2012/13. IM&T Plan for 2011/12 IM&T PLAN. St Helens & Knowsley Health Informatics Service Annual Plan 2012/13

Transcription

1 IM&T Plan for 2011/ /13 IM&T PLAN St Helens & Knowsley Health Informatics Service Annual Plan 2012/13

2 Version Version Date Revision / Description Author /01/12 First draft Katherine Dumenil /02/12 Second Draft Phil corrin /03/12 Third Draft Phil corrin /03/12 Fourth Draft Phil Corrin /04/12 Fifth Draft Phil Corrin /04/12 Final Phil Corrin Approval Approvers [Title and/or Affiliation] Approval Date Neil Darvill Director of Informatics 04/05/12 1

3 1. Introduction To support the NHS Operating Framework for 2012/13 and the IM&T Plans from our Local Health Communities (LHCs) we have produced a plan for Information Management and Technology (IM&T) to ensure that IM&T investment and exploitation now forms part of mainstream NHS planning in support of health service priorities and reform. The HIS Strategy is driven by the local and national objectives and this plan outlines the work programme to support the Halton, St Helens and Knowsley health community in 2012/13 and looks forward to the longer term plans of 2013/14. Total investment for the financial year 2012/13, includes GP SLA funding. 2. Stakeholders to this Plan This plan is prepared by St Helens and Knowsley Health Informatics Service (HIS) on behalf of the following organisations: NHS Merseyside, Halton, St Helens & Knowsley CCGs Halton & St Helens GPs Halton and St Helens Division - Bridgewater Community Healthcare NHS Trust Knowsley GPs Knowsley Integrated Provider Services (5BP) St Helens & Knowsley Teaching Hospitals NHS Trust 5 Boroughs Partnership NHS Foundation Trust 3. Local Governance Arrangements The LIS Board represents all the organisations named above and ratifies through this plan the strategic direction of IM&T across the LHC. Its membership comprises of senior members of each organisation, including nonexecutives and clinical representation. The Board meets monthly and is a sub-group of each of the organisations Trust Boards /13 Plan The HIS have developed this plan and its strategy to support its stakeholders achieve their key objectives and drivers. The changes needed to support the NHS reform and national health and social care bill outlined in the information revolution white paper will be significant and the informatics developments must be aligned to 2

4 support patient centric systems and patient access to health care information. The details of the plan may change if any nationally or locally mandated developments are enforced during the course of the year. The LIS board governance will provide programme change management and monitor the plans progress as appropriate to accommodate any structural changes to organisations. The plan is also vital in supporting organisations in delivering quality and efficiency commitments through a greater focus on quality, innovation, productivity and prevention (QIPP) and will be enabled by robust technology and service transformation. The HIS with its wide reaching connectivity and Information Communications Technology platform will facilitate and enable the LHC to consolidate and share services, to invest to save, to increase quality whilst improving productivity. Challenges which mean harnessing and spreading innovation and new ideas. This plan will be the next step in achieving the objectives of the HIS strategy. It supports the main themes which are;- Clinical content and clinical wrap strategy Information Capture (the effective capture and retention of information) Information Delivery (the effective distribution of information to the point where it is required) Communication (the ability of the information to effectively communicate the key messages) 3

