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North Derbyshire LHC. David Hill Primary Care NCRS Project Manager. Jigsaw Puzzles In the Land of the Possible. Dos & Don'ts Of NCRS Implementation. Stay Focussed. Why we are Doing This. The Right Patient The Right Information The Right Treatment The Right Place The Right time. - PowerPoint PPT Presentation

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  • North Derbyshire LHCDavid HillPrimary Care NCRSProject Manager

  • Jigsaw Puzzles In the Land of the PossibleDos & Don'tsOf NCRS Implementation

  • Stay Focussed. Why we are Doing ThisThe Right PatientThe Right InformationThe Right TreatmentThe Right PlaceThe Right timeIts All About Better Patient Care!

  • North Derbyshire LHC3 PCTs58 GP practices289 GPs357,000 Patients 1 Crooked Spire

  • 2 Practices LIVEDr SinghNth Wingfield4 GPs6500 patientsEx Premiere Site

    Dr SenguptaBolsover2 GPs3500 PatientsEx System 6000

  • DONTPANIC!

  • Sods Law, Murphys Law Hobsons Choice.Anyone who has never made a mistake has never tried anything new.Albert Einstein

  • A Very Steep Learning Curve

  • Team WorkProject ManagerThe PracticesData QualityMedicines ManagementETDSenior ManagementIMT Heads

  • Hall of FameDavid Hill: Project ManagerNikki Hinchley: Data Migration LeadRichard Vickers: Primary Care InformaticsMarianne Cox: Primary Care InformaticsChristine Shone: Practice Support OfficerGill Ashton: Practice Support OfficerColin Howard: North Derbyshire IT Manager (Primary Care)Geoff Andrew: North Eastern Derbyshire IT Manager (Support Services)Chris Hadnam: HIS IT OfficerRussell Whelpton Senior IT OfficerJames Galpin: HIS IT OfficerEdith Whitehead: ETD leadJan Pollock: IT TrainerMike Maguire: IT trainerLiz Middleton: Registration AgentRob Pearson: Registration AgentHelen Williams: Medicines ManagementDenise Shaw: Medicines Management

  • Project LeadershipTop levelMiddle Coal face (NHS & LSP)

  • CommunicationTo the TeamTo the PracticesTo the PCTTo the LHCRest of the World

  • We the Customer.LSP is the service provider.Dont accept a service that falls below agreed expectations.Dont deliver a system that doesnt deliver.Dont make promises you cant keep!

  • The PracticesUnderstand practice dynamicsIdentify clinical championIdentify key staffWork around practice schedulesListen & understand individual concernsSupply resources, practice is lackingIts often the little things.

  • 3 Key Jigsaw Pieces..MigrationMigrationMigration

  • Lessons Learned Managed Carefully PRIMISMedicines Management Take Your Time.

  • North Derbyshires approach is Tortoise & Hare..

    "Slow and Steady wins the Race!"

  • Other Pieces of the PuzzleN3RegistrationAuthorityITInstallationETD

  • Other Pieces of the PuzzleN3RegistrationAuthorityITInstallationETD

  • Other Pieces of the PuzzleN3RegistrationAuthorityITInstallationETD

  • Other Pieces of the PuzzleN3RegistrationAuthorityITInstallationETD

  • Other Pieces of the PuzzleN3RegistrationAuthorityITInstallationETD

  • Service DeskGet One!Open all HoursTrainedTrain PracticeTrain IT Staff

  • Dont Expect Perfection..And the day came when the risk to remain tight in a bud was more painful than the risk it took to blossom.

  • Benefits RealisationWritten into PIDIdentified by end usersIdentified resource (business manager)Resourced and plannedControlled & documentedBenefits achieved report

  • Actual Benefits

    Managed Service (no discs, no patches, mutilex, back ups.)Data Secured Off-site. Main & Branch sites: real time data input (no replication)New hardware, complete system upgrade (inc. server).Automated GP QMAS points

  • Actual Benefits

    Improved Pathology Links (no dial up)Data Improved in Migration (More points) Consistent data collection using a common interface for problems, prescribing, reminders, sensitivities etcInstant access to PDS patient registrationIntegrated to Choose & Book and other National Applications

  • Remember..The Right InformationThe Right TreatmentThe Right PlaceThe Right PatientThe Right TimeIts All About Better Patient Care!

  • Last word to AlbertYesterday idolized, today hated and spit upon, tomorrow forgotten and the day after tomorrow promoted to Sainthood. The only salvation is a sense of humour.Einstein

  • Questions?

  • david.hill@nederbypct.nhs.uk

    Biggest Jigsaw I have ever doneNorth Derbyshire : Land of the free Home of the brave

    In Conclusion. For many this will be a new venture and a steep learning curve for all involved. Stay calm and avoid knee jerk responses to new issues. Trust in the skills of the project team and respect and utilise their relative strengths and make allowances for their weaknesses. Stay focussed: this is all about better care for patients, the right information at the right time. North Derbyshire : Land of the free Home of the braveWe are used to projects not going exactly to plan

    Unless Hollywood gets hold of your favourite Sci Fi Knee jerk reactions, A real pain.Emotional rollercoaster

    We like quotesCurse of those who cant think up original onesWhen things go smoothly without hitches consider it a bonusMore of a trajectory reallyEverything is new to everybody. New Staff, New roles, new processesHappy to share Stand on the shoulders of GiantsNot to Mention the LSP LIB Board, Chief Execs determination

    Heads of Departments

    Project teamProject Team MeetingUser GroupsE-mail groups (System Specific, practice managers by PCT)Newsletters

    Hand over to Nikki for more Jigsaw piecesAll Practices UniqueWe have 2 project support officers without whom go lives would not happenedFlat screens big winnerLanyards, every user group

    Apologies, sounds like an election pledgeCant emphasise enough, accurate migration of clinical data must have top priorityOur practices benefited by having 2 dedicated Support Staff cleaning legacy data.Dont go live with any risks you cant manage or the Practice haven't agreed to.Check check check. Rotate Patients. Meds Management Check

    Carefully managed DM - Is the KEY to a successful MigrationMe & David PRIMIS Trained - drew on all the training and experiences we had had in the past 4 yearsLSP tendancy to Steam Roller to try and acheive quick and dirty migration - don't allow this to happen - stick to your guns and everything that the PRIMIS process has taught us.So get ready all you Facilitators out there - This is your time!Point comes when you have to get on with itWont be disappointedBoth LSP and NHS may have to agree compromise to reach go live positionOur Local Motto became above

    I realise its New to NHSWorth the effortDont expect GPs to turn up at a weeks notice plan well on advanceIts the little things Flat screens card holders etcPower cuts affect I site depending on extent of cutIts the little things Flat screens card holders etcPower cuts affect I site depending on extent of cutIn Conclusion. For many this will be a new venture and a steep learning curve for all involved. Stay calm and avoid knee jerk responses to new issues. Trust in the skills of the project team and respect and utilise their relative strengths and make allowances for their weaknesses. Stay focussed: this is all about better care for patients, the right information at the right time. Its been an emotional rollercoaster Stay focussed Not Sport