Dorset ICS Integration and Interoperability Review & Recommendation

Description

Summary of the work The Objectives of the Engagement are to review the current integration and interoperability landscape within NHS Dorset and propose a target architecture that would be required to realise the strategic digital objectives of the ICS, with a priority focus on the active ICS PAS/EPR programme across DCH, UHD, DHC Latest start date Monday 1 May 2023 Why the Work is Being Done Our supporting data integration architecture across Dorset has grown/ evolved organically within each local ICS organisation over the past 20+ years. Each organisation has implemented their own systems, standards, data models, and protocols as local needs and priorities require. In the modern age, integration between ICS organisations and local, regional, national partners is becoming more and more critical to support essential initiatives such as population health management, transfer of health records, care pathway management and social care referrals. The overall ICS data architecture is fragmented and inconsistent and requires much effort to develop and maintain. Because of the current approach, many side effects are being felt, such as poor data quality, multiple versions of the truth, information silos, poor governance, inconsistent semantics, complex over-engineered solutions and security and access issues, to name a few. It is also felt that the current approach will not support the future aspirations of the ICS in areas such as advanced analytics, machine learning and AI. The Dorset ICS would like to explore an alternative approach, using modern technologies and emerging industry standards, which supports our EPR system ambitions and address the issues above whilst providing a robust platform that is fit for the future Problem to Be Solved GPs in Dorset, Dorset County Hospital (DCH), University Hospitals Dorset (UHD), and Dorset HealthCare (DHC) have an inconsistent integration and interoperability landscape that has emerged organically. It is high cost and risk to maintain and frequently causes interruptions in operational care processes. As Dorset invests in a new EPR/PAS ecosystem these underpinning services need to be reviewed. Who Are the Users As a patient of Dorset's health and care system I need to have full confidence that my care information is gathered once and made available, appropriately, to all the relevant carer professionals in the system so that my care is optimal and my time is respected. As a clinical end user of the EPR/PAS ecosystems in Dorset I need to experience an optimal experience of information retrieval, recording and process transactions, in every care setting so that I can deliver safe and efficient care. As a leader of the Dorset health and care system I need to be assured that all decisions are made based on accurate information derived from single version of the truth data set about our patients so that we deliver the best possible population health management, prevention and treatment services and hence achieve our ICS ambitions for the population of Dorset Hence the objectives of the engagement are to review the current integration and interoperability landscape within NHS Dorset, provide appropriate strategic options, and propose a recommended target architecture that would be required to realise the strategic digital objectives of the ICS, with a priority focus on the active ICS PAS/EPR programme across the provider trusts. Existing Team We have an Enterprise Architect and a Digital Programme Management Office at the ICB and integration teams (of different sizes) within each of the provider organisations Current Phase Discovery Skills & Experience • Have experience in analysing and producing strategic interoperability direction within a multi-organisation healthcare environment such as an ICS (5 years or more) • Have experience of designing and implementing real-world technical solutions in the area of integration and interoperability • Have a solid understanding of relevant industry standards and best practices relating to integration and interoperability, including those related to healthcare • Have consultancy experience of working within the healthcare sector (5 years or more) Nice to Haves • Be actively progressing the development of health interoperability standards at a national or international level • Provide evidence of effective skills transfer to clients Work Location Bournemouth hospital: BH7 7DW Poole Hospital: BH15 2JB Dorset County Hospital: DT1 2JY Dorset Healthcare head quarters: BH17 ORB Working Arrangments The supplier will be expected to work in a blended way with some proportion of their time in face to face discussions with stakeholders in Dorset and some time working remotely using virtual collaboration tools - i.e. MS Teams Additional T&Cs We have developed a more detailed work package describing the scope, outputs, deliverables and interdependencies which will form part of the contract with the successful bidder. For access to this document please contact graham.sheppard@nhsdorset.nhs.uk No. of Suppliers to Evaluate 5 Proposal Criteria • experience in analysing and producing strategic interoperability direction within a multi-organisation healthcare environment such as an ICS (5 years or more) • experience of designing and implementing real-world technical solutions in the area of integration and interoperability • understanding of relevant industry standards and best practices relating to integration and interoperability, including those related to healthcare • consultancy experience of working within the healthcare sector (5 years or more) Cultural Fit Criteria • Be capable of skills transfer to the existing NHS Programme Team • Be capable of working effectively as a member of the existing skilled group of stakeholders • Be an effective communicator of complex and complicated technical information to different stakeholders Payment Approach Capped time and materials Assessment Method • Reference • Presentation Evaluation Weighting Technical competence 70% Cultural fit 10% Price 20% Questions from Suppliers 1. Could you please indicate your budget for this Discovery phase, so that suppliers can validate if they think they can credibly deliver the outcomes you need We do not have a fully defined budget but would recognise that this is a large and complex piece of work that requires a significant amount of specialist skills and as such would expect bids around 50-150k. 2. If suppliers can demonstrate that they can deliver a superior outcome for Dorset ICS by partnering, will that be permitted? Yes partnering is permitted 3. You ask suppliers to demonstrate 5 years or more experience of producing strategic interoperability direction. Would you prefer suppliers to reference very recent (less than 5 years) multi-organisation healthcare experience of using modern techniques/technologies to transform ageing legacy systems/data models etc? Or alternatively, is the longevity of programme (5 years +) the overriding point of interest which should be evidenced? Of these two options we would prefer suppliers to reference very recent (less than 5 years) multi-organisation healthcare experience of using modern techniques/technologies to transform ageing legacy systems/data models etc? 4. Please clarify the budget for the project and the length of the contract. Could you also please clarify full procurement timescales (2nd stage shortlisting, contract award etc). Many thanks For the budget aspect of the question please see response to question 1.Please hold the afternoon of the 14th April 1:30pm to 5pm for interviews for the shortlisted bidders. The short list will be announced on 12 April. The contract award is expected to take place the week of 17 April 5. What is the proposed budget and length of contract for this opportunity? For budget please see response to question 1. The proposed length of the contract is 3 to 6 months 6. Please could you confirm whether a single individual could complete this work or are you looking for a consultancy to complete the work? Thank you We would not wish to preclude a single individual from responding to this invitation. 7. What are your anticipated timeframes for this piece of work? Please see response to question 5 8. Is Social Care in scope? It’s not mentioned in the work package info beyond sharing social care referrals. No Social Care is not in scope of this work package beyond sharing social care referrals 9. In question 1, there is reference to 5 years or more, but it is not entirely clear what this means, could this please be clarified? We are interested in hearing from bidders who have a wealth of experience that has been built up over a substantial period of time and hence the reference to 5 years or more 10. What is your anticipated team structure and skills profile for this piece of work? This work will be co-ordinated by our EPR Programme Manager and the internal (NHS) team will be made up of our Enterprise Architect, the 4 Dorset CIOs, the clinical leads for Informatics and the interoperability experts. We do not have a skills profile documented.