5 5. Achievements from 2011/12 The Community System continues to rollout across provider services in Halton, St Helens and Knowsley. It has gone live in Knowsley with District Nurses, Community Matrons, Tissue Viability, IV Therapy, Macmillan Nurses, District Nursing Liaison, Admiral Nursing Continuing Health Care, Phlebotomy, Adult Continence, Paediatric Continence, Continence and Treatment Rooms. In Halton and St Helens, it has gone live in Treatment Rooms, Psychological Therapies, Open Minds, Mental Health & Wellbeing and Podiatry. Single Sign On has gone live in A&E and GPAU within the hospital and it is rolling out to all GP surgeries. This streamlines access to all systems, reduces times taken to access a system and increases security for system access. Ward Order Communications has been implemented across all wards (except maternity) and some outpatients clinics within the Trust. It is successfully being used to order, view and acknowledge radiology and pathology tests. The rollout of Electronic Discharge began with 7 clinical areas running to conclusion in June E Discharge allows for instant delivery of the discharge summary, in a legible format which includes all required information to continue the patients care in the community. HIS engaged with Acute Trust Maternity Services to develop a business case, specification, procure and contract a maternity System. A critical Care information system was implemented for all ICU patient telemetry and nursing notes. Destruction of Health Records commenced. Prior to confidential destruction scanned health records are retained in the Health Records Department for the agreed retention period (3 months). This is a direct benefit of the EDM system and allows the Trust to see financial benefits from a reduction in estate requirements. Launch of the Knowledge service within the PCTs, Community, Acute Trust and GP Practices. Developments to the system allow each organisation to have their localised Knowledge profile, ensuring that staff are updated with the information specific to their role. IT supported a successful move into Nightingale House with no disruption to services. The HIS was provisionally accredited under the DoH HIBC health informatics benchmarking club pilot assessment programme. 4

6 6. Service Development The HIS will undertake benchmarking exercises to measure the quality, cost and benefits of our services. As a minimum we will undertake the following benchmarking exercises- CIPFA / Audit Commission, SHA Informatics Benchmarking. DOH / HIBC service accreditation Internal Staffing Structures will be reviewed to ensure services are provided efficiently, effectively and are based on stakeholder and business requirements. In 2012/13 the Systems Intelligence staffing structure will be reorganised to ensure the successful roll-out of systems and their operational use. This Process will be led by the senior Health informatics team and delivered by the Assistant Director of Systems Intelligence. The re structure will ensure the Service is able to deliver the Data Quality Improvement programme with the overarching aim to provide a greater awareness of the data quality issues that exist throughout the organisations and to develop a culture of not accepting poor data quality, a get it right first time approach. This aim will be achieved by providing the appropriate tools and skills, driving business change to devolve ownership of data quality issues to the stakeholders. It is paramount the Health Informatics Service continues to expand its customer base and increase the quality, range of services enabling reductions in core contributions from existing customer base. To this end, the St Helens & Knowsley Health Informatics service has agreed to provide additional selected services to Ashton Leigh and Wigan Division of Bridgewater Community Services and support further integration infrastructure for all divisions. Formal Tendering opportunities will be sought and private partnerships developed. Furthermore, formal ranges of services including IM&T reviews will be provided to NHS and other public sector bodies in support of business development opportunities. The service will invest in 12/13 in business development support to facilitate its objective of service expansion, and income generation. 5

7 7. Informatics Programme for 2012/13 Set out below are the projects that will make up the Informatics Programme for 2012/13. Given the dynamic nature of the service and the need to adapt and react as circumstances change and opportunities arise, this programme is live and will develop as the year progresses. Informatics Project / Work stream Electronic Discharge Summaries and Clinical Correspondence to Primary Care Secondary Care Electronic Discharge information to Community Pilot Clinical Portal Integration, including Patient Access (development phase only) Summary Care record / Integrated Electronic Primary Care Record Single Sign on Enotes project, e forms and clinical decision support software GP View of Acute Health Record (EDMS) Secondary Care & Tertiary Care EDMS access Electronic prescribing Service release 2 Electronic prescribing Business case development for Acute Enhanced Acute ADT, including bed management and barcoding technology, and A&E system Order Communications and Results Reporting for Secondary care Support the replacement of RIS / PACs system ALW Bridgewater Community Division ICT integration Bridgewater Community Dental System Informatics Support for Community Nursing Redesign Community System Implementation Community System Briefcase Specification Maternity Information system for Acute and community GP systems and telephony business continuity GP Archiving LIFT and other estates developments Automated GP appointment management Electronic Medical Education e learning system Mobile Device Interoperability and Wi-Fi network extension COIN Virtualisation / private cloud services with Data Storage Review Virtual Desktop Infrastructure (thin client mobile computing/) Theatre system evaluation Windows 7 Upgrade Microsoft Office 2010 Upgrade Communications Technology, Collaboration using video, voice and documents Supported Printer rationalisation Support Outcomes of 5BP Informatics Review Support for Commissioning Services transition and decommissioning. Partner GPs, STHK, 5BP, Bridgewater 5BP, Bridgewater ALL ALL ALL STHK, Community GPs ALL GPs STHK STHK STHK STHK, GPs Bridgewater Bridgewater Bridgewater, GPs 5BP, Bridgewater 5BP, Bridgewater STHK, GPs GPs GPs GPs GPs GPs, Consultants ALL ALL 5BP STHK ALL ALL ALL 5BP, STHK 5BP NHS Merseyside 6

