County Durham and Darlington Foundation Trust Health Informatics Strategy

1Executive Summary 7

1.1Background 7

1.2Our Vision 7

1.3Enabling the Vision 9

1.4Next Steps 11

2Introduction 11

2.1Purpose of Document 11

2.2Background 11

2.3Scope 11

2.4Structure 12

2.5Supporting Documentation 13

2.6Audience and Stakeholders 14

2.7Authors 15

3Our Trust 15

3.1Organisational Overview 15

3.2Clinical Service Areas 16

3.3Commissioners 17

4Health Informatics within CDDFT – where are we now? 18

4.1Current systems in place 18

4.2Current links/ interfaces between systems 20

4.3Health Informatics Strategic Programme 20

5Drivers for change 22

5.1National Drivers 22

5.1.1Personalised Health and Care 2020 22

5.1.2Local Digital Roadmap 22

5.1.3NHS Standard Contract 23

5.1.4Information and Technology for Better Care 23

5.1.5NHS England Digital Maturity Index 23

5.1.6Standards 25

5.1.7Information Governance Drivers 27

5.1.8External Monitoring 29

5.1.97-Day Working 29

5.1.10Local Service Provider (LSP) Exit 29

5.2Local Drivers 30

5.2.1Trust Clinical Strategy 31

5.2.2Care Quality Commission Report September 2015 32

5.2.3Vanguard 32

5.2.4Better Health Programme (BHP) 33

5.2.5PESTLE Analysis 34

5.3Information and Communication Technology (ICT) Drivers 35

5.3.1Data Centres 35

5.3.2Health Informatics Standards and Framework 35

6Current Strengths, Weaknesses, Opportunities, and Threats 36

6.1 SWOT Analysis 36

7Our Principles 38

8Our Vision 39

9Our Strategy 40

9.1Working Together 43

9.2Working Smarter 44

9.3Working Securely 45

9.4Citizen Access 46

9.5Focus on Quality 47

9.6Paper-light to Paperless 48

10What this strategy means for Health Informatics 49

11What this strategy means to the Trust 49

12Strategic Delivery Plan 51

12.1Enabling the Vision 51

12.2Electronic Patient Records 52

12.3System Replacements 53

12.4Using Current Systems to their Best Capacity 54

12.4.1Patient Portal 55

13Health Informatics Functions 56

13.1Systems Department Requirements 56

13.1.1System Support and Management 56

13.1.2System Integration and Interoperability 56

13.1.3System Business Analysis and Clinical Safety 57

13.1.4System Developments 57

13.1.5Additional Requirements for New Systems or Developments to Existing Systems 62

13.2ICT Infrastructure and Support Requirements 62

13.2.1ICT Support 62

13.2.2User Experience 64

13.2.3Network 65

13.2.4Servers and Datacentre 66

13.2.5Communications / Telephony 68

13.3Information Governance Requirements 69

13.3.1Next five years and forward interdependencies 69

13.3.2Information Governance Framework 71

13.4Programme Delivery 73

13.4.1Frameworks 73

13.4.2Business Change 73

13.4.3Governance 74

13.5Benefit Realisation 74

13.5.1Benefits Management 74

13.5.2Strategic Benefits 75

14Appendices 80

14.1 Appendix A: Key Contributors 80