Therefore benchmarking is possible between different CCGs and practices
• Data is will be refreshed quarterly. Though some collections (e.g. eDEC and CCG
questionnaire) are only undertaken annually.
• The purpose of this data set is to help guide and inform decision making.
Therefore there is no pass/fail or minimum set standard.

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GP IT LPF Procurement Support:
Section 1: Introduction and Process
1. Introduction
2. Key Considerations (for CCGs)
3. ITT Process
4. CCG Checklist
5. Discovery Process
12th December 2016

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• CCGs are required to re-procure GPIT services (initially CSU provided)
• GP IT Operating Model is the basis, but it is focussed on whole system and
commissioner responsibility. Procurement specifications need to be
derived from this and localised.
• Local discovery during the ITT development stage is crucial
• If no procurement due still useful to support GPIT service review process
with supplier.
• CCG IT corporate & commissioning procurement is out of scope of this
work (but an aligned pack has been produced too)
Introduction
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• Reference the GP IT Operating Model
• Core & Mandated GP IT Requirements - obligatory
• Enhanced GP IT & Transformation Services – discretionary
• Using Digital Maturity Assurance Data
• The Discovery Process (a critical element)
• Allow time and resources for discovery & specification development
• Funding Sources & Constraints
• Scope of Service Recipients & CCG-Practice Agreements
• Contract Length
• Local Context Setting
Considerations
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• Launched June 2016 - analysis ongoing - early issues flagged
• Of Core & mandated indicators NONE is currently met 100% by all
CCGs or all PRACTICES
• eg the following are met by < 33% CCGs
• More to follow….
DPC Maturity Data
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(IND11) Formal Clinical Safety system for practices
(IND24) Annual formal review of GP IT services with all practices
(IND15) CCG budgeted plan for core GP IT
(IND39) Secure storage for all electronic practice data
(IND30) Data Quality Service

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1. Can we be assured that the commissioned services are safe (ie secure, compliant and
resilient), are of the required quality (ie fit for use and responsive) and meet our
contractual obligations (ie GMS requirements) ? (ie support CCGs to be intelligent
commissioners of GP IT services)
1. Review Core & Mandated Requirements indicators
2. Where do we need to invest in the future to meet the ambitions of the General Practice
Forward View (GPFV)?
1. Review Enhanced GP IT indicators
3. Can we easily identify areas for development and/or investment to support the
ambitions of our Local Digital Roadmaps (LDR’s) and Sustainability & Transformational
Plans (STPs) across the local community, learning from General Practice innovation?
1. Review Transformation in Primary Care indicators
Using DPC Maturity Data
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• A (automated) Excel tool to guide CCGs through a comprehensive
local GPIT discovery & specification templates
• Embarking on GPIT procurement without understanding the GPIT
estate, supported assets, systems, contracts and local issues and
expectations exposes the CCGs to financial risk and GPs to
operational support & service continuity risk.
• Existing GPIT Delivery partners should have this data
• Do not leave it until the supplier mobilisation stage (“no surprises”)
• GPs need to support this process
• As a minimum embark on the procurement knowing what is
available and where gaps are
Discovery: the process
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• GP IT equipment estate (supplier costs often link to volumes)
• Physical estate (practices and locations)
• Software estate (who owns licences and what is in standard
desktop image)
• Users/accounts (some services may be costed on this eg training)
• Suppliers will cost on known volumes, ensure incremental growth
tolerance inbuilt. Increases may bring higher costs.
• Hosted systems (needs servers, support, licences, backups etc)
• Legacy contracts & liabilities
• Understand what capacity is needed/available esp from non-
transactional services & cost of top up.
Discovery: the key data
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Section 2
Support Tools Available
1. GP IT Specification Template
2. GPIT Data Capture & Services Schedule
3. Template Questions: GP IT Supplier Pack
4. Exploratory Topics for Bidder Presentations
5. Bidder Interview Points for Consideration
12th December 2016

