Notes by mifei

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									Worcestershire ICT Services - Management of Risk (MoR) Statistics
Current Report Functionality Version (1.0) - Date Released (10th Oct 06)

Background:
       1. Monthly reports are submitted by each ICT Head of Dept (HoD) and ICT Project Manager to Chris Greening who then compiles
       the reports in this spreadsheet.
       2. The compiled reports are initially deiscussed at the monthly ICT HoD meeting and then forwarded to the monthly
       Worcestershire ICT Programme Board for further discussion / actions as deemed necessary. After this the reports are released
       3. The data fields are based on guidance from the National Programme for IT (NPfIT) as well as the Office Government
       Commerce (OGC), the body that also covers PRINCE2, the national project management standard.
       4. Worksheets are dated by year and month (YYMM) so that an audit of particular risks can be tracked.

Further notes on the spreadsheet are available by contacting chris.greening@nhs.net

Quick Notes (Rep_YYMM Worksheet):
       1. This worksheet contains summaries on 5 key MoR criteria for all Trusts and Social Care
       2. The data contains the count for that particular Trust and risk criteria, as well as a list below of the reference identifier for the
       risk, in case further detail of the risk is required. This will be found in the 'Data_YYMM' worksheet.
       3. The next column contains counts and a risk reference list for risks referred to as 'Countywide'. These are risks that may cross
       more than one organisation and therefore it is advisable to also look at this risk in greater detail to see whether it may impact on
       that organisation, or indeed, whether the organisation has a role to play in reducing the state of that risk.
       4. A comments field will contain information that may be pertinent to that organisation and / or risk criteria.

Quick Notes (Data_YYMM Worksheet):
       1. This worksheet contains greater detail on all risks. Use the reference number (Ref field in the 1st column) from the Rep_YYMM
       worksheet as the search criteria.

       2. By using the filter and data sort functionality in Excel the data can be viewed for more specific criteria. A suggested regimen is:
            a. Select only open issues/risks. (assumes you have some closed issues / risks - if not go to next item) This is via the filter
            drop down arrow - selecting 'custom' and then 'does not equal' from the drop down list on the left of the dialog box and '0 -
            Closed' from the right drop down list.
            b. Sort the issues and risks to get the most critical at the top. Select the whole worksheet from the small square above and
            left of cell A1. Via the menu 'Data' and 'Sort' options, select Current MoR Value (Descending) and 'Change Since Last
            Update' (Escalating).

Version Control:
Trust Report Sheet Changes:
       <Non to Date>


Trust Data Sheet Changes:
       <Non to Date>
Worcestershire ICT Services - Management of ICT Risk Report (as at 1st Mar 07)




                                               All Organisations                  All Orgs (Specifc) +
     All Worcestershire Organisations           (Specific Risks)
                                                                   "Countywide"
                                                                                      Countywide
                                                                                                         Other Comments




1.   Number of 'Open' Issues / Risks:                 97                95




                             Average Score:           48                42




     Number of 'Open' Red 'RAG status'
2.                                                    41                33
     Issues / Risks:




                             Average Score:          109               116



     Number of 'Open' Red 'RAG status'
3.   Issues / Risks without Contingency               30                24
     Plans:



                             Average Score:          111               113




     Number of 'Open' Risks with proximity
4.                                                    50                37
     '2' ('1 to 3 months'):




                             Average Score:           4                 6




     Number of escalating 'Open' Red /
5.                                                    11                8
     Amber 'RAG status' Risks:




                             Average Score:           69                46




6.   "Open" H&S Risks (Total Count):                  1                 0




                                Total Score:         250                0


                             Average Score:          250                0




7.   "Open" RED H&S Risks (Count):                    1                 0




                                Total Score:         250                0


                             Average Score:          250                0
Worcestershire ICT Services - Management of ICT Risk Report (as at 1st Mar 07)



     Worcestershire Acute Hospitals
                                                              Acute Specific                                      "Countywide"                          Acute + Countywide   Other Comments
     NHS Trust




1.   Number of 'Open' Issues / Risks:                                  58                                                  95

                                                                                                   W2A015, W2A012, W2A010, W2A002, W2A001,
                                                                                                   W2A003, W2C035, W22002, W22004, W22006,
                                                                                                   W22007, W22009, W22011, W22016, W22017,
                                                                                                   W22018, W22021, W22022, W22023, W22024,
                                                  W22012, W22015, RTO001, RTO002, RTO003,
                                                                                                   W22025, W28001, W28002, W28003, W28004,
                                                 RTO004, RTO005, RTO006, RTO007, RTO008,
                                                                                                   W28005, W28006, W28007, W28008, W28009,
                                                 RTO009, RTO010, RTO011, RTO013, RTO014,
                                                                                                   W28010, W28011, W28012, W28013, W28014,
                                                 RTO016, RTO017, RTO018, RTO019, RTO020,
                                                                                                   W28015, W28016, W28017, W28018, W28019,
                                                  RTO021, RTO022, RTO023, W3I001, W3I002,
                                                                                                   W28021, W28022, W28023, W28024, W28025,
                                                W3I005, W3I007, W3I011, W3I016, W3I017, W23016,
                                   Risk List:                                                      W28026, W28027, W04011, W04013, W13016,
                                                  W23012, W23001, W23008, W23004, W23017,
                                                                                                   W13008, W13011, W13009, W13017, W13002,
                                                  W23006, W23009, W23015, W23007, W23010,
                                                                                                   W13005, W13007, W13010, W13001, W3d001,
                                                  W23013, W23003, W23011, W23005, W23002,
                                                                                                   W3d003, W3d004, W3d005, W3d007, W3d008,
                                                W23014, 1LS016, CIF003, CIF007, CIF008, CIF025,
                                                                                                   W3d009, W3s012, W3d013, W3d014, W3d015,
                                                  CIF026, SDV003, SDV004, SDV005, PPM008,
                                                                                                 1LS012, 1LS017, 3LS002, 3LS003, 3LS004, 3LS005,
                                                                    PPM022
                                                                                                 3LS006, 3LS007, 3LS008, CIF001, CIF006, CIF010,
                                                                                                CIF024, CIF028, KMT003, KMT005, KMT006, SDV006,
                                                                                                SDV007, TRA003, TRA004, TRA006, DIR002, DIR006,
                                                                                                                     DIR010




     Number of 'Open' Red 'RAG status'
2.                                                                     22                                                  33
     Issues / Risks:




                                                                                                       W2A015, W2A012, W2A010, W2A002, W2A001,
                                                                                                       W2C035, W22007, W22009, W22024, W28016,
                                                  RTO001, RTO003, RTO005, RTO008, RTO018,
                                                                                                       W28017, W28022, W28024, W28025, W28026,
                                                RTO023, W3I005, W3I011, W3I016, W3I017, W23016,
                                   Risk List:                                                          W28027, W13016, W3d005, W3d015, 1LS012,
                                                W23012, W23001, 1LS016, CIF003, CIF007, CIF008,
                                                                                                    1LS017, 3LS002, 3LS003, 3LS004, 3LS006, CIF001,
                                                   CIF025, CIF026, SDV005, PPM008, PPM022
                                                                                                    CIF006, CIF024, CIF028, KMT003, KMT005, TRA003,
                                                                                                                         DIR006




     Number of 'Open' Red 'RAG status'
3.   Issues / Risks without Contingency                                15                                                  24
     Plans:




                                                                                                     W2A015, W2A012, W2A010, W2A002, W2A001, W2C035,
                                                 RTO001, RTO003, RTO005, RTO008, RTO018, RTO023,
                                                                                                     W22024, W28016, W28017, W28022, W28024, W28025,
                                   Risk List:     W3I011, W3I016, W3I017, W23016, W23012, W23001,
                                                                                                      W28026, W28027, W13016, W3d005, W3d015, 1LS012,
                                                              1LS016, CIF025, PPM022
                                                                                                       1LS017, 3LS002, 3LS003, 3LS004, 3LS006, CIF024




     Number of 'Open' Risks with proximity
4.                                                                     35                                                  37
     '2' ('1 to 3 months'):



                                                                                                      W2A002, W2A001, W2A003, W22002, W22007,
                                                  W22012, W22015, RTO002, RTO003, RTO004,
                                                                                                       W22011, W22021, W22022, W22023, W22025,
                                                  RTO005, RTO006, RTO007, RTO009, RTO010,
                                                                                                       W28001, W28013, W28015, W04011, W04013,
                                                  RTO011, RTO013, RTO014, RTO016, RTO017,
                                                                                                       W13008, W13011, W13009, W13017, W13002,
                                   Risk List:     RTO019, RTO020, RTO021, RTO022, W3I007,
                                                                                                       W13005, W13007, W13010, W13001, W3d001,
                                                  W23008, W23004, W23017, W23006, W23009,
                                                                                                       W3d007, W3d009, W3s012, W3d013, W3d014,
                                                  W23015, W23007, W23010, W23013, W23003,
                                                                                                    3LS005, 3LS007, 3LS008, CIF010, SDV006, SDV007,
                                                  W23011, W23005, W23002, W23014, SDV004
                                                                                                                        TRA004




     Number of escalating 'Open' Red /
5.                                                                     11                                                   8
     Amber 'RAG status' Risks:




                                                  W22012, RTO001, RTO008, RTO011, RTO018,
                                                                                                      W2A002, W22024, W28002, W13008, W13011,
                                   Risk List:     W23016, W23012, W23001, W23008, W23004,
                                                                                                              W3d001, TRA003, TRA006
                                                                  W23003




6.   "Open" H&S Risks (Total Count):                                    1                                                   0

                                Total Score:                          250                                                   0

                             Average Score:                           250                                                   0

7.   "Open" RED H&S Risks (Count):                                      1                                                   0

                                Total Score:                          250                                                   0




                                   Risk List:                        1LS016                                                N/A
Worcestershire ICT Services - Management of ICT Risk Report (as at 1st Mar 07)



     West Midlands Ambulance NHS                                                                                            WM Ambulance +
                                                WM Ambulance Specific                 "Countywide"                                           Other Comments
     Trust                                                                                                                   Countywide




1.   Number of 'Open' Issues / Risks:                     0                                    95

                                                                           W2A015, W2A012, W2A010, W2A002, W2A001,
                                                                           W2A003, W2C035, W22002, W22004, W22006,
                                                                           W22007, W22009, W22011, W22016, W22017,
                                                                           W22018, W22021, W22022, W22023, W22024,
                                                                           W22025, W28001, W28002, W28003, W28004,
                                                                           W28005, W28006, W28007, W28008, W28009,
                                                                           W28010, W28011, W28012, W28013, W28014,
                                                                           W28015, W28016, W28017, W28018, W28019,
                                                                           W28021, W28022, W28023, W28024, W28025,
                                   Risk List:            N/A               W28026, W28027, W04011, W04013, W13016,
                                                                           W13008, W13011, W13009, W13017, W13002,
                                                                           W13005, W13007, W13010, W13001, W3d001,
                                                                           W3d003, W3d004, W3d005, W3d007, W3d008,
                                                                           W3d009, W3s012, W3d013, W3d014, W3d015,
                                                                         1LS012, 1LS017, 3LS002, 3LS003, 3LS004, 3LS005,
                                                                         3LS006, 3LS007, 3LS008, CIF001, CIF006, CIF010,
                                                                        CIF024, CIF028, KMT003, KMT005, KMT006, SDV006,
                                                                        SDV007, TRA003, TRA004, TRA006, DIR002, DIR006,
                                                                                             DIR010




     Number of 'Open' Red 'RAG status'
2.                                                        0                                    33
     Issues / Risks:




                                                                           W2A015, W2A012, W2A010, W2A002, W2A001,
                                                                           W2C035, W22007, W22009, W22024, W28016,
                                                                           W28017, W28022, W28024, W28025, W28026,
                                   Risk List:            N/A               W28027, W13016, W3d005, W3d015, 1LS012,
                                                                        1LS017, 3LS002, 3LS003, 3LS004, 3LS006, CIF001,
                                                                        CIF006, CIF024, CIF028, KMT003, KMT005, TRA003,
                                                                                             DIR006




     Number of 'Open' Red 'RAG status'
3.   Issues / Risks without Contingency                   0                                    24
     Plans:




                                                                         W2A015, W2A012, W2A010, W2A002, W2A001, W2C035,
                                                                         W22024, W28016, W28017, W28022, W28024, W28025,
                                   Risk List:            N/A
                                                                          W28026, W28027, W13016, W3d005, W3d015, 1LS012,
                                                                           1LS017, 3LS002, 3LS003, 3LS004, 3LS006, CIF024




     Number of 'Open' Risks with proximity
4.                                                        0                                    37
     '2' ('1 to 3 months'):



                                                                          W2A002, W2A001, W2A003, W22002, W22007,
                                                                           W22011, W22021, W22022, W22023, W22025,
                                                                           W28001, W28013, W28015, W04011, W04013,
                                                                           W13008, W13011, W13009, W13017, W13002,
                                   Risk List:            N/A
                                                                           W13005, W13007, W13010, W13001, W3d001,
                                                                           W3d007, W3d009, W3s012, W3d013, W3d014,
                                                                        3LS005, 3LS007, 3LS008, CIF010, SDV006, SDV007,
                                                                                            TRA004




     Number of escalating 'Open' Red /
5.                                                        0                                     8
     Amber 'RAG status' Risks:




                                                                           W2A002, W22024, W28002, W13008, W13011,
                                   Risk List:            N/A
                                                                                   W3d001, TRA003, TRA006




6.   "Open" H&S Risks (Total Count):                      0                                     0

                                Total Score:              0                                     0

                             Average Score:               0                                     0

7.   "Open" RED H&S Risks (Count):                        0                                     0

                                Total Score:              0                                     0




                                   Risk List:            N/A                                   N/A
Worcestershire ICT Services - Management of ICT Risk Report (as at 1st Mar 07)



     Worcestershire Mental Health                                                                                       Worcs MH +
                                                Worcs MH Specific                 "Countywide"                                       Other Comments
     Partnership NHS Trust                                                                                              Countywide




1.   Number of 'Open' Issues / Risks:                    2                                 95

                                                                       W2A015, W2A012, W2A010, W2A002, W2A001,
                                                                       W2A003, W2C035, W22002, W22004, W22006,
                                                                       W22007, W22009, W22011, W22016, W22017,
                                                                       W22018, W22021, W22022, W22023, W22024,
                                                                       W22025, W28001, W28002, W28003, W28004,
                                                                       W28005, W28006, W28007, W28008, W28009,
                                                                       W28010, W28011, W28012, W28013, W28014,
                                                                       W28015, W28016, W28017, W28018, W28019,
                                                                       W28021, W28022, W28023, W28024, W28025,
                                   Risk List:      W22013, W22019      W28026, W28027, W04011, W04013, W13016,
                                                                       W13008, W13011, W13009, W13017, W13002,
                                                                       W13005, W13007, W13010, W13001, W3d001,
                                                                       W3d003, W3d004, W3d005, W3d007, W3d008,
                                                                       W3d009, W3s012, W3d013, W3d014, W3d015,
                                                                     1LS012, 1LS017, 3LS002, 3LS003, 3LS004, 3LS005,
                                                                     3LS006, 3LS007, 3LS008, CIF001, CIF006, CIF010,
                                                                    CIF024, CIF028, KMT003, KMT005, KMT006, SDV006,
                                                                    SDV007, TRA003, TRA004, TRA006, DIR002, DIR006,
                                                                                         DIR010




     Number of 'Open' Red 'RAG status'
2.                                                       1                                 33
     Issues / Risks:




                                                                       W2A015, W2A012, W2A010, W2A002, W2A001,
                                                                       W2C035, W22007, W22009, W22024, W28016,
                                                                       W28017, W28022, W28024, W28025, W28026,
                                   Risk List:         W22013           W28027, W13016, W3d005, W3d015, 1LS012,
                                                                    1LS017, 3LS002, 3LS003, 3LS004, 3LS006, CIF001,
                                                                    CIF006, CIF024, CIF028, KMT003, KMT005, TRA003,
                                                                                         DIR006




     Number of 'Open' Red 'RAG status'
3.   Issues / Risks without Contingency                  1                                 24
     Plans:




                                                                     W2A015, W2A012, W2A010, W2A002, W2A001, W2C035,
                                                                     W22024, W28016, W28017, W28022, W28024, W28025,
                                   Risk List:         W22013
                                                                      W28026, W28027, W13016, W3d005, W3d015, 1LS012,
                                                                       1LS017, 3LS002, 3LS003, 3LS004, 3LS006, CIF024




     Number of 'Open' Risks with proximity
4.                                                       1                                 37
     '2' ('1 to 3 months'):



                                                                      W2A002, W2A001, W2A003, W22002, W22007,
                                                                       W22011, W22021, W22022, W22023, W22025,
                                                                       W28001, W28013, W28015, W04011, W04013,
                                                                       W13008, W13011, W13009, W13017, W13002,
                                   Risk List:         W22019
                                                                       W13005, W13007, W13010, W13001, W3d001,
                                                                       W3d007, W3d009, W3s012, W3d013, W3d014,
                                                                    3LS005, 3LS007, 3LS008, CIF010, SDV006, SDV007,
                                                                                        TRA004




     Number of escalating 'Open' Red /
5.                                                       0                                  8
     Amber 'RAG status' Risks:




                                                                       W2A002, W22024, W28002, W13008, W13011,
                                   Risk List:           N/A
                                                                               W3d001, TRA003, TRA006




6.   "Open" H&S Risks (Total Count):                     0                                  0

                                Total Score:             0                                  0

                             Average Score:              0                                  0

7.   "Open" RED H&S Risks (Count):                       0                                  0

                                Total Score:             0                                  0




                                   Risk List:           N/A                                N/A
Worcestershire ICT Services - Management of ICT Risk Report (as at 1st Mar 07)



                                                                                                                                                     Worcs PCT +
     Worcestershire PCT (incl GP)                         Worcs PCT Specific                                   "Countywide"
                                                                                                                                                     Countywide
                                                                                                                                                                   Other Comments




1.   Number of 'Open' Issues / Risks:                                37                                                 95

                                                                                                   W2A015, W2A012, W2A010, W2A002, W2A001,
                                                                                                   W2A003, W2C035, W22002, W22004, W22006,
                                                                                                   W22007, W22009, W22011, W22016, W22017,
                                                                                                   W22018, W22021, W22022, W22023, W22024,
                                                                                                   W22025, W28001, W28002, W28003, W28004,
                                                                                                   W28005, W28006, W28007, W28008, W28009,
                                                  W2C029, W2C021, W2C024, W2C034, W2C016,
                                                                                                   W28010, W28011, W28012, W28013, W28014,
                                                  W2C017, W2C018, W2C023, W2C025, W2C031,
                                                                                                   W28015, W28016, W28017, W28018, W28019,
                                                  W2C032, W2C040, W2C041, W2C042, W2C043,
                                                                                                   W28021, W28022, W28023, W28024, W28025,
                                                  W22014, W20001, W20003, W20005, W20006,
                                   Risk List:                                                      W28026, W28027, W04011, W04013, W13016,
                                                  W20007, W20008, W21004, W12014, W12031,
                                                                                                   W13008, W13011, W13009, W13017, W13002,
                                                  W12033, W12009, W12002, W12027, W12007,
                                                                                                   W13005, W13007, W13010, W13001, W3d001,
                                                W12016, W12001, W24001, 1LS001, 1LS010, CIF009,
                                                                                                   W3d003, W3d004, W3d005, W3d007, W3d008,
                                                                   DIR007
                                                                                                   W3d009, W3s012, W3d013, W3d014, W3d015,
                                                                                                 1LS012, 1LS017, 3LS002, 3LS003, 3LS004, 3LS005,
                                                                                                 3LS006, 3LS007, 3LS008, CIF001, CIF006, CIF010,
                                                                                                CIF024, CIF028, KMT003, KMT005, KMT006, SDV006,
                                                                                                SDV007, TRA003, TRA004, TRA006, DIR002, DIR006,
                                                                                                                     DIR010




     Number of 'Open' Red 'RAG status'
2.                                                                   18                                                 33
     Issues / Risks:




                                                                                                    W2A015, W2A012, W2A010, W2A002, W2A001,
                                                                                                    W2C035, W22007, W22009, W22024, W28016,
                                                  W2C029, W2C021, W2C041, W2C042, W2C043,
                                                                                                    W28017, W28022, W28024, W28025, W28026,
                                                  W20003, W20005, W20006, W20007, W20008,
                                   Risk List:                                                       W28027, W13016, W3d005, W3d015, 1LS012,
                                                   W21004, W12014, W12031, W12033, 1LS001,
                                                                                                 1LS017, 3LS002, 3LS003, 3LS004, 3LS006, CIF001,
                                                            1LS010, CIF009, DIR007
                                                                                                 CIF006, CIF024, CIF028, KMT003, KMT005, TRA003,
                                                                                                                      DIR006




     Number of 'Open' Red 'RAG status'
3.   Issues / Risks without Contingency                              14                                                 24
     Plans:




