1. NPEx User Group 20 th March 2014 Owen Johnson, Director, X-Lab Steve Box, Business Development Manager, X-Lab Mandy Griffin, Chief Operating Officer, THIS

2. The Full Agenda Welcome by Mandy Griffin, Chief Operating Officer of THIS Speaker: Owen Johnson, Director, X-Lab National Pathology Update Chair: Dr. Christopher Johnson (National Pathology Programme Lead) Session 1: Keynote – The Digital First report and the importance of digitally-led pathology modernisation Speaker: Professor Jo Martin, National Clinical Director of Pathology Session 2: NLMC: Standardisation & Harmony in Pathology Speaker: Dr. Gifford Batstone, National Pathology Programme Clinical Lead Coffee Break and Networking (Live Demos) NPEx Focus Topics Session 3: The Benefits of Using NPEx and the Vision for Sending & Receiving Pathology Tests Nationally Speaker: Keith Burrill, Pathology IT Systems Manager, UH Southampton NHS FT Session 4: Benchmarking Pathology and the Demand on Service Speaker: Dr Jeff Seneviratne, Clinical Lead, Greater Manchester Pathology Network Session 5: NPEx Technical Brief Speakers: Ash Sykes, Senior Developer & Scott Jones, Developer at X-Lab Ltd Coffee Break and Networking (Live Demos) NPEx Future Focus Session 6: NPEx Future Road Map Speaker: Owen Johnson Open Forum Chair: Dr. Jeff Seneviratne Close – Lunch and HC2014

3. Agenda – Part 1 Welcome Speaker: Mandy Griffin, Chief Operating Officer of THIS An Update on NPEx Speaker: Owen Johnson, Director, X-Lab National Pathology Update Chair: Dr. Christopher Johnson, National Pathology Programme Lead Session 1: Keynote – The Digital First report and the importance of digitally-led pathology modernisation Speaker: Professor Jo Martin, National Clinical Director of Pathology Session 2: NLMC: Standardisation & Harmony in Pathology Speaker: Dr. Gifford Batstone, National Pathology Programme Clinical Lead

4. Welcome Mandy Griffin, Chief Operating Officer, THIS

5. The NPEx model 5 years as partners (Manchester 2009) 14 new sites during 2012/13 30 sites live or at deployment stage Half of all labs across England (Report in the HSJ)

6. Collaborative working…….. “Creating a better world requires teamwork, partnerships, and collaboration, as we need an entire army of companies to work together to build a better world within the next few decades. This means corporations must embrace the benefits of cooperating with one another”. Simon Mainwaring

7. The Success Stories………

8. Collaboration “As you navigate through the rest of your life, be open to collaboration. Other people and other peoples ideas are often better than your own. Find a group of people who challenge and inspire you, spend a lot of time with them, and it will change your life”. Amy Poehler

9. Working with each other to achieve shared goals……

10. Enjoy your day

11. An Update on NPEx Owen Johnson, Director, X-Lab

13. Innovation Development Deployment X-Lab Innovation Cycle X-Lab – National Innovation Awards 2010

14. Past... 2001 Dr Rick Jones NHS Pathologist Lecturer, University of Leeds

15. Laboratory modernisation in NHS England Dissatisfaction – Too long to get laboratory results to patient – Human error in paper based processes – Technology preventing more responsive services Recognition that modernisation cannot be achieved without solving the technology first.

16. Challenges in Pathology Modernisation Laboratory systems uses their own coding Laboratory staff members are comfortable with their current system Laboratory managers have procedures and processes that “work for them” Stakeholders worry about losing out when change comes

17. LAB A Coding standards User skills Processes LAB B Coding standards User skills Processes LAB C Challenge

18. LAB A Coding standards User skills Processes LAB B LAB C Option 1 LAB X ?

19. LAB A Coding standards User skills Processes LAB B Coding standards User skills Processes LAB C Option 2 LAB X ?

20. LAB A Coding standards User skills Processes LAB B Coding standards User skills Processes NPEx Option 3 National Coding standards LAB C LAB X

