1. Assessing Capabilities for Informatics Enabled Change: The LISA Toolset Informatics Capability Development LISA – Local Health Community Informatics Strategic Assessment Tool

2. 2 Policy Context World Class Commissioning NHS Operating Framework Informatics Planning Guidance Next Stage Review: High Quality Care for All LISA – Local Health Community Informatics Strategic Assessment Tool

3. 3 World Class Commissioning LISA – Local Health Community Informatics Strategic Assessment Tool “World class commissioners also display visionary leadership” Commissioning is essentially transformational, and not just transactional. It incorporates “contracting” and “procurement” but only as mechanisms for achieving the higher commissioning objectives… World class commissioners draw legitimacy from being engaged with communities, with service providers and with partner agencies drawing complementary views into a credible and coherent plan to which all sign up – putting the “mission” into commissioning “World class commissioners also display visionary leadership” Commissioning is essentially transformational, and not just transactional. It incorporates “contracting” and “procurement” but only as mechanisms for achieving the higher commissioning objectives… World class commissioners draw legitimacy from being engaged with communities, with service providers and with partner agencies drawing complementary views into a credible and coherent plan to which all sign up – putting the “mission” into commissioning

4. 4 NHS Operating Framework 2010/11 Informatics Planning Guidance Clinical and executive leaders’ responsibility to ensure that informatics is positioned to enable effective policy, planning, change and delivery of healthcare, and informatics professionals’ responsibility to ensure they support the NHS core agenda. PCTs, supported by SHAs, will continue to lead the local health informatics agenda. Those leading informatics planning should ensure that: planning is business-led, not systems-led; regional and local health community governance for informatics is robustly integrated with mainstream governance; and capability and capacity development of the workforce is effectively promoted. LISA – Local Health Community Informatics Strategic Assessment Tool

5. 5 Informatics Planning Guidance: Commissioning PCT Commissioners will provide leadership through LHC-wide governance arrangements for the co-ordination of informatics planning that includes the participation of provider organisations. The PCT CEO will continue to provide overall leadership to ensure that informatics planning is aligned as an enabler of service transformation. LISA – Local Health Community Informatics Strategic Assessment Tool

6. 6 Informatics Planning Guidance: Integrated Planning PCTs will want to ensure that LHC informatics planning: –Fits with local strategic commissioning agendas –Adopts an approach that is inclusive of all key organisations –Sets out how national expectations will be achieved –Establishes a commitment to the funding and resources required –Ensure that plans identify, appropriately measure and report the costs and benefits. There should be clear plans for ongoing development of the informatics capability of the general and management workforce and strengthening of the capacity of the specialist informatics workforce. LISA – Local Health Community Informatics Strategic Assessment Tool

7. 7 Informatics Planning Guidance: Strategic Health Authorities SHAs have an assurance role in respect of LHC informatics planning. SHA’s will assure themselves that LHC informatics planning demonstrates the capability and resources to deliver informatics developments and solutions required to underpin service plans LISA – Local Health Community Informatics Strategic Assessment Tool

8. 8 NHS organisations and LHC’s collectively should: –Assess their capability to deliver local health informatics programmes, using the Local Informatics Strategic Assessment (LISA) or an alternative appropriate evidence-based tool, and put in place timely arrangements to address risks. –Ensure that governance of their change programmes are integrated, with functioning boards and senior responsible owners (SROs), supported by sound transformation skills and programme and project management disciplines. –Identify internal and external learning and sharing opportunities within an over-arching knowledge management approach, focussing on where informatics can make a contribution to local QIPP initiatives. LISA – Local Health Community Informatics Strategic Assessment Tool Informatics Planning Guidance: Leadership and Capability Development

9. 9 NHS organisations and LHC’s collectively should: –Have in place workforce and people development plans that cover both specialist informatics staff and informatics development of clinical and managerial leaders and frontline staff. These plans should be integrated into the local health communities’ development and talent management plans. –Review pre-and post-registration educational programmes for clinicians for appropriate informatics content. NHS organisations will be able to access specialist support from the DH Informatics Directorate in the form of guidance, tools and training. LISA – Local Health Community Informatics Strategic Assessment Tool Informatics Planning Guidance: Leadership and Capability Development continued

10. 10 LHC Informatics Strategic Assessment Tool LISA Addresses capabilities for PCT’s to lead LHC wide informatics enabled service transformation. Helps decision making to identify improvement actions. A service improvement tool, not a compliance tool Evidence-based from leading Maturity Models and taken through ISIP. Is adapted for LHC-wide Informatics Enabled Change. Part of an “Informatics Capability Development” suite of tools. LISA – Local Health Community Informatics Strategic Assessment Tool

11. HIS Benchmarking Information Pack (BIP) Provides Health Informatics Service providers and Commissioners with a range of standards and metrics to assess service delivery, management and planning around strategic and operational activities. The BIP identifies leadership, governance, strategic development planning and long term resource frameworks as critical success factors. The sharing of best practice, collaboration and comparison is provided through the Benchmarking Club. This scheme is designed to ensure the delivery of effective high quality and value for money services which support service transformation and better patient care. Informatics Planning Guidance NHS Operating Framework LHC Strategic Plan and Vision Local issues, drivers, goals and enablers ORAG – Organisational Readiness Assurance Guide Assists managers to assess organisational readiness to implement IT enabled change programmes. Focuses on governance, planning and delivery of programmes and projects. Reviews milestones in project lifecycle. Supports stop-start decisions along project lifecycle. LISA – Local Health Community Informatics Strategic Assessment Provides SRO and LHC Leaders with a structured approach to assess their capability and partnership maturity to deliver informatics enabled change across the LHC. Adopts a LHC perspective to assess ability to align informatics strategy with transformation goals. Focuses on capabilities around: leadership and change governance change and benefits management Engagement and communication Portfolio, programme & project management Information management Education, training and development Leads to prioritised development plan for capability building which can be tracked. Informatics Planning Checklist Used by Programme Managers and Boards to self assess informatics plans. Can apply to both organisational and LHC level. Suggests criteria to assess informatics plans and guidelines for best practice. Provides references to supporting material. 11

12. 12 LISA V4.0 Domains and Assessment Profile 12

13. 13 Levels of Assessed Capability Level 1: Local organisations have the essentials in place but systematic integration and consistency across the local health community is missing Level 2: Health community focus. Cross-community standards of good practice are defined, but the level of compliance with these standards may not be consistent. Some effective clinical engagement but not consistent leadership Level 3: Health and Social care community focus: Consistent standards and processes are agreed across the care community and are being used in a relevant and useful way. There is clinical leadership in the planning and delivery of informatics-enabled change. Potential sources of evidence are suggested by the tool, to aid consistency of response and objectivity LISA – Local Health Community Informatics Strategic Assessment Tool

14. 14 How is the assessment conducted and recorded ? A senior cross-community team is invited by the SRO Individuals reflect on questions, talking through their views, experience and evidence Scores are agreed for the profile, and on completion priorities are set A briefing and recommendations go to the LHC Board The tool can be used to track progress LISA – Local Health Community Informatics Strategic Assessment Tool

15. Free training for facilitators within Local Health Communities. May be performing roles in service improvement, leadership development, change management, or project and programme management; but is not the key determinant. Comfortable working in a constructively challenging way with executives and senior managers with communication and enquiry skills necessary to engage a group in useful dialogue Those trained or who have facilitated assessments before can be accessed via PCT or appropriate SHA contact leading on this. Facilitators need not be restricted to their own community “Training” can also be acquired through direct joint-facilitation Contact your SHA Lead or karen.hillier-smith@nhs.net, Executive Leadership Support Consultant.karen.hillier-smith@nhs.net 15 Facilitation Support and Training LISA – Local Health Community Informatics Strategic Assessment Tool

16. Informatics Capability Development Programme DH – Informatics Directorate http://www.connectingforhealth.nhs.uk/systemsandservices/capability/lisa Executive Leadership Support Consultants Karen Hillier-Smith karen.hillier-smith@nhs.netkaren.hillier-smith@nhs.net Peter Rogers: peter.rogers3@nhs.netpeter.rogers3@nhs.net David Laszlow: david.laszlow@nhs.netdavid.laszlow@nhs.net 16 Contact Details LISA – Local Health Community Informatics Strategic Assessment Tool