Picture Archiving and Communications System (PACS) Update from the National PACS team Author: David Jennings Date: 15 November 2005

Picture Archiving and Communications System (PACS) What is NHS Connecting for Health? Objectives To deliver a 21 st century health service through the efficient use of information technology To improve the quality and convenience of care by ensuring that both those who receive and administer care have the right information at the right time To implement projects vital to the NHS modernisation programme using IT to directly improve the patient experience and clinical care

Picture Archiving and Communications System (PACS) What is NHS Connecting for Health delivering? Core programmes NHS Care Records Service Choose and Book Electronic Transfer of Prescriptions PACS N3

Picture Archiving and Communications System (PACS) Key features of NHS PACS Ensured controlled access to images, whenever, wherever –images shared outside individual Trusts Future proofing –backed by the full service, support and technical capabilities of NHS Connecting for Health Wide impact –will have a positive impact on any specialty that uses fixed or moving images Guaranteed service, performance and support –guarantee of technical support Integration of images with patient records –NHS PACS will be tightly and securely integrated with the NHS Care Record Service

Picture Archiving and Communications System (PACS) Implementation Determined at a cluster level, working with Local Service Providers (LSPs) on-going collaboration with the National Team, SHAs and Trusts creation of planning and implementation teams Timing: aiming to achieve100% deployment of PACS by March 2007

Picture Archiving and Communications System (PACS) Progress to date Contracts now signed in all clusters Deployment plans agreed 6 sites are now live Hundred’s of thousands of patient images taken and stored Local business cases being completed

Picture Archiving and Communications System (PACS) Support Implementation toolkit under development PACS National Implementation Reference Group National Clinical Reference Panel Local teams Business case template Communications materials available for local use nww.cfh.nhs.uk/implementation/pacs

Picture Archiving and Communications System (PACS) Lessons learnt Observations and learnings: Project team Finance Communication Technology Modalities Training Data migration

Picture Archiving and Communications System (PACS) Project team Local project management essential – takes most of main PM’s time Gaining interest and engagement of clinicians is critical, but challenging Involvement of executives to ensure sponsorship Importance of Service Improvement

Picture Archiving and Communications System (PACS) Finance Important to understand the additional expenditure that may be incurred by the Trust Likewise identification and baselining of benefits is critical Communication and engagement Roles and responsibilities of suppliers, LSP, Trust, cluster and national PACS team must be clearly communicated Identify clinical leaders to engage local clinicians

Picture Archiving and Communications System (PACS) Technology Suppliers need to advise Trusts about the different software options and functionality available early in the project Modalities Contact legacy modality suppliers in the early stages since it can take several months to obtain all the required info

Picture Archiving and Communications System (PACS) Training Training should be provided as close to go-live date as possible Use of Peers and involvement of wider team advisable Data Migration Needs to be completed before core PACS go-live

Picture Archiving and Communications System (PACS) Vision and the future Vision to include more than traditional imaging Support policy such as the 18 week target Support capacity and demand issues by separating acquisition and reporting Drive consistency and standards – use of national guidelines / protocols / training

Picture Archiving and Communications System (PACS) Questions?