8 Systems Interoperability and Integration 1. Electronic Discharge Summaries and clinical Correspondence to primary care. Description: Rollout of the E Discharge system will continue until June Additional Clinical correspondence is under review within CQINN processes with community and secondary care provider with the specification of requirements driving further Interoperability. QIPP initiative - Sharing Clinical data, Reducing Demand, Electronic clinical correspondence to GPs Scope: Wards at StHK Trust, Bridgewater, 5BP and GP surgeries across Halton, St Helens and Knowsley Resources: HIS Staffing, 5BP, Bridgewater Funding. Responsibility: Director of Informatics Outcome: Electronic delivery of secondary care patient discharge information direct to primary care systems, within 24 hours of patient discharge, Electronic Clinical Correspondence and Community information direct to GP systems from PARIS Timescales: Start Q2 2010, End Q Secondary Care Electronic Discharge information to Community. Description: Following E Discharge system deployment in the acute in June District Nursing and community discharge teams will access the system for relevant patient discharge. Further Direct Community Correspondence to GP systems will be developed as per specification QIPP initiative - Sharing Clinical data, Reducing Demand, Electronic clinical correspondence to GPs Scope: Wards at StHK Trust, 5BP Knowsley Community service Resources: HIS Staffing, KIPS / Bridgewater Funding Responsibility: Assistant Director of Systems Intelligence Outcome: Community based access to Electronic secondary care patient discharge information, Community correspondence to Primary care. Timescales: Start Q2 2012, End Q Pilot Clinical Portal Integration, including Patient Access (Development Phase only) Description: To support the IM&T strategy, the specification and procurement of the health economy clinical wrap or portal will be developed during 12/13.The specification of key integration and portal functionality will be key to a successful procurement. The Portal will provide a single system to view primary, secondary, and community health information relating to a patient with access to a secure internet based repository of EDMS, community information and Primary care data QIPP initiative - Sharing Clinical data, Reducing Demand, Patient Access to records Scope: All Stakeholders Resources: HIS staffing, Software Suppliers, LIS Funding Responsibility: Director of Informatics Outcome: Development of a clinical information portal to integrate current health economy information silos. As per IM&T strategy. Timescales: Start Q2 2011, End Q

