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LGSS to save £1.3m for NHFT - LGSS

LGSS to save £1.3m for NHFT

In 2015, LGSS formed a partnership agreement with Northamptonshire Healthcare NHS Foundation Trust (NHFT), which will save the trust over £1.3m by 2020  – including recurrent and one-off revenue savings, capital savings and agreed cost avoidance.

The Challenge

In February 2016, Lord Carter published his final report on Productivity in NHS Hospitals. The report hypothesized an annual NHS saving of £5bn by 2020, if acute trusts opted to use a shared service.

In 2015 NHFT were ahead of the curve and were looking for a fully managed Information Management and Technology (IM&T) service, which would deliver efficiencies, reduce duplication and enrich services through economies of scale.

NHFT were also keen to resolve challenges caused by multiple software platforms. NHFT used several IM&T systems that were not compatible, so hours of time were lost to administration.

NHFT were interested in LGSS as a shared service, but were wary of using the lead provider framework (LPF), which would use additional time and resources.

LGSS were also already supporting Social Care IT and none of the providers on the LPF had experience across the public sector. NHFT were also in need of strategic IT leadership and conscious that LGSS were able to provide Health and Care IT expertise.

The Solution

LGSS and NHFT collaborated on a business case, which would see LGSS work in partnership with NHFT to deliver a fully managed IM&T service, encompassing the following specialties:

  • clinical systems deployment, management and support
  • information governance and freedom of information requests
  • business services and support
  • IT infrastructure, service delivery and telephony provision
  • project management and development

The partnership objectives were to realise efficiencies of scale, improve system compatibility, streamline services, build a clinical systems centre of excellence, and innovate and develop new business/income.

Using the Local Government Act as a legislative guide, NHFT had no need to go through the procurement process or lead provider framework. Both legal teams approved a partnership agreement, based on the premise that public sector bodies can delegate the management of services to one another on a not-for-profit basis.

Results

In March 2015 the partnership agreement was established, setting out the following terms:

  • 68 staff integrated into LGSS specialist IM&T service, creating a pool of shared talent and resource for both parties
  • an operational budget of £3.6m
  • LGSS Health and Care was created with the aim of joining up Health and Social Care systems and supporting trusts and local government authorities with their IT needs
  • An agreement to deliver NHFT a net benefit of £514,000 over a five-year contract whilst maintaining quality of service.

In the first year of the agreement, LGSS Health and Care successfully implemented SystmOne a clinical record system, to 1,800 NHFT staff. This significantly improved patient care for mental health and community services across Northamptonshire and the wider NHS. For example, GPs now had sight of richer information within their patients’ clinical records. The project resulted in LGSS Health and Care being shortlisted for the prestigious Health Service Journal (HSJ) award for enhancing care through sharing information .

In 2015, 2015/16 and 2016/17, LGSS Health and Care received positive feedback from NHFT with a 99% satisfaction rate in the LGSS annual satisfaction questionnaire.

LGSS Health and Care also achieves a 99% customer satisfaction rating through its IT Project Management Office, running such an efficient service that the directorate is able to spend over 20 hours per week on unfunded prioritised projects .

Next Steps

LGSS Health and Care will continue to build on the ethos of best value services that deliver quality and user satisfaction. The service will provide further opportunities for customers and continue to work towards the integration of health and care systems for the benefit of the public.

 

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