                                                                                                  W2A015, W2A012, W2A010, W2A002, W2A001, W2C035,
                                                  W2C029, W2C021, W2C041, W2C042, W2C043,
                                                                                                  W22024, W28016, W28017, W28022, W28024, W28025,
                                   Risk List:     W20003, W20005, W20006, W20007, W20008,
                                                                                                   W28026, W28027, W13016, W3d005, W3d015, 1LS012,
                                                      W21004, W12014, 1LS001, DIR007                1LS017, 3LS002, 3LS003, 3LS004, 3LS006, CIF024




     Number of 'Open' Risks with proximity
4.                                                                   14                                                 37
     '2' ('1 to 3 months'):



                                                                                                  W2A002, W2A001, W2A003, W22002, W22007,
                                                                                                   W22011, W22021, W22022, W22023, W22025,
                                                                                                   W28001, W28013, W28015, W04011, W04013,
                                                  W2C024, W2C016, W2C017, W2C018, W2C023,
                                                                                                   W13008, W13011, W13009, W13017, W13002,
                                   Risk List:     W2C025, W22014, W20001, W12009, W12002,
                                                                                                   W13005, W13007, W13010, W13001, W3d001,
                                                      W12027, W12007, W12016, W12001
                                                                                                   W3d007, W3d009, W3s012, W3d013, W3d014,
                                                                                                3LS005, 3LS007, 3LS008, CIF010, SDV006, SDV007,
                                                                                                                    TRA004




     Number of escalating 'Open' Red /
5.                                                                    0                                                  8
     Amber 'RAG status' Risks:




                                                                                                   W2A002, W22024, W28002, W13008, W13011,
                                   Risk List:                        N/A
                                                                                                           W3d001, TRA003, TRA006




6.   "Open" H&S Risks (Total Count):                                  0                                                  0

                                Total Score:                          0                                                  0

                             Average Score:                           0                                                  0

7.   "Open" RED H&S Risks (Count):                                    0                                                  0

                                Total Score:                          0                                                  0




                                   Risk List:                        N/A                                                N/A
Worcestershire ICT Services - Management of ICT Risk Report (as at 1st Mar 07)



     West Midlands Strategic Health                                                                                   WM SHA +
                                                WM SHA Specific                 "Countywide"                                       Other Comments
     Authority                                                                                                        Countywide




1.   Number of 'Open' Issues / Risks:                  0                                 95

                                                                     W2A015, W2A012, W2A010, W2A002, W2A001,
                                                                     W2A003, W2C035, W22002, W22004, W22006,
                                                                     W22007, W22009, W22011, W22016, W22017,
                                                                     W22018, W22021, W22022, W22023, W22024,
                                                                     W22025, W28001, W28002, W28003, W28004,
                                                                     W28005, W28006, W28007, W28008, W28009,
                                                                     W28010, W28011, W28012, W28013, W28014,
                                                                     W28015, W28016, W28017, W28018, W28019,
                                                                     W28021, W28022, W28023, W28024, W28025,
                                   Risk List:         N/A            W28026, W28027, W04011, W04013, W13016,
                                                                     W13008, W13011, W13009, W13017, W13002,
                                                                     W13005, W13007, W13010, W13001, W3d001,
                                                                     W3d003, W3d004, W3d005, W3d007, W3d008,
                                                                     W3d009, W3s012, W3d013, W3d014, W3d015,
                                                                   1LS012, 1LS017, 3LS002, 3LS003, 3LS004, 3LS005,
                                                                   3LS006, 3LS007, 3LS008, CIF001, CIF006, CIF010,
                                                                  CIF024, CIF028, KMT003, KMT005, KMT006, SDV006,
                                                                  SDV007, TRA003, TRA004, TRA006, DIR002, DIR006,
                                                                                       DIR010




     Number of 'Open' Red 'RAG status'
2.                                                     0                                 33
     Issues / Risks:




                                                                     W2A015, W2A012, W2A010, W2A002, W2A001,
                                                                     W2C035, W22007, W22009, W22024, W28016,
                                                                     W28017, W28022, W28024, W28025, W28026,
                                   Risk List:         N/A            W28027, W13016, W3d005, W3d015, 1LS012,
                                                                  1LS017, 3LS002, 3LS003, 3LS004, 3LS006, CIF001,
                                                                  CIF006, CIF024, CIF028, KMT003, KMT005, TRA003,
                                                                                       DIR006




     Number of 'Open' Red 'RAG status'
3.   Issues / Risks without Contingency                0                                 24
     Plans:




                                                                   W2A015, W2A012, W2A010, W2A002, W2A001, W2C035,
                                                                   W22024, W28016, W28017, W28022, W28024, W28025,
                                   Risk List:         N/A
                                                                    W28026, W28027, W13016, W3d005, W3d015, 1LS012,
                                                                     1LS017, 3LS002, 3LS003, 3LS004, 3LS006, CIF024




     Number of 'Open' Risks with proximity
4.                                                     0                                 37
     '2' ('1 to 3 months'):



                                                                    W2A002, W2A001, W2A003, W22002, W22007,
                                                                     W22011, W22021, W22022, W22023, W22025,
                                                                     W28001, W28013, W28015, W04011, W04013,
                                                                     W13008, W13011, W13009, W13017, W13002,
                                   Risk List:         N/A
                                                                     W13005, W13007, W13010, W13001, W3d001,
                                                                     W3d007, W3d009, W3s012, W3d013, W3d014,
                                                                  3LS005, 3LS007, 3LS008, CIF010, SDV006, SDV007,
                                                                                      TRA004




     Number of escalating 'Open' Red /
5.                                                     0                                  8
     Amber 'RAG status' Risks:




                                                                     W2A002, W22024, W28002, W13008, W13011,
                                   Risk List:         N/A
                                                                             W3d001, TRA003, TRA006




6.   "Open" H&S Risks (Total Count):                   0                                  0

                                Total Score:           0                                  0

                             Average Score:            0                                  0

7.   "Open" RED H&S Risks (Count):                     0                                  0

                                Total Score:           0                                  0




                                   Risk List:         N/A                                N/A
Worcestershire ICT Services - Management of ICT Risk Report (as at 1st Mar 07)



                                                                                                                                 Worcs Social Care +
     Worcestershire Social Care                 Worcs Social Care Specific                 "Countywide"
                                                                                                                                    Countywide
                                                                                                                                                       Other Comments




1.   Number of 'Open' Issues / Risks:                       0                                       95

                                                                                W2A015, W2A012, W2A010, W2A002, W2A001,
                                                                                W2A003, W2C035, W22002, W22004, W22006,
                                                                                W22007, W22009, W22011, W22016, W22017,
                                                                                W22018, W22021, W22022, W22023, W22024,
                                                                                W22025, W28001, W28002, W28003, W28004,
                                                                                W28005, W28006, W28007, W28008, W28009,
                                                                                W28010, W28011, W28012, W28013, W28014,
                                                                                W28015, W28016, W28017, W28018, W28019,
                                                                                W28021, W28022, W28023, W28024, W28025,
                                   Risk List:              N/A                  W28026, W28027, W04011, W04013, W13016,
                                                                                W13008, W13011, W13009, W13017, W13002,
                                                                                W13005, W13007, W13010, W13001, W3d001,
                                                                                W3d003, W3d004, W3d005, W3d007, W3d008,
                                                                                W3d009, W3s012, W3d013, W3d014, W3d015,
                                                                              1LS012, 1LS017, 3LS002, 3LS003, 3LS004, 3LS005,
                                                                              3LS006, 3LS007, 3LS008, CIF001, CIF006, CIF010,
                                                                             CIF024, CIF028, KMT003, KMT005, KMT006, SDV006,
                                                                             SDV007, TRA003, TRA004, TRA006, DIR002, DIR006,
                                                                                                  DIR010




     Number of 'Open' Red 'RAG status'
2.                                                          0                                       33
     Issues / Risks:




                                                                                W2A015, W2A012, W2A010, W2A002, W2A001,
                                                                                W2C035, W22007, W22009, W22024, W28016,
                                                                                W28017, W28022, W28024, W28025, W28026,
                                   Risk List:              N/A                  W28027, W13016, W3d005, W3d015, 1LS012,
                                                                             1LS017, 3LS002, 3LS003, 3LS004, 3LS006, CIF001,
                                                                             CIF006, CIF024, CIF028, KMT003, KMT005, TRA003,
                                                                                                  DIR006




     Number of 'Open' Red 'RAG status'
3.   Issues / Risks without Contingency                     0                                       24
     Plans:




                                                                              W2A015, W2A012, W2A010, W2A002, W2A001, W2C035,
                                                                              W22024, W28016, W28017, W28022, W28024, W28025,
                                   Risk List:              N/A
                                                                               W28026, W28027, W13016, W3d005, W3d015, 1LS012,
                                                                                1LS017, 3LS002, 3LS003, 3LS004, 3LS006, CIF024




     Number of 'Open' Risks with proximity
4.                                                          0                                       37
     '2' ('1 to 3 months'):



                                                                               W2A002, W2A001, W2A003, W22002, W22007,
                                                                                W22011, W22021, W22022, W22023, W22025,
                                                                                W28001, W28013, W28015, W04011, W04013,
                                                                                W13008, W13011, W13009, W13017, W13002,
                                   Risk List:              N/A
                                                                                W13005, W13007, W13010, W13001, W3d001,
                                                                                W3d007, W3d009, W3s012, W3d013, W3d014,
                                                                             3LS005, 3LS007, 3LS008, CIF010, SDV006, SDV007,
                                                                                                 TRA004




     Number of escalating 'Open' Red /
5.                                                          0                                        8
     Amber 'RAG status' Risks:




                                                                                W2A002, W22024, W28002, W13008, W13011,
                                   Risk List:              N/A
                                                                                        W3d001, TRA003, TRA006




6.   "Open" H&S Risks (Total Count):                        0                                        0

                                Total Score:                0                                        0

                             Average Score:                 0                                        0

7.   "Open" RED H&S Risks (Count):                          0                                        0

                                Total Score:                0                                        0




                                   Risk List:              N/A                                      N/A
Worcestershire ICT Services - Management of ICT Risk Report (as at 1st Mar 07)



                                                                                                                                    Worcs Social Care +
     'Other' Organisation                       'Other' Specific Organisation                 "Countywide"
                                                                                                                                       Countywide
                                                                                                                                                          Other Comments




1.   Number of 'Open' Issues / Risks:                        0                                         95

                                                                                   W2A015, W2A012, W2A010, W2A002, W2A001,
                                                                                   W2A003, W2C035, W22002, W22004, W22006,
                                                                                   W22007, W22009, W22011, W22016, W22017,
                                                                                   W22018, W22021, W22022, W22023, W22024,
                                                                                   W22025, W28001, W28002, W28003, W28004,
                                                                                   W28005, W28006, W28007, W28008, W28009,
                                                                                   W28010, W28011, W28012, W28013, W28014,
                                                                                   W28015, W28016, W28017, W28018, W28019,
                                                                                   W28021, W28022, W28023, W28024, W28025,
                                   Risk List:                N/A                   W28026, W28027, W04011, W04013, W13016,
                                                                                   W13008, W13011, W13009, W13017, W13002,
                                                                                   W13005, W13007, W13010, W13001, W3d001,
                                                                                   W3d003, W3d004, W3d005, W3d007, W3d008,
                                                                                   W3d009, W3s012, W3d013, W3d014, W3d015,
                                                                                 1LS012, 1LS017, 3LS002, 3LS003, 3LS004, 3LS005,
                                                                                 3LS006, 3LS007, 3LS008, CIF001, CIF006, CIF010,
                                                                                CIF024, CIF028, KMT003, KMT005, KMT006, SDV006,
                                                                                SDV007, TRA003, TRA004, TRA006, DIR002, DIR006,
                                                                                                     DIR010




     Number of 'Open' Red 'RAG status'
2.                                                           0                                         33
     Issues / Risks:




                                                                                   W2A015, W2A012, W2A010, W2A002, W2A001,
                                                                                   W2C035, W22007, W22009, W22024, W28016,
                                                                                   W28017, W28022, W28024, W28025, W28026,
                                   Risk List:                N/A                   W28027, W13016, W3d005, W3d015, 1LS012,
                                                                                1LS017, 3LS002, 3LS003, 3LS004, 3LS006, CIF001,
                                                                                CIF006, CIF024, CIF028, KMT003, KMT005, TRA003,
                                                                                                     DIR006




     Number of 'Open' Red 'RAG status'
3.   Issues / Risks without Contingency                      0                                         24
     Plans:




                                                                                 W2A015, W2A012, W2A010, W2A002, W2A001, W2C035,
                                                                                 W22024, W28016, W28017, W28022, W28024, W28025,
                                   Risk List:                N/A
                                                                                  W28026, W28027, W13016, W3d005, W3d015, 1LS012,
                                                                                   1LS017, 3LS002, 3LS003, 3LS004, 3LS006, CIF024




     Number of 'Open' Risks with proximity
4.                                                           0                                         37
     '2' ('1 to 3 months'):



                                                                                  W2A002, W2A001, W2A003, W22002, W22007,
                                                                                   W22011, W22021, W22022, W22023, W22025,
                                                                                   W28001, W28013, W28015, W04011, W04013,
                                                                                   W13008, W13011, W13009, W13017, W13002,
                                   Risk List:                N/A
                                                                                   W13005, W13007, W13010, W13001, W3d001,
                                                                                   W3d007, W3d009, W3s012, W3d013, W3d014,
                                                                                3LS005, 3LS007, 3LS008, CIF010, SDV006, SDV007,
                                                                                                    TRA004




     Number of escalating 'Open' Red /
5.                                                           0                                          8
     Amber 'RAG status' Risks:




                                                                                   W2A002, W22024, W28002, W13008, W13011,
                                   Risk List:                N/A
                                                                                           W3d001, TRA003, TRA006




6.   "Open" H&S Risks (Total Count):                         0                                          0

                                Total Score:                 0                                          0

                             Average Score:                  0                                          0

7.   "Open" RED H&S Risks (Count):                           0                                          0

                                Total Score:                 0                                          0




                                   Risk List:                N/A                                       N/A
Worcestershire ICT Services - Management of ICT Risk Report (as at 1st Mar 07)



                                                                                            Worcs Social Care +
     Check                                      Worcs Social Care Specific   "Countywide"
                                                                                               Countywide
                                                                                                                  Other Comments




1.   Number of 'Open' Issues / Risks:



                                   Risk List:




     Number of 'Open' Red 'RAG status'
2.
     Issues / Risks:



                                   Risk List:




     Number of 'Open' Red 'RAG status'
3.   Issues / Risks without Contingency
     Plans:



                                   Risk List:




     Number of 'Open' Risks with proximity
4.
     '2' ('1 to 3 months'):



                                   Risk List:




     Number of escalating 'Open' Red /
5.
     Amber 'RAG status' Risks:



                                   Risk List:




6.   "Open" H&S Risks (Total Count):

                                Total Score:

                             Average Score:


7.   "Open" RED H&S Risks (Count):

                                Total Score:




                                   Risk List:
Worcestershire ICT Services - Management of ICT Risk Report (as at 1st Mar 07)



                                                                                            Worcs Social Care +
     Diff                                       Worcs Social Care Specific   "Countywide"
                                                                                               Countywide
                                                                                                                  Other Comments




1.   Number of 'Open' Issues / Risks:



                                   Risk List:




     Number of 'Open' Red 'RAG status'
2.
     Issues / Risks:



                                   Risk List:




     Number of 'Open' Red 'RAG status'
3.   Issues / Risks without Contingency
     Plans:



                                   Risk List:




     Number of 'Open' Risks with proximity
4.
     '2' ('1 to 3 months'):



                                   Risk List:




     Number of escalating 'Open' Red /
5.
     Amber 'RAG status' Risks:



                                   Risk List:




6.   "Open" H&S Risks (Total Count):

                                Total Score:

                             Average Score:


7.   "Open" RED H&S Risks (Count):

                                Total Score:




                                   Risk List:
                                                                                                         Change Since
 Ref             Title                  Description of Risk                      Impact Desc.
                                                                                                          Last Update




                                                                           On Costs: None
         Release 2 - Smart                                                 On Time: None
                           Staff unable to use the EPS due to
W2C035   card Out Of Hours                                                 On Benefits:                  2-No Change
                           problems with their smart card.
         Support                                                           Prescriptions not
                                                                           transmitted electronically




                                                              Inability to complete
                               Lack of dedicated RA manager & registrations. Missed
         RA resources in
W22009                         resources to support RA across deadlines leading to a                     2-No Change
         the Acute trust.
                               the Acute trust.               break in business
                                                              continuity.




                                                                           On Costs: Significant - 1)
                               A bug in the Oasis system means that
                                                                           delay related. 2) To
                               when records are merged, the location
                                                                           proceed with the
                               of the notes in the minor records are
                                                                           workaround requires a
                               set to the home location. If the
                                                                           purely manual merge
                               location of records is set incorrectly on
                                                                           process and has
                               the minor then they will not be
                                                                           significant staff/time
                               trackable after the merge.
                                                                           overheads.
                              Update (Oct 05) - The case note
                                                                           On Time: Significant - No
                              tracking bug is resolved, but two
                                                                           fix will mean that all
                              further bugs have been identified
                                                                           mergers will have to be
                              (created?) after the fix: (a) Volume
                                                                           run manually, or at high
                              information is lost with all volumes
         Oasis Bug - Location                                              risk. Manual merging, is
W3K001                        becoming volume 1 on merge (b)                                             2-No Change
         of minor after merge                                              significantly more time
                              Locations vary depending upon which
                                                                           consuming than
                              Oasis screen they are looked at.
                                                                           automated merging, and
                              Update 2 (Nov 05) - Volume tracking
                                                                           dat re-entry will increase
                              now seems to have been resolved,
                                                                           this further.
                              however there are still issues with
                              screens displaying incorrect locations.
                                                                           On Benefits: Minor. If
                              It is beleived that this is not a data
                                                                           merges are completed
                              problem, but a disply problem (i.e.
                                                                           manually they will still be
                              incorrect fields being displayed) and
                                                                           merged upon completion.
                              this is again back with Capula to
                                                                           Benefits will only be
                              resolve.
                                                                           impacted if data is chosen
                              Update 3 (March 06) - This has now
                                                                           to not be merged, rather
                              been resolved
                                                                           than manually merged.
                              VisionWare estimates on data
                              cleansing/matching time scales
                              appears to a long way out. This is
                              largely due to the quanitiy of
                              postcodes that they are trying to
                              match against. VisionWare are
                                                                          On Costs: None.
                              reluctant to give us any Updated
         VisionWare Time                                                  On Time: High.
W3K025                        estimates.                                                             2-No Change
         scales                                                           On Benefits: Potentially
                              10/10/2006 - We are again
                                                                          Significant.
                              expoeriencing significant delays.
                              26/5/2006 - Update - we now have a
                              full set of timesacles for this work, and
                              have re-opened full communications
                              with VisionWare. New realistic
                              schedules are being drawn up.




                                                                  No deputy clinical
                                                                  applications manager at
         Flexible working -
                              Band 5 staff member has reduced her work after:        2pm
CIF022   reduction in staff                                                                          3-Decreasing
                              hours of work from 30 to 24.        on Mon & Tues AND
         hours
                                                                  3pm on Weds,Thurs or
                                                                  Fridays.




                                                                  Loss of Oasis knowledge
         Flexible working -                                       in team at Band 4 level
                              Band 4 staff member has reduced her
CIF023   reduction in staff                                       when postholder not at             3-Decreasing
                              hours of work from 37 to 30
         hours                                                    work. Will impact service
                                                                  desk.


         MHMDS                The MHMDS is provided by                    There is a potential
                              CSC. The Trusts test the                    impact if the
                              database provided to ensure                 database is not
                              that the data is correct before             correct that the trust
W2A007                        sending on to Clearnet.                     may be impacted            2-No Change
                                                                          financially.




         NCRS Servers and     Users receive log in errors for             The impact of this
         Services             iPM that mean that they are                 issue is that user
                              unable to use NCRS.                         have to rekey data at
W2A008                                                                    a later date when          2-No Change
                                                                          they are able to
                                                                          access NCRS.
W3I012




                                When the original 3D software was
                                identified by the project was requested
                                                                          There is currently no
                                it would be free and a developer
                                                                          budget to provide this and
         3D rendering           license set up with the supplier.
                                                                          as such the project can      3-Decreasing
         Software               However due to the delay the supplier
                                                                          not go ahead without this
                                has gone elsewhere. Therefore the
                                                                          functionality.
                                project needs to fund around £25k to
                                provide a system




W3I013

                                                                          The impact of this change
                               The acute has issued a new training        is that apporximately 200
         Acute Training Policy statement that cancels all training for    staff will not know how to   3-Decreasing
                               staff.                                     use the new system at go
                                                                          live.




                                CfH have identified a compatibility       Users of Dell RT7D60
         Keyboard
                                problem with CSA and Dell                 keyboards may have
W22024   compatibility                                                                                 1-Escalating
                                RT7D60 keyboard of which the              problems accessing
         problems.
                                trust have some.                          the CSA.




