mary barber the close of the national pacs programme

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The close of the National PACS programme What does this mean? What have we learned?

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COMMERCIAL IN CONFIDENCE

• 128 Acute trusts across England with PACS by end 2007. • Many also updated their RIS and deployed central archives. • 150 organisations implemented image sharing by March 2010. • Every week, over 20,000 studies are shared between

organisations – safely electronically. • Every month, over 2 million patients benefit from digital

imaging technology. • Over £1bn in financial benefits delivered. • Significant improvements in clinical workflow and patient care.

» So why change?

Not a bad place to start!

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Future vision

• Locally managed and controlled contracts brings decision making closer to the patient and local healthcare community.

• Local decision-making allows for more tailored solutions depending on need.

• Potential for lower local costs. • New technology available, more benefits possible. • Healthcare communities who naturally work together can

enable information-sharing more effectively. • Can improve contracts and solutions: based on lessons

learned to date.

Locally procured and implemented PACS, RIS and imaging archives tailored to the needs of local healthcare communities Because

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Shared risk “To move forward is healthy,

to do so without learning from the past is foolhardy”

Local Trusts

Suppliers

Department of Health

Loss of clinical service

Patient Safety

Cost

Additional Cost

Poor Reputation

Legal Challenge

Unhappy Staff

Loss of Benefits

Loss of revenue

Overall higher Procurement costs

Limited market supply

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Support available

We remain in this together! • Help to develop Trust’s own statement of needs. • Help to form consortia where Trust’s wish to. • Set of core requirements: “what good looks like” agreed. • Market analysis completed and shared. • Exit boards in place once needed. • Standard document templates. • Technical support, especially for data repatriation. • Extensions provided where desired. • Trusts choose the level of support they need.

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National plan

June 2012

June2013 June

2014

June 2015 June

2016

CSC Contract Trusts re-procure and exit

GeneralPattern ofExit BT contract Trusts Re-procure and exit

Accenture contract Trusts Re-procure and exit

Other Key Dates

Proposed CSCData StoresRetirementAnd CSC contractexpiry

Initial CSC local Transition assistanceassumption

BT contract expiry

BT contract Existing transitionassistance

AccentureContract expiryDate for TrustsWho have not takenextension

AccentureContract expiryDate for TrustsWho take extension

Accenture contract Agreed transitionAssistance and data centreretirement

BT Contract: 21 Trusts. 2 or 3 may go early 2012 and 2013, and two or three in 2015 but most planning for June 2014. Consortia are being discussed in line with mergers and patient flows

CSC Contract: 74 Trusts in all, 56 in 9 consortia. 42of these are in procurement with 12 planning to use the NHS SC framework. 3 non consortia trusts are in procurement and 2 looking to NHSSC

Accenture Contract: 31Trusts in all, 23 have taken the extension and will not exit before June 2014, 1 has issued an OJEU and 4 plan to use the NHSSC framework in 2012. Two regional consortia are being discussed

March 1213 OJEUsPlus 1 PINCoverage64 Trusts

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The NHS could do much more with imaging technology and gain even more benefit

“The only way to make sense out of change is to plunge into it,

move with it, and join the dance.”

Alan Watts

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Imagine the possibilities...

Challenging stuff! But gets return on investment!

1. Create a central accessible patient imaging data repository. 2. Set up “follow the sun” reporting. 3. Allow non-radiology clinicians to share and report on their

own specialities, or not report if they felt there was no need! 4. Establish a “radiology reporting service centre”. 5. Split image acquisition from reporting and set up imaging

centres. Why not? 1. Have imaging centres in primary care? 2. Enable GPs to take patients images and get reports back in

>hour? They could tell patients if they need to be referred or not and what for!

3. Train surgeons to interpret imaging?

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In conclusion

• Learn from the past don’t dismiss it. • Take care not to lose what’s already been gained. • Work together to manage the risk. • Understand the overall picture and where you fit in. • Use the materials available. • Look for more benefits from digital imaging overall.

mary barber the close of the national pacs programme

Technology