1. Name:David Jennings Title:PACS Implementation Manager Date:April 2005 Event:R.C.R. Lecture: Connecting for Health Update

2. Who Am I? Diagnostic Radiographer. Worked in Healthcare IT for 14 years+. Both NHS and Supplier side. Joined Connecting for Health in January 2004.

3. Our Aim: 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 those who receive 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. What is Connecting for Health

4. Connecting for Health Benefits Better IT to: Improve patient centred care. Improve healthcare process efficiency. Improve patient experience. Give greater support for frontline clinicians. Make better use of existing assets.

5. Scope - Overview A health economy/enterprise wide PACS solution supporting: –Capture, store, distribute and display medical images, static or moving and includes: generalist image viewing and specialist image reporting any other medical picture, once digitised –To a diverse range of healthcare practitioners. At a fixed price for the Cluster based on a set of volume commitments related to the number of: –CR devices deployed. –Diagnostic reporting workstations. –Online digital image storage. –Implementation (man days). All maintenance and upgrade costs to continue to meet Connecting for Health stated requirements.

6. PACS Strategy Shared common solutions across Trusts. Centralised storage. Full interoperability. Future proof solutions. Support modernisation and changes in working practices. England-wide deployment. Best value. Core Connecting for Health service since autumn 2004.

7. What is the PACS Vision PACS Service in all Health Economies in England by 31 March 2007. Improve the Patient Experience. Support Modernisation of Radiology Services. Support for Improved Service Delivery Outside Radiology.

8. Benefits Direct and Indirect Benefits: Achieve Direct Cost Savings –Direct (films/chemicals etc) Improve the Quality of overall patient care and reduce Clinical Risk –Direct : Image optimisation/reduce repeats –Indirect: Increased number of reported images Improve Operational Effectiveness and the patient experience –Direct: Searching for films/films available –Indirect: Reduced waiting times/reduced travel time Improve working environment and facilities for Staff –Direct Health and safety/remote learning

9. Potential Benefits Of Stretching Pacs Beyond Radiology

10. Planning and Implementation Planning and implementation being determined at Cluster level working with Local Service Providers. Implementation work commenced in three Clusters. Deployments planned to take place over the next three years. Preferred strategy is for PACS Clinical community solutions – but the decision will be for the Planning Teams to make.

11. Factors in Determining ‘The Community’ Clinical need Existing work practices Service modernisation needs PACS legacy Storage needs Level of image traffic Geographic location

12. Current Implementation Steps Create PACS planning and Implementation Teams where not already in place. Base-lining position and identifying Cluster deployment strategy. Clusters working with National Team, SHAs and Trusts. Agreeing shared plans with LSP. Implementation activities at initial sites.

13. Current Steps: Progress 2 live sites. 14 more in implementation / pre-deployment activity. Learning lessons. Creation of PACS National Implementation Reference Group. Creation of PACS National Clinical Reference Panel. Creation of local Teams. Supporting National processes: Business Case Template. Implementation Lessons Learnt.

14. Questions? PACSquery@npfit.nhs.uk www.npfit.nhs.uk nww.npfit.nhs.uk/implementation/ PACSquery@npfit.nhs.uk www.npfit.nhs.uk