                                                                          Time: Project end date
                                There is inadequate resource or
                                                                          not maintained
W12014   Resource - Staff       authority dedicated to the project                                     2-No Change
                                                                          Benefits: Product not
                                within the Trust to execute the tasks.
                                                                          suitable for service




         NCRS - Contacts                                                  Where staff only use the
         recorded via                                                     diary view i.e. district
                                Clinical Risk where community staff
CIF009   caseloads, not                                                   nurses, planned patient      2-No Change
                                are
         displaying on staff                                              appointments may be
         diary                                                            missed.
W3I014




                               As part of the software Crosslines are
                                                                      Showstopper without
         Crosslines            required for Theatres and Ortho Spine                                3-Decreasing
                                                                      alternative
                               Clinics.




W3I015
                               Hanging Protocols are required for go
                               live. Version 5.8 of the software which Showstopper without
         Hanging Protocols                                                                          3-Decreasing
                               has hanging protocols is currently      alternative
                               unstable.



                                                                       The stockroom has only
                                                                       one exit, into the
                                                                       workshop. The workshop
                                                                       has only one exit. There
                                                                       are no windows and only
1LS016   Fire                  Risk of Fire in Workshop.               a single small fire          3-Decreasing
                                                                       extinguisher. There are
                                                                       electrical hazards, trip
                                                                       hazards, a fire hazards
                                                                       from cardboard
                                                                       packaging.




                                                                       Lack of funding will
                                                                       impact both infrastructure
                                                                       development and
                                                                       individual projects.
                                                                       Infrastructure impact on
                              The new SHA have not given
         SHA Capital                                                   rollout of desktop
DIR001                        confirmation of the level of ICT capital                              3-Decreasing
         Allocation 2006/2007                                          equipment and upgardes
                              allocation for 2006/2007
                                                                       to networks. Project
                                                                       impact - NCRS Phase 2,
                                                                       Real Time Bed
                                                                       Management (PCs and
                                                                       wireless LANs)




                              The project is lacking in fundamental    No diabetic retinal
                              governance structures and scoping        screening process will be
DIR007   Diabetic Retinopathy                                                                       3-Decreasing
                              necessary to provide a reasonable        in place across Hereford
                              chance of success.                       and Worcester
                                  Cheltenham consultants have
                                  threatened to stop working at ECH if
                                  they have to diagnose on the 1.9MP
             Cheltenham                                                Clinics will have to be
    W20008                        Dicom compliant monitors. They are                                   Initial Entry
             Consultants                                               cancelled.
                                  demanding 3MP greyscale. These are
                                  £6000 per machine and they want 2
                                  machines.




                                                                        Trip hazards caused by
                                Redundant/faulty equipment stacked      stacked equipment in
             Trips and falls in
                                in workshop. New deliveries and         Workshop/Stockroom.
    1LS014   Workshop/Stockroo                                                                         Initial Entry
                                equipment being prepped stacked in      Faulty/dead kit has to wait
             m
                                workshop.                               to go to IMH as hubrooms
                                                                        out of bounds.




                                                                       If lack of space inhibits
                                                                       project on a number of
                                Where space limited within wards, use wards the flow of
             Mobile Equipment – of laptops under consideration. NB – information may be
RTO008                                                                                                 1-Escalating
             General            bedside ADT is not part of the current impeded / patchy as
                                project.                               those wards not using
                                                                       system will leave gaps in
                                                                       information.




                                                                         On Costs: ..
                                                                         On Time: Process
                                                                         change could
                Business             Dependence on / Impact of           impact/dictate pace
   W23016                                                                                             1-Escalating
              Change - Trust            operational change               of other project work.
                                                                         On Benefits: Lack of
                                                                         review/change will
                                                                         limit benefits.


                                                                         On Costs: ..
                                   There is inadequate resource          On Time: Breach
                                    or authority dedicated to the        tolerance.
   W23012      Staff resource                                                                         1-Escalating
                                     project within the Trust to         On Benefits:
                                         execute the tasks               Product not suitable
                                                                         for service.

             Daycare              The trusts have had issues with        The potential impact
                                  the way that Daycare functions         on staff is that they
                                  within NCRS. There has been            will be unable to
                                  a meeting between trusts and           utilise the Daycare
    W2A006                        CSC to determine the way               module correctly.            2-No Change
                                  forward.                               This in turn may
                                                                         have a financial
                                                                         impact on the trusts.
                                The Trust Change Manager resource         Trusts may not be able to
         Trust Change
                                is currently being reevaluated by both    perform as well as
W2A015   Management                                                                                     2-No Change
                                trusts to confirm what they need from     desired with out the
         Resources
                                the ICT department.                       appropriate resources.




                                                                          On Costs: Significant - 1)
                                                                          delay related. 2) The
                                                                          more mergers that fall
                                                                          outside the automated
                                                                          merge rules, the more
                                                                          have to be completed
                                When running an automerge the
                                                                          automatically. Manual
                                system automatically selects the
                                                                          merge process has
                                lowest record number as the major,
                                                                          significant staff/time
                                and merges all other records into this.
                                                                          overheads.
                                There are many reasons why this may
                                                                          On Time: Significant - The
         Oasis - Selection of   not be apropriate, e.g: a) the lower
W3K003                                                                    more that are manually        2-No Change
         Major record           number may be an obsolete range,
                                                                          merged, the more
                                e.g. 222, or 333 numbers. b) the lower
                                                                          staff/time overheads are
                                number may not have many notes
                                                                          incurred.
                                attached, so to assist a paper merger
                                                                          On Benefits: Minor. If
                                the larger set of case notes should be
                                                                          merges are completed
                                the major record.
                                                                          manually they will still be
                                                                          merged upon completion.
                                                                          Benefits will only be
                                                                          impacted if data is chosen
                                                                          to not be merged, rather
                                                                          than manually merged.




                                                                          On Costs: Minor -
                                                                          delay related

                                                          On Time: Significant
                                                          - delay to attributing
                                                          responsibilities for
              Lack of     To ensure a controlled start up project functions will
         Controlled Start to the project the senior roles delay deployment.
W04001                                                                                                  2-No Change
         Up - Senior User within the project need to be
               Roles      confirmed.                      On Benefits:
                                                          Significant - without
                                                          the necessary senior
                                                          support from the
                                                          customer
                                                          organisations the
                                                          quality resul
                             User are using the previous version of
                             Ward enquiry which can leave
                                                                     Not in line with
                             sessions open and allow other people
CIF024   Ward Enquiry                                                Information Governance        2-No Change
                             logging into ward enquiry to pick these
                                                                     standards.
                             up these sessions without having to
                             log in correctly.




                                                                     On Costs: Minor,
                                                                     Delay Related
           Outstanding       Lack of formal documentation
                                                                     On Time: Significant
          documentation      will reduce effectiveness of
W04012                                                               On Benefits: The              3-Decreasing
           awaited from      management of system when
                                                                     deployment time for
             Ardentia        deployed
                                                                     new functionality will
                                                                     be delayed




                                                                     Lack of co ordination has
                                                                     already led to the Hospital
                             Pershore CH is moving to a new site move being put back by
                             (shared with Pershore HC) in the near two or three weeks.
                             future. Unlike the GP Practice, the     Could impact on our
                             PCT has no one 'on site' to co-         ability to advise and help
         PCT Project         ordinate the building work. The PCT with the move due to the
1LS006                                                                                             3-Decreasing
         Management          has someone who has been named as move date conflicting with
                             the Project Manager but they have       other planned work.
                             delegated responsibility making it      There has also been a
                             difficult to gain information regarding delay in ordering new
                             the move.                               equipment. It may also
                                                                     impact on local hospital to
                                                                     deliver services.




                                                                     Can lead to delays in
                                                                     fixing calls easily,
                             There is no formal method of remote
                                                                     updating a large volume
         Remote support of   support to fix calls or keep GP
1LS010                                                               of PCs with software          3-Decreasing
         GP practices        practices up-to-date with Windows,
                                                                     updates, or rolling out
                             Office or Anti-virus and other software
                                                                     software for countywide
                                                                     projects
                                                                         Delays in account
                                                                         administration for clinical
                                                                         applictaions (Patient First,
                                                                         Oasis, EDS, Ward
         Vacancy of Clinical
                               Existing post holder has resigned         Enquiry, NSTS). Will
         Applications
CIF011                         leaving the clinical applications         impact on the service          3-Decreasing
         Administrator
                               support team with a Band 3 vacancy.       dleivery to customers on
         Assistant
                                                                         application related calls.
                                                                         Current statistics on
                                                                         dealing with calls will not
                                                                         be able to be maintained



                               New project(s) commencing or the
                               scope of existing project(s) 'creeping'
                               without the formal agreement of the       Poor scope control has
                               Trust and then County ICT                 tremendous impact on
                               Programme Board.                          project costs and is one of
                               Potentially significant impact exists     the main factors that can
                               where projects are not clearly scoped.    lead to project budget
                               Formal adoption of the projects was       overruns and delays.
                               the agreed method to combat this type     Scope changes in the
                               of occurrence.                            later stages of a project
                               At a meeting of the Worcestershire        can cost as much as 100
                               Acute Hospitals NHS Trust Executive       times more than
                               Team (25th Apr 07) support was given      requirement, specification
                               for a move of approach from a Capula      and objective changes
                               Oasis based clinical suite of products,   that occur in the initial
                               particularly in the area of theatres      phase.
                               deployments, to Bluepsier based           At a resource
                               clinicals. Capula would retain control    management level, where
         Project Adoption
                               of the patient administrative             projects are committed to
         (Adherence to) -
PPM014                         functionality.                            outside of formal              3-Decreasing
         Acute Systems
                                                                         adoption, the formally
         (Bluespier)
                               This move (if commercials are             adopted projects are in
                               favourable) would potentially mean        danger of becoming
                               that current Acute system briefs under    stretched and potentially
                               development of Clinical Data Capture,     failing as resources are
                               Results Reporting, Real Time Bed          required to cover the
                               Management and Electronic                 unadopted 'invisible'
                               Discharge Summaries would require         projects. Where the then
                               further development in discussion with    lack of resources cause
                               both Bluespier and Capula to ensure       difficulty in achieving
                               the correct location for data,            deliverables the strategic
                               development, interfaces etc.. are         view is one of a project
                               agreed. Each of these projects would      failing, not for want of
                               require a separate project (including     resiources, but due to
                               site based theatres deployments) to       lack of ability. The results
                               ensure service resources, a recurrent     therefore do not equate to
                               issue with Acute deployments, are         the perceived workload.
                               addressed, as well as the specification
                               for each deployment fully agreed




                                                                         Vacancies relate to 1st
                                                                         and 2nd line helpdesk
                               A number of ICT posts were recently
                                                                         paosts. The Helpdesk and
DIR003   Vacancy impact        agreed by County Programme Board                                         3-Decreasing
                                                                         technical support will be
                               but rejected by Acute Trust
                                                                         reduced until recuitment
                                                                         made
                                                                      No effective project board
                                                                      due to PCT
                                                                      reconfiguration. No
DIR008   NCRS Governance       No Project Executive for a CfH project                               3-Decreasing
                                                                      decision making or
                                                                      goveranance
                                                                      arrangements


                               Unclear arrangements for                No changes effected in
         Choose and Book
DIR009                         management of PCT Choose and            relation to the new PCT      3-Decreasing
         management
                               Book organisational changes             reorganisation




                                                                       This can lead to delays in
                                                                       fixing basic problems,
                                                                       there is too much reliance
                               There is linited knowledge within the
                                                                       on a few techncians who
         Knowledge of GP       department of how to install and
1LS009                                                                 have some knowledge,          Initial Entry
         Clincial Systems      configure GP clincial systems within
                                                                       and damages our
                               the Department
                                                                       reputation with users
                                                                       when calls cannot be
                                                                       fixed easily and quickly




                                                                       requires manual
         Power Faliure,        During recent power failure at WRH,
1LS012                                                                 intervention to bring         Initial Entry
         system failure        email and data clusters have failed
                                                                       systems back online




                               Patient records held on a number of
                               non-standard dell computers in the in
1LS023   Data Security Issue   Neurophysiology department, WRH       Loss of patient record          Initial Entry
                               are being backup using a USB
                               memory stick.




                                                              On Costs: additional
                                                              resource required to
                                                              address issues
                                                              On Time: potential
                               Expectations not met – project
              Setting                                         backlash of issues to
W23001                          wanted to be completed too                                          1-Escalating
           expectations.                  quickly.
                                                              be addressed.
                                                              On Benefits: loss of
                                                              confidence in system
                                                              and implementation
                                                              processes.
         RA Process           RA resource availability is             The impact of the
                              causing a problem for the               issue is that new
                              project it was felt by a number         satff groups will not
                              of board members that the lack          be bought onto the
                              of dedicated resource had               project for the three
                              major impact on being able to           PCTs.
                              deliver Phase 2 effectively.
W2A009                                                                                               2-No Change
                              The controlability of this issue
                              has been raised to Highly
                              confident as resources and
                              funding have been made
                              available for the trusts.




                              Implementation of C&B into GPs          On Costs: none
                              needs to have been carried out to       On Time: critical
         Implementation
W2C001                        enable release of EPS R1.               On Benefits: without           2-No Change
         Of C&B
                              This has been found to be no            registration the service
                              longer releveant.                       cannot be delivered

                              RA appointment has been
                                                                      On Costs: none
         RA Appointment       suggested as being in March,
                                                                      On Time: critical
         (Closed as           which is a little late and could
W2C002                                                                On Benefits: without           2-No Change
         Duplicate of EPS-    delay project completion
                                                                      registration the service
         I1)                  This is closed as it is felt to be a
                                                                      cannot be delivered
                              duplicate of issue EPS-I1



                              Identification of who will be           On Costs: None
                              responsible for continued support due   On Time: None
         Continued RA
W2C015                        to an increased workload once the       On Benefits: Critical: Will    2-No Change
         Support
                              smart cards have been issued,           impact upon users and
                              resetting pins etc.                     critically on clinical staff




         Organisational
         commitment of       Commitment of resources within           Inability to meet time
W22013   resources witin the the Mental Health Trust to               deadlines. Break in            2-No Change
         MHT to complete complete the work.                           business continuity.
         the work.




                             There are likely to be funding
                                                                      On Costs:
         Unconfirmed funding requirements for data quality, training,
W3K009                                                                On Time:                       2-No Change
         availability        and staff costs. Availability of funding
                                                                      On Benefits:
                             for this work is yet to be confirmed.
                              There are several restrictions that
                              capula have placed upon the
                              interface that may cause us              Quality: Risk of
                              problems and require                     deleting good data
         Capula interface     workarounds.                             when correcting bad
W3K033   restrictions - (a)   (a) updates require all fields to be     data.                         2-No Change
         completed fields.    completed. Any missing fields will       Time scales due to
                              be blanked. This means that we           implementation of
                              need to extract a record and             workaround.
                              populate any missing fields before
                              an update can be made.

W3I005   Maintaining          As the legacy system begins to           Resources will be
         legacy system        fail due to technical problems,          unavailable thereby
         starts to take       resources allocated to the               potentially impacting
         resources from       project may need to be diverted          the project
         the project          to assist with maintaining the           timescales.
                              old system


                                                                                                     2-No Change




                                                                       On Costs: Possible
                                                                       increase due to addiotnal
                               When the original discussions took
                                                                       data extracting and
                               place regarding the infection control
                                                                       intergration
                                project theatres was thought to be
W28017    Theatre Coverage                                             On Time: Delay in             2-No Change
                              included, due to the varying systems
                                                                       closure waiting for unified
                              across the county this can not be the
                                                                       systems
                                          case at this time
                                                                       On Benefits: Theatre
                                                                       data will not be available




                                                                       Ardentia need to
                                                                       confirm asap training
                                                                       slots available.
                                                                       Dates have been
           Admin & Dev                                                 provisionally booked
W04007                        Linked to EIS_05                                                       2-No Change
           Role Training                                               but may slip into
                                                                       October which is not
                                                                       acceptable due to
                                                                       reporting against ipm
                                                                       and PbR functionality
                                                            Loss of control over
                                                            system
                                                            implementation and
                                                            subsequent
                                                            maintenance
                                                            contract. At an
                              A contract between Ardentia
                                                            extreme level loss of
                              and NHS has yet to be signed.
W04009        Contract                                      agreement between                      2-No Change
                              It has been requested on a
                                                            customer and
                              number of occassions.
                                                            suppluer could place
                                                            clients in difficult
                                                            position if service is
                                                            maintained to an
                                                            agreed standard.
                                                            Unlikely given




                              Current expectations re: scope of       May be perception that
                              project differ:- a) use of portable     system does not fully
W3d006   User Expectation                                                                          2-No Change
                              devices, (b) uni/bi directional         meet the needs of the
                              interfaces                              department




                                                                       The decision on
                                                                       interfaces will impact on
                              Lack of clear decision as to whether
                                                                       final business processes.
                              the scope of the development is to
W3d010   System Interfaces.                                            Not possible to ascertain   2-No Change
                              include uni/Bi-directional interfaces to
                                                                       final processes given
                              Oasis.
                                                                       current uncertainty re:
                                                                       interfaces.
                                                                           Where staff, are not
                                                                           double checking the
                                                                           patient on the screen,
         Oasis - Bar code
                                                                           perform a transaction
CIF003   labels printing for the                                                                       2-No Change
                                                                           against the wrong patient
         incorrect patient
                                                                           (casenpote tracking,
                                                                           pathology requests),
                                                                           presents a clinical risk



                                   It has arisen that the bar codes that
                                   have printed on the Oasis generated
                                   patient labels, that when scanned
                                   have retrieved the wrong patient from
                                   the system.



                                                                           Team unable to support
                                                                           the PCT & Mental Health
                                   Existing postholder has been
                                                                           Trust with change
                                   seconded to support the IT
         Clinical Informatics                                              management support on
CIF028                             Development team, leaving the                                       2-No Change
         Officer Vacancy                                                   work to streamline the
                                   change management team with 1 wte
                                                                           letters genertaed form
                                   vacancy.
                                                                           NCRS, NCRS waiting lists
                                                                           and casenotes




                                                                      If the network is not fast
                                                                      enough at each of the
                                                                      four locations then the
                              Network connectivity is of the required
W20002   Network Connectivity                                         project may have to be           3-Decreasing
                              standard at each location.
                                                                      halted while these
                                                                      locations are brought up
                                                                      to speed.




                          Currently WRH is undergoing a PACS PCT PACS rollout will be
W20003   WRH PACS Project upgrade and as such resources will be delayed while the WRH                  3-Decreasing
                          required for this project also.       system is installed.




                                                                           Will be unable to install
                            Current resourcing problems may
         Ability to install                                                equipment can not
W20004                      mean that IT are unable to install the                                     3-Decreasing
         Equipment in March                                                commission any of the
                            equipment in March
                                                                           sites
                              The Stability of the Alex SAN over the
                              last couple of months hasbecome a        Loss of image backup as
                              cause for concern. The PACS servers      in some cases the servers
                              lose connection to the SAN storage       only hold one copy of the
                              meaning that the application can't       image. Clinicians
                              archive off the required images. This    becoming annoyed with
W20006   Alex SAN stability                                                                        3-Decreasing
                              means that there are images missing      the system. It would be
                              from the archive. It is also causing     unwise to enable the
                              problems with the clinicians as they     County PACS solution
                              have to log onto one of the other        until this is resolved.
                              servers to get images and they are       Linked to W3I016
                              losing confidence with the system.




W3I011

                                                                    Currently there is £6.5k
                                                                    allocated to provide
                                                                    vascular surgery with a
                              The Vascular Surgery team currently
                                                                    cart to view digital
                              use wet film to view scans. They have
                                                                    images. If they do not
         Vascular Surgery     expressed the desire not to have                                     3-Decreasing
                                                                    want this then the money
                              digital as they feel they do not have
                                                                    will be spent elsewhere in
                              the time to set up the images.
                                                                    the project. Vascular will
                                                                    then need to fund the film
                                                                    production.


W3I016




                              The Stability of the Alex SAN over the
                              last couple of months hasbecome a
                              cause for concern. The PACS servers
                              lose connection to the SAN storage       Loss of image backup as
                              meaning that the application can't       in some cases the servers
                              archive off the required images. This    only hold one copy of the
         Alex SAN stability                                                                        3-Decreasing
                              means that there are images missing      image. Clinicians
                              from the archive. It is also causing     becoming annoyed with
                              problems with the clinicians as they     the system.
                              have to log onto one of the other
                              servers to get images and they are
                              losing confidence with the system.




                            Current resourcing problems may
         Ability to install
W21001                      mean that IT are unable to install the                                 3-Decreasing
         Equipment in March
                            equipment in March
                                                                    Full Benefits of the
                                                                    system not realised.
                             Trust Reporting requirements not fully
W3d005   Reports                                                    Trust unable to comply         3-Decreasing
                             identified, documented and developed
                                                                    with DoH Statutory
                                                                    returns.




                                                                    Highlights a need to
                             Documents located on IT
         WHITS Netvault                                             monitor for backup
1LS002                       departmental server not able to be                                    3-Decreasing
         backup                                                     failures of Customers
                             recovered from backup
                                                                    critical data




                                                                A&E staff will have to
                             A&E system may experience a system
                                                                function with no A&E
         A&E System Failover failure which would result in the
1LS003                                                          system until IT restore            3-Decreasing
         Contingency         system becoming unavailable to the
                                                                services. More of issue
                             users.
                                                                during non-working hours.


