north derbyshire lhc
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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
David Hill NHS Primary Care
NCRS Project Manager
Stay Focussed. Why we are Doing ThisThe Right PatientThe Right InformationThe Right TreatmentThe Right PlaceThe Right time
It’s All About Better Patient Care!
David Hill NHS Primary Care
NCRS Project Manager
North Derbyshire LHC3 PCTs58 GP practices289 GPs357,000 Patients 1 Crooked Spire
David Hill NHS Primary Care
NCRS Project Manager
2 Practices “LIVE” Dr Singh Nth Wingfield 4 GPs 6500 patients Ex Premiere Site
Dr Sengupta Bolsover 2 GPs 3500 Patients Ex System 6000
David Hill NHS Primary Care
NCRS Project Manager
DON’TPANIC!
David Hill NHS Primary Care
NCRS Project Manager
Sod’s Law, Murphy’s Law Hobson’s Choice…….
“Anyone who has never made a mistake has never tried anything new.”
Albert Einstein
David Hill NHS Primary Care
NCRS Project Manager
A Very Steep Learning Curve
David Hill NHS Primary Care
NCRS Project Manager
Team WorkProject ManagerThe PracticesData QualityMedicines ManagementETDSenior Management IMT Heads
David Hill NHS Primary Care
NCRS Project Manager
Hall of Fame David Hill: Project Manager Nikki Hinchley: Data Migration Lead Richard Vickers: Primary Care Informatics Marianne Cox: Primary Care Informatics Christine Shone: Practice Support Officer Gill Ashton: Practice Support Officer Colin Howard: North Derbyshire IT Manager (Primary Care) Geoff Andrew: North Eastern Derbyshire IT Manager (Support Services) Chris Hadnam: HIS IT Officer Russell Whelpton Senior IT Officer James Galpin: HIS IT Officer Edith Whitehead: ETD lead Jan Pollock: IT Trainer Mike Maguire: IT trainer Liz Middleton: Registration Agent Rob Pearson: Registration Agent Helen Williams: Medicines Management Denise Shaw: Medicines Management
David Hill NHS Primary Care
NCRS Project Manager
Project Leadership
Top levelMiddle Coal face (NHS & LSP)
David Hill NHS Primary Care
NCRS Project Manager
Communication
To the TeamTo the PracticesTo the PCTTo the LHCRest of the World
David Hill NHS Primary Care
NCRS Project Manager
We the Customer…………….LSP is the service provider.Don’t accept a “service” that falls below
agreed expectations.Don’t deliver a system that doesn’t
deliver.Don’t make promises you cant keep!
David Hill NHS Primary Care
NCRS Project Manager
The PracticesUnderstand practice dynamics Identify clinical champion Identify key staffWork around practice schedulesListen & understand individual concernsSupply resources, practice is lacking Its often the little things…….
David Hill NHS Primary Care
NCRS Project Manager
3 Key Jigsaw Pieces……..
MigrationMigrationMigration
David Hill NHS Primary Care
NCRS Project Manager
Lessons Learned
• Managed Carefully
• PRIMIS
•Medicines Management
• Take Your Time.
David Hill NHS Primary Care
NCRS Project Manager
Other Pieces of the Puzzle
N3 RegistrationAuthority
ITInstallation ETD
David Hill NHS Primary Care
NCRS Project Manager
Other Pieces of the Puzzle
N3 RegistrationAuthority
ITInstallation ETD
David Hill NHS Primary Care
NCRS Project Manager
Other Pieces of the Puzzle
N3 RegistrationAuthority
ITInstallation ETD
David Hill NHS Primary Care
NCRS Project Manager
Other Pieces of the Puzzle
N3 RegistrationAuthority
ITInstallation ETD
David Hill NHS Primary Care
NCRS Project Manager
Other Pieces of the Puzzle
N3 RegistrationAuthority
ITInstallation ETD
David Hill NHS Primary Care
NCRS Project Manager
Service DeskGet One!Open all HoursTrainedTrain PracticeTrain IT Staff
David Hill NHS Primary Care
NCRS Project Manager
Don’t 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.”
David Hill NHS Primary Care
NCRS Project Manager
Benefits RealisationWritten into PID Identified by end users Identified resource (business manager)Resourced and plannedControlled & documentedBenefits achieved report
David Hill NHS Primary Care
NCRS Project Manager
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
David Hill NHS Primary Care
NCRS Project Manager
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 etc
• Instant access to PDS patient registration
• Integrated to Choose & Book and other National Applications
David Hill NHS Primary Care
NCRS Project Manager
Remember……..The Right InformationThe Right TreatmentThe Right PlaceThe Right PatientThe Right Time
Its All About Better Patient Care!
Last word to Albert
“Yesterday 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
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