9 4. Summary Care Record / Integrated Electronic Primary Care Record Description: This project will facilitate the deployment of the CfH summary care record and the secure and accurate extraction of patient centric data from GP practice clinical systems which will then be made available via a data repository in a summarised form to other approved Health Care Professionals e.g. A&E Dept. within the local Health Community to support direct patient care. The project will be strictly governed and prior to any data extraction an information sharing agreement must be in place between the parties involved. This will lay the foundations for the safe and secure sharing of information across organisational boundaries and describes the responsibility of participating organisations in relation to this. Access to this data by any potential recipients will be rigorously controlled to ensure that only authorised users with the relevant permissions can access and view the extracted data. To date the technical solution is in place and information sharing agreements have been agreed. Delays have occurred in the rollout due to LMC concern over patient consent prior to deployment. QIPP initiative Sharing Clinical data, Improving efficiency, reducing demand Scope: StHK Trust, Community providers, GPs in Halton, St Helens and Knowsley Resources: HIS staffing Responsibility: Head of Primary Care Informatics Outcome: Access to general practice patient records within A&E and walk-in centres, with the potential for further availability to out of hours services. Timescales: Commitment is given to retain information sharing agreements from all remaining practices by end April 2012 and to have implemented the solution in one of 3 areas (A&E, walk-in centres, out of hours services) by 2 nd quarter Single Sign on Description: The HIS has procured an enterprise single sign on solution for clinical and non-clinical applications. The rollout will continue in 2012/13 for 5000 users. The key benefit is the release of valuable clinical time, whilst improving security and utilising smartcard technology. Single Sign on is a core component of the Clinical portal approach to clinical systems access as defined the approved IM&T strategy. QIPP initiative Improving efficiency Scope: All Stakeholders Resources: Informatics Project Manager, ICT Teams, Training. Responsibility: Director of Informatics Outcome: Access to all required systems via one access point, eliminating the need for multiple passwords. Timescales: Q / End Q Enotes project, e forms and clinical decision support software Description: Digitally interactive clinical notation capture and electronic forms with decision support for paperless practice. QIPP initiative improving efficiency, electronic document management Scope: community care and Secondary care. Resources: HIS project manager, Responsibility: Director of Informatics Outcome: Digitally interactive clinical notation capture and electronic forms with decision support for paperless practice. 8

10 7. GP View of Acute Health Record (EDMS) Description: Additional functionality in Secondary care Electronic document management system that allows restricted GP access to secondary care records for patients under their care. Provision of continuity of care. QIPP initiative reducing demand, improving efficiency Scope: GPs in Halton, St Helens and Knowsley Resources: HIS project manager, EDMS Supplier Responsibility: Director of Informatics Outcome: Primary care access to patients secondary care record Timescales: 2012/13 8. Secondary & Tertiary Care EDMS access Description: Access to St Helens & Knowsley Hospitals Electronic Health record for outreach services in Clatter bridge, Warrington and Liverpool Heart and Chest. QIPP initiative reducing demand, improving efficiency Scope: Secondary and tertiary referrals to and from St Helens & Knowsley Hospitals. Resources: HIS project manager Responsibility: Director of Informatics Outcome: Multiple secondary and tertiary care provider access to St Helens & Knowsley Electronic health record Timescales: 2012/13 9. Rollout of Electronic Prescribing release 2, Description: An upgrade of GP systems and rollout of Electronic Prescribing release 2 (EPS2) in line with national guidance and system supplier compliance QIPP initiative - Sharing Clinical data, Reducing Demand Scope: Halton, St Helens & Knowsley GPs Resources: HIS staffing Systems Intelligence Outcome: GP to Pharmacy full paperless electronic prescription transfer. Timescales: Start Q1 2012, End Q Electronic Prescribing System Description: The HIS will support the development of a business case for an E Prescribing System in 2012/13. The HIS will support this project and implementation if approved and funded by the St Helens & Knowsley teaching Hospitals. QIPP initiative Sharing Clinical Data Scope: StHK Trust Resources: HIS Staffing, StHK Trust Funding Responsibility: Assistant Director of Systems Intelligence Outcome: Approval of business case. Timescales: Pending Business case and StHK funding in 12/13 9