                             Existing maintenance agreement to fix Clinical and admin areas
         Label Printer
1LS004                       a label printer is causing operational with no facility to print      3-Decreasing
         Maintenance
                             issues.                                patient labels.

                                                                    this type of
                             Current ability for anyone to make     change/configuration
         Change control /
                             changes to AD/Exchange system          change could have
1LS008   Configuration                                                                             3-Decreasing
                             without documenting (There are too     serious effects on the
         management
                             many domain administrators)            operation of the IT
                                                                    infastructure




                                                                    The Deparment and Trust
                                                                    could save a vast amount
                                                                    of money per year on
                                                                    their enery bills by turning
                                                                    off PCs and monitors
                                                                    when not in use. To
                                                                    estimate the savings
                                                                    potential, count the
1LS017   Cost Savings        Saving the trust money.                number of PCs in the           3-Decreasing
                                                                    company, multiply this by
                                                                    60 and place a pound
                                                                    sign in front of the
                                                                    answer. According to
                                                                    government figures, this
                                                                    is the potential annual
                                                                    saving. Turning off 100
                                                                    PCs = £6000 saving.
                              The hub rooms at WRH, KGH &               Potential fire / heatlth
                              Alexandra Hospital are being used as      hazard. Additional load
                              dumping grounds for old and new           on Air-conditioning
         Hub room             desktops, printers & associated           causing failure or
3LS004                                                                                                  3-Decreasing
         cleanliness          equipment. This is not only a fire risk   equipment to overheat.
                              but because of the amount of              Potential loss of service
                              equipment being dumped prevents           with failures in server or
                              maintenance work being carried out.       network hardware.




                              Some services being rejected by C&B
                              slot poll, with v large error messages
                              which are filling up system tables.
                              Once they have the go-ahead from
                              Atos, Capula need to disable the slot
         C&B interface
                              poll for one night to clear down
         messages causing                                            Generalised problems
CIF021                        messages and start again.                                                 3-Decreasing
         problem with slot                                           with C&B
                              Resistance to this locally because of
         polling
                              impact on users, as Atos have refused
                              to do manual slot poll in the past so
                              there would be a 24-hour period where
                              it would be impossible to book
                              appointments using C&B.




                                                                        PCT/MHPT have no other
                              Interim reporting solution to provide     means of extracting this
         Contingency
CIF025                        PCT/MHPT with community activity          information. Reference          3-Decreasing
         Reporting
                              extracts has become unusably slow.        Costs based on these
                                                                        extracts.


                                                                        Will be unable to install
         Ability to install   Current resourcing problems may
                                                                        equipment can not
W20005   Equipment in         mean that IT are unable to install the                                     Initial Entry
                                                                        commission any of the
         May/June             equipment in May/June
                                                                        sites



                                                                        Clinicians unable to use
                                                                        the Web viewer without
                                                                        technical support to
                              The Active X component is pushed out reinstall the viewer. Will
                              to desktops via the SMS service. The require patients to revisit
         MSI installation
W20007                        last time this was carried out it failed, if the clinician can't get to    Initial Entry
         failure
                              although this may be due to a change the image. Unable to
                              at the last minute.                       support this until it is
                                                                        resolved due to the
                                                                        additional risk this would
                                                                        cause. Linked to W31017
W3I017
                                                                          Clinicians unable to use
                              The Active X component is pushed out        the Web viewer without
                              to desktops via the SMS service. The        technical support to
         MSI installation
                              last time this was carried out it failed,   reinstall the viewer. Will      Initial Entry
         failure
                              although this may be due to a change        require patients to revisit
                              at the last minute.                         if the clinician can't get to
                                                                          the image.



                              Lack of Network at Turnpike and
         Lack of Network at 2 Corbett Medical Practice. Both
W21004                                                            Unable to upload files                  Initial Entry
         outliers             locations use N3 to connect to NCRS
                              etc and are not on the LAN.



                                                                      Documentation was being
                                                                      followed by technicians to
         Loss of blackberry   Blackberry instalation documentation
                                                                      standardise the install
1LS011   installation         accidently deleted, not able to restore                                     Initial Entry
                                                                      process, the loss of this
         documentation        from backups
                                                                      documentation will result
                                                                      in no standard instalations




                                                                          Without timely and clearly
                                                                          prioritised service plans
                              Programme plans and subsequent
                                                                          planning for appropriate
                              deployment of projects is dependent
                                                                          ICT deployments and
                              on access to detailed service plans
                                                                          support is practically
                              from Trust Directorates and
                                                                          impossible. The result is
                              overarched by Trust LDPs so that
                                                                          a service at best being led
         Service              service priorities are driving ICT
                                                                          by ICT system
         Reconfiguration /    developments and support. These
PPM008                                                                    deployments, at worst the       2-No Change
         Financial Recovery   include Trust Financial Recovery
                                                                          service priorities not being
         Plans (Acute)        Plans and detailed departmental
                                                                          supported and unrealised
                              service reconfiguration plans. These
                                                                          as systems are developed
                              have not always been available and
                                                                          on non priority areas.
                              ICT have not been involved in early
                                                                          The impact ranges from
                              discussions on potential options to
                                                                          Trust level to countywide
                              support those plans.
                                                                          as few systems are now
                                                                          solely internal to a Trust.
                                                                     Without timely and clearly
                                                                     prioritised service plans
                                                                     planning for appropriate
                              Programme plans and subsequent         ICT deployments and
                              deployment of projects is dependent support is practically
                              on access to full and timely LDPs from impossible. Result is a
         SLA - LDP
PPM005                        Trusts so that service priorities are  service at best being led       3-Decreasing
         Availability
                              driving ICT developments and support. by ICT system
                              In the past these have not always      deployments, at worst the
                              been available.                        service priorities not being
                                                                     supported and unrealised
                                                                     as systems are developed
                                                                     on non priority areas.




                                                                      Without timely and clearly
                                                                      prioritised service plans
                              Programme plans and subsequent
                                                                      planning for appropriate
                              deployment of projects is dependent
                                                                      ICT deployments and
                              on access to detailed service plans
                                                                      support is practically
                              from Trust Directorates and
                                                                      impossible. The result is
                              overarched by Trust LDPs so that
         Service                                                      a service at best being led
                              service priorities are driving ICT
         Reconfiguration /                                            by ICT system
                              developments and support. These
PPM009   Financial Recovery                                           deployments, at worst the      3-Decreasing
                              include Trust Financial Recovery
         Plans (Mental                                                service priorities not being
                              Plans and detailed departmental
         Health)                                                      supported and unrealised
                              service reconfiguration plans. These
                                                                      as systems are developed
                              have not always been available and
                                                                      on non priority areas.
                              ICT have not been involved in early
                                                                      The impact ranges from
                              discussions on potential options to
                                                                      Trust level to countywide
                              support those plans.
                                                                      as few systems are now
                                                                      solely internal to a Trust.
                                                                        System not utilised as
                                                                        ward staff unable to
             Hardware required to
                                                                        efficiently get to PC to
             meet objectives &    Hardware required to meet objectives
RTO018                                                                  enter necessary data and        1-Escalating
             deliverables not     & deliverables not defined and agreed
                                                                        produce reports required.
             defined and agreed
                                                                        Revert to paper based
                                                                        system as „more to hand‟.




                                                                          system is urgently
                                                                          required by Trust
                                  Project Timescale showing as Jan 08 therefore timescale will
             Deployment
    W3d008                        for full deployment - this may not meet impact on ability to record   1-Escalating
             Timescales
                                  with expectations of Project Board.     patient data and produce
                                                                          meaningful management
                                                                          reports.




                                                                      lack of co-ordination of
                                                                      planned work - lack of
             CaB - lack of service The CaB Programme currently has no linkage to supporting ICT
    PPM021                                                                                              1-Escalating
             Project Manager       service Project Manager.           work that needs to be
                                                                      done, particualrly in terms
                                                                      of prioritising schedule.


             National Service     From April the National Service         If left unchecked with
             Desk Charging        Desk will begin charging for            the amount of calls
    W2A012                        each call it receives from the          raised then a                 2-No Change
                                  LHE                                     significant charge
                                                                          may develop.

                                  Surgery have switched off ETP. On Costs: None
                                  When ETP is enabled at the GP On Time: Critical
             Spa Medical          surgeries running InPS Vision the On Benefits:
    W2C029                                                                                              2-No Change
             Practice             GPs are required to update all non- Additional time initially
                                  standard pack sizes when issuing required to issue
                                  older scripts                       exisiting prescriptions

                               There are problems with the very           Inability to properly
                               tight constraints that NSST batch          implement NSTS
                               submissions have in place. The             checking in Rhapsody.
                               first problem that we have                 Quality of data
    W3K032   NSTS E-Mail batch identified is that the public/privatre     degredation.                  2-No Change
                               key set can only be associated             Time scales due to
                               with one machine meaning that it           investigation and
                               cannot be sent from one PC and             implementation of
                               recieved on another.                       workaround.
                                  If nurses have to register emergency
                                  patients who have come through the
                                  direct access route they may not
                                                                            Existing work to reduce
                                  already be on the Oasis so need to be
                                                                            duplicate patient's on
RTO023       Patient Data Quality registered. There is a project going on                                 2-No Change
                                                                            system is hampered by
                                  to reduce the duplicates records on
                                                                            new duplicates.
                                  oasis that Terri Green & Sue Myers
                                  are leading, so with RTBM we don‟t
                                  want to exacerbate the problem.




                                                                            Benefits will not be
                                   Organisations involved in the            realised in
                                   project are asked to provide             organisations that do
              Organisational
   W04006                          contact names for relevant               not engage in the             2-No Change
                 Leads
                                   implementation groups and as             project. At a basic
                                   recipients of communications.            level training cannot
                                                                            be arranged.




                                                                         Benefits: Potential for
    W13016   Product Support       Supplier provision of Support Service inadequate support               2-No Change
                                                                         service.




                                                                            Would compromise the
                                                                            effective use of the sytem
                                   Current System Performance issues        and potentially lead to its
    W3d015   System Performance                                                                           2-No Change
                                   (not Maternity specific)                 disuse if the end users'
                                                                            frustrations built up to
                                                                            acceptable level.



             CaB - Cannot
                                   Where CaB appointments are being
             reschedule CAB
                                   rescheduled on CAB the Referral date Will affect the OP waiting
    CIF008   appointments in CAB                                                                          2-No Change
                                   is being reset to the date that the date list targets
             - referral date is
                                   is being rescheduled.
             reset
                                                                        There is an element of
                                                                       patient/clinical risk that
                                                                       exists whilst these
                                                                       duplicate records remain
                                                                       on the system - Staff not
                                                                       picking the most current
                             There are some 330,000 duplicate
                                                                       record when look up
                             records in Oasis which need to be
                                                                       history or add history
                             cleansed so that the master/minor
         Duplicate Records -                                           hence using the wrong
CIF025                       records can be identified and then                                       2-No Change
         Oasis                                                         unit number that is then
                             electronically merged. It has been
                                                                       passed to the pathology
                             agreed that the physical records will
                                                                       or radiology for action.
                             not be merged at teh same time.
                                                                       Migartion to the national
                                                                       Care Record system
                                                                       cannot take place until
                                                                       95% of the records have
                                                                       been popluated with an
                                                                       NHS Number.




                                                                        Clinical staff and admin
                              Descriptions are not clinically friendly, staff are unfamiliar with
         Theatres - procedure
CIF026                        they are a mix of OPCS and clinically terminology, thus theatre         2-No Change
         descriptions
                              based descriptions                        list does not make sense
                                                                        to them.




         Theatres - planned      User is able to book a theatre slot   User is unable to produce
CIF027                                                                                                2-No Change
         admit                   before the planned admit              a TCI letter for the patient


         Puiblic access                                                Users unable to access
         computers               Computers unable to access current    knowledge base;
KMT003                                                                                                2-No Change
         (Kidderminster          electronic resources                  Students unable to
         Health Library)                                               complete studies.

                                                                       Users unable to access
                                                                       knowledge base;
                                 Computers unable to access current    Students unable to
KMT005   Internet Study Points                                                                        2-No Change
                                 electronic resources                  complete studies; e-
                                                                       learning roll out
                                                                       compromised.


                                                                      Calls being dealth with
                                 Working on hardware calls is
                                                                      inefficiently and if the
                                 becoming worrisome when staff at our
1LS024   Lone Working                                                 technician is hurt those at     3-Decreasing
                                 base cannot contact the hardware
                                                                      WRH would have no way
                                 technician and vice versa
                                                                      of knowing this
                                                                      Loss of network services
                                                                      to the site. Including voice
                                                                      VPN,User DATA, Adastra,
                                                                      Choose & Book, Shared
                                                                      Finance, Pathology
                              Critical equipment on this site is not
                                                                      (Winpath), Alex PACS &
                              supported by a reliable uninterruptable
                                                                      Contact. As well as links
                              power supply. In the event of a mains
         Uniterruptable Power                                         to Crossgate House,
3LS001                        failure, brownout or voltage                                           3-Decreasing
         Alexandra Hospital                                           Hillcrest, Smallwood
                              fluctuations network equipment and
                                                                      House & Smallwood
                              servers may shutdown withought
                                                                      Clinic, Winyates, Church
                              warning or suffer irreperable damage .
                                                                      Hill Community Centre,
                                                                      Crabbs Cross Clinic,
                                                                      Orchard Place & the
                                                                      Community Drugs Team
                                                                      Redditch.




                                                                      Loss of network services
                                                                      to the site. Including voice
                                                                      VPN, A&E, PACS,
                                                                      Payroll, Internet,
                                                                      Pathology, Retinopathy,
                                                                      User DATA, system
                                                                      support links & other
                                                                      external hosted systems,
                                                                      Email. Links to 17 Castle
                              Critical equipment on this site is not
                                                                      Street, Beacon Centre,
                              supported by a reliable uninterruptable
                                                                      Spring Gardens, Isaac
         Uniterruptable Power power supply. In the event of a mains
                                                                      Maddox House (Mental
3LS002   Worcester Royal      failure, brownout or voltage                                           3-Decreasing
                                                                      Health, SWorcs PCT),
         Hospital             fluctuations network equipment and
                                                                      Shap Drive, Studdert
                              servers may shutdown withought
                                                                      Kennedy, Castle House,
                              warning or suffer irreperable damage .
                                                                      Droitwich Health Centre,
                                                                      Warndon Clinic, Moor
                                                                      Street Clinic, Lowesmoor
                                                                      Dental Practice, Brittania
                                                                      Crt, Elgar Annexe,
                                                                      Covercroft, 1 Fish Street,
                                                                      Edward House, Claines
                                                                      Clinic & St Richards
                                                                      Hospice.
                                                                      Loss of access to Voice
                                                                      VPN, PACS, VIP and
                              Critical equipment on this site is not
                                                                      User DATA. Loss of
                              supported by a reliable uninterruptable
                                                                      external access to all
         Uniterruptable Power power supply. In the event of a mains
                                                                      other clinical systems,
3LS003   Kidderminster        failure, brownout or voltage                                           3-Decreasing
                                                                      email, Internet & finance.
         Hospital             fluctuations network equipment and
                                                                      Links to Kidderminster
                              servers may shutdown withought
                                                                      Health Centre, Stourport
                              warning or suffer irreperable damage .
                                                                      Health Centre, Franche
                                                                      Clinic & 28/29 New Road.




                                                                         Pathology results may be
                                                                         missing from the print
         Ward Enquiry -
CIF001                                                                   outs which may affect the   3-Decreasing
         Printing
                                                                         clinical outcome of the
                                                                         patient.




                               As staff cannot print their results
                               directly from Ward enquiry they have
                               been trained to cut and paste the
                               results into Word. This in some cases
                               is causing the results to be missed off
                               the printed document.
                                                                   GP's may refuse to
                            Available OP appointments for certain
         CaB - available                                           continue using CaB.
                            service (knees, plastic, vascular) are
CIF005   Oasis appointments                                        Patients will decide to go              3-Decreasing
                            not being made available on CaB even
         not showing on CAB                                        another acute trust for
                            though they are being polled nightly.
                                                                   their appointment.




                                 Where an allergy is recorded against a
                                                                             Patient may suffer an
         Patient First - Known   patient, the system allows you to
                                                                             allergic reaction as a
         Patient allergies &     prescribe that medication - there is no
CIF006                                                                       result of a prescription,     3-Decreasing
         Prescribed              flag present that highlights to the user
                                                                             which may result in
         medication              that this the patient has a known
                                                                             patient death.
                                 allergy to this medication.




                                 At the Alex, CAS cards generated from
                                 Bosanova are retained on a separate
         Patient First -                                                     Clinical Information on old
                                 server which is used for look-up and
         Discontinued support                                                CAS cards cannot be
                                 audit puposes by the dept. The
CIF007   of Bosanova                                                         retrieved if required and     3-Decreasing
                                 support of both the server and scanner
         Scanner & AS400                                                     clinical audit will not be
                                 has not been extended which places
         server                                                              able to carried out.
                                 the dept at risk if either should fail to
                                 work.
                                                                        Users unable to access
                                                                        knowledge base;
                                                                        Students unable to
         Puiblic access
                               Computers unable to access current       complete studies; Service
KMT002   computers                                                                                     3-Decreasing
                               electronic resources                     fails accreditation
         (Rowlands Library)
                                                                        standards required for
                                                                        placement of students
                                                                        and junior doctors.




                                                                        This potential vacancy will
                                                                        be 3rd whole time
                                                                        equivalent from generic
                                                                        training pool - lack of
                                                                        resource to fulfill system
         Vacancy I T Training                                           training requirement -
TRA005                        Loss of I T training officer                                             3-Decreasing
         Officer Post 1                                                 definite impact on all
                                                                        projects. GO LIVE DATES
                                                                        WILL SLIP as a result of
                                                                        fewer trainers the longer it
                                                                        takes to train the volume
                                                                        of staff




                               There is no current communication        No communication
         Communications
DIR005                         lead in post identified to lead on ICT   process for CfH and            3-Decreasing
         Lead
                               issues                                   associated projects




                                                                        With recent organisational
                                                                        changes the pool from
         Project Boards -
                               Reduced service level input into         which service side project
DIR006   Governance                                                                                    3-Decreasing
                               project boards                           board members are
         Arrangements
                                                                        drawn is significantly
                                                                        reduced.




                                                                       On Costs: None
                                                                       On Time: None
                              User training will have to be scheduled
         Staff Training Tight                                          On Benefits: System not
W28024                        within a tight time frame so there is no                                 Initial Entry
               Schedule                                                taken up smoothly -
                                 disruption to working processes
                                                                       disruption to Infection
                                                                       Control Departments
                                                                         On Costs: None
                                                                         On Time: None
                               It is forcast that the user training will
            Staff Training                                               On Benefits: System not
W28025                         be during the end of December - this                                Initial Entry
             Christmas                                                   taken up smoothly -
                                 will clash with staff taking holiday
                                                                         disruption to Infection
                                                                         Control Departments




                                                                      May prevent CfH systems
         Preventing IE7       Microsoft may add IE7 to it's automatic
1LS022                                                                working if downloaded to     Initial Entry
         automatic update     Windows update
                                                                      a users desktop



                                                                    Engineers refusing to
                              Insufficient space & power in many of
                                                                    install equipment. Health
3LS004   N3 Adoption          the Community sites preventing the                                   Initial Entry
                                                                    and safety issues with
                              deployment of N3 equipment
                                                                    power overload.


                             The current Firewalls at Alexandra &
                                                                      Unable to link to new N3
         Firewall Upgrade to WRH are not capable of supporting
                                                                      service and not cabale of
3LS006   support 1Gb N3      1Gb links to N3 and need to be                                        Initial Entry
                                                                      supporting VPN
         Links               replaced as part of the N3 adoption
                                                                      connections
                             project
         BMA Security         The BMA recently expressed              Patients may begin
         Concerns             concerns over the security              to ask for there
W2A011                        problems with NCRS and the              record not the be            2-No Change
                              national programme.                     recorded
                                                                      electronically on
                                                                      advise of their
                                                                      On Costs: none
                        Variety of system vendors with                On Time: may slow
                        solutions in GP Practices may                 progress
         Variety Of
W2C004                  cause issues yet to be identified             On Benefits:                 2-No Change
         System Vendors
                        This is closed as it is not felt to be        Reduction in full
                        an issue.                                     service delivery within
                                                                      the given timescales


                                                                  On Costs: None
                                                                  On Time: Minor
                              Opthalmology records that have a WO On Benefits: Unknown -
W3K004   Opthalmology                                                                              2-No Change
                              prefix should not be merged.        Confirmation required on
                                                                  impact of merging these
                                                                  records.
                              There is a significant amount of
                              records in the database that are
                              marked as 'Micro'. These are records
                                                                      On Costs: None.
                              whereby the paper notes have been
                                                                      On Time: Potentially
                              transferred onto microfiche, and the
W3K021   "Micro" Records                                              Minor.                      2-No Change
                              paper copies destroyed. It is unclear
                                                                      On Benefits: Potentially
                              how these will be handled as we have
                                                                      Significant.
                              not yet established whether the
                              process of updating the MPI record to
                              'micro' has effected data.




