PHW Cohort selection solution for Breast Test Wales

Description

About adding context and requirements test Describe any pre-market engagement done None Work done so far Discovery for the whole screening service in Public Health Wales Alpha for Diabetic Eye Screening Wales Which phase the project is in Alpha Existing team Sharon Hillier, Screening Division – Senior business owner Dean Philips, Joanne Haimes Breast Test Wales – business owner Colette Mason, Heather Lewis, Diabetic Eye Screening programme – business owner and transformation manager Helen Clayton, Monika Swiatek, Chris Ollier, Mike Gordon, Guy Stevens, Gavin Bhakta, Claire Ellis, Fliss Bennee, Oliver Roberts – Digital and Data Services Address where the work will be done We expect working will be hybrid and mostly remote, but for in person meetings we nominate Number 2 Capital Quarter 3rd Floor Tyndall Street Cardiff CF10 4BZ Working arrangements Our partners are welcome to work alongside us in our offices if they are based nearby. Otherwise we expect the majority of the work to be able to be done remotely, with face to face sessions to be agreed during onboarding. Typically we might want to meet in person for our inception, where we can also arrange handover of hardware and agree ways of working through our sprints. Travel and subsistence should be included in the bid. Provide more information about your security requirements: No security clearance needed Latest start date 2023-07-17 Enter the expected contract length: 9 months Extension period: 4 months and 15 days Write the term or acronym: NHAIS Write the term or acronym: DESW Explain the term or acronym: National Health Application and Infrastructure Service Explain the term or acronym: Diabetic Eye Screening Wales Are you prepared to show your budget details?: Yes Indicative maximum: 500000 Provide further information: The maximum is high due to the need to account for potential multiple alphas within the envelope Confirm if you require a contracted out service or supply of resource Contracted out service: the off-payroll rules do not apply Summary of work Public Health Wales would like to develop components in its screening system Breast Screening: We wish to build on a discovery completed earlier this year and develop a replacement for the cohorting component of our breast screening service. The service is currently using a solution which is due to be decommissioned. . The component allows us to create and manage rules for selecting participants who need to be invited to be invited for breast screening in Wales The existing system is called the National Health Applications and Infrastructure Services (NHAIS) which is run by NHS England and is due to be switched off and decommissioned in which estimated dates for Wales for March 2024. We are undertaking a further discovery, specific to NHAIS to identify which of our user needs are currently provided by NHAIS and which will make up a minimum viable product to replace this function This tender includes both Alpha and Beta development of a replacement component which can be used to replace the cohort functionality of NHAIS for breast screening cohort selection. The component should be designed with the intention of using it in other screening services. If the minimum viable product in the discovery includes more functions than the cohort tool then we will need to investigate the most suitable home for the extra functions. We would like a partner to work alongside our developers and business owners, helping us to learn new ways of working and pairing while we deliver. Tasks may include testing the rules set we will need to apply to our demographics database, considering what, if any, containerisation can be done to the existing breast test system to make it easier to apply a new set of selection rules. Depending on the outcome of the Alpha, the minimum viable product may be close to completion or not yet close. Development of a secure, viable product with time for integration and QA testing would be essential within the strict timescales of March 2024. During Beta, tasks could include working closely with our data engineers and developers to prepare for deployment and maintenance of the component, user acceptance testing, training and formal move from NHAIS. Diabetic Eye Screening Wales: We have recently completed an alpha with diabetic eye screening and are developing our use of Optomize to improve our service. One part of our alpha included a successful proof of concept to automate the reading of new referrals to our service. We would like a partner to work with us to help us turn the proof of concept into a functioning component for our diabetic eye screening service. Where the supplied staff will work Wales Where the supplied staff will work No specific location (for example they can work remotely) Why the work is being done The component that selects people for invitation to breast screening in Wales is called National Health Application and Infrastructure Service (NHAIS) and is currently delivered by NHS England and Digital Health and Care Wales. But NHAIS is end of life and is due to be turned off and decommissioned for Breast Test Wales in March 2024. We need to continue to work with partners in both NHS England and NHS Wales to replace it before then. Due to the different rules that are applied in Wales, the tool will need to be different from the solution in England, though it will still need to exchange information. Ideally the tool will be flexible enough to select cohorts for other screening services in the future. Diabetic Eye Screening Wales is performing manual entry activities that could be automated, leading to more time for specialists to manage diabetic eye screening activities. The business problem you need to solve Breast cancer screening The aim of the breast screening programme is to reduce mortality from breast cancer. Women aged 50 to 70 who are resident in Wales, and registered with a General Practitioner, are invited for a mammogram (X-ray of the breasts) every three years. Breast Test Wales is divided into three