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• Service specification template (text based)
• Based on the GP IT Operating Model Schedule of Services
• Includes latest (2017) addendum requirements
• Changed from commissioner responsibilities focus to CCG
requirements from an GP IT Delivery Partner
• Edit the Detailed Service Specification to meet local needs
• The Data Collection Tool: GPIT Data Capture & Services Schedule
v1.4.xls creates clean set of reference tables.
GP IT Specification Template
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GPIT Data Capture & Services Schedule v1.4.xls (macro enabled Excel file)
SEE DEMONSTRATION
• 1. Set scope by selecting the CCGs. Auto selects all eligible primary care contractors.
• 2. Identify the physical estate (locations) where the services are required – and
associated assets
• 3. Identify the assets and services associated the practice estate
• 5. Choose up to three categories for this procurement (you may only need one)
• 6. Identify other assets and volumetrics including hosted applications, standard
(universal) desktop software, contracts, projects in flight or committed, key meetings
requiring IT attendance.
• 7. Suggested KPIs and Reporting Indicators
• 4. Progress checklists and suggested external documents to include are provided.
• 8. Automatically generate a clean set of unlinked tables
Data Collection Template (automated)
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1. Bidder to walk through how they would support the CCG and its
general practices in significant primary case estate development
which includes
1. New integrated health centre build hosting 5 general practices
(merging into 3) and community teams from other healthcare
providers (community trust and a mental health trust)
2. The merger of 3 of these practices into one where the 3
existing practices use GPSOC systems A,B & C respectively
but have all agreed to move to System B.
3. Provision of new infrastructure in the building including HSCN,
Clinical wifi and public wifi. .
Suggested Exploratory Topics for
Bidder Presentations (1)
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2. How would the bidder support the CCGs leverage GPIT (services,
funding, coverage, system maturity etc) in order to support whole
system cross care setting transformation in the wider community
(as might be envisaged in STP plans).
3. How would the bidder support the CCGs locally progress with the
GP Forward View and enabling General practice improvement.
4. How would the bidder assist the CCG ensure it meets its nationally
& contractually mandated obligations in respect of GP IT services.
Suggested Exploratory Topics for
Bidder Presentations (2)
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1. Resourcing the service ie transactional & non-transactional services
2. Understand the customer base ie relationship between GP contractors and the
NHS
3. Understand the GPIT operating model ie delegated responsibilities of the CCG
4. Experience in NHS IT and GP IT delivery
5. Understand the current NHS
6. Approach to manage GP IT equipment estate
7. Ensure IT enablers for local health community service integration continue
8. Handling of legacy contracts
9. Specialist services eg Clinical Safety, IG, IT Security, Data Quality
10. Support the CCG with digital strategy and transformation/STP
Bidder Interviews Points for
Consideration
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Thanks for listening. Any questions ?
Digital Primary Care mailbox
england.digitalprimarycare@nhs.net

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Laurie Pennington
Commercial Procurement Support
– ETTF / digital Innovations

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With effect from 23rd January the IT Procurement Specialists will be committed on a full time basis until the end of
March 2017. This will enable an increased level of support to DCO Heads of DT with:-
• Progress tracking of approved 2016/17 schemes
• Due diligence on prospective 2017/18 schemes.
The Hub mandate has also been extended to
support planning for the GPFV £45m on-line
Consultation initiative.
Planning underway to re-commission the Hub
for 2017/18 to support:-
• ETTF
• Transformation Areas
• GPFV £45m on-line consultation
Procurement Hub – update

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• As part of the General Practice Forward View, a £45 million fund has been created to contribute towards the
costs for practices to purchase online consultation systems
• The fund will be available from 2017/18, with £15 million in 2017/18, £20 million in 2018/19 and £10 million
in 2019/20
• Funding will be allocated by NHS England to CCGs on a weighted capitation basis
• CCGs and practices/federations can draw on support from the National technology commercial and
procurement hub in the form of:-
• general procurement advice/support; and
• template documentation.
• The Hub will encourage CCGs and practices/federation to collaborate
• In addition, NHS England are considering sponsoring the establishment of a Dynamic Purchasing System
(“DPS”) managed by the Hub to support the fund
GPFV on-line consultation context

