north derbyshire lhc

North Derbyshire LHC

David Hill

Primary Care NCRS

Project Manager

Jigsaw Puzzles In the Land of the Possible

Dos & Don'ts

Of NCRS

Implementation

David Hill NHS Primary Care

NCRS Project Manager

Stay Focussed. Why we are Doing ThisThe Right PatientThe Right InformationThe Right TreatmentThe Right PlaceThe Right time

It’s All About Better Patient Care!

David Hill NHS Primary Care

NCRS Project Manager

North Derbyshire LHC3 PCTs58 GP practices289 GPs357,000 Patients 1 Crooked Spire                                                                         

David Hill NHS Primary Care

NCRS Project Manager

2 Practices “LIVE” Dr Singh Nth Wingfield 4 GPs 6500 patients Ex Premiere Site

Dr Sengupta Bolsover 2 GPs 3500 Patients Ex System 6000

David Hill NHS Primary Care

NCRS Project Manager

DON’TPANIC!

David Hill NHS Primary Care

NCRS Project Manager

Sod’s Law, Murphy’s Law Hobson’s Choice…….

“Anyone who has never made a mistake has never tried anything new.”

Albert Einstein

David Hill NHS Primary Care

NCRS Project Manager

A Very Steep Learning Curve

David Hill NHS Primary Care

NCRS Project Manager

Team WorkProject ManagerThe PracticesData QualityMedicines ManagementETDSenior Management IMT Heads

David Hill NHS Primary Care

NCRS Project Manager

Hall of Fame David Hill: Project Manager Nikki Hinchley: Data Migration Lead Richard Vickers: Primary Care Informatics Marianne Cox: Primary Care Informatics Christine Shone: Practice Support Officer Gill Ashton: Practice Support Officer Colin Howard: North Derbyshire IT Manager (Primary Care) Geoff Andrew: North Eastern Derbyshire IT Manager (Support Services) Chris Hadnam: HIS IT Officer Russell Whelpton Senior IT Officer James Galpin: HIS IT Officer Edith Whitehead: ETD lead Jan Pollock: IT Trainer Mike Maguire: IT trainer Liz Middleton: Registration Agent Rob Pearson: Registration Agent Helen Williams: Medicines Management Denise Shaw: Medicines Management

David Hill NHS Primary Care

NCRS Project Manager

Project Leadership

Top levelMiddle Coal face (NHS & LSP)

David Hill NHS Primary Care

NCRS Project Manager

Communication

To the TeamTo the PracticesTo the PCTTo the LHCRest of the World

David Hill NHS Primary Care

NCRS Project Manager

We the Customer…………….LSP is the service provider.Don’t accept a “service” that falls below

agreed expectations.Don’t deliver a system that doesn’t

deliver.Don’t make promises you cant keep!

David Hill NHS Primary Care

NCRS Project Manager

The PracticesUnderstand practice dynamics Identify clinical champion Identify key staffWork around practice schedulesListen & understand individual concernsSupply resources, practice is lacking Its often the little things…….

David Hill NHS Primary Care

NCRS Project Manager

3 Key Jigsaw Pieces……..

MigrationMigrationMigration

David Hill NHS Primary Care

NCRS Project Manager

Lessons Learned

• Managed Carefully

• PRIMIS

•Medicines Management

• Take Your Time.

David Hill NHS Primary Care

NCRS Project Manager

Other Pieces of the Puzzle

N3 RegistrationAuthority

ITInstallation ETD

David Hill NHS Primary Care

NCRS Project Manager

Other Pieces of the Puzzle

N3 RegistrationAuthority

ITInstallation ETD

David Hill NHS Primary Care

NCRS Project Manager

Other Pieces of the Puzzle

N3 RegistrationAuthority

ITInstallation ETD

David Hill NHS Primary Care

NCRS Project Manager

Other Pieces of the Puzzle

N3 RegistrationAuthority

ITInstallation ETD

David Hill NHS Primary Care

NCRS Project Manager

Other Pieces of the Puzzle

N3 RegistrationAuthority

ITInstallation ETD

David Hill NHS Primary Care

NCRS Project Manager

Service DeskGet One!Open all HoursTrainedTrain PracticeTrain IT Staff

David Hill NHS Primary Care

NCRS Project Manager

Don’t Expect Perfection…..

“And the day came when the risk to remain tight in a bud

was more painful than the risk it took to blossom.”

David Hill NHS Primary Care

NCRS Project Manager

Benefits RealisationWritten into PID Identified by end users Identified resource (business manager)Resourced and plannedControlled & documentedBenefits achieved report

David Hill NHS Primary Care

NCRS Project Manager

Actual Benefits

• Managed Service (no discs, no patches, mutilex, back ups.)

• Data Secured Off-site.

• Main & Branch sites: real time data input (no replication)

• New hardware, complete system upgrade (inc. server).

• Automated GP QMAS points

David Hill NHS Primary Care

NCRS Project Manager

Actual Benefits

• Improved Pathology Links (no dial up)

• Data Improved in Migration (More points)

• Consistent data collection – using a common interface for problems, prescribing, reminders, sensitivities etc

• Instant access to PDS patient registration

• Integrated to Choose & Book and other National Applications

David Hill NHS Primary Care

NCRS Project Manager

Remember……..The Right InformationThe Right TreatmentThe Right PlaceThe Right PatientThe Right Time

Its All About Better Patient Care!

Last word to Albert

“Yesterday idolized, today hated and spit upon, tomorrow forgotten and the day after tomorrow promoted to Sainthood. The only salvation is a sense of humour.”

Einstein

Questions?

david.hill@nederbypct.nhs.uk