                           Daily Duplicate reports, and other
                           reports, need to be run                    Failure to track and fix
         Continuous Daily consistantly to be effective. They          dupliactes will mean
W3K028                                                                                            2-No Change
         Duplicate Reports are currently being run by one             that bad data will still
                           membeer of staff who cannot do             appear on the system.
                           so if Ill/on leave etc.




                              There is concern that without a
                              test server newly formed        Potential data loss
W04010      Test Server       queires may adversly affect     and performance                     2-No Change
                              existing data and performance degredation
                              of the data server.




                                                                      The decision on
                                                                      interfaces will impact on
                              Lack of clear decision as to whether
                                                                      final business processes.
                              the scope of the development is to
W3d011   System Interfaces.                                           Not possible to ascertain   2-No Change
                              include interface with Ultrasound
                                                                      final processes given
                              System
                                                                      current uncertainty re:
                                                                      interfaces.
         Leavers and Joiners Currently there is no process          The impact of this is
         Process             for leavers and joiners to have        that a user with a
                             spine access removed or                smartcard, if they
                             granted. In accordance with            have a machine
W2A010                       DH guidelines these processes          available would be          3-Decreasing
                             will need to be put in place.          able to access iPM
                                                                    after they have left.




                                                                    On Costs: Possible
                                                                    increase mainly around
                                                                    user license's
                                                                    On Time: Delay in startup
                            Due to the project being adopted
                                                                    as issue's need resolving
                            sometime after initial enquires there
W28016     Start-Up Issue                                           / Contract to be agreed     3-Decreasing
                            are differing views on the software
                                                                    On Benefits: All benefits
                            requirements now.
                                                                    may not be realised as
                                                                    certain aspects of this
                                                                    project may have been
                                                                    over looked
                                                                              The wrong patient may be
         Patient First - 6 digit                                              matched on the pathology
CIF002   PAS numbers in the                                                   system is the hospital     3-Decreasing
         system                                                               number is not correctly
                                                                              identified.




                                   In 2001 a patient demographics was
                                   download from the Alex PAS and
                                   loaded into Bosanova (Alex A&E
                                   system), the Hospital numbers at the
                                   time varied in length from 3 - 6 digits.
                                   When labels are printed now from the
                                   system, for pathology this creates a
                                   clinical risk. 67,000 records affected




                                                                        On Costs: 7,600 + VAT
                                                                        On Time: Delays in
                                                                        system take up
                                                                        On Benefits: Benefits not
                                                                        realised. Delays to project
           Additional Staff         Purchasing additional user licences
W28022                                                                  implementation. System           Initial Entry
              Training               requires more staff to be trained
                                                                        not used to full potential.
                                                                        Staff revert to previous
                                                                        methods as they are not
                                                                        confident in using the
                                                                        system




                                                                 On Costs: None
                                                                 On Time: None
                            The stakeholders are concerned about
W28027   PDA's and Software                                      On Benefits: System not                 Initial Entry
                             the handheld hardware and software
                                                                 utilised to it's maximum
                                                                 potential
         NCRS Enabling          Within NCRS there are some        There is a financial
         Existing Functionality elements that Phase 1 of the      impact of deploying
                                project choose not to enable.     these elements
                                However as Phase 2 of the         across the county.
                                projects there may be a benefit   At this stage it is not
                                for enabling these items. It      clear what the
                                appears however that CSC          financial cost would
W2A002                          would like to charge              be and whether               1-Escalating
                                Worcestershire for the project    Worcestershire
                                time required in setting up       would be able to
                                these elements. They include      afford it.
                                Waiting Lists and Casenote
                                tracking.




                                                                  Loosing .53 dedicated E
                                                                  Learning facilitator will
                                                                  have to be absorbed by
                                                                  the rest of the team
         Vacancy E Learning
TRA003                      Loss of E Learning Facilitator        There will be a disruption   1-Escalating
         Facilitator
                                                                  to continuity as one
                                                                  person manages this role
                                                                  more effectively than half
                                                                  a dozen




                                                                On Costs: none
                                                                On Time: 100% coverage
                                                                for GP Surgeries will be
                                                                impacted
                            Knightwick Surgery do not use an    On Benefits: minimal for
W2C021   Knightwick Surgery NpFit compliant system when issuing the project as only this       2-No Change
                            prescriptions.                      one surgery. From the
                                                                surgery perspective
                                                                though this is Major as
                                                                they will be unable to use
                                                                the EPS




                                                                  Benefit: System not
                                                                  usable as clinical
                                                                  content rejected.
                                                                  Time: Any requirement
                                                                  to rodo clinical editing
                              System error in not                 and/or review would
         System clinical
W12031                        accepting/processing clincal        take weeks to                2-No Change
         content
                              changes correctly.                  complete.
                                                                  Cost: Process can
                                                                  only be carried out by
                                                                  appropriate local
                                                                  clinical authority.
                                                                Benefit: System not
                                                                usable due to impact of
                                                                performance issues on
                                                                operational practice.
              System                                            Time: Delay for
W12033                          System performance not adequate                                      2-No Change
            performance                                         operational adoption of
                                                                soluion.
                                                                Cost: Investigations to
                                                                identify problem still
                                                                ongoing.




                                                                       Smartcard issuing is not
                                                                       being managed - it is
                                                                       possible that where these
                                                                       are required for new
                               The Acute continue to have insufficient systems or renewals or
PPM022   RA - Acute Trust      RA management resources and RA          other smartcard services      2-No Change
                               cover.                                  arise, these will not be
                                                                       covered. Staff will not be
                                                                       able t use the systems.
                                                                       Access to systems will not
                                                                       take place.




                                                                      Loosing 1 whole time
                                                                      equivalent from generic
                                                                      training pool - lack of
                                                                      resource to fulfill system
                                                                      training requirement -
                                                                      potential impact on all
                                                                      projects 02.03.07 Having
                                                                      lost 3 full time equivalents
                                                                      is now having a
                                                                      substantial impact on
         Vacancy I T Training
TRA001                        Loss of I T training officer            training roll out of           3-Decreasing
         Officer Post 1
                                                                      projects. the roll out is
                                                                      much slower, spread over
                                                                      a longer period. If all of
                                                                      the projects timescales
                                                                      change we will not be
                                                                      able to cope with the
                                                                      volume of end users
                                                                      requiring training to the
                                                                      amount of Trainers I have
                                                                      available
                                                                     Loosing 1 whole time
                                                                     equivalent from generic
                                                                     training pool - lack of
             Vacancy I T Training
    TRA002                        Loss of I T training officer       resource to fulfill system   3-Decreasing
             Officer Post 2
                                                                     training requirement -
                                                                     potential impact on all
                                                                     projects




                                                                     On Costs: None
                             Surgeries using Isoft Premiere          On Time: None
                                                                     On Benefits: Current
                             who have now been activated
             Emis - PCS                                              Emis PCS sites may turn
    W2C043                   have reported that they are                                           Initial Entry
             Authorised User                                         the system off - and other
                             producing very low numbers of           Emis sites will be
                             prescriptions                           reluctant to implement
                                                                     EPS




             Expectations not met
                                                                     A resulting staff backlash
             – project wanted to
RTO001                            System implementation is rushed.   as issues are                1-Escalating
             be completed too
                                                                     encountered.
             quickly.
                                                                          Poor scope control has
                                                                          tremendous impact on
                                                                          project costs and is one of
                                                                          the main factors that can
                                                                          lead to project budget
                                                                          overruns and delays.
                                                                          Scope changes in the
                                                                          later stages of a project
                                                                          can cost as much as 100
                              New project(s) commencing or the            times more than
                              scope of existing project(s) 'creeping'     requirement, specification
                              without the formal agreement of the         and objective changes
                              Trust and then County ICT                   that occur in the initial
                              Programme Board.                            phase.
                              Potentially significant impact exists       At a resource
                              where projects are not clearly scoped.      management level, where
         Project Adoption
                              Formal adoption of the projects was         projects are committed to
         (Adherence to) -
PPM016                        the agreed method to combat this type       outside of formal              1-Escalating
         Acute Systems
                              of occurrence.                              adoption, the formally
         (Dolphin)
                              1st line support has been approached        adopted projects are in
                              to implement this system - Programme        danger of becoming
                              & Project Management are not aware          stretched and potentially
                              of this project and its status. Little is   failing as resources are
                              known beyond request to IT                  required to cover the
                              Operations to install equipment. This       unadopted 'invisible'
                              may relate to Orthodontist Imaging.         projects. Where the then
                                                                          lack of resources cause
                                                                          difficulty in achieving
                                                                          deliverables the strategic
                                                                          view is one of a project
                                                                          failing, not for want of
                                                                          resiources, but due to
                                                                          lack of ability. The results
                                                                          therefore do not equate to
                                                                          the perceived workload.



                                                                          On Costs: None
                              Printer requirement audits are not          On Time: May slow
                              as comprehensive as we thought.             progress
                              This has been identified via                On Benefits: Critical:
         Reliability of
W2C014                        comunications with Practice                 Barcodes require a             2-No Change
         Audits
                              Managers. And additional printers           high quality printer, not
                              will be required over the Choose            ink jets otherwise the
                              and Book deployment                         reading of barcodes
                                                                          will be hampered


                             It is noted that there are now
                             numerous patients that have NHS
         NHS number
                             numbers that are the same as the             On Costs: None
         matching Hospital
W3K014                       hospital number on unconnected               On Time: Minor                 2-No Change
         number on different
                             patients. This means that there is an        On Benefits: Minor
         records
                             increased risk when searching on
                             these fields on the Oasis front end.
                                                                     On Costs: None
                            Neill Bucktin has now left the trust On Time: Potential
         EPS - Project
W2C041                      and a replacement project            delays in high level              3-Decreasing
         Executive                                               decision making
                            executive needs to be found
                                                                     On Benefits: None




                                                                     On Costs: None
                            Surgeries using Isoft Premiere           On Time: None
                                                                     On Benefits: Current
                            who have now been activated
         Isoft - Premiere -                                          Isoft Premiere sites may
W2C042                      have reported that they are                                            3-Decreasing
         Low Numbers                                                 turn the system off - and
                            producing very low numbers of            other Isoft sites will be
                            prescriptions                            reluctant to implement
                                                                     EPS




                                                                     May have a financial
                            Practice Managers raising the issue      impact as reported by
1LS001   GPMail Server      that their business is being affected    Paul Hill of Elbury Moor      3-Decreasing
                            suspect server failure                   and may cause delays in
                                                                     their working practices




                                                                     Hub rooms are used for
                                                                     storage at present. The
                                                                     rooms can get 'full' of old
                                                                     equipment making it
                                                                     difficult to carry out
                                                                     maintenance on Trust
                                                                     systems. Possible clinical
                                                                     risk. Alternative storage
                                                                     is available at other sites
                                                                     but it is impractical to
                                                                     expect techs to make
                                                                     special trips to off load
         Storage of Old     There is no dedicated storage facility
1LS013                                                               one or two items of old       3-Decreasing
         Equipment at WRH   at WRH for old IT equipment.
                                                                     equipment. Currently,
                                                                     once the amount of old kit
                                                                     has reached a certain
                                                                     level it is then taken to
                                                                     storage at another site.
                                                                     This usually involves 2
                                                                     members of staff and
                                                                     makes them unavailable
                                                                     for support work for the
                                                                     day. No longer have
                                                                     access to hub rooms
                                                                     for storage.
                                                                      Poor scope control has
                                                                      tremendous impact on
                                                                      project costs and is one of
                                                                      the main factors that can
                                                                      lead to project budget
                                                                      overruns and delays.
                                                                      Scope changes in the
                                                                      later stages of a project
                            New project(s) commencing or the
                                                                      can cost as much as 100
                            scope of existing project(s) 'creeping'
                                                                      times more than
                            without the formal agreement of the
                                                                      requirement, specification
                            Trust and then County ICT
                                                                      and objective changes
                            Programme Board.
                                                                      that occur in the initial
                            Potentially significant impact exists
                                                                      phase.
                            where projects are not clearly scoped.
                                                                      At a resource
                            Formal adoption of the projects was
                                                                      management level, where
         Project Adoption   the agreed method to combat this type
                                                                      projects are committed to
         (Adherence to) -   of occurrence.
PPM015                                                                outside of formal              3-Decreasing
         Acute Systems      1st line support has been approached
                                                                      adoption, the formally
         (MIDatabank)       to implement this system - Programme
                                                                      adopted projects are in
                            & Project Management are not aware
                                                                      danger of becoming
                            of this project and its status. The
                                                                      stretched and potentially
                            system is apparently used to help the
                                                                      failing as resources are
                            Medicines Information part of
                                                                      required to cover the
                            Pharmacy record and store enquiries
                                                                      unadopted 'invisible'
                            they have received and answered,
                                                                      projects. Where the then
                            including those from the newly
                                                                      lack of resources cause
                            proposed Trust Medicines Help Line.
                                                                      difficulty in achieving
                                                                      deliverables the strategic
                                                                      view is one of a project
                                                                      failing, not for want of
                                                                      resiources, but due to
                                                                      lack of ability. The results
                                                                      therefore do not equate to
                                                                      the perceived workload.


         NCRS Testing       NCRS will only have the Live              The impact of this is
                            environment and the End User              that software will be
                            Training environments at the              released on the
                            end of March. If there are no             NCRS Live
                            test environments then the                environment that has
                            project will not have the ability         only been tested by
                            to test any new fixes or                  Cluster and not by
                            updates. This risk has had the            local trusts. There is
                            Impact raised to Catastrophic             no indication of what
W2A001                      by the board due to the                   support the cluster            2-No Change
                            business risk envolved should             will provide if there
                            we not be able to locally test            are any issues
                            the application.                          discovered in the
                                                                      software after
                                                                      deployment into the
                                                                      Live environment.
                                                                     On Costs: None
                                                                     On Time: Possible
                                                                     Delays
         I.T Services Staff   Possible delays as there are limited   On Benefits: Will impact
W2C029   Levels - Printer     resources in the I.T Dept at the       upon surgeries              2-No Change
         Installs             moment due to staff leaving            implementing the new
                                                                     systems as Laser Printers
                                                                     are required for the
                                                                     printing of Barcodes.




                                                                     Inability to meet
                              Possible reliance on local IT and
                                                                     deadlines leading to a
W22007   IT resources.        software development team                                          2-No Change
                                                                     break in business
                              resources.
                                                                     continuity.




                              Capular have informed us that the
         Capula Module
W3K029                        second modulke, scheduled for     Potential time delays.           2-No Change
         delays
                              Q3 will now be delivered in Q4
                                                                         Benefits not realised.
                                                                         Delays to project
         Training - Difficulties
                                 Potential resource issue - staff not    implementation. System
RTO003   over attendance at                                                                             2-No Change
                                 released for training                   not used to full potential.
         training
                                                                         Staff revert to previous
                                                                         paper based methods.




                                                                          Loss of credibility to
                                                                          project, user
                                                                          disillusionment as
                                                                          benefits unrealised for
                                                                          those where switch over
         Switch over to new
                                                                          has been successful.
         ways of working (i.e.
                                                                          Bed management staff
         ADT paperless) fails Switch over to new ways of working
                                                                          continue to contact all
         across certain wards (i.e. ADT paperless) fails across
RTO005                                                                    wards for basic data as       2-No Change
         at go-live.           certain wards at go-live. (Difficulties in
                                                                          uncertain which wards are
         (Difficulties in      disengaging from current processes)
                                                                          fully utilising ADT system.
         disengaging from
                                                                          Overall benefits
         current processes)
                                                                          unrealised as patchy and
                                                                          effort , continued running
                                                                          of paper system,
                                                                          inefficiencies continued
                                                                          clinical risk
                                                                      On Costs: Minor -
                                                                      delay related

                          The county is currently                     On Time: Significant
                          reorganising its information                - delay to attributing
                          services with a centralised data            responsibilities for
                          management and Trust                        project functions will
         Administration & dispersed information                       delay deployment.
W04005                                                                                               2-No Change
         Developer Roles management configuration.
                          Some roles are also moving                  On Benefits:
                          positions and there is concern              Significant - without
                          that the roles will either not be           the necessary
                          confirm                                     information / data
                                                                      resource input the
                                                                      quality expectations
                                                                      which




                                                                    End to end testing will not
         Lack of test/dev    Currently there is no test environment be possible and interface
SDV005                                                                                               2-No Change
         environment for RIS available for RIS development work. testing in general will be
                                                                    more difficult to perform.




                                                                      Lack of formal ownership,
                                                                      however currently still
                              Currently have lost a Project Executive supported by all
         Loss of Project
W2A014                        and Communications lead to the          organisations. Awaiting        3-Decreasing
         Board Members
                              project board                           the new PCT structure to
                                                                      help determine the people
                                                                      to appoint to the board




W3I003   Users want           The users would like to have      May become
         system               the new system up and running disillusioned
         implemented          already. Are keen to use it and
         yesterday            would like to stop training users                                      3-Decreasing
                              on the old system.




         Rowlands gallery                                             Potential injury to users;
                              Brackets unstable. 20 desks liable to
KMT001   desks                                                        damage to computers;           3-Decreasing
                              collapse
                                                                      liable to third party claims
                                                                  On Costs: £1,500.00
                                 Peter Lowe has confirmed we will On Time: None
          Windows Server
W28026                          need to purchase a Windows Server On Benefits: System                 Initial Entry
             Licence
                                   Licence for the Virtual Server software not legally
                                                                  licenced




                              System may not meet required level of
                              functionality Oct 07 - Review of          Unable to deploy in Trust -
                              system has raised concerns that it        if deployed risk that
W3d001   System Functionality contains inadequate validation rules,     minimum data                  1-Escalating
                              dataflow is not logical and data has to   requirements may not be
                              be entered more than once in the          achieved
                              system.




                               Delivery of interfaces may be delayed May extend the timescale
W3d014   System Interfaces.                                                                           2-No Change
                               due to resources limitations at Capula. for go-live




                                 Project Board wish to use a single
                                                                       On Costs: None
                                network location for files - users may
W28023     Network Folder                                              On Time: None                  Initial Entry
                                   be unwilling to change existing
                                                                       On Benefits: None
                                         working practices




                               The Acute Trust Lead, Jo                 Continuity of approach
         Temporary
                               Tomlinson, is currently only acting      from Acute trust lead.
W22012   position of Acute                                                                            1-Escalating
                               in the role on behalf of Heather         Sudden change of staff
         trust lead
                               Warner who is on Maternity leave.        at critical time.
         Reporting Ownership Ownership of reporting now    In order to enable the
                             that WSSA has been integrated correct reports to be
                             into the Trusts.              generated clear
                                                           Roles and
                                                           Responsibilities for
                                                           reporting need to be
                                                           drawn up. If these
W2A003                                                                                               2-No Change
                                                           roles are not clearly
                                                           defined then there
                                                           may be an impact on
                                                           performance
                                                           monitoring.




                                                                         On Costs: none
                                                                         On Time: unclear at this
                              Failure of third party system suppliers
                                                                         moment for release 1,
                              to meet deadlines for release of new
                                                                         although will impact
W2C024   Supplier Delivery    upgrades will create slippage and the                                  2-No Change
                                                                         release 2
                              project will fail to meet its deadllines
                                                                         On Benefits: unclear -
                              for delivery
                                                                         requires further
                                                                         investigation




         Organisational
         commitment of       Commitment of resources within              Inability to meet time
W22015   resources witin the the Acute trust to complete the             deadlines. Break in         2-No Change
         Acute trust to      work.                                       business continuity.
         complete the work.




                                                                    On Costs: Major. We will
                                                                    have committed a
                                                                    significant amount of
                                                                    money for little gain.
                             There is no guarantee that we will get On Time: Major. We will
         VisionWare MultiVue
W3K018                       a high level of corrected data after   have gone through a              2-No Change
         hit rates
                             using MultiVue.                        lengthy data
                                                                    cleansing/merge
                                                                    excercise and have made
                                                                    little progress.
                                                                    On Benefits: Major.




                                                                         On Costs: None
                              There is concern as to whether the         On Time: None
                              merge clerks can handle the load of        On Benefits: Major - If
W3K024   Merge Clerks         merging identified duplicates, as well     the back door is not        2-No Change
                              as admitted patients. They are             closed on poor data entry
                              currently one down (long term sick)        then cleansing will be
                                                                         futile.
                                                                          In the event of lack of
                                                                          access during out of
                                                                          normal service desk
                                                                          hours, staff revert back to
                                  In the event of lack of access during paper mechanisms
                                  out of normal service desk hours, staff undoing purpose of
                                  revert back to paper mechanisms         project and anticipated
                                  undoing purpose of project and          benefits. Paper records
                                  anticipated benefits. Paper records     require manual entry onto
                                  require manual entry onto system in system in normal daytime
             Access to System –
                                  normal daytime hours – inadequate       hours – inadequate
             Service Desk model
RTO002                            resources to do this lead to system     resources to do this lead       2-No Change
             not adequate (Out of
                                  use being compromised. Reports          to system use being
             Hours coverage)
                                  generated inadequate for purpose – compromised. Reports
                                  bed management staff continue to        generated inadequate for
                                  contact wards; enhanced patient         purpose – bed
                                  experience unrealised, financial        management staff
                                  benefits from enhanced PbR              continue to contact wards;
                                  unrealised.                             enhanced patient
                                                                          experience unrealised,
                                                                          financial benefits from
                                                                          enhanced PbR
                                                                          unrealised.




