FOI REF: 20/258 01 July 2020

FREEDOM OF INFORMATION ACT I am responding to your request for information under the Freedom of Information Act. The answers to your specific questions are as follows: I wish to obtain the following documents: 1. ICT/IM&T/IS Strategy- The IT department strategy or plans, highlights their

current and future objectives.

Please see attached East Sussex Healthcare NHS Trust’s (ESHT) Digital Strategy.

2. ICT Org Chart- A visual document that presents the structure of the IT department please include name and job titles. If this cannot be sent, please work towards a structure with job titles.

Please see attached ESHT Digital Structure Chart. Please note that according to the Trust’s Freedom of Information Policy we only release the names of staff on Grade 8a and above, therefore names of staff below this grade have not been provided.

3. Annual or Business Plan- Like the ICT strategy but is more annually focused.

Please see attached ESHT Digital business plan.

Cont…/

4. ICT Capital Programme/budget- A document that shows financials budget on

current and future projects.

£

Digital Community TPP Rollout c/f 250,000

Digital ePMA 323,021

Digital Phase 2 BigHand (Dictation Scheme) + Change and Project costs

32,010

Diagnostics & Surgery

Ophthalmic IT systems integrated with other Trust systems

100,000

Out of Hospital

Enhancements to Pharmacy robotic systems (GS1 compliance)

97,000

Out of Hospital

Falsified Medicines Directive software 61,000

Digital Data Warehouse 150,000

Digital PAS Upgrade 200,000

Digital MediSite (ophthalmology) 54,000

Digital UPS Refresh/Battery 10,000

Digital Licence True Up 20,000

Digital Interfacing 60,000

Digital EDM Upgrade 20,000

If I can be of any further assistance, please do not hesitate to contact me. Should you be dissatisfied with the Trust’s response to your request, please write to Lynette Wells, Director of Corporate Affairs, East Sussex Healthcare NHS Trust (lynette.wells2@nhs.net) quoting the above reference. Yours sincerely Linda Thornhill (Mrs) Corporate Governance Manager esh-tr.foi@nhs.net

ESHT DIGITAL STRATEGY

Digital Enabled Care Services 2017-2022

Andy Bissenden- Associate Director of Digital

Clare Lippiatt – Senior Nurse ESHT Digital

Andy Slater – Chief Clinical Information Officer

Our vision

“To use digital information and technology to transform the delivery of patient centred healthcare.”

Our Mission Statement

“Develop an electronic patient record and the wider information management and technology infrastructure to support the delivery of excellent clinical care and the effective management of the Trust’s operations.”

How we will do this:

• To engage with patients, carers, ESHT community and acute

workforce at all levels and other stakeholders to inform the delivery of

our digital strategy

• To work collaboratively and aligned with ESBT Digital Board and STP

• To enable patients and clinicians to have the relevant information to

make pro-active healthcare decisions

• To ensure technology improves the ability of staff to provide a high

quality safe effective service whilst delivering financially sustainable

services

• To use information to predict/meet future healthcare needs from an

individual to a region wise basis

THE RIGHT INFORMATION, TO THE RIGHT PERSON, AT THE RIGHT TIME, FOR THE RIGHT DECISIONS.

Outcomes:

• Improve effectiveness and clinical outcomes.

• Improve effectiveness in planning for future healthcare needs

• Improve access to relevant information to the right person at the right time for

the right decisions

• Improved communication between stakeholders across the whole patient

pathway

• Give patients more control over their health and wellbeing and empower their

carers

• Reduce the administrative burden for care professionals

• Accessible and innovative use of IT to support patient safety and improve the

patient experience

• Support the delivery of ESHT business objectives and local / national priorities

ESHT 2020

The ESHT digital strategy is aligned with and supports the ESHT 2020 strategic objectives:

1. Safe patient care is our highest priority. We will provide high quality clinical services that achieve and demonstrate

optimum clinical outcomes and provide an excellent care experience for patients.

2. All ESHT’s employees will be valued and respected. They will be involved in decisions about the services they

provide and offered the training and development that they need to fulfil their roles.

3. We will work closely with commissioners, local authorities, and other partners to prevent ill health and to plan and

deliver services that meet the needs of our local population in conjunction with other care services.

4. We will operate efficiently and effectively, diagnosing and treating patients in timely fashion to optimise their health.

5. We will use our resources efficiently and effectively for the benefit of our patients and their care to ensure our

services are clinically, operationally, and financially sustainable.

