1. NHS Connecting for Health is delivering the National Programme for Information Technology NHS Connecting for Health A National Framework For Electronic SAP Implementation

2. NHS Connecting for Health is delivering the National Programme for Information Technology 2 © Crown Copyright 2006 Agenda Introduction – background & outline. Why an architecture? The architecture framework Project approach. Timetable.

3. NHS Connecting for Health is delivering the National Programme for Information Technology 3 © Crown Copyright 2006 Introduction Background –Different paces and approaches to implementing electronic SAP across the country. –Uncertainty for local care communities and system suppliers. –Boundary difficulties for some service users.  A need to develop a consistent national framework. Project Outline –Initiated by NHS Connecting for Health. –Reporting to ESCR Board, Care Records Development Board & National Programme Board of NHS CFH. –To develop an implementation plan and business case for electronic SAP for England. –Project board chaired by David Johnstone, with representation from health, social services, DH, ODPM, DfES and the Cabinet Office. –First stage of the project will define and evaluate options for electronic SAP. –Subsequent stages will develop an implementation plan and business case.

4. NHS Connecting for Health is delivering the National Programme for Information Technology 4 © Crown Copyright 2006 Why an architecture framework? To provide a overall structure with clearly defined components within which to: –Assess options. –Assess current situation. –Develop plans. The framework will: –Ensure completeness of coverage. –Help understand the relationship between a complex set of resources and constraints (people, processes, systems, organisations, regulatory requirements). –Provide transparency of evaluation criteria. –Provide a basis on which to maintain and develop work in future.

5. NHS Connecting for Health is delivering the National Programme for Information Technology 5 © Crown Copyright 2006 The Architecture Framework (1) WHATHOWWHERE Vision Benefits through better care and greater efficiency. By implementing SAP effectively. Wherever decisions affecting a person’s care are influenced. Business Specific business benefits, incl business cases. Business process models.Nodes where processes are performed, as determined by the care pathway. Applications Logical definition of applications. An applications architecture that closely binds the applications with the business processes. All points where information is required to/from a user. Information Integrated information flows that are secure. Delivered as seamless entities, by applications, subject to collective Information Governance. From coherent applications, to the users, at the point of use. Technology Physical information systems. Delivering the applications architecture. Points at which the systems are located. Implementation Governance Responsibilities for deployment. Contracts and programmes of work in multi-supplier, multi-agency environments. National and or federated contract framework.

6. NHS Connecting for Health is delivering the National Programme for Information Technology 6 © Crown Copyright 2006 The Architecture Framework (2) WHOWHENWHY Vision Service users, carers, care professionals across agencies. Vision to be fulfilled as determined by political processes. To fulfil the vision. Business Service users, carers, care professionals across agencies. In the timely way dictated by the process of assessment. To fulfil the vision through investment in people and systems. Applications Information users.At times when information is required to/from a user. To operate an integrated seamless process of assessment. Information Information users, providers and auditors. At times when information is required to/from a user. To operate an integrated seamless process of assessment. Technology Systems providers.Meeting SLA requirements of availability, reliability To deliver the logical applications architecture. Implementation Governance Programme definers and directors. Rollout programme in line with capacity, capacity and affordability. To deliver the entire framework.

7. NHS Connecting for Health is delivering the National Programme for Information Technology 7 © Crown Copyright 2006 Assessment of information systems architectures Identify all valid potential architectures. Develop criteria for their evaluation (for example): –Fit with business process (SAP). –Information governance. –Performance: reliability, availability, responsiveness, recoverability –Technical (including standards-compliance). –Fit with established systems architectures. –Maintainability. Conduct the evaluation. Publish the package for wide consultation: –The candidate architectures. –The criteria. –The outcome  recommendations.

8. NHS Connecting for Health is delivering the National Programme for Information Technology 8 © Crown Copyright 2006 Attributes of the Information Systems Architecture Choices to be made through applying the evaluation criteria: (NB: not all the choices are mutually exclusive; a choice made in one attribute will in many cases limit the choice available in another.) Applications structure: brokering ('pull-on-the-fly'), dedicated repository, specific system shared, peer-to-peer. Technical Structure: Web-based, other thin-client/server, thick- client/server. Network services: Point-to-point messaging, messaging hub, instant messaging. Person Index: local identity indices, central index (e.g. Spine) User interface: agency-specific user interfaces, one common user interface Information exchange: automated business rules, manual control of presentation, user control of system-system update. Information delivery mechanism: push, pull, neither. Schemas: common-defined or mapped (coding, definitions and glossary). Technical standards: messaging (e.g. HL7), email, XML schemas (e.g. NAC). Security: single sign-on, digital signatures, firewalls, encryption, intrusion detection, identity management (these are NOT choices, but each may itself offer choices).

9. NHS Connecting for Health is delivering the National Programme for Information Technology 9 © Crown Copyright 2006 Fact finding Review current documentation Meet with stakeholders –CfH, Gov Connect, LSPs, solution providers, etc. etc. Capture information in a structured way (next slide) –to manage all the information, and to spot the gaps. Identify architectures in use and planned for e- SAP and other multi-agency information exchanges. This is an iterative process …………

10. NHS Connecting for Health is delivering the National Programme for Information Technology 10 © Crown Copyright 2006 Consultation Use SAP websites of Centre for Policy On Ageing and CfH. Work with established forums (ADSS IMG, Adaptor’s Club, etc.). Disseminate through SAP Leads at every level. Meet key organisations: to be determined during fact-finding stage. Respond to queries and issues registered through the websites. Maintain a communications log.

11. NHS Connecting for Health is delivering the National Programme for Information Technology 11 © Crown Copyright 2006 Timetable MARCH: –Fact-finding and raising awareness –Building the Architecture Framework APRIL / MAY: –Undertake the consultation. MAY: –Review validity of outcomes and prepare final report for Project Board.