    W3I010   AirCon into Main There is not sufficient Air                  The SAN will not be
             Hub Room         Conditioning in the Main Hub                 able to be
                              room to take delivery of the                 commissioned until
                              SAN equipment                                the Air Con is in
                                                                           place.                         3-Decreasing




                                Following closure of the MPI Data
                                Cleanse project there will be additional   If iQap targets are not
                                work required to examine A&E and           maintained then we will
                                RIS data quality as well as an ongoing     not be able to migrate to
                                maintenance of PAS data quality            CfH solution.
             Follow up MPI Data
    SDV004                      (using Rhapsody to conduct near real                                      3-Decreasing
             Cleanse Work
                                time NHS number tracing, reporting         If resources are not
                                breaches etc.) This work must be           identified to carry out this
                                scheduled and monitored to avoid           work then it may not be
                                failure to comply with the 95% iQap        scheduled for completion.
                                targets.




                                                                            The revenue
             National PACs         The nnational PACS solution will have
                                                                            consequences of
    DIR002   solution - Revenue    to replace the current Interim solutions                               2-No Change
                                                                            replacement are
             Consequences          (Insignia) in 2008.
                                                                            approximately £1.2M
                                    Holiday season impacting on              Time delays in
    W22023   Holiday Season         availability of staff may cause          completing planned            2-No Change
                                    delays in completing work.               actions.




                                    When merging data in block on Oasis
                                    it needs to be ensured that systems On Costs: Significant
    W3K005   Linked systems         that use Oasis records are not      On Time: Significant               2-No Change
                                    impacted. For example               On Benefits: Critical
                                    PACs/CHRIS/Radiology etc




                                                                         Product inadequate for
                                                                         service, credibility falls,
                                                                         solution not taken up by
                                                                         users, costs rise to make
             Software required to                                        fit for purpose. Bed
             meet objectives &                                           Management staff
             deliverables not     Software required to meet objectives & continue to contact ward
RTO004       defined and agreed – deliverables not defined and agreed – staff for basic ADT                2-No Change
             focus on Bed         focus on Bed Management reporting information – ward staff
             Management                                                  feel project based work
             reporting                                                   was not worth effort and
                                                                         revert back to paper
                                                                         based systems.
                                                                         Outcomes / benefits not
                                                                         realised.




             Lack of formally
                                                                             Problems with data
             agreed new business
                                    Lack of formally agreed new business     quality entry result in old
             processes in current
                                    processes in current project fail to     issues of excessive
RTO006       project fail to                                                                               2-No Change
                                    highlight need for high levels of data   communication from non
             highlight need for
                                    quality                                  ward staff requesting
             high levels of data
                                                                             information remain.
             quality
                                                                            Decreasing credibility of
                                                                            solution and falling away
             System Failure                                                 in user take up, excessive
                                  System Failure (Contingency /
RTO007       (Contingency /                                                 system down time.            2-No Change
                                  Continuity Planning)
             Continuity Planning)                                           Reversion to paper based
                                                                            solutions. Benefits
                                                                            unrealised




                                  Staff at the current locations required
                                                                            There may be a slowing
                                  training needs assessments to be
             Staff Training Needs                                           in the project while the
    W20001                        carried out to ensure that staff are                                   2-No Change
             assessment                                                     necessary computer skills
                                  computer literate before the CR
                                                                            are obtained.
                                  equipment is installed.




                                                                    On Costs: Minor -
                                                                    delay related
                                                                    On Time: Significant
                                   The PbR module from Ardentia - considered a key
                                   forms an early deliverable but deliverable to the
               PbR Module
   W04003                          has not yet completed testing. desired outcomes.                      2-No Change
               Development
                                   It is due to be available in Jun On Benefits:
                                   05.                              Significant -
                                                                    considered a key
                                                                    deliverable to the
                                                                    desired outcomes.


                                                                            The work that the change
             Change                Currently thereare only 2 Change
                                                                            managers carry out may
    W2A013   Management            Managers for the PCT to cover the                                     3-Decreasing
                                                                            be impacted by the lack of
             Resources             whole of the county.
                                                                            additional resource
                             There is no C&B test environment        On Costs: None.
         C&B test            meaning that implications of data       On Time: Potentially
W3K020                                                                                        3-Decreasing
         environment         changes on C&B cannot be fully tested   Significant.
                             other than in the live environment.     On Benefits: None.




                             Radiology servers not split bewteen
                             Hub rooms. Recent power failure         Loss of access to
3LS008   Radiology Cluster                                                                     Initial Entry
                             resulted in Hub room 3 caused           Radiology
                             complete system to fail




                                                                     On Costs: Breach
                                                                     tolerances.
                                                                     On Time: Breach
W23008    ICT equipment         Additional ICT Equipment                                      1-Escalating
                                                                     tolerances.
                                                                     On Benefits: Delay
                                                                     system availability.




                                                                     On Costs: Breach
                                                                     tolerances.
                                                                     On Time: Breach
                               Software required to meet             tolerances to make
             Software
W23004                        objectives & deliverables not          fit for purpose.         1-Escalating
           requirements
                                  defined and agreed                 On Benefits:
                                                                     Product inadequate,
                                                                     credibility falls, not
                                                                     used.

         Resources           South Worcestershire currently          Possible impact of
                             have 2 community managers               this is that South
                             and no change manager. They             Worcestershire will
                             are due to be reducing down to          not be able to fully
                             1 community manager. SW are             support NCRS. With
                             trying to raise this internally         respect of current
                             especially as the Care                  users, new user
W2A005                                                                                        2-No Change
                             Coordinator funding runs out in         groups and business
                             October (these posts are being          change to enable the
                             used to provide the community           new groups to utilise
                             manager role).                          NCRS to the full.




                             Advised that no RA people identifid
                             and no appointments being made in On Costs: none
W2C013   RA Appointment      April - This has now been resolved. - 3 On Time: None            2-No Change
                             staff members have been approved. On Benefits: None
                             See EPS-I1
                                                                          On Costs: None
             Release 2 -           Business continuity implications if GP On Time: None
    W2C034   Reliance upon         or Pharmacy staff forget their smart   On Benefits:                    2-No Change
             Smart Cards           card.                                  Prescriptions not
                                                                          transmitted electronically




                                   There are several restrictions that
                                   capula have placed upon the
                                   interface that may cause us
                                   problems and require
                                                                           Inability to properly
                                   workarounds.
                                                                           implement NSTS
                                   (c) There are complications on
                                                                           checking in Rhapsody.
             Capula interface      whether we can set or unset the
                                                                           Quality of data
             restrictions - (c)    'validated record' flag via the
    W3K036                                                                 degredation.                   2-No Change
             setting the           interface. This means that if a
                                                                           Time scales due to
             validation flag       record is updated and we would
                                                                           investigation and
                                   like to re-send it dfor NSTS
                                                                           implementation of
                                   matching, we may not be able to
                                                                           workaround.
                                   unset the flag, and if we are
                                   updatinf it as the result of an
                                   NSTS match we may not be able
                                   to set the flag.




                                                                           Staff lack confidence to
                                                                           use system in intended
                                                                           manner. Potential
                                                                           reversion to paper based
             Staff not allocated                                           systems, or only certain
                                   Staff not allocated adequate time to
RTO012       adequate time to                                              users use the system           2-No Change
                                   project
             project                                                       resulting in poor overall
                                                                           use of system and
                                                                           resource implications
                                                                           when active users not
                                                                           available.




                                                                           System not able to be
                                                                           signed off, required
             Project outputs not
                                  Project outputs not defined and          functionality not delivered,
RTO016       defined and agreed -                                                                         2-No Change
                                  agreed - system functionality            clinical risk, non
             system functionality
                                                                           achievement of benefits,
                                                                           time and cost over-run
W3I008   Organisational    Ordering equipment via the                   Equipment not
         procurement       trust may impact on delivery                 available at go live
         processes cause timescales.                                    which may require go
         delays to project                                              live to be postponed.         2-No Change




                                                              On Costs:
                                                              On Time:
                               Delay in responsiveness of the
                                                              On Benefits: Users
W23017        Support             local application support                                           2-No Change
                                                              lose confidence,
                                          process.
                                                              awaiting problem
                                                              resolution.

                                                                       With out training staff will
                               Ensuring that staff attend training
W21002   Training attendance                                           be unable to use the           2-No Change
                               sessions booked for them
                                                                       software correctly




                               The current topography of the
                               development servers introduces risk
         No resiliance in      that failure of one box would result in
                                                                        Multiple applications
         development team      multiple applications becoming
SDV006                                                                  becoming unavailable or       2-No Change
         servers (web and      unavailable. The lack of load
                                                                        more frequent timeouts.
         data)                 balancing between servers also
                               adversely affects the usability of these
                               applications (eg timeout)




                                                                        All interfaces would stop
         No resiliance in      Currently only a single Rhapsody
SDV007                                                                  working should the            2-No Change
         Rhapsody servers      intance exists, providing no resilience.
                                                                        Rhapsody server fail.




W3I009   Difficulties over     Staff not always able to attend          Staff not trained at
         attendance at         training sessions.                       go live.
         training
                                                                                                      3-Decreasing




                                                                        Dictation will not be
                               Ensuring that clinicial staff have a
         Clinicians utilising                                           recorded as analogue
W21003                         suitable level of support to assist them                               3-Decreasing
         the Digital equipment                                          system will not be
                               with their recordings
                                                                        provided.
         N3 Adoption network Reconfiguration of the COIN routing
                                                                          Loss of access to all
3LS005   reconfiguration from protocol from EIGRP to OSPF will                                            Initial Entry
                                                                          County wide systems
         EIGRP to OSPF        result in network disruption




                                                                          Delays in implementation
         CfH Strategy for                                                 of NCRS results in current
DIR010   Community and                                                    systems not meeting             Initial Entry
         Mental Health                                                    business requirements of
                                                                          PCT and MHPT




                                                                          Benefits: New users
                                                                          unable to use the system
                                                                          effectively and efficiently.
                                                                          System potentially raises
                                Post Project Roles inadequately
W12012   Post Project Roles                                               clinical governance issues     3-Decreasing
                                defined – System Trainer.
                                                                          through improper use.
                                                                          System does not produce
                                                                          efficiency savings hoped
                                                                          for.




                                                                         Inability to automatically
                                                                         attach Oasis encounters
                               Lack of an Oasis identifier to tie
                                                                         to Bluespier episodes.
                               patient 'encounters' to a specific
         Lack of Oasis Patient                                           This would make it more
SDV003                         'patient pathway'. This will restrict the                                 3-Decreasing
         Pathway ID                                                      difficult to track a patients
                               mapping of these entities to Bluepier
                                                                         pathway (for "18 week" or
                               'events' and 'episodes'.
                                                                         similar purposes in the
                                                                         future)
             IT Infrastructure -
                                                                           Lack of suitable
             existing network      New ward based desktop PCs
                                                                           equipment will not allow
             coverage /            required are unable to be utilised as
RTO011                                                                     informatio to be gained      1-Escalating
             availability          availability of network points
                                                                           electonically - service
             inadequate (Desktop   inadequate.
                                                                           may fail to operate fully.
             PCs)




             Smartcard             Smartcard registration has              The potential impact
             Registration          been an issue for the project           on staff is that they
                                   with respect to identifying staff       will have to travel to
                                   in the trusts to carry out the role     be issued cards.
                                   currently performed by ICT (for         They may also have
                                   3 of the trusts)                        to wait to receive
    W2A004                                                                                              2-No Change
                                                                           new passcodes due
                                                                           to availability of ICT
                                                                           staff.




                                                                           On Costs: None
                                   When ETP is enabled at the GP
                                                                           On Time: Critical
             GP Clinical           surgeries running InPS Vision the GPs
                                                                           On Benefits: Additional
    W2C027   Software - Pack       are required to update all non-                                      2-No Change
                                                                           time initially required to
             Sizes                 standard pack sizes when issuing
                                                                           issue exisiting
                                   older scripts
                                                                           prescriptions




                                                                           On Costs: None
                                   Surgery have switched off ETP. When
                                                                           On Time: Critical
                                   ETP is enabled at the GP surgeries
             Winyates GP                                                   On Benefits: Additional
    W2C028                         running InPS Vision the GPs are                                      2-No Change
             Surgery                                                       time initially required to
                                   required to update all non-standard
                                                                           issue exisiting
                                   pack sizes when issuing older scripts
                                                                           prescriptions
                                                                             Inability to complete
                                                                             registrations. Missed
         RA requirement for RA requirement for all
W22008                                                                       deadlines leading to a        2-No Change
         all organisations. organisations.
                                                                             break in business
                                                                             continuity.



         Requirement to
                                Requirement to understand how                Possibility of missing
         understand how
                                and where NSTS is currently used             staff/systems. Break in
         and where NSTS
W22019                          in the Mental Health Trust, to               Business continuity for       2-No Change
         is currently used in
                                minimise the risk of „missing‟               users/systems
         the Mental Health
                                areas.                                       affected.
         Trust.

                                                             Inability to complete
         RA requirement for                                  registrations. Missed
                            RA requirement for Mental Health
W22022   Mental Health                                       deadlines leading to a                        2-No Change
                            trust.
         trust.                                              break in business
                                                             continuity.




                                                                             On Costs: Significant - 1)
                                                                             delay related. 2) The
                                                                             more mergers that fall
                                There are 60 different automated data
                                                                             outside the automated
                                merges in Oasis ranging in criteria
                                                                             merge rules, the more
                                from definite duplicated patients to
                                                                             have to be completed
                                loosely connected patients. It is critical
                                                                             automatically. Manual
                                that the correct merge criteria are
                                                                             merge process has
                                selected when running automated
                                                                             significant staff/time
                                merges so that incorrect matches
                                                                             overheads.
         Reliability of         (false positives) are not merged.
                                                                             On Time: Significant - The
         selection of
W3K002                                                                       more that are manually        2-No Change
         automated data         Update - As we are using VisionWare
                                                                             merged, the more
         merge rules            to create the merge data so the 60
                                                                             staff/time overheads are
                                levels in Oasis become insignificant,
                                                                             incurred.
                                however a similar situation occurs -
                                                                             On Benefits: Minor. If
                                They wil lbe able to produce matches
                                                                             merges are completed
                                based on progressively less reliable
                                                                             manually they will still be
                                criteria, of which we need to decide at
                                                                             merged upon completion.
                                what point the criteria becomes to
                                                                             Benefits will only be
                                great a risk to use for merging.
                                                                             impacted if data is chosen
                                                                             to not be merged, rather
                                                                             than manually merged.




                                There are significant amounts of             On Costs: None
                                records with missing NHS Numbers.            On Time: None
         Data quality - NHS
W3K011                          Incomplete NHS number data will              On Benefits: High - better    2-No Change
         Numbers
                                significantly reduce the effectiveness       core data means better
                                of auto-merge rules.                         merge accuracy
                                 Automerging duplicate records - if we
                                 proceed with this automatic merging of
                                 records in Oasis - there was an issue
                                 raised by Fife this week at the user
                                 group about still awaiting advice from
                                                                          On Costs: No known cost
             How the merged      Capula on how the merged order and
                                                                          implication
             order and           results would be viewed.
                                                                          On Time: Significany -
    W3K013   subsequent results                                                                            2-No Change
                                                                          dalys may be required
             would be handled    Given this unresolved issue you need
                                                                          while fix is produced.
             post record merger. to be able to build into the test plan
                                                                          On Benefits: Significant
                                 how merged records and attached
                                 activity will be viewable from the front
                                 end and feel comfortable with the
                                 result before proceeding with
                                 automerge. Hope this makes sense.




                                                                               On Costs: None
                                     There will be a resource implication      On Time: None
             Resources for data      with data checking when VisionWare        On Benefits: Major - If
    W3K023                                                                                                 2-No Change
             checking                supply us with test/final data from the   checking is not thorough
                                     work.                                     poor data may be put into
                                                                               Oasis




             There is inadequate
             resource or authority   A significant business change project
                                                                           Project end date not
             dedicated to the        of this type requires proactive and
RTO013                                                                     maintained, product not         2-No Change
             project within the      robust leadership at Project Board
                                                                           suitable for service
             Trust to execute the    level.
             tasks




                                                                          Project loses credibility,
                                                                          critical blockages not
                                                                          removed, decisions not
                                 A significant business change project
                                                                          made in a timely fashion
             Lack of engagement of this type requires proactive and
                                                                          System not able to be
RTO014       by users on Project robust members at decision making                                         2-No Change
                                                                          signed off, required
             Board               level as well as those who will activate
                                                                          functionality not delivered,
                                 resources at implementation level.
                                                                          clinical risk, non
                                                                          achievement of benefits,
                                                                          time and cost over-run
                                                                      Resources not properly
                                                                      deployed, project end
                                                                      date not maintained,
                                                                      costs not controlled.
                               The IT support required on the project
                                                                      Particular impact where
                               needs to be established early and,
                                                                      ward staff out of normal
            Lack of engagement with adequate information, needs to
                                                                      working hours are unable
RTO015      by operational     have planned the deployment of                                             2-No Change
                                                                      to access the system
            technical IT staff equipment and connectivty in
                                                                      mainly through forgotten
                               partnership service lead, through ICT
                                                                      log in details. This will
                               project manager.
                                                                      make staff revert back to
                                                                      paper based systems
                                                                      losing desired benefits of
                                                                      project.




                                                                            If inadequate for role,
                                 Super Users on each ward appointed
                                                                            then ward staff unlikely to
            Post Project Roles to act as champions, local experts on
                                                                            use the system effectively
RTO017      inadequately defined use of system and for cascade training                                   2-No Change
                                                                            and efficiently thereby
            – Super Users        after main project duration training (go
                                                                            reducing impact of
                                 live + 2 weeks) has ceased.
                                                                            desired benefits.




                                                               On Costs: Minor,
                                                               Delay Related
                                                               On Time: Significant
                                                               On Benefits:
              Functionality Ardentia has been identified as Organisations will
   W04011   available for IPM the potential strategic solution have to continue with                      2-No Change
               Reporting      to reporting needs from IPM      on going contingency
                                                               arrangements
                                                               leading to duplication
                                                               of effort and lack of
                                                               release of resources
                              Evidence that some clinical staff do      May impact on ability t o
W3d009   User Buy-in          not perceive Bluespier to the best        universally deploy the        2-No Change
                              solution for their needs.                 system.




                                                                        Alternative means of
                            For midwives undertaking Ante-Natal
                                                                        updating data to Bluespier
                            Clinics from withing GP Practises,
W3d013   Business Processes                                             will need to be developed -   2-No Change
                            there may not be the necessary
                                                                        this may not enhance
                            infrastructure to access Bluespier
                                                                        user buy-in




W3I004   Not enough IT        There is not enough IT                    Staff may struggle to
         equipment            equipment of the required                 use the system if
         available of the     standard at the proposed time             others are on the             3-Decreasing
         required             of switch over.                           machines
         standard


                              Oasis servers not split bewteen Hub
                              rooms. Recent power failure resulted
3LS007   Oasis Cluster                                                  Loss of acess to Oasis         Initial Entry
                              in Hub room 3 caused complete
                              system to fail



                                                                        There will be
                             Exisitng post wishes to reduce hours
                                                                        fragmentation and
                             After careful consideration for both the
         Reduction in hours                                             inconsistency in Deputy
                             Employee and the service, it has been
TRA004   Deputy Manager of I                                            management                     Initial Entry
                             agreed that the post holder will be able
         T training Team                                                Reduces the efficiency ,
                             to reduce her hours
                                                                        continuity and quality of
                                                                        service provided
                                                                         Benefits: Plan not driven
                                                                         by Customer needs,
         Project Plan          Project Plan not owned by Customer
W13008                                                                   potential to miss activities   1-Escalating
         ownership             or used in partnership.
                                                                         or not done to quality
                                                                         required.



                               The solution is not reliable in service
                                                                         Time: Excessive down
                               due to inadequate user knowledge or
                                                                         time..
                               inadequate supplier support levels or
                                                                         Benefits: Decreasing
W13011   System suitability    lack of commitment to support                                            1-Escalating
                                                                         credibility of solution,
                               arrangements or inadequate formal
                                                                         worsening relationship
                               communications between users and
                                                                         with supplier.
                               the solution supplier.




                               Appointment of RA's in each PCT to        On Costs: None
                               manage the registration process           On Time: Critical
                               needs undertaking asap. Without           On Benefits: Critical:
W2C026   RA Appointment                                                                                 2-No Change
                               these appointments it will not be         Without registration the
                               possible to distribute smartcards and     service cannot be
                               prevent access to ETP                     delivered




                                                                     On Costs:
         Casenotes remain       It needs to be confirmed that merged
W3K007                                                               On Time:                           2-No Change
         active after merge?   case notes remain active if active.
                                                                     On Benefits:




                                                                         Time delays.
                                                                         Possible impact on
         Development team
W3K030                    Development team resources                     other work that use            2-No Change
         resources
                                                                         Development team
                                                                         resources



                                                                         Delayed access to
                               The NSTS Batch upload can                 updated records on
         NSTS batch            cause a large backlog of record           linked systems
W3K031                                                                                                  2-No Change
         uploading             updates to queue in Rhapsody for          potential of adding
                               updating onto other systems.              entries onto linked
                                                                         systems.
                                                                        Leads to frustration in use
                                                                        of PC and most likely to
                                                                        revert to paper based
                                 Although ward based staff have
                                                                        systems. Additional
                                 perfectly adequate non PC based
                                                                        positive spin off
            System not Used –    skills to do paper based ADT, as well
                                                                        anticipated to be
            Staff Skills         as the knowledge of the theory behind
RTO009                                                                  enhanced use of               2-No Change
            Inadequate (Basic    the processes and the opportunities to
                                                                        knowledge based
            Desktop PC Skills)   enhance efficiencies through use of
                                                                        services available in
                                 electronic systems, they are let down
                                                                        county and greater
                                 by basic PC skills,
                                                                        communication routes via
                                                                        intranets, e-mail, on line
                                                                        alerts etc..



