Achievements Delivery Jointly funded the procurement System delivered on time and to budget Jointly provided training for 600 staff Over 1,000 assessments undertaken Mobile technology pilots agreed One of the first in the Country to deliver electronic SAP Governance Developed a Memorandum of Understanding (MoU) between agencies. Single SAP Board Developed a Caldicott Agreement Developed a 4 tier Data Sharing Protocol National and local approval Strong support for our approach from Inspectors, DoH, CfH (Connecting for Health) Technical Office and Strategic Health Authority

Organisational Need Business Requirement Process Organisational Priority Business Requirement Process Other Projects Timescales Organisational Funding Capital Funding Agreements Revenue Costs Single Process Organisational Policy Security Client Benefit Protocols Standards MoU Political What can we stop doing Caldicott Organisational Operations Terminology Roles and Responsibilities Governance Statutory Reporting Other systems Support Framework Data Sharing Reqmts Spec Security Strategy Organisational Pressures Competing Demands Implementation Planning Organistnl Benefit Multi Agency Board Organisational Resources Human IT Boards Training Finance Project Plan Equipment Test Strategy Resource Plan Interfaces Implement Training Plan Data P Evaluation Infrastructure Steady State Training Help Desk Support Plan End Old Processes Contingency Expert Users Review

Difficulties Cultural and professional Lack of middle management ownership Considerable lack of IT knowledge Professionals negative view of computer systems Variable standard of recording and assessment skills Confusion around business processes Technical infrastructure Difference between full requirements and final solution Poor network performance (in-house) Dependences Dual input Homeworking Resources Temporary funding Organisational financial positions People resources

Planning for the Future CSC Alliance Interim & Strategic Solution Information Patient Management (IPM) Information Clinical Management (ICM) Lorenzo The CfH approach to SAP Community based selection/business case DoH and CAF The Adult Common Assessment Framework SAP Contract Extension? 3 years? Ongoing? CSC Alliance solutions

Growth and Connectivity Licenses Enterprise (Up to 6,000) Existing (1,000) Connecting to IPM/ICM and Lorenzo (NHS Care Record) Other health systems within Primary and Acute PARIS (Southwest ) Care Notes

Support Requirements Training Helpdesk MDS/application development Expert users or/and existing IT trainers? Team champion Helpdesk Central support functions – Current Staff Commitments Local support functions MDS/application development Professional assessment development Application testing and deployment