Southwark PCT: CRS Deployment Project - RiO by MHXcA7oE



Current Position

There are now over 550 clinical and non-clinical users using the RiO community system. Services
that are connected and are using the system are:

         Child Health

         School Nursing

         Podiatry

         Health Visiting

         Adult Therapy

         Adult with Learning Disabilities

         Diabetic Nursing

         Tissue Viability and

         Community Matrons

The RiO Community product is functionally rich and combines typical Patient Administration Service
(PAS) functionality – for example, patient registration, ADT, appointment scheduling – with the ability
to record clinical notes and conduct specialist assessments. RiO offers a highly intuitive interface,
which care professionals can plan, schedule and record the treatment received by patients in their

RiO Community V5.0


RiO Community V5.0 will incorporate the first elements of integration with the SPINE, the national
NHS CRS database. This will include the publication of Choose and Book (CAB) slots for external
booking. RiO Community V5 will be able to query and update the Personal Demographic Services
(PDS) containing patient’s demographic details such as name address etc.

Single Sign-on (SSO) will provide Smartcard access to the Spine’s security broker service using the
Registration Authority (RA) and will include Role-Back Access Control (RABC), which provides
access to specific RiO functionalities that users will need to do their job. Future RiO release
upgrades will include SNOMED CT to support diagnoses and prescribing functionalities.

Deployment slots and timescales for the implementation of RiO Community V5 is structured and
controlled by BT (London’s Local Service Provider), and the London Programme for IT (LPfIT). This
is structured similar to the deployment of RiO V4 whereby pre-deployment and deployment
workshops are held to develop project plans etc.


RiO V5.0 Deployment

Southwark PCT will start pre-deployment of RiO V5.0 at the beginning of October 2007. The RiO
V5.0 upgrade project will be deployed over a 7-months period. This will be completed in stages of
1-month pre-deployment workshops (Stage 2a); 3-months for Location Preparation (Stage 2b); and

3-months for Deployment (Stage 3a).         The project will follow the V4.0 project structure with
workstream areas which are:

            Infrastructure

            Data Migration (Data Quality & Cleansing)

            Transformation

            Local Set-up & Configuration

            Training

            Registration Authority

            Deployment Testing

            Service Management

The London LSP Deployment Framework will be used by Southwark PCT when deploying RiO V5.
This provides a consistent structure with common stages, gates, milestones and deliverables. Also
the PRINCE 2 project management methodology will be used. In the initial stage of deployment all
existing services will be upgraded from the existing RiO version (RiO version 4) to RiO version 5.

RiO V5.0 Final Service Rollout

Once all existing services are upgraded to RiO Version 5, RiO will then be deployed to all remaining
service. These are:

          Sexual Health

          District Nursing

          Young Persons Disabilities

          Intermediate Care

          Rehabilitation

          Care Home Support and other smaller services

Deployment to these services will start in May 2008, and will be ongoing up until December 2008.
Planning for RiO Version 6 which support’s integration to other systems such as Acute Trusts,
Waiting List and Result Reporting functionalities, and RIO to RIO data transfer will start during

November/December 2008.       A detailed Project Plan will be developed nearer the time of


                       EPS (Electronic Prescribing Service) Update

Problems have been experienced with EMIS PCS Enterprise at our initial implementation
sites for EPS release 1 (Gaumont House/ Acorn and Surrey Docks).

When we were able to activate EPS bar codes were being generated but the electronic
copy of the prescription was not reaching the spine. At a subsequent visit to Gaumont
House with our ICT Technical Manager we found that when we tried printing a script a
second time the EPS process would work. This is not an acceptable way of dealing with the
problem as we do not feel it is fair to expect practices to re-print a script in order for EPS to

It has been confirmed by CfH that all EMIS PCS enterprise practices in the country can not
be activated until further notice. Once we have the green light from CfH we will go ahead
and start activating. The problem is because of an issue with the central server.

19 Practices in Southwark PCT are now using EPS release 1. 31 pharmacies in Southwark
are now using EPS release 1. The live sites use In Practice Vision (5) and EMIS LV (14).

Seetec enterprise and Torex Synergy sites are still awaiting accreditation.

143,392 prescriptions have been issued using EPS since August 2006. 6,233 prescriptions
have been dispensed using EPS.

Release 2
Due to a delay with the suppliers on both the GP and the Pharmacy side it is anticipated
that the go live date for release 2 will now fall back from January to June. CfH do not
anticipate any GP/ Pharmacy Pairings in England where both the GP and Pharmacy are
ready for release 2; until June.

Locally; the transformation work stream has been set up. This will look at guiding practices,
pharmacies and patients through the business change process as well as cover any
business continuity issues. Transformation work will be tailored to the needs of individual
sites. Patient Public Involvement (PPI) will be involved in the process; as well as PCT staff
with extensive experience from primary care and community pharmacy settings.
Communications work will be tied in with the transformation process.

We also need to agree whether or not the project needs to go before the Overview and
Scrutiny committee. There has been no need to do this for release 1 because the only
change for patients is the bar code on the right hand side of their prescription.

Sites have been put forward for participation in the pilot, however we still need the London
Programme for IT to agree to sites before we can confirm who will be involved.

The criterion for selection is as follows:

This criteria was agreed between the LMC and LPC and PCT IT leads.
Selection criteria for participation in the EPS Release 2 pilot:
    GP/ Pharmacy Pairing can only be selected for the pilot if it has 1 pharmacy who gets
      most of the business from that GP's patients).
    GP and Pharmacy both live with release 1 of EPS.
    Application for release 2 of EPS submitted.
    Good IT infrastructure in place and competent use of IT systems.

The first deployment board meeting is scheduled for November 26th. At the meeting we
hope to agree the Terms of Reference for the release 2 project and the project initiation
document. The board will be chaired by the Deputy Chief Executive of the PCT and vice
chaired by the Medical Director.

We would like to use the EPS project as a driver for rolling out NHS mail to community
pharmacies in Southwark.

If you feel that any aspects you are concerned about have not been covered in this update
please email


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