                                                                        Potentially leads to
                                                                        activities being missed
                                                                        from plan or not done to
                              Plan is driven by supplier (ICT) and      the quality required.
            Project Plan not
RTO010                        not by customers‟ (Nursing &              Project implementation        2-No Change
            owned by Customer
                              Midwifery) needs.                         subsequently poor with
                                                                        potential for outputs not
                                                                        correctly implemented
                                                                        and outcomes / benefits
                                                                        not being fully realised.




                                                                    On Costs: ..
                                                                    On Time: ..
                                  Lack of formally agreed new
                                                                    On Benefits: Data
             New business        business processes in current
   W23006                                                           quality entry result in           2-No Change
              processes          project fail to highlight need for
                                                                    excessive
                                    high levels of data quality
                                                                    communication to
                                                                    clarify/confirm data.




                                                                On Costs: Reduces
                                                                value for money.
                                                                On Time:
                                 System Not Used – Staff Skills
                                                                On Benefits: lack of
   W23009     Staff IT skills    Inadequate (Basic Desktop PC                                         2-No Change
                                                                skills to use system
                                             Skills)
                                                                results in users
                                                                reverting to previous
                                                                processes.




                                                                         On Costs: ..
                                                                         On Time: ..
                 Benefits         Absence of a formal benefits           On Benefits: Not
   W23015                                                                                             2-No Change
                realisation            realisation plan                  realised. Point of
                                                                         project becomes
                                                                         moot.
                                                              On Costs: ..
                                                              On Time: ..
                                                              On Benefits:
                                                              decreasing system
           Contingency          System Failure (Contingency / credibility, reducing
W23007                                                                                            2-No Change
            planning                 Continuity Planning)     user base with
                                                              reverting to previous
                                                              processes,
                                                              excessive down
                                                              time, unrealised.


                                                                     On Costs: ..
                                                                     On Time: ..
                                                                     On Benefits: Plan
                                                                     not driven by
                                  Project Plan not owned by          customer's (Surgery)
W23010      Project Plan                                                                          2-No Change
                                          Customer                   needs, missed
                                                                     activities or not done
                                                                     to quality, poor
                                                                     implementation,
                                                                     unrealised.




                                                                     Final product may not
                               Requirements of ALL clinical staff
W3d007   Clinical Engagement                                         meet needs of all Clinical   2-No Change
                               needs to be included
                                                                     staff




                                                                     Severely compromise the
                               No clear decisions being made as to
W3s012   Business Processes                                          effective use of the         2-No Change
                               adoption of new processes
                                                                     system.
                                                                       Inability to properly
                                                                       implement NSTS
                         Time taken by Capula to supply
                                                                       checking in Rhapsody.
                         interface for two way data flow
         Capula/Rhapsody                                               Quality of data
                         with Rhapsody. Quality of
W3K037   interface                                                     degredation.                3-Decreasing
                         interface and features required
         development                                                   Time scales due to
                         that may not meet our
                                                                       investigation and
                         requirements.
                                                                       implementation of
                                                                       workaround.
W3I006   Systems fails at     The new system fails at switch The users are
         switch over          over.                          disillusioned by the
                                                             system failure and
                                                                                                   3-Decreasing
                                                             may not be willing to
                                                             continue with it.


                                                              On Costs: Breach
                                                              tolerances.
                                                              On Time: Breach
                                                              tolerances.
                                                              On Benefits: Not
                              Project outputs not defined and
W23003    Project outputs                                     achieved,                            1-Escalating
                                          agreed
                                                              functionality not
                                                              delivered, clinical
                                                              risk introduced,
                                                              system not signed
                                                              off.



                                                                     On Costs: none
                                                                     On Time: Release 1
                              RA Managers need appointing in
                                                                     should be in time for
                              SWPCT and WFPCT. Failure to do so
                                                                     Summer 2006. Slow
W2C012   RA Appointment       will prevent timescales for delivery                                 2-No Change
                                                                     appointment of RA in the
                              being achieved - Closed as it was felt
                                                                     other PCTs will cause
                              this was a duplicated item
                                                                     slippage beyond this point
                                                                     On Benefits: unclear




                                                                    On Costs: None
                                                                    On Time: May slow
                              Supply of smart cards could slow
                                                                    progress
         Smart Card           down progress. Orders need to be
W2C020                                                              On Benefits: Critical:         2-No Change
         Availability         placed in plenty of time - managed by
                                                                    Without smart cards the
                              Rob Neill/Jackie Kibberd
                                                                    pharmacy concerned
                                                                    cannot deliver EPS




                                                                       On Costs: none
                                                                       On Time: critical as this
                                                                       may prevent target dates
                              Failure of third party product to meet   from being reaslised
W2C017   3rd Party Criteria                                                                        2-No Change
                              quality criteria                         On Benefits: critical as
                                                                       this may impare service
                                                                       delivery and/or
                                                                       enablement
                              Full co-operation from each Practice is   On Costs: none
                              mandatory to achieve full project         On Time: critical
W2C018   GP Buy In            delivery. Based on evidence from C&B      On Benefits: Prevention      2-No Change
                              implementation this may not be            of full service delivery
                              achievable                                within Worcs




         Requirement to
         understand how                                                 Possibility of missing
                              Requirement to understand how
         and where NSTS                                                 staff/systems. Break in
                              and where NSTS is currently
W22001   is currently used,                                             Business continuity for      2-No Change
                              used, to minimise the risk of
         to minimise the                                                users/systems
                              „missing‟ areas.
         risk of „missing‟                                              affected.
         areas.

         Organisational
                                                                        Inability to meet time
         commitment of      Organisational commitment of
W22003                                                                  deadlines. Break in          2-No Change
         resources to       resources to complete the work.
                                                                        business continuity.
         complete the work.


                                                                 Possibility of short time
                                                                 scales for rollout, which
         Training
                                                                 could result in inability
         requirement needs
                                                                 to meet deadlines
         to be assessed,   Training requirement needs to be
                                                                 leading to a break in
         but are dependant assessed, but are dependant upon
W22005                                                           business continuity.                2-No Change
         upon the release the release of final specification for
                                                                 Early comms with CfH
         of final          the product.
                                                                 team suggest that
         specification for
                                                                 training environment is
         the product.
                                                                 complete and updates
                                                                 will be available soon.


                                                                        Inability to supply
                              Project costs not identified.             additional unplanned
W22011   Project costs        Possible hardware upgrade and             resources. Major             2-No Change
                              other costs.                              impact on ability to
                                                                        complete work.

                                                                        Not able to send all
                                                                        staff on train-the-
                              We have been alocated 29
                                                                        trainer courses that we
         Training slot        training places, but training slots
W22021                                                                  would like to. Heavier       2-No Change
         availability.        are not available localy for 29
                                                                        burden on training
                              places.
                                                                        team to cover any
                                                                        shortfall.


                              There are significant amounts of          On Costs: None
                              records with missing or unrecognised      On Time: None
         Data quality -
W3K010                        postcodes. Inacuarate postcode data       On Benefits: High - better   2-No Change
         Postcodes
                              will significantly reduce the             core data means better
                              effectiveness of auto-merge rules.        merge accuracy
                               It is essential that Health care records
         Ability to            staff can identify the merge state of a On Costs: None
W3K012   trace/identify merged patient record (e.g. unmerged,           On Time: None              2-No Change
         records               electronically merged only,              On Benefits: Significant
                               electronically and paper merged).




                                                                       On Costs: None.
                               Staff Leave, illness etc over Christmas
W3K022   Christmas                                                     On Time: Minor.             2-No Change
                               period making progress slow.
                                                                       On Benefits: None.




                              A series of add patient routines
                              have been identified that can add
         New 'add patient' patient in incomplete form.             Bad data being added
W3K041                                                                                             2-No Change
         routines identified. Continued use may jeopardise the during/after cleansing.
                              ability to control bad data entering
                              the system.


                                                              On Costs: Breach
                                                              tolerance.
                                                              On Time: Breach
                                                              tolerance.
                                                              On Benefits: Loss of
                                                              project credibility,
                                Lack of engagement by Project decisions/blockages
W23013     Project Board                                                                           2-No Change
                                            Board             not progressed,
                                                              system not signed
                                                              off, functionality not
                                                              delivered, clinical
                                                              risk introduced,
                                                              benefits not
                                                              achieved.




                                                                        On Costs: ..
                                                                        On Time: ..
                                                                        On Benefits: loss of
                                  Staff not allocated adequate          confidence in system
W23011    Staff availability                                                                       2-No Change
                                  time to take up new system.           use, revert to
                                                                        previous processes,
                                                                        implications for other
                                                                        users of the system.
                                                             On Costs: ..
                           Switch over to new ways of        On Time: ..
                           working fails across certain      On Benefits: project
W23005   System adoption       theatres departments.         credibility falls, user   2-No Change
                         (Difficulties in disengaging from   disillusionment,
                                 current processes)          benefits unrealised in
                                                             live environment.
                                                                   On Costs: Reduce
                                                                   value for money as
                                                                   not used to full
                                                                   potential and staff
              Training              Training - Difficulties over   revert to previous
W23002                                                                                           2-No Change
             attendance               attendance at training       processes.
                                                                   On Time: Breach
                                                                   tolerance set.
                                                                   On Benefits: Not
                                                                   realised.




                                                                   Cost: Potential for cost to
                                 Existing network connectivity     Customer infrastructure.
W12009   Network connectivity.                                                                   2-No Change
                                 inadequate.                       Benefits: Inability to use
                                                                   product.




         Network                 Existing network connectivity     Benefits: Product
W13009                                                                                           2-No Change
         infrastructure          inadequate?                       unusable in environment.
                                                                          Delay in implementing
                                                                          system and full
                                                                          exploitation will be
                                Current Staffing levels prohibiting staff
W3d003   Training                                                         compromised. Data          2-No Change
                                from attending training courses.
                                                                          Quality also may be
                                                                          compromised if staff are
                                                                          inadequately trained.




         Requirement to                                          Possibility of missing
                                Requirement to understand how
         understand how                                          staff/systems. Break in
                                and where NSTS is currently used
W22020   and where NSTS                                          Business continuity for             3-Decreasing
                                in GP Surgeries, to minimise the
         is currently used in                                    users/systems
                                risk of „missing‟ areas.
         GP surgeries.                                           affected.




                                                                         On Costs: Minor,
             Lack of an                                                  Delay Related
         operational team                                                On Time: Significant
                          Project will face risk of not
W04013   to whom finished                                                On Benefits:                3-Decreasing
                          being closed down formally
          products can be                                                Resources will not
            handed over                                                  be released to
                                                                         reduce benefits
                                                                          The time that the system
                                                                          would be unavailable
                               If Patient First were to go down, there
         Patient First - Back-                                            would not be unknown, it
                               are no processes in place locally or
CIF010   up & rebuild of the                                              is unclear up to what date   3-Decreasing
                               with the supplier to fully restore it with
         live server                                                      & time point patient data
                               all patient data to date
                                                                          would be restored into the
                                                                          application.




                                Systems Development team not being
                                informed of changes to IT systems / Clinical Applications may
SDV001   IT Comms                                                                                      3-Decreasing
                                infrastructure. For example changes be adversely affected
                                to servers.




                                                                         On Costs: none
                                                                         On Time: Delays in
                                                                         system take up
                                                                         On Benefits: Benefits not
              Training           User's are unable to attend training
W28002                                                                   realised. Delays to project   1-Escalating
             Attendance              due to work commitments
                                                                         implementation. System
                                                                         not used to full potential.
                                                                         Staff revert to previous
                                                                         methods.
                             Trust Resources unavailable to
                                                                 Project delayed or at
W3d002   Project Resources   engage in development/deployment of                                    1-Escalating
                                                                 worse fails
                             product




                                                                    On Costs: None
                                                                    On Time: May slow
                                                                    progress
                                                                    On Benefits: Critical:
                             Volume of laser printers to be ordered
W2C016   Printer Upgrades                                           Barcodes require a high         2-No Change
                             and installed may cause delays.
                                                                    quality printer, not ink jets
                                                                    otherwise the reading of
                                                                    barcodes will be
                                                                    hampered




                                                                      Inability to meet
         Training team       Reliance on training team                deadlines leading to a
W22006                                                                                              2-No Change
         resources.          resources.                               break in business
                                                                      continuity.



                            The training package requires             Missing Flash
         Flash required for
                            Adobe Flash player to be installed        installation means that
W22025   E-Learning                                                                                 2-No Change
                            in order to run the e-learning            the e-learning package
         package
                            pckage.                                   cannot be used.
                                    To allow the merger of historic
                                    database a flag was set in the             On Costs: None
                                    database that will allow multiple          On Time: Minor
                                    instances of an NHS Number. A quick        On Benefits: Significant -
             Implications of        way of reducing the amount of new          The sooner this flag can
             switching off the      duplicates that are entered onto the       be changed the quicker
    W3K015   ability to add         system is to remove this ability.          the addition of more         2-No Change
             duplicate NHS          Although it is beleived that this is not   duplicate patients is
             numbers.               going to cause a problem, we need          reduced. This is a
                                    confirmation from Capula that              preventative measure that
                                    duplicated data on the system will still   will allow greater long
                                    be editable and it will only prevent the   term data quality.
                                    addition of new duplicates.




                                    To prevent the creation of incorrect
                                    NHS numbers on the system it is
                                    possible to stop users from adding the
                                    number at point of registration, and       On Costs: None
             Implications of
                                    using NSTS to update the field. This       On Time: Minor
             switching off the
                                    will ensure that the NHS number on all     On Benefits: This is a
    W3K016   ability to enter NHS                                                                           2-No Change
                                    records will be in one of three states:    preventative measure that
             numbers at
                                    (a) blank; (b) populated by NSTS; (c)      will allow greater long
             registration.
                                    checked but unmatched, in which case       term data quality.
                                    a . will appear in the field. The
                                    implications of this need closer
                                    examination




                                    There are significant delays in            On Costs: None.
                                    supplies Orders passing through NHS        On Time: Potentially
    W3K019   Supplies Ordering                                                                              2-No Change
                                    Supplies - this may add significant        Significant.
                                    delays into the work.                      On Benefits: None.


                                    There are several restrictions that
                                    capula have placed upon the
                                    interface that may cause us
                                                                               Very low. We revert
                                    problems and require
                                                                               back to using the
             Capula interface       workarounds.
                                                                               Capula supplied
    W3K035   restrictions - (b)     (b) The merge feature that we had                                       2-No Change
                                                                               module. Not as neat
             merges                 hoped to use for manual merging
                                                                               solution, but will work
                                    of records appears to be
                                                                               correctly.
                                    unavailable so we cannot use the
                                    Rhapsody interface for merging
                                    records.




                                Where space limited within wards, use
                                                                       Laptops are considered a
             Mobile Equipment – of laptops under consideration. NB –
RTO020                                                                 high risk due to ease of             2-No Change
             Security           bedside ADT is not part of the current
                                                                       being stolen.
                                project.
                                                                         If update disrupts use of
                                                                         system then higher risk
             System update       Capula Oasis update from V26 to V32
RTO022                                                                   that staff will revert back   2-No Change
             disrupts project    planned for period whilst project live.
                                                                         to paper system and
                                                                         benefits unrealised.




                                                                        On Costs: none
                                                                        On Time: None
                                  Due to the project being rushed to a On Benefits: System
                  Project
    W28001                       completion all of the deliverable's as implementation is rushed       2-No Change
                Expectations
                                 outlined in the BC have not been met with a resulting staff
                                                                        backlash as issues are
                                                                        encountered.




                                                                          On Costs: Possible Over-
                                                                          Run
                                                                          On Time: Possible Over-
                                                                          Run
                                    Project outputs not defined and       On Benefits: System not
    W28003     Project Outputs                                                                         2-No Change
                                                agreed                    able to be signed off.
                                                                          Required functionality not
                                                                          delivered, clinical risk,
                                                                          non achievement of
                                                                          benefits.
                                                                 On Costs: none
                                                                 On Time: None
                             Switch over to new ways of working On Benefits: Loss of
            Change               fails across certain sections / credibility to project, user
W28005                                                                                            2-No Change
          Management              departments.(Difficulties in   disillusionment as
                             disengaging from current processes) benefits unrealised for
                                                                 those where switch over
                                                                 has been successful




                                                                  On Costs: none
                                                                  On Time: None
                                                                  On Benefits: There is a
                                                                  need for 3 named System
                              System administrators need to be
                                                                  Administrators to be
                            identified otherwise the computerised
W28008   System Admin                                             identified, trained and in      2-No Change
                             system will be cumbersome and not
                                                                  place for the project. The
                                            effective
                                                                  system is configured by
                                                                  this person in the project
                                                                  as part of the specialist
                                                                  training.




                                                                     On Costs: none
                                                                     On Time: None
                                                                     On Benefits: Plan is
                                                                     driven by supplier (ICT)
                                                                     and not by customers‟
                                                                     needs, potentially leading
         Project Plan not    If the project plan is not owned by the to activities being missed
W28010      owned by        customer their needs might not be fully from plan or not done to      2-No Change
            Customer                   considered and met.           the quality required.
                                                                     Project implementation
                                                                     subsequently poor with
                                                                     potential for outputs not
                                                                     correctly implemented
                                                                     and outcomes / benefits
                                                                     not being fully realised.
                                                                  On Costs: none
                                                                  On Time: None
                                                                  On Benefits: Staff lack
                                                                  confidence to use system
                                                                  in intended manner.
         Staff not allocated Staff do not have adequate time to
                                                                  Potential reversion to
          adequate time to learn and utilise the new computerised
W28011                                                            paper based systems, or            2-No Change
            take up new        system - leading to old working
                                                                  only certain users use the
               system.             practices still being used
                                                                  system resulting in poor
                                                                  overall use of system and
                                                                  resource implications
                                                                  when active users not
                                                                  available.




                                                                        On Costs: none
                                Delays in decision making effect all
             Inadequate                                                 On Time: Project
                                aspects of the project hindering the
         resource / authority                                           completion date may be
W28012                        smooth implementation of the system.                                   2-No Change
           dedicated to the                                             delayed
                                 This would also cause additional
               project                                                  On Benefits: Product not
                               communications to confirm decisions
                                                                        suitable for service




                                                                        On Costs: None
                                                                        On Time: Delay in the
                                                                        system collecting true
                                                                        data until April 2008.
                                                                        On Benefits: Data to
                                The community side of the Infection report on will not be
             Community
W28018                         Control project would prefer to start at accurate until after April   2-No Change
           Implementation
                                   the end of the financial year        2008 - Staff may not use
                                                                        the system fully as they
                                                                        are "rusty" from the staff
                                                                        training which will take
                                                                        place much earlier than
                                                                        April 2008.




                                                                     Benefits: Disruption to
                              Multiple systems contribute to current
         Impact on other                                             existing system interfaces
W12027                        processes e.g. NHS Direct, VIP,                                        2-No Change
         systems.                                                    supporting operational
                              Adastra.
                                                                     activity.


                              The system was purchased in
                              04/5. However, the budget
            Financial -       indicated for 2005/6 (£120K) is
                                                              Loss of financial
W04008        Budget          understood not to relate to                                            2-No Change
                                                              control of the project.
           Confirmation       05/06 . Expenditure is being
                              incurred against an unknown
                              budget.
                                                                       Benefits: Potential to
                              Staff resource across Worcs to
                                                                       impact quality of system
                              support pilot activity, system testing
W13017   Staff resource                                                developed and               2-No Change
                              and system
                                                                       specificatiton of
                              demonstration/functionality sessions.
                                                                       requirements early on.




                                                                       Benefits: Implementation
                                                                       is rushed resulting in
                                                                       problems, or users
                              Users want the system implemented
W13002   Staff expectations                                            become frustrated or        2-No Change
                              yesterday.
                                                                       disillusioned if project
                                                                       proceeds at an
                                                                       appropriate pace/delayed.




                              Specific Kit identified under RTBM but
                              specifically identified for Maternity
                                                                      Would make full
                              Unit, not yet installed due to lack of
W3d008   IT Infrastructure                                            deployment of the system     2-No Change
                              funding for network, power
                                                                      impractical
                              connectivity - risk may extend to other
                              areas once final requirement is known.