geographical divisions with centres in Cardiff, Swansea, Llandudno and Wrexham. Eleven mobile units work across Wales to provide local screening to women who live some distance from a centre, visiting over 100 sites in every three-year round of screening. People who should be invited to breast cancer screening need to be identified before an invitation can be sent. The component that selects people for this invitation in Wales is called National Health Application and Infrastructure Service (NHAIS) and is currently delivered by NHS England and Digital Health and Care Wales. But NHAIS is at the end of its life and is due to be decommissioned and this will be from March 2024 for Breast Test Wales. We need to replace it before then, ideally with a tool flexible enough to select cohorts for other screening programmes in the future. Diabetic Eye Screening Wales The service aims to detect diabetic retinopathy before sight loss occurs. Research evidence shows that with early identification and treatment, loss of vision can be prevented in 70 – 90% of people with sight threatening diabetic retinopathy1 2 . People aged 12 and over with a diagnosis of diabetes, who are registered with a GP in Wales, are eligible and are invited for regular retinal screening with DESW. Around 15,000 people a year receive new diabetic diagnoses that mean they are eligible for eye screening as part of their ongoing health care. Currently, the referrals come in by physical mail or email and must be uploaded manually. We wish to develop our proof of concept automatic reader into a live component. In this way we hope to release around 4,000 hours of our specialists’ time from manual entry tasks, so that instead they can help more people to be screened. Expected deliverables Working live deployments for both breast test cohorting and diabetic eye screening referrals tools. The work should be completed through mixed teams, with partners and Public Health Wales teams working alongside each other to deliver. The work and deliverables should meet the Welsh digital service standards, and we should be meeting the principles laid out in the Public Health Wales digital and data strategy. Although we do not specifically require individuals to be security checked, we expect all members of our partner team to have undergone appropriate checks and training within their organisation. Our partners must hold either ISO27001 or Cyber Essentials Plus certification. They will also need to apply for a code of connection to NHS Wales and work closely with us to ensure the safety and protection of sensitive information throughout our partnership. First user type: Screening Programme First user type: Developer First user type: Screening Programme First user type: Data Engineer First user type: Data Security Manager First user type: Head of Data Enter more details about this user type: As a screening programme, I need to know who to invite to screening so that I can offer them an appointment Enter more details about this user type: As a developer, I need to contribute to and understand the components so that I can maintain and improve them Enter more details about this user type: As a screening programme, I need to have confidence in the cohorting tool, so that I don’t need to spend time manually checking the details of an invitee Enter more details about this user type: As a data engineer, I need to have clean data coming into my data sets, so that I can maintain data quality Enter more details about this user type: As a data security manager, I need the components to be secure and well understood, so that they can be trusted to handle personally identifiable information in a safe and legal way Enter more details about this user type: As head of data, I need to ensure that there is a minimum viable replacement functioning, tested and implemented before March 2024, so that there is no loss of service due to the decommissioning Questions and Clarifications 0. what do you mean by mixed audiences in question 6? Technical and non-technical people, including people from all parts of Public Health Wales and members of other organisations and the public as becomes necessary over the course of the work. Last Updated: <strong>2023-05-23T16:23:29.776674Z</strong> 1. To whom it may concern, In the Statement of Requirements, under the section 'Any work that has already been done', it is noted that there has already been a discovery phase for the whole screening service in Public Health Wales - is it possible to view the output of this work in order to help us deliver more relevant responses? Thanks and best regards, We will make the discovery reports available to those who are shortlisted for the work. In order to provide good context we will provide the executive summary for the wider discovery in the document section. Last Updated: <strong>2023-05-23T16:33:58.535445Z</strong> 2. Good Afternoon, Would it be possible to answer the following clarification questions? 1. In relation to Essential skill 5, could the you provide the specific standards referred to as ‘data and digital governance requirements’? 2. The tender requirement spec makes reference to two separate discoveries that have been undertaken. Who completed each of the 2 Discoveries? And can we get a copy of the outputs from these Discoveries to inform our proposal? Kind regards good afternoon :-) 1) with regard to data and digital governance in the public sector, we expect to see evidence of an understanding of the processes and standards that are used in the public sector and how you have navigated them successfully ie Open Standards Board, Service Standards Assurance, External Audit and so forth. 2) The Screening discovery was completed by Zuhlke and the Alpha for the DESW was completed by Kainos. Please refer to the previous clarification, we will make the executive summaries available to bidders (once we can work out how to do that with CCS), and after shortlisting, finalists will have access to the full discovery and alpha documentation Hope this helps Last Updated: <strong>2023-05-23T16:45:32.355239Z</strong>