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• The DPS is a procedure available for contracts for works, services and goods commonly available on the
market
• It is run as a completely electronic process, new suppliers can join at any time
• The DPS is a two-stage process.
• First, in the initial setup stage (to be undertaken by the Hub, all suppliers who meet the selection
criteria and are not excluded must be admitted to the DPS
• Individual contracts are awarded during the second stage. In this stage, CCGs, practices and federations
will invite all suppliers on the DPS to bid for their specific contracts
• The DPS can streamline procurement for both suppliers and authorities.
• Suppliers don’t have to demonstrate suitability and capability every time they wish to compete
• The award of individual tenders can be quicker than under some other procedures
• Ensures that any new and innovative suppliers can apply at any time accommodating a developing
and/or evolving marketplace
DPS Headlines

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To date primary focus has been on supporting DCOs with scheme assurance/approval for 16/17 schemes
Going forward priority is to:-
• Support DCOs with:-
 Tracking approved scheme progress;
 Driving delivery of approved schemes;
 Scheme assurance/approval for 2017/18 schemes.
• Deliver 3% savings target
ETTF current scheme approval status
Approved Scheme
Summary

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CCGs
Scheme value
£000
NHS Birmingham Cross City CCG 3,037
NHS Sandwell & West Birmingham CCG 2,242
NHS Solihull CCG 984
NHS South Warwickshire CCG 1,432
NHS Hereford 392
Total 8,087
A Midlands & East aggregation experience
Aggregated telephony/WIFI procurement
The Hub worked with DCO’s Head of DT to
marshal CCG Leads. We now have a:-
• Lead CCG
• Identified Framework Agreement
• Lead procurement delivery partner
• Agreed specification of requirements and
procurement plan
ITT issued, response and outcome eagerly
awaited
Learning to date
• Early identification of appropriate framework agreement
• CSU capability/capacity
• Time required to prime framework suppliers
• Need for realistic procurement milestones
Note: Not all approved funds are earmarked for telephony/WIFI

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NHS England Estates and Technology Transformation Fund
Internal OperatingGuidanceNotes
Finance ReportingSchedule2016-17
Key Finance ReportingDates per month (2016-17) Regional to National Team Reporting Dates
Working Day Tracker Updates Non-ISFE Forms Returns Central Returns Jul-16 Aug-16 Sep-16 Oct-16 Nov-16 Dec-16 Jan-17 Feb-17 Mar-17
In month
DCO/PMO maintain and update
project tracker project status,
Forecast, Slippage etc
- - - - - - - - -
WD1
Tracker Frozen
Regional PM review and moderate
forecast
1-Aug 1-Sep 3-Oct 1-Nov 1-Dec 3-Jan 1-Feb 1-Mar 3-Apr
WD2 Centre (DM) informed of any changes
to ETTF DCO/CCG budgets
NON ISFE returns made available on
Sharepoint
Centre (DM) informed of any
changes to ETTF DCO/CCG
budgets
2-Aug 2-Sep 4-Oct 2-Nov 2-Dec 4-Jan 2-Feb 2-Mar 4-Apr
WD3 - - -
- - - - - - - - -
WD4 Regional PM/DoF sign off forecast
and confirm entries to DCOs/CCGs for
NON ISFE
4-Aug 6-Sep 6-Oct 4-Nov 6-Dec 6-Jan 6-Feb 6-Mar 6-Apr
WD5 Reconciliation Reconciliation Reconciliation
5-Aug 7-Sep 7-Oct 7-Nov 7-Dec 9-Jan 7-Feb 7-Mar 7-Apr
WD6 - - -
- - - - - - - -
WD7 - - -
- - - - - - - -
WD8
Pick up Actuals from IFSE and feed
into Tracker NON ISFE completed by DCOs/CCGs
Summary YTD Actuals in IFSE
supplied by Central finance after
Ledger close
10-Aug 12-Sep 12-Oct 10-Nov 12-Dec 12-Jan 10-Feb 10-Mar 12-Apr
WD9 - Region/Centre consolidate NON ISFE
and pull into Tracker. Ensure NON
ISFE ties to Tracker making
adjustments in Region NON ISFE if
necessary
FOT finalised in ledger/tracker 11-Aug 13-Sep 13-Oct 11-Nov 13-Dec 13-Jan 13-Feb 13-Mar 13-Apr
WD10 Tracker unfrozen for the period.
£/metrics available for Programme
Report
Sign off by Regional DoF and Reports
available to centre -
12-Aug 14-Sep 14-Oct 14-Nov 14-Dec 16-Jan 14-Feb 14-Mar 14-Apr
WD11 Reconciliation Reconciliation Reconciliation
15-Aug 15-Sep 17-Oct 15-Nov 15-Dec 17-Jan 15-Feb 15-Mar 17-Apr
WD12 - - Actuals by the end of WD12 16-Aug 16-Sep 18-Oct 16-Nov 16-Dec 18-Jan 16-Feb 16-Mar 18-Apr
WD14 - - Capital Accounts data return
(MK)
19-Aug 19-Sep 20-Oct 18-Nov 19-Dec 20-Jan 20-Feb 20-Mar 20-Apr
Ref OG008-16 ETTF Finance Reporting Schedule 2016-17 10.08.16
Version 1
Tracking scheme progress
DCO/PMO maintain and
update project tracker
project status, Forecast,
Slippage etc
Plan
Advertise
Pre-
qualification
ITT/ITQ
Contract
Award
We are currently
engaged in a
discovery
exercise with
DCOs
How are DCOs
tracking progress
and how can we
help?