                                                                       Inability to properly
                                                                       implement Exeter
                                                                       checking in Rhapsody.
                                                                       Quality of data
                              Identifaction of a suitable Exeter
W3K039   Exeter source                                                 degredation.                3-Decreasing
                              source for postcode matching.
                                                                       Time scales due to
                                                                       investigation and
                                                                       implementation of
                                                                       workaround.


                                                                       Benefits: System
                                                                       implementation rushed.
                              Users want system implemented            Users get frustrated and
W12002   User expectation.                                                                         3-Decreasing
                              yesterday.                               disillusioned if project
                                                                       proceeds at an
                                                                       appropriate pace.
                                                                     On Costs: Minor
                                                                     On Time: Significant
                                                                     On Benefits: Will
                                                                     require use of
                          The SUS national project has
                                                                     ClearNet On basis
                          announced that NWCS
W04004   SUS Availability                                            that PCT will wish for       3-Decreasing
                          contract extended to Mar-06
                                                                     that version of
                          suggesting SUS delayed.
                                                                     source) and
                                                                     subsequent
                                                                     migration to SUS
                                                                     when available.




                                                                     Lack of clear governance
                                                                     arrangements witll
         ICT Programme       Revised goevernance are required        impede the decision
DIR004   Board Governance    which reflect the new organisational    making process relating      3-Decreasing
         Arrangements        structures within Worcestershire.       to ICT, and hence
                                                                     planning and funding for
                                                                     2007/08.




                             Concerns over costs that may be         On Costs: none
         Possible Costs with
W2C008                       incurred for clinical surgeries         On Time: None                2-No Change
         release one
                             implementing release 1                  On Benefits: None



                                                                     On Costs: none
                                                                     On Time: Additional staff
                                                                     time will be required to
                                                                     move incorrectly
                           With the merger of the PCTs a new         registered people to the
         PCT Merger /
W2C022                     Organisational Code is to be used         new code                     2-No Change
         Organisation Code
                           (5PL)                                     On Benefits: RA
                                                                     registration figuers may
                                                                     not be correctly reported
                                                                     if the incorrect codes are
                                                                     used




                                                                     On Costs: none
                                                                     On Time: unclear at this
                             Lack of an Implementation Manager       moment for release 1,
         Implementation      will slow progress of roll out, and     although will impact
W2C023                                                                                            2-No Change
         Manager             prevent a clear distribution of roles   release 2
                             and activities from being achieved      On Benefits: unclear -
                                                                     requires further
                                                                     investigation
                                                                      On Costs: none
                                                                      On Time: unclear at this
                             It is noted that the current Nurse and
                                                                      moment for release 1,
                             Pharmacist Independent Prescribing is
                                                                      although may impact
                             soon to be expanded. It is expected
W2C025   Nurse Prescribing                                            release 2                    2-No Change
                             that this will not impact this work, and
                                                                      On Benefits: Limited
                             should only be covered in release 2 of
                                                                      functionality within
                             ETP, but logged as a possible risk.
                                                                      organisations due to
                                                                      system limitations




                                                                         On Costs: None
         Release 2 - High    As potential early implementers we will
                                                                         On Time: None
         software and        be exposed to a higher level of
                                                                         On Benefits: Delay in
W2C031   business change     unresolved software and business                                      2-No Change
                                                                         implementing Release 2.
         issues - GP         change issues than for a general
                                                                         Loss of confidence in
         Practice            product role out.
                                                                         EPS Release 2 solutions




                                                                         On Costs: None
                             Due to CfH guidelines RBAC codes            On Time: None
         Release 2 - RA
                             associated with certain members of          On Benefits: Delay in
W2C032   RBAC Smart Card                                                                           2-No Change
                             staff may limit system functionality i.e.   implementing the EPS
         Codes
                             Not being able to add medication            project due to low GP
                                                                         Practice buy-in.




                                                                         On Costs: None
                           As early implementers we wouldl be
         Release 2 - High                                                On Time: None
                           exposed to a higher level of
         software and                                                    On Benefits: Delay in
W2C040                     unresolved software and business                                        2-No Change
         business change                                                 implementing Release 2.
                           change issues than for a general
         issues - Pharmacy                                               Loss of confidence in
                           product role out.
                                                                         EPS Release 2 solutions




         Cross
                                                                 Additional work and
         organisational      Cross organisational differences in
W22002                                                           time. Disparity in                2-No Change
         differences in      approaches.
                                                                 reporting.
         approaches.
         Reliant upon
         solution being
         developed outside
                               Reliant upon solution being             Possibility of short time
         of the local NHS
                               developed outside of the local          scales for rollout, which
         community means
                               NHS community means that final          could result in inability
W22004   that final specs/                                                                         2-No Change
                               specs/ dates for availability are       to meet deadlines
         dates for
                               outside our control and subject to      leading to a break in
         availability are
                               change.                                 business continuity.
         outside our control
         and subject to
         change.

         Organisational        Organisational leads registered as
                                                                  Possibility of missed
         leads registered      John Thornbury with National
W22010                                                            communications from              2-No Change
         with National         Project meaning that comms may
                                                                  National team.
         Project .             not get directly to the team.



         Organisational
         commitment of                                         Inability to meet time
                             Commitment of resources witin the
W22014   resources witin the                                   deadlines. Break in                 2-No Change
                             PCT to complete the work.
         PCT to complete                                       business continuity.
         the work.




                                                                       A process for renewal
                                                                       of expired certificates
                               The issue/update of cards for
                                                                       should be independent
                               NSTS users clashes with the start
                                                                       of this project so the
                               of the first cards issued starting to
                                                                       impact should be
         RA crertifical        expire and need renewal. This
W22016                                                                 minimal, however as         2-No Change
         expiry (PCT)          means that the simple addition of
                                                                       the process is being
                               new RBAC codes for existing
                                                                       newly developed it may
                               users may have to extend to also
                                                                       put additional
                               renew new cards.
                                                                       resourcing load on the
                                                                       RA process.



                                                                       A process for renewal
                                                                       of expired certificates
                               The issue/update of cards for
                                                                       should be independent
                               NSTS users clashes with the start
                                                                       of this project so the
                               of the first cards issued starting to
         RA crertifical                                                impact should be
                               expire and need renewal. This
W22017   expiry (Acute                                                 minimal, however as         2-No Change
                               means that the simple addition of
         Trust)                                                        the process is being
                               new RBAC codes for existing
                                                                       newly developed it may
                               users may have to extend to also
                                                                       put additional
                               renew new cards.
                                                                       resourcing load on the
                                                                       RA process.
                                                                              A process for renewal
                                                                              of expired certificates
                                 The issue/update of cards for
                                                                              should be independent
                                 NSTS users clashes with the start
                                                                              of this project so the
                                 of the first cards issued starting to
         RA crertifical                                                       impact should be
                                 expire and need renewal. This
W22018   expiry (Mental                                                       minimal, however as           2-No Change
                                 means that the simple addition of
         Health Trust)                                                        the process is being
                                 new RBAC codes for existing
                                                                              newly developed it may
                                 users may have to extend to also
                                                                              put additional
                                 renew new cards.
                                                                              resourcing load on the
                                                                              RA process.




                                                                       On Costs: Significant -
                                                                       Co-ordinatin paper and
                                                                       electronic mergers will
                                                                       require a lot of additional
                                                                       staff time over a short
                                 There is a concern about the risks of
                                                                       period of time.
                                 seperating Paper and Electronic
                                                                       On Time: Significant -
         Seperating paper        mergers of records. Every member of
                                                                       delays in electronic
W3K006   and electronic          the Health Care Records team that I                                        2-No Change
                                                                       mergers.
         Merges                  have spoken to has underlined that
                                                                       On Benefits: Longterm -
                                 they would not be happy to merge one
                                                                       None - same outcome
                                 set of records without the other.
                                                                       eventually. Shortterm -
                                                                       Major - continued impact
                                                                       on patient care, CNST
                                                                       assessments, access to
                                                                       NCRS etc.




                                 The national requirement is to move to
                                 use NHS numbers as the single                On Costs: None
                                 patient identifier. This is one driver for   On Time: None
         NHS Number
W3K008                           this project. It needs to be insured that    On Benefits: Critical. This   2-No Change
         availability
                                 links to other systems and any paper         is one of the drivers for
                                 output from Oasis is able to identify        the work.
                                 patients by NHS number.




                                 The restriction of who can add new
                                                                              On Costs: None
         Implications of         records allow more control over the
                                                                              On Time: Minor
         restricting the staff   data, and can allow for more focused
                                                                              On Benefits: This is a
W3K017   who can register new    training. It is imperative that no 'black                                  2-No Change
                                                                              preventative measure that
         patients on the         spots' are created where staff who do
                                                                              will allow greater long
         system.                 need the ability to add new patient
                                                                              term data quality.
                                 records onto the system are unable to.
                                Strong concern about The impact
                                                                          On Costs: None.
                                of Realtime Bed Management and
                                                                          On Time: Potentially
             Impact of Realtime the Out-Of-Hours staff adding
    W3K027                                                                High.                       2-No Change
             Bed Management patients to Oasis. This is an area
                                                                          On Benefits:
                                where poor quality data may be
                                                                          Potentially Significant.
                                introduced.




                                                                          System may not be
             Project outputs not
                                  Project outputs not defined and         functional, costs not
RTO019       defined and agreed -                                                                     2-No Change
                                  agreed - service links                  controlled, end date not
             service links
                                                                          maintained




                                                                          Benefits not realised.
             Absence of a formal
                                  Absence of a formal benefits            Whole point of
RTO021       benefits realisation                                                                     2-No Change
                                  realisation plan                        undertaking project
             plan
                                                                          becomes moot.

    W3I001   Link to national     The system is not able to link          Will cause issues in
             data stores          with national data stores, not          the future when the
                                  currently in the development            trust has to link into
                                  schedule of the product.                the national data           2-No Change
                                                                          store and begin
                                                                          transmitting images.


    W3I002   Standard             Codes used within the Trust             Integration later with
             national coding      are not conformant with                 other systems may
             not used             national standards, or national         become problematic.         2-No Change
                                  standards have not been
                                  completely developed
    W3I007   Staff not            Staff may not be able to           Resources will be
             allocated full       allocate their time to the project unavailable thereby
             time to project      as originally requested.           potentially impacting            2-No Change
                                                                     the project
                                                                     timescales.


                                                                         On Costs: none
                                                                         On Time: None
                                                                         On Benefits: Product
                 Software         Software required to meet objectives & inadequate for service,
    W28004                                                                                            2-No Change
                Deliverables       deliverables not defined and agreed credibility falls, solution
                                                                         not taken up by users,
                                                                         costs rise to make fit for
                                                                         purpose.
                                                                 On Costs: none
                                                                 On Time: None
                         Lack of formally agreed new business
                                                                 On Benefits: Problems
                           processes in current project fail to
W28006   Data Quality                                            with data quality entry      2-No Change
                          highlight need for high levels of data
                                                                 result in issues of
                                         quality
                                                                 excessive communication
                                                                 to clarify / confirm data.




                                                                On Costs: none
                                                                On Time: None
                                                                On Benefits: Decreasing
         Contingency /   There could be system failure due to a credibility of solution and
W28007    Continuity        lack of Contingency / Continuity    falling away in user take     2-No Change
           Planning                    Planning                 up, excessive system
                                                                down time. Reversion to
                                                                paper based solutions.
                                                                Benefits unrealised




                                                                On Costs: none
                                                                On Time: None
                                                                On Benefits: Where staff
                            Due to staff having inadequate      are let down by a lack of
W28009    Staff Skills   computer skills the system is not used basic PC skills this leads    2-No Change
                              to its maximum potential.         to frustration in use of
                                                                main system and most
                                                                likely to revert to paper
                                                                based systems.
                                                                       On Costs: None
                                                                       On Time: Staff time taken
                                Icnet may not be able to import this   up configuring and
           Organisational
W28021                           data automatically - causing large    maintaining the system       2-No Change
           Code Service
                                         amounts of work               On Benefits: Staff time
                                                                       taken up configuring the
                                                                       system - reduced usage.




                                                                       On Costs: Breach
                                                                       tolerances.
                                                                       On Time: Breach
                                   Lack of engagement by               tolerances.
W23014    IT engagement                                                                             2-No Change
                                 operational technical IT staff        On Benefits:
                                                                       .Resources not
                                                                       properly deployed,
                                                                       out of hours support.




                                                                      Benefit: Unable to reach
                               The interface does not have an agreed
                                                                      product acceptance.
W12007   System interface      specification, may not be developed to                               2-No Change
                                                                      Functionality not
                               required level.
                                                                      released.




                            Lack of formally agreed business           Benefits: Data quality
W12016   Business processes processes e.g. data capture and            issues, system               2-No Change
                            recording practice.                        use/performance.



                                                                       Benefits: Existing reports
                                                                       not adapted to change.
         Post project role -   Post project role of SQL DBA
W12001                                                                 Unable to report against     2-No Change
         SQL DBA.              inadequately defined.
                                                                       new local and national
                                                                       targets.


                                                                       On Costs: Minor -
                                                                       delay related
                                                                       On Time: Significant
                               The KPI module from Ardentia            - considered a key
                               forms an early deliverable but          deliverable to the
            KPI Module
W04002                         has not yet completed testing.          desired outcomes.            2-No Change
            Deliverable
                               It is due to be available in Aug        On Benefits:
                               05.                                     Significant -
                                                                       considered a key
                                                                       deliverable to the
                                                                       desired outcomes.




                               Hardware required to meet objectives
                                                                    Benefits: Product
W13010   Hardware              and deliverables not defined and                                     2-No Change
                                                                    unusable in environment.
                               agreed.
                                                                     Benefits: System
                              Post Project Roles inadequately
W13001   Post Project Roles                                          stagnates. Unable to             2-No Change
                              defined - Folding Space Administration
                                                                     provide reports.




                                                                       On Costs: Possible
                                                                       funding for training
                                                                       resources.
                              Training resources - With Release 2 On Time: None
         Release 2 - Training there will undoubtedly be a              On Benefits: Delay in
W2C033                                                                                                3-Decreasing
         Resources            requirement for training – how will this implementing the EPS
                              be resourced.                            project due to GP
                                                                       Practices and Pharmacies
                                                                       refusing to pay for
                                                                       training.




                              Concerns as to the availabilty of staff,   On Costs: None.
                              primarily Jayne Dashey, but also data      On Time: Potentially High.
W3K026   Staff Resource.                                                                              3-Decreasing
                              checkers and other related staff when      On Benefits: Potentially
                              data returns.                              Significant.




                                                                         Cost of purchhasing
                                                                         another PAF licence.
                              Identifaction of a suitable PAF            Time scales due to
W3K038   Postcode source                                                                              3-Decreasing
                              source for postcode matching.              investigation and
                                                                         implementation of
                                                                         workaround.



                           The lack of fixed deadlines means
                           that time scales are not easily
                           enforceable and there has
                           become a relaxed attitude and
                           lack of urgency to work. This has Continued slipping of
W3K040   Lack of deadlines                                                                            3-Decreasing
                           resulted in further time slips that time scales.
                           were not always down to the
                           VisionWare/Capula issues. It is
                           reenforced by low staff moral in
                           current climate.
                                                                      On Costs: Possible over-
                                                                      run
                                                                      On Time: Possible over-
                                                                      run
                               If the project board have not been
                                                                      On Benefits: Project
                             engaged correctly there is an elevated
                                                                      loses credibility, critical
                                risk that key decisions can not be
           Project Board                                              blockages not removed,
W28013                            made effectively, users may be                                     3-Decreasing
           Engagement                                                 decisions not made in a
                              obstructive with regards to changing
                                                                      timely fashion System not
                             practices if they are not happy with the
                                                                      able to be signed off,
                                      organisational structure.
                                                                      required functionality not
                                                                      delivered, clinical risk and
                                                                      non achievement of
                                                                      benefits.




                                                                    On Costs: none
                                                                    On Time: Possible over-
                                                                    run
                                                                    On Benefits: Resources
                                                                    not properly deployed,
                                                                    costs not controlled.
                             Access to I.T resources are essential Particular impact where
           Technical IT       otherwise users may revert back to ward staff out of normal
W28014                                                                                               3-Decreasing
           Engagement        historical working practices if issues working hours are unable
                                        are not resolved.           to access the system
                                                                    mainly through forgotten
                                                                    log in details. This will
                                                                    make staff revert back to
                                                                    paper based systems
                                                                    losing desired benefits of
                                                                    project.




                                                                    On Costs: none
                                                                    On Time: None
           Absence of a       Without the benefits realisation plan
                                                                    On Benefits: Benefits not
W28015    formal benefits      markers for which to establish the                                    3-Decreasing
                                                                    realised. Whole point of
          realisation plan    projects success will be unavailable
                                                                    undertaking project
                                                                    becomes moot.




                                                                On Costs: None
                                                                On Time: None
                          The senior users are concerned about
                                                                On Benefits: Double
                            the PDAs and the software being
W28019   Handheld Devices                                       data entry as staff will             3-Decreasing
                          useable since the Cheltenham visit in
                                                                only use static terminals
                                        Auguest
                                                                to enter data already
                                                                collected.
                                                                      On Costs: None
                                                                      On Time: None
                                Users informed on Cheltenham visit On Benefits: Full
         Limited amount of
W28020                         that they will only be able to have 70 coverage of infections       3-Decreasing
            Organisms
                                      Organisms to select from        may not be reported on,
                                                                      certain infections slip
                                                                      through the system




                                                                      Time: Potential to delay
W13005   System training      End user training - attendance.         implementation of solution   3-Decreasing
                                                                      when ready.




                                                                      Time: Potential for
                              Lack of engagement by operational       slippage.
W13007   IT engagement                                                                             3-Decreasing
                              technical IT staff.                     Benefits: Resources not
                                                                      properly deployed.




                                                                      Delay in implementing
                              The Trusts current financial position   system and full
                              may limit the scope for deploying new   exploitation will be
W3d004   Financial - IT Kit                                                                        3-Decreasing
                              technology particularly in Community    compromised. Data
                              Environment. (portable devices)         Quality also may be
                                                                      compromised




                                                                    Users unable to access
                                                                    knowledge base;
                             Requirement for 30 new computers       Students unable to
         Public access
                             agreed by project manager of new       complete studies; Service
KMT004   computers (Redditch                                                                       3-Decreasing
                             education centre are incompatible with fails accreditation
         Health Library)
                             WHICTS standards                       standards required for
                                                                    placement of students
                                                                    and junior doctors.



         Loss of storage
                              Journal issues over 3 years old will no Knowledge resource will
KMT006   spaceat Alexandra                                                                          Initial Entry
                              longer be kept                          be lost to staff
         Hospital.
                               User using the old version of Ward
                               enquiry, can leave sessions open and Not in line with Clinical
CIF024   Ward Enquiry                                                                                  1-Escalating
                               other people can pick these up without Govance
                               passwrds.




                                                                        This vacancy will be 2nd
                                                                        whole time equivalent
                                                                        from generic training pool -
                                                                        lack of resource to fulfill
                                                                        system training
         Vacancy I T Training
TRA006                        Loss of I T training Officer              requirement - definite         1-Escalating
         Officer Post
                                                                        impact on all projects. We
                                                                        will be unable to train 18
                                                                        week wait in Oasis &
                                                                        LE2.2 in Lorenzo unless
                                                                        ATR is obtained



                                                                        Time: project end date
                               There is inadequate definition or
         Project                                                        not maintained
W12020                         understanding of the tasks and                                          2-No Change
         tasks/milestones                                               Benefits: Resources not
                               milestones within the project.
                                                                        properly deployed.

                                                                     Benefits: In the event of
         System failure        System failure - Contingency planning complete system failure
W12021                                                                                                 2-No Change
         contingency           lacking.                              service cannot operate
                                                                     adequately.

                                                                        Benefits: The
                                                                        demographic data in
                                                                        Adastra is just an
         Patient               Patient Demographic – Links to           Exeter extract on CD,
W12029                                                                                                 2-No Change
         demographics          live source.                             with system user
                                                                        updates/additions.
                                                                        Live link is currently out
                                                                        of scope of project,


                                                                         Benefits: Benefits not
                                                                         realised. Delays to project
W12004   Staff availability    Difficulties over attendance at training.                               2-No Change
                                                                         implementation. System
                                                                         not used to full potential




                                                                        Time: Potential for
                               Project outputs not defined and          overrun.
W13006   Project outputs                                                                               2-No Change
                               agreed.                                  Benefits: Unable to sign-
                                                                        off system.



                                                                        Benefits: If system failure,
                                                                        service lacks access to
                              Service Desk model inadequately
W13003   Operational planning                                           appropriate service cover      2-No Change
                              defined.
                                                                        and cannot operate
                                                                        adequately.
                                                                       Benefits: In event of
         Contingency             System failure - contingency planning complete system failure,
W13013                                                                                                2-No Change
         planning                lacking.                              service cannot operate
                                                                       adequately.


                                                                          Benefits: Continued
                                 Difficulties in disengaging from current running of legacy
W12022   System adoption                                                                              3-Decreasing
                                 processes.                               processes, continued
                                                                          clinical risk.



                                                                        Time: Project not
                                                                        completed within time
                                 Staff not allocated adequate time to
W12013   Staff availability                                             tolerance.                    3-Decreasing
                                 project.
                                                                        Benefits: Continued
                                                                        clinical