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Welcome

As of midnight on 01 July, the 78 trusts using the GE Centricity PACS provided by CSC under the national PACS contract have transitioned to their locally procured PACS and RIS systems. All in all, the transition went incredibly smoothly.The exit project involved the migration of some four petabytes of data from the CSC data centres to local trust storage: this is the equivalent of approximately one million DVDs of data! 

This process, which has been described as "the biggest data migration in the world" successfully completely a few days before the end of the contract. I appreciate that this was done under immense time pressures resulting in some trusts receiving their complete data very late in the day;  we also had no choice but to drip feed information about the data localisation on a monthly basis - this was simply because the details of the solution were still being finalised after we had started the work. The key lesson learnt from the exercise is a rather obvious one - start the process a year before you think you need to do so.

The PACS programme team extend their thanks to all trusts involved for their cooperation and patience over the last year. Good luck with your new systems!

Additionally, a further five trusts from Yorkshire and Teeside exited the contract with Accenture at the same time. This process was a lot more straightforward as Accenture continue to provide PACS services to the remaining 26 trusts so data migration can continue beyond the point of contract exit. Nonetheless, congratulations to the trusts involved for a successful contract transition.

This leaves us with 20 trusts within the BT contract and 26 with Accenture. We expect at least half of these to exit the contracts in a year with the remainder forming a tail form mid 2014 to as late as 2016. It goes without saying that the team's focus has immediately switched to these trusts - the regional teams are now bolstered by the resource that was previously working on the trusts exiting in wave one.

Finally, the team is spending the summer and beyond with a focus on capturing lessons learnt. Anyone who was involved in the first wave of exit will be contacted through a variety of channels and invited to contribute to this effort. I would enthusiastically encourage you to share the knowledge you have gained. The NHS has built up a wealth of experience over the last 12 months and it would be a  shame if we were not to transfer this to our colleagues about to repeat the process.

Thanks!

Alasdair Thompson, PACS Programme Head

Latest BT news

The London Exit Board last met on the 18 July. The meeting was well attended and gave trusts the opportunity to update on their progress in addition to Q&A. It is encouraging to hear of the number of trusts who have either commenced localisation or have set a date.

Following the recent success of the joint NHS Supply Chain & Sectra event, further trusts have since confirmed that they have signed up to a repeat event on the 29 - 30 July. This event has been arranged as part of the on-going support to trusts as they prepare for exit.

We are continuing to work closely with BT and their sub-contractor Sectra to confirm on-going arrangements for supporting trusts with their data migration. In addition, the Technical Team continues to work with BT on MIA performance as well as with the N3 Development Board on the bandwidth upgrade – such measures intend to support a number of trusts localising their data concurrently.

Latest Accenture news

Five trusts in Yorkshire and Teeside successfully transitioned from the central PACS contract to local arrangements on 30 June 2013; the transition took place very smoothly. Doncaster and Bassetlaw Hospitals NHS Foundation Trust plan to go live with their Fuji PACS in August.

The next wave of exit is very much underway. A total of nine trusts have served notice of their intention to leave the contract on 30 June 2014 and at least another three are expected to do so throughout the summer. A number of consortia have formed and  at the vanguard the six trusts in the East Midlands intend to issue an OJEU notice in the near future with view to commencing deployments in the latter half of 2014. 

Similarly, the other trusts are in the advanced stages of planning their own consortium-based procurements. If you feel your trust is not fully engaged in such conversations, please contact David Stimpston at the HSCIC for more information.

National view

44  trusts in scope for wave two exit 

15  trusts intending to exit on 30 June 2014 

05  trusts having completed procurement 

04  trusts in procurement 

00  trusts completed data localisation 

06  trusts currently localising data

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