Engagement & Feedback

Surveys across multiple staff groups indicate the need for a inclusive strategy. Dedicated Clinical engagement across nursing and medical supported by the Medical Director, SIRO and CCIO

“Patients would like staff

to know about them and

not to have to repeat

their information

numerous times”

“Our priorities for OOH

are around the

community transition and

the more mobile ways of

working including

telehealth, virtual

technology for

rehabilitation and

management”

Digital technology to support

all

Information Governance

Business Planning

Performance

Contracting

Clinical Care

Operations

Information & Business

Intelligence

Estates & Facilities

Management

Digital Strategy for all

East Surrey &Sussex Sustainability &

Transformation Plan (STP), Local Digital

Roadmap (LDR)

East Sussex Better Together Alliance

East Sussex Healthcare NHS Trust

Digital Strategy

ESHT Digital will support:

Each Strategy

has to build on

and support

the others

“Investing and effectively using IT can achieve better patient outcomes, reduce bureaucracy, improve patient safety and deliver efficiencies.” NHS England (2015)

Digital Maturity Assessment

Digital Connector

Digital Operator Digital Dinosaur

Digital Master

Operational Excellence

Custo

mer

Exp

erience

Digital Maturity

11

• Referrals (eRS)

• SystmOne – Community PAS

• Evolve – Electronic Document Management

• VitalPAC – Electronic Bedside Observations

• NHS Mail / Skype for Business

• Wifi infrastructure

• LAN upgrade

• Data Centre

Key Achievements

Digital by Default

Patient Centred

Paperless

Real time

Open Standards

Financially sustainable

Mobile

24/7

Secure

Simple and intuitive

Single Point of entry

Increase the Digital maturity

Digital Principals

• Robust and Safe

• Wan – COIN3

• Wifi – GovWifi, EduRoam & NHSGuest

• Lan with Power over Ethernet

• Cloud First then local Data Centre

• Storage

• Cyber Security

• Client Devices

• Bring Your Own Device

• DR / Resilience

Enabling Infrastructure

Good Staff / Patient

Communication

Effective Staff / Patient

Engagement

Improved productivity

Financial benefits

Improved staff/ patient

Experience

Enabling good communication

VOIP

Mobile

devices

Social

Media

Client video

Conferencing/

Skype

NHS Mail

IM BYOD

Intranet access

Apps

Ref: NHS Employers (2014) Improving staff engagement

eLearning &

Training

You Tube

Clinical Systems

Coin / PSN – HSCN Wide Area Networks

LAN/Wifi

Cloud Services / Server Infrastructure

End user Device / BYOD

Integration Engine - Orion Rhapsody

Social

Services –

Liquid

Logic

IDCR

General

Practice -

EMIS

Mental

Health -

CareFlow

Ambulant

Care

Patient Portal

Order

CommsDischarge

Summery

Referals -

eRS

111

Service

Palative

Care

Pathways

Communications – VOIP /Skype and VC

Analytics

BI / Warehouse

anonymised and

Non

PMI

DiagnosticsPharmacy - ePMAPAS – Allscripts/

Systone

Corporate Systems –

Finance / HRVendor Neutral

ArchiveEvolve/EDM

Security

SCRObservations

Patient Centred Digital Care

Virtual clinics

Self care Apps

Information Management

Real time

Portal information

Day 1 Reporting

Open Standards

XDS, FHIR, HL7

API driven

Data Quality

SNOMED CT coding

Current initiatives

Virtual Clinics

Digital Dictation

Patient Flow / Live Bed

State Patient Portal

Referrals (eRS),Orders and Discharge

GS1- Trak4Safety

Electronic Pharmacy Medicine

Administration

Telephony / VIOP

• Review the ESHT best of breeds systems and the real need for a EPR

• Consolidate Systems

• Work up a detailed 5 Year plan with funding requirements

• Work with the Recover Director on Digital Pathways that drive the financial stainability

• Identify some key partners to work with in the industry

• Create a non technical version of the strategy for Patents and Staff

• Continue to lead and work with both the STP and ESBT

Next Steps

20

Five Year Digital Plan

Digital Maturity

Q3 18/19 19/20 20/21 21/22 22/23

Infrastructure Maturity

Patient Centred

Communication Maturity Security Maturity

Windows 10 Migration Replacement Phone System

VOIP

Patient Wrist Bands

Measure success, learn from failure,

innovate

Clinical System Maturity

Community of interested

Networks (HSCN)