11 11. Enhanced Acute ADT, including bed management and barcoding technology, and A&E system Description: An upgrade and rollout of the Enhanced Web PAS for Hearts users and further functionality for real-time ADT (upgrade to version 2) and A&E systems will be specified and implemented to enhance the systems usability and integrate further with business processes including expected length of Stay parameters and proactive bed availability support.. Barcoding functionality for efficient transactions will be included. QIPP initiative - Sharing Clinical data, Reducing Demand Scope: StHK Trust Resources: Trust Funded, HIS staffing Systems Intelligence Outcome: Enhancements to Core PAS, ADT and A&E Timescales: Start Q2 2011, End Q Order Communications and Results Reporting for Secondary Care Description: The deployment of this system will be completed in 2012/13 with further business change support and rationalisation. QIPP initiative diagnostics efficiencies Acute Clinical 5 Scope: Wards and pathology / Radiology in the StHK Trust Resources: HIS staffing Outcome: Electronic ordering and results viewing for pathology and some radiology services. Removal of current governed paper processes Timescales: Start Q2 2010, End Q Replacement of PACS / RIS systems Description: The HIS will technically support the North Mersey Consortium procurement and implementation of the a new PACs and RIS system, along with the necessary hardware and software upgrade. QIPP initiative - Sharing Clinical data, Reducing Demand Scope: StHK Trust Resources: Trust Funding Responsibility: PACs Manager Outcome: Implementation of a new PACs and RIS system. Timescales: 2012/ ALW Bridgewater Community Division ICT integration Description: The HIS will technically support the ICT Integration and consolidation of Bridgewater ALW and Halton & st Helens Divisions with the necessary hardware and software upgrade. QIPP initiative - Sharing Clinical data, Reducing Demand Scope: Bridgewater Resources: Bridgewater Funding Responsibility: Deputy Direct of Informatics, Associate director of IM&T Bridgewater Outcome: Integration and Consolidation. Timescales: 2012/13 10

12 15. Bridgewater Community Dental System Description: The HIS will technically support the procurement and implementation of a new community dental system for bridgewater community, along with the necessary hardware and software upgrade. QIPP initiative - Sharing Clinical data, Reducing Demand Scope: Bridgewater Resources: Bridgewater Funding ICT Outcome: Implementation of a new system. Timescales: 2012/ Informatics Support for Community Nursing Redesign Description: The HIS will technically support the implementation of the Community Nursing redesign. QIPP initiative - Sharing Clinical data, Reducing Demand Scope: StHK Trust Resources: Bridgewater Halton & St Helens Division Funding Responsibility: Head of Community Systems Outcome: Technology configuration to support service transformation. Timescales: 2012/ Community System Implementation Description: During 12/13 Paris will continue to be deployed throughout Community Provider Services. In 12/13 the reporting capacity will be developed. QIPP initiative Agile Mobile working. Scope: Bridgewater / KIPS Resources: HIS Staffing Responsibility: Community & Child Health Project Board Outcome: Direct Data entry of Child health and community patient information. Creation of a holistic community information system. Timescales: 2012/ Community System Brief Case Development Description: During 12/13 a Brief Case capability for Paris will be developed, allowing the system to be used off line without network access. QIPP initiative Agile Mobile working. Scope: Bridgewater / KIPS Resources: 5BP/KIPS and Bridgewater funding Responsibility: Community & Child Health Project Board Outcome: Direct Data entry of Child health and community patient information. Timescales: Q1 Q4 11