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NHS Shared Business Services are also out to market to establish a technology framework
agreement.
There are four lots as follows:
• Lot 1 ​Electronic Assistive Technologies (with a focus on the purchase of products)
• Lot 2 – Alarm Technologies & Services (Telecare focussed products & services)
• Lot 3 – Continuous Monitoring Services (Telehealth focussed products and services)
• Lot 4- Schedule Remote and On Demand Services (e.g. teleconsultation, telemedicine)
Contract award is planned for April 2017
In December the NHS London Procurement Partnership established a national framework of
suitably experienced, capable, qualified and resourced technology suppliers.
Framework Agreements - update

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NHS LPP – CDIS Framework
Lot 1 – Electronic patient records (EPR)
Application software, deployment including data
migration activities, change management, maintenance
and service management
Sub-lot 1.1: Acute
Sub-lot 1.2: Mental Health
Sub-lot 1.3: Community Health
Sub-lot 1..4: Child health
Lot 2 – Hosting solution
This will include service management of the hosting
solution.
Lot 3 – Enabling Systems Supporting EPR & Digital 2020
Reporting functionality, integration, interfacing, interoperability, multi-
functional services, hybrid mail, and document management
services.
Sub-lot 3.1A: Multi-functional devices, printers, maintenance and
associated consumables, fully managed document service.
(MFDS/COMMS/MPS) (buy or lease only)
Sub-lot 3.1B: Multi-function devices, printers, maintenance and
associated consumables, print audit, communication products and
services, fully managed document service.
(MFDS/COMMS/MPS) (managed print service)
Sub-lot 3.2: Hybrid mail and related communication services (HMS)
Sub-lot 3.3: External print and related services (EPS)
Sub-lot 3.4 Documen management services (DMS1 – storage, DMS2
– scanning, DMS2 – EDRMS, and DMS4 – managed service)
Sub-lot 3.5 Interoperability and interfacing
Sub-lot 3.6 Clinical and patient portals
Sub-lot 3.7: Informatics and reporting.

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NHS LPP – CDIS Framework
Lot 4 – Specialised Digital Solution and Professional
Services
Including mobile working, patient support, medicines
management solution, patient workflow solutions and
innovation.
Sub-lot 4.1: Mobile working and bring your own device
(BYOD)
Sub-lot 4.2: Tele-health
Sub-lot 4.3: Professional Services
Sub-lot 4.4: Medication management solutions
Sub-lot 4.5: Patient support solutions
Sub-lot 4.6: Patient workflow and tracking
Sub-lot 4.7: Innovation

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ANY QUESTIONS?

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Lunch:
Afternoon Session
Discussion and Q&A Session

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Thanks for listening…..
Digital Primary Care team
england.digitalprimarycare@nhs.net
Sue Cooke
GPIT Programme lead
sue.cooke9@nhs.net
Lee Harrison
Digital Project Officer
l.harrison1@nhs.net
Doug Scott
douglasscott@nhs.net
Laurie Pennington
Commercial & Procurement
Lead, ETTF
laurie.pennington@nhs.net