FREEDOM OF INFORMATION ACT

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1 FOI REF: 20/ June 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 submit a request for some of the organisation s information around the internal plans and strategy documents around ICT. The ICT documents I require is the most recent update. 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 present the structure of the IT department, please include name and job titles. If this can t be sent please work towards a structure 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. ICT Annual or Business Plan- Similar to the ICT strategy but is more annually focused. ESHT Digital business plan is currently being redeveloped due to Covid-19 with plans to republish in June. 4. ICT Capital Programme/budget- A document that shows financials budget on current and future projects.

2 Digital Community TPP Rollout c/f 250,000 Digital epma 323,021 Digital Phase 2 BigHand (Dictation Scheme) + Change and 32,010 Project costs Diagnostics Ophthalmic IT systems integrated with other Trust 100,000 & Surgery systems Out of Enhancements to Pharmacy robotic systems (GS1 97,000 Hospital compliance) Out of Falsified Medicines Directive software 61,000 Hospital 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 quoting the above reference. Yours sincerely Linda Thornhill (Mrs) Corporate Governance Manager

3 ESHT DIGITAL STRATEGY Digital Enabled Care Services Andy Bissenden- Associate Director of Digital Clare Lippiatt Senior Nurse ESHT Digital Andy Slater Chief Clinical Information Officer

4 Our vision To use digital information and technology to transform the delivery of patient centred healthcare.

5 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.

6 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

7 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

8 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.

9 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

10 Digital Strategy for all Information Governance Estates & Facilities Management Business Planning Information & Business Intelligence Digital technology to support all Performance Operations Contracting Clinical Care

11 ESHT Digital will support: East Surrey &Sussex Sustainability & Transformation Plan (STP), Local Digital Roadmap (LDR) Each Strategy has to build on and support the others East Sussex Better Together Alliance East Sussex Healthcare NHS Trust Digital Strategy

12 Customer Experience Digital Maturity Assessment Investing and effectively using IT can achieve better patient outcomes, reduce bureaucracy, improve patient safety and deliver efficiencies. NHS England (2015) Digital Connector Digital Master Digital Dinosaur Digital Operator Operational Excellence

13 Digital Maturity 11

14 Key Achievements Referrals (ers) SystmOne Community PAS Evolve Electronic Document Management VitalPAC Electronic Bedside Observations NHS Mail / Skype for Business Wifi infrastructure LAN upgrade Data Centre

15 Digital Principals Digital by Default Patient Centred Paperless Open Standards Mobile Secure Single Point of entry Real time Financially sustainable 24/7 Simple and intuitive Increase the Digital maturity

16 Enabling Infrastructure 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

17 Enabling good communication VOIP Intranet access Social Media You Tube Improved staff/ patient Experience Good Staff / Patient Communication Effective Staff / Patient Engagement Client video Conferencing/ Skype Apps NHS Mail Mobile devices Financial benefits Improved productivity elearning & Training BYOD IM Ref: NHS Employers (2014) Improving staff engagement

18 Clinical Systems Patient Portal Social Services Liquid Logic General Practice - EMIS Mental Health - CareFlow Ambulant Care 111 Service Palative Care IDCR Order Comms Discharge Summery Referals - ers Pathways Analytics Integration Engine - Orion Rhapsody BI / Warehouse anonymised and Non PMI Observations SCR PAS Allscripts/ Systone Pharmacy - epma Diagnostics Evolve/EDM Vendor Neutral Archive Corporate Systems Finance / HR End user Device / BYOD Cloud Services / Server Infrastructure Communications VOIP /Skype and VC Security LAN/Wifi Coin / PSN HSCN Wide Area Networks

19 Patient Centred Digital Care Self care Apps Virtual clinics

20 Information Management SNOMED CT coding Real time Data Quality Portal information API driven Day 1 Reporting Open Standards XDS, FHIR, HL7

21 Current initiatives Referrals (ers),orders and Discharge Patient Flow / Live Bed State Patient Portal Digital Dictation Virtual Clinics GS1- Trak4Safety Electronic Pharmacy Medicine Administration Telephony / VIOP

22 Next Steps 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 20

23 Infrastructure Maturity Clinical System Maturity Patient Centred Five Year Digital Plan Community of interested Networks (HSCN) Community LAN Upgrade ers referrals EDM Scanning paper record PAS Upgrade & ECDS AE Bedside Observations Self Service Checking SMS Reminder Q3 18/19 19/20 20/21 21/22 22/23 Replacement Phone System VOIP EDGH LAN Upgrade Server Consolidation and Virtualization EDM eforms Patient Flow Warehouse Patient Portal Letters All Patient Letters Mailing House Enterprise Printing Maternity Replacement Patient Wrist Bands Windows 10 Migration Storage Replacement Community PAS Integration Migration Conquest LAN Upgrade Transfer of Care Patient Observations Replacement epma Patient Portal Results Virtual Consultations Skype Video Enabled Single Sign on Client Device Refresh PAS PDS Care Connect Online Pre Assessment Intranet Go Live BYOD / VDI PACS/RIS/VNA BI Portal Wearable Devices & Apps Online Booking Bleeps / Pagers Replacement GS1 Track4Saftey Fax Free Estate Community Sites VOIP Migration Bexhill Hospital VIOP Migration Productivity Suite Cloud Migration Supported Self Management Booking Contact Centre Migrated Digital Pathways Online Communities EDGH VOIP Complete PHR East Sussex Wide SIP communication Conquest VOIP Advance Threat Protection Share experiences with wider NHS Interactive Voice Data Centre Firewall Client Device Patching Measure success, learn from failure, innovate Network Access control Certify Cyber Security Essentials Plus / ISO /7 Monitoring Digital Maturity Introduce STP security compliance standards Staff Education & Regular communicati ons campaigns Isolate legacy systems Communication Maturity Security Maturity

24 Risks & Issues Sources of Funding Limited Trust Capital Need to move to a Revenue model support BAU Resources STP Delivery and demands ESBT requirements 22

25 Governance ESHT Digital Governance structure will ensure ESHT Digital services are appropriately positioned across the Trust and wider health and care economy 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

26

27 References 1. East Sussex Better Together Programme Board Paper (13 th 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. 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 Forrester Research Inc. (2014) The State of Digital Business 7. ES&S Local Digital Road map 2017

28 ESHT Digital Structure COIN Administrator Associate Director of ESHT Digital Andy Bissenden Digital Co-Ordinator & Project Support Development Lead Paul Chantler Test Lead Patient Systems Lead Clinical Systems Manager Nick Turner Head of Digital Services Kevin Richardson Digital Service Support Manager & RA Manager Information Security & Engagement Lead ITIL Change Manager Data Quality Lead Senior IT Change & Training Lead Business Change & IT Training Manager Chris Bullimore Operations Manager Chay Poole Senior Network Consultant John Avann Client Devices Team Lead Senior Project Manager Nick Hamilton Digital Programme Manager Jo Ranger CCIO & Deputy CCIO Server BAU Operation Clinical Nurse Information Officer Clare Lippatt Clinical Devices & Applications Team Manager Switchboard Manager Data Centre & Hosting Services

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