EDM Scanning paper record

Storage Replacement

ePMA

Community PAS

PAS Upgrade & ECDS

East Sussex Wide SIP communication

EDM eForms

Patient Flow

Hospital @Night

GS1 Track4Saftey

Patient Observations Replacement

BYOD / VDI

Interactive Voice

Patient Portal Results

Complete PHR

Patient Portal Letters

Online Booking

Advance Threat Protection

Bexhill Hospital VIOP Migration

Fax Free Estate

Client Device Patching

Client Device Refresh

Warehouse

Care Connect

Community Sites VOIP Migration

EDGH VOIP

Skype Video Enabled

Transfer of Care

Conquest VOIP

Booking Contact Centre

Migrated

Virtual Consultations

Bleeps / Pagers Replacement

Self Service Checking

All Patient Letters Mailing House

SMS Reminder

Online Pre Assessment

Supported Self

Management

Intranet Go Live

Server Consolidation and Virtualization

Community LAN

Upgrade

Productivity Suite

Share experiences with wider

NHS

EDGH LAN Upgrade

Conquest LAN

Upgrade

Integration Migration

Data Centre Firewall

BI Portal

Maternity Replacement

eRS referrals

AE Bedside Observations

Digital Pathways

PAS PDS

Single Sign on

Enterprise Printing

24/7 Monitoring

Certify Cyber Security Essentials Plus / ISO 27001

Network Access control

Introduce STP

security compliance standards

Isolate legacy systems

Staff Education &

Regular communicati

ons campaigns

PACS/RIS/VNA

Cloud Migration

Wearable Devices & Apps

Online Communities

22

Risks & Issues

• Sources of Funding – Limited Trust Capital

• Need to move to a Revenue model support

BAU

• Resources

• STP Delivery and demands

• ESBT requirements

Boards

• Trust Board

• Finance & Investment Committee

• Audit Committee

Directors

• Associate Director of Digital

• Director of Finance (SIRO)

• Chief Clinical Information Officer

ESHT Groups

• Digital Steering Group

• Digital Champion Group

• Financial Improvement Groups

• Quality improvement Groups

Digital Team

• Information Governance Manager

• ESHT Digital Team

• Digital PMO

• Information Management

• Senior Nurse ESHT Digital

“ESHT Digital Governance structure will ensure ESHT Digital services are appropriately positioned across the Trust and wider health and care economy”

Governance

1. ‘East Sussex Better Together’ Programme Board Paper (13th April 2016), ITEM:

42/16

2. Sussex and East Surrey Sustainability & Transformation Plan (2016), Sussex and

East Surrey Footprint, NHSE South, Michael Wilson, Chief Executive, Surrey &

Sussex Healthcare NHS Trust

3. NHS Employers- Improving staff engagement briefing.

http://www.nhsemployers.org/Aboutus/Publications/Documents/Improving_staff_

engagement_Briefing_68.PDF

4. THE FORWARD VIEW INTO ACTION: Paper-free at the Point of Care - Completing

the Digital Maturity Self-assessment, NHS England, November 2015

5. https://www.england.nhs.uk/digitaltechnology/wp-

content/uploads/sites/31/2015/11/dig-maturity-guid-11-15.pdf

6. Forrester Research Inc. (2014) The State of Digital Business

7. ES&S Local Digital Road map 2017

References

Associate Director of ESHT Digital Andy Bissenden

Head of Digital Services Kevin Richardson

Clinical Systems Manager Nick Turner

Business Change & IT Training Manager

Chris Bullimore

Client Devices Team Lead

Digital Service Support Manager & RA Manager

Information Security & Engagement Lead

ITIL Change Manager

Patient Systems Lead

Development Lead Paul Chantler

Server BAU Operation

Data Quality Lead

Clinical Devices & Applications Team Manager

ESHT Digital Structure

Clinical Nurse Information Officer

Clare Lippatt

Digital Programme Manager Jo Ranger

Test Lead

Senior IT Change & Training Lead

Senior Project ManagerNick Hamilton

Senior Network Consultant John Avann

COIN Administrator

Operations Manager Chay Poole

Digital Co-Ordinator & Project Support

Data Centre & Hosting ServicesSwitchboard Manager

CCIO & Deputy CCIO

UTC Clinical Hub

Integration to PAS

VNA - HardwareEvolve UpgradeDigital PathologyEnterprise Printing - Phase 2

Legacy OS Retirement

Tech build

Machine migration

Build/Infrastructure/Integration

Post go-live activity

Config/Train

Config/Train

Scoping Endo

TrainHSCC ERS Config

Config/Train (TBC)Development of Aspirant

Business Case

Jul

Interface devt and test

Config/TestConfig/Train

Config/Test

Business continuityTraining prep

Data WarehouseBI Workstream (defining business reqs)

RecruitmentClosureAccomm set up

Config/Train

Config of system(s)Config/Test/Trai

Scoping DW levelsHardware

Bed Management - Live Bed State/Clinical Noting

Patient Safety - eObsTest

Train

Migration

Decommissioning

Install/

Train

Data Warehouse 'As Is' Platform Move

Test

Scoping/design

TestGroup/schedule platform move

Board round

push

Hospital @ Night

Train

ED/ED DigitisationScoping Test

Patient Safety - Remaining Modules Scoping BuildTest

Notes: July go-live for CSR and Early Discharge

Jun

Scoping

User migration

Notes: July go-live for pilot

Notes: September go-live for pilot phase

Notes: June go-live for IT Service Desk, July -

August for rapid rollout of telephony at

Eastbourne DGH and September -

November for Conquest (TBC)

Notes: Job Descriptions currently under review

Scoping ConfigTest

Closure

Train

Train

AD Migration

Feb Mar

Ordercomms

Digital Service Desk

ePMA

Da

ta W

are

ho

us

eAug Sept Oct Nov Dec Jan

Ne

rve

cen

tre

Badgernet

SystmOne

Telephony

Notes - August go-live for Fracture Liaison TBC

Notes: Upgrade in July, August for Requesting and October for

Endoscopy (TBC)

Attend Anywhere