21. NPEx... Local -> National Codes 200

22. A national lab to lab exchange for all laboratory disciplines. From any lab, to any lab.

23. NPEx – The National Pathology Exchange for the UK NHS A single digital hub (exchange) designed to connect all 200 NHS laboratories in the UK An NHS software as a service - run for the NHS, by the NHS Software that automatically converts from local codes, local practice and vendor specific technologies to national and international standards A highly secure, very robust, high volume digital messaging system connected directly to the LIMS in each laboratory

24. National Pathology Update Chair: Dr. Christopher Johnson, National Pathology Programme Lead Session 1: Keynote – The Digital First report and the importance of digitally-led pathology modernisation Speaker: Professor Jo Martin, National Clinical Director of Pathology Session 2: NLMC: Standardisation & Harmony in Pathology Speaker: Dr. Gifford Batstone, National Pathology Programme Clinical Lead

25. Keynote: The Digital First report and the importance of digitally-led pathology modernisation Speaker: Professor Jo Martin, National Clinical Director of Pathology

26. NLMC: Standardisation & Harmony in Pathology Speaker: Dr. Gifford Batstone, National Pathology Programme Clinical Lead

28. Coffee Break Coffee Break and Networking Live Demos Ashley Sykes, Senior Developer, X-Lab Scott Jones, Developer, X-Lab

29. Agenda – Part 2 NPEx Focus Topics Chair: Dr Susan Clamp, Director, X-Lab Session 3: The Benefits of Using NPEx and the Vision for Sending & Receiving Pathology Tests Nationally Speaker: Keith Burrill, Pathology IT Systems Manager, UH Southampton NHS FT Session 4: Benchmarking Pathology and the Demand on Service Speaker: Dr Jeff Seneviratne, Clinical Lead, Greater Manchester Path. Network Session 5: NPEx Technical Brief Speakers: Ash Sykes, Senior Developer & Scott Jones, Developer at X-Lab

30. NPEx and the Vision for Sending & Receiving Pathology Tests Nationally Keith Burrill, Pathology IT Systems Manager, UH Southampton NHS FT

31. Benchmarking Pathology and the Demand on Service Dr Jeff Seneviratne, Clinical Lead, Greater Manchester Path. Network

32. NPEx Technical Brief Ashley Sykes, Senior Developer, X-Lab Scott Jones, Developer, X-Lab

33. LIS A LIS B Test route rules Code mapping NPEx LAB C 1. Test request in 2. Dispatch a) transport b) digital Local to national code National to local code 3. Book in 4. Produce results 5. Receive Results

34. Coffee Break Coffee Break and Networking Live Demos Ashley Sykes, Senior Developer, X-Lab Scott Jones, Developer, X-Lab

35. An Update on NPEx Owen Johnson, Director, X-Lab

36. Agenda – Part 3 NPEx Future Focus Chair: Steve Box, Business Development Manager, X-Lab Session 6: NPEx Future Road Map Speaker: Owen Johnson Open Forum Chair: Dr. Jeff Seneviratne

37. NPEx Future Owen Johnson, Director, X-Lab

40. 50% of English NHS Laboratories by end of 2014 eHealthInsider

41. 50% of English NHS Laboratories by end of 2014 eHealthInsider

42. Design principles Work with existing technology in the laboratory Work with existing local codes – Automatic conversion to SNOMED-CT, LOINC, NLMC etc Support any permutation of local practice – Design for maximum quality, audit and robustness Vendor neutral – Automatic conversion to HL7v3 Run as a “silent service” with minimal human effort Provide managers with easy configuration, detailed information and high levels of control

43. Regional Results

44. NPEx Roadmap Major Infrastructure Upgrade Transport Integration NLMC Integration Laboratory Results Portal Exchange – buying and selling capacity Benchmarking Pathology Community (Free Access)

45. NPEx Open Forum Jeff Seniviratne, Greater Manchester Pathology Network

46. Lunch and HC2014 The X-Lab Business Support Team Sara Manchado, Business Analyst Tom Morris, Marketing Abigail Bairstow, Business Support Sandeep Sahdra, Business Support