13 19. Maternity Information System for Acute Description: In 2011/12, a system specification was development and a system was procured. In 2012/13 the HIS will support this project and implement it within Maternity QIPP initiative Sharing Clinical Data Scope: Trust Funded Resources: Informatics Project Manager Responsibility: Clinical Director Maternity services, Director of Informatics Outcome: Implementation of maternity information system to support maternity data collection. Timescales: Q1-Q3 PRIMARY CARE DEVELOPMENTS 20. GP Systems and telephony Business continuity Description: SRST will be implemented in 2012/13 is a contingency system for GP phone systems to ensure continuity in an event of a phone outage. HIS has worked closely with EMIS to develop and implement the local infrastructure which will enable the secure hosting of GP clinical system. This will provide a business continuity and disaster recovery capability and benefit practices with increased resilience, central, secure data processing and remote backup, with increased system uptime for all hosted practices. QIPP initiative reducing demand, improving efficiency Scope: GPs in Halton, St Helens and Knowsley Resources: LIS Funding, HIS Staffing Outcome: Contingency system for GP phone systems to ensure no break in service. Timescales: Q2 - Q3 2012/ GP Archiving Description: Digital archiving solution for electronic storage and retrieval of non-current GP health records. QIPP initiative - improving efficiency, Electronic Document Management Scope: GPs in Halton, St Helens and Knowsley Resources: HIS project manager, EDMS Supplier Responsibility: Director of Informatics Outcome: Digital archive for Lloyd George patient records Timescales: 2012/ LIFT and other estates developments Description: HIS will continue to provide advice, support, implementation and training to ensure that the appropriate technology is in place for both the LIFT programme and other schemes across the local health economy, including the decommissioning of buildings. The programme includes Castlefields LIFT, Bridge Street relocation and Kirby LIFT Development. Scope: NHS Merseyside Resources: HIS staffing Responsibility: Head of Primary Care Informatics 12

14 Outcome: Coordination of ICT requirements of new, refurbished and decommissioned building within agreed timeframes. Timescales: Castlefields Q1, Bridge Street Q1, Kirby Q4 23. Automated GP appointment management Description: Final Implementations of automated patient appointments will be completed in 2012/13.. Text messaging systems for Primary care are also included for all Knowsley practices. QIPP initiative reducing demand, improving efficiency Scope: GPs in Halton & St Helens Resources: HIS staffing, CCG funding for text messaging, Responsibility: Head of Primary Care Informatics Outcome: Automated appointment system for patients on a round clock basis to improve access to general practice and improve efficiencies within the practice setting. Timescales: Q1-Q4 2012/13 KNOWSLEDGE SERVICE DEVELOPMENTS 24. Electronic Medical Education e learning system Description: supporting Dementia and Emergency Services education programmes QIPP initiative Scope: All Stakeholders Resources: System Hosting of Moodle E learning server ICT Outcome: Online Education tool, accessed by clinical staff via post graduate education programme.. Timescales: Q IT DEVELOPMENTS 25. Mobile Device Interoperability and WiFI network extension Description: As the availability of Tablet and smartphone devices proliferates the technology market, it is essential that the current ICT infrastructure be enhanced to support access to all corporate and clinical services via non-windows devices such as smart phones and tablet devices running android, apple IOS, and HP Web OS QIPP initiative Agile, mobile working Scope: All Stakeholders Resources: LIS funding for mobile device management software. Outcome: secure corporate and clinical systems via tablet and non-windows OS devices. Timescales: Q

15 26. COIN Virtualisation & Private Cloud Services with Data Storage Review Description: Virtualisation of Back office servers to provide enhanced disaster recovery, high availability and power efficiency. The storage policy will be reviewed to assess the suitability in light of existing requirements. If necessary Data storage will be increased. Scope: All Stakeholders Resources: HIS Funding, HIS Staffing Responsibility: Assistant Director of ICT Outcome: Increased Availability, Disaster recovery enhancements Timescales: Q Virtual Desktop Infrastructure upgrade Description: To Implement thin client computing for 5BP Scope: KIPs, 5BP Resources: HIS staffing, 5BP Funding Outcome: Agile Computing Timescales: Q2 28. Theatre System Evaluation Description: Review and report of system compatibility and functionality. Process changes and usage: Scope: STHK Trust Resources: STHK Trust Clinical Staff Responsibility: Director of Informatics Outcome: report of system functionality and usage. Timescales: TBC by organisation 29. Windows 7 Operating System Upgrade Description: This project will enhance the optimum performance of the PC estate by providing a business quality operating system beyond the capabilities of XP but with a smaller footprint on the PC. In readiness for the deployment of the next windows desktop operating system, replace PC s that do not meet the hardware specification for this. Scope: All Stakeholders Resources: HIS Funding, HIS Staffing Outcome: Windows XP service pack 3 will turn end of life into 2013, it is essential we upgrade to Windows 7 to avoid unsupported software. Timescales: Start Q2 2010, End Q Microsoft Office Upgrade Description: A health economy wide upgrade to the Microsoft office application suite will happen in 11/12 with rollout of windows 7 and internet explorer 7. This implementation will be managed to ensure minimal impact to the ongoing integration of NHS Knowsley services with KMBC within the integrated network solution. 14

16 Scope: All Stakeholders Resources: HIS Funding, HIS Staffing Outcome: Essential to enable health economy to maintain national standards Timescales: Start Q2 2010, End Q Communications Technology, Collaboration using video, voice and documents Description: Introduce Microsoft SharePoint and Office Communications Server products to improve productivity through an improved collaborative working environment encompassing easier information sharing and unified messaging. Further enabling Knowsley Health & Wellbeing network integration and functionality. This will then form a platform on which future web application development (e.g. Internet, Intranet sites) can be developed in house. QIPP initiative virtual clinical workgroups, improving efficiency Scope: All Stakeholders Resources: ICT Teams Outcome: Health Informatics managed SharePoint environment, video conferencing integration. Timescales: Start Q3, End Q4 32. Supporting Printer rationalisation Description: To Support rationalisation and consolidation of printing services within each organisation to reduce annual printing costs Scope: KIPs, 5BP, STHK Acute Resources: HIS staffing Outcome: reduction in annual printing costs for organisations Timescales: TBC by organisation 33. Support Outcomes of 5BP Informatics Review Description: In 2013/13 the HIS will support the outcomes of the 5BP Informatics review. Including infrastructure enhancements for reporting, SMS reminders service, clinical system replacement and wifi. QIPP initiative virtual clinical workgroups, improving efficiency Scope: 5BP Resources: HIS staffing Outcome: Fulfilment of 5BP requirements pending mutual agreement. Timescales: Start Q1, End Q4 34. Support for Commissioning Services Transition and decommissioning. Description: In 2013/13 the HIS will engage in the process of Commissioning support staff transition. Scope: Commissioning Support Resources: HIS staffing Timescales: Start Q1, End Q4 15

17 8. Funding and Resources Below is a summary of the Financial Plan for the coming year which will form the template of the report to the monthly LIS Boards. As with the projects and schemes identified in the Informatics Programme, this will become a working document and is likely to change through the year. NB. GPSLA income and expenditure has been incorporated in 12/13 budget. 12/13 Budget yet to be agreed. Informatics Programme Costs 2011/ /13 INCOME and Expenditure to be agreed for March

18 IM&T Plan for 2011/12 9. Appendix 1 Glossary of terms CAB CFH CRG CSA DBS DSCN EPS ESR GP2GP GPSoC IG IPB ITIL IM&T LHC LIS LSP NASP NHAIS NPfIT NSTS ORAM PACS PDS NPfIT RTT SCR SNOMED SRO SUS TTO Choose and Book Connecting for Health Care Record Guarantee Clinical Spine Application Directly Bookable Service Data Set Change Notice Electronic Prescription Service Electronic Staff Record GP to GP Patient Record Transfer GP Systems of Choice Information Governance Implementation Programme Board Infrastructure Technology Inventory Library Information Management and Technology Local Health Community Local Implementation Strategy Local Service Provider National Application Service Provider National Health Application and Infrastructure Services National Programme for IT NHS Strategic Tracing Service Organisational Readiness Assurance Model Picture Archiving and Communications System Personal Demographics Service Programme for IT (denoting the national and 3 regional programmes) Referral to Treatment Summary Care Record Systematised Nomenclature of Medicine Senior Responsible Owner Secondary Uses Service To Take Out