1. Existing Systems Peter Dyke Programme Manager – Existing Systems NHS Connecting for Health 07834 602768 peter.dyke@nhs.net

2. Agenda Welcome to Existing Systems Where do ESPs fit in Example Compliance Road Map The Compliance Plan Current Status

3. Welcome to: Existing Systems… Market Segment GP Acute PAS Acute Departmental MH/Community/Child Health CDS Returns Independent Sector Social Care Community Pharmacy Prisons Dentists Out of Hours Etc. Outcome 2010? LSP/GPSoC – interoperability/standards/choice Replaced by LSP Some legacy, some interoperability/standards/choice Replaced by LSP Interoperability/standards/choice LSP, GPSoC Interoperability/standards/choice Determining factors: Policy, LSP Capability LSP Mandate, DH Mandate, User/Media reaction

4. NPfIT: Where do ESPs fit in.. “Spine” (BT) SSB Spine Security Broker PDS Personal Demographics Service PSIS Summary Care Record SUS Secondary Uses Service LRS Legitimate Relationships Service NE LSP CSC/ iSOFT) Eastern LSP (CSC/ iSOFT) North West/ West Mids (CSC/ iSOFT) London LSP (BT CCA/ Cerner) Southern LSP (Fujitsu/ Cerner) Lorenzo CRS Agfa PACS Lorenzo CRS Agfa PACS Lorenzo CRS GE PACS Millennium CRS Philips PACS Millennium CRS GE PACS (Delivered by Accenture) “Local Service Providers” (LSPs) CAB Choose and Book (Atos/Cerner) Independent Sector (CAB, SUS) Existing NHS PAS (CAB) Community Pharmacy (ETP) Existing NHS GP (CAB, ETP, GP2GP, Summary Care Record) Social Care (eSAP) “Existing System Providers” (ESPs) Others Out of Hours, Screening, Dentistry etc 2004 2005 2006 2007

5. ISTCs: Example Roadmap.. Basic Connectivity (N3, Connect) Transaction Messaging (TMS) Organisational Authentication (SDS) Security and Individual Authentication (SSB) Individual Authentication in Role (LRS) Patient Demographics Access/Update (PDS) Fulfil basic obligations, gain basic communication links to NPfIT services EBXML/HL7V3 capability created National Administrative Code (NACS) and System registration check Authorised Individual check (Registered with a valid Smartcard) Validate an individual in a specific role to perform any task “PDS/IG Compliance” (Foundation) Basic ability for system/individual to access/update patient demographics Choose and Book (CAB) “Choose and Book Provider Compliance” Ability of an ISTC system to offer appointment slots in real time to referrers (existing and implemented functionality in live NHS environment) Diagnostics (ISTC) “Diagnostics (ISTC) Compliance” Ability of a provider system to receive diagnostics requests/ send reports and share PACS images (planned but not yet defined) Care Record (ISTC) “Care Record (ISTC) Compliance” Ability of an ISTC system to fully interact with PSIS (potential for ISTC, not yet defined)

6. The Compliance Plan…

7. ESP Status It exists… 40+ systems live, and staying live Working to improve efficiency, quality (E2E User Experience) - NIC Systems - GP Pan User Group Scope expanding - 20 ISTCs (170 sites) under ECN –December 2006 - Summary Care Record started (go live March 2007) - Social Services starts 2007 (towards eSAP, ESCR) - Anticipating work on Out of Hours (NHS Direct, Adastra), Screening (Newborn Hearing), Dentists (Note: LSPs responsible for departmental system integration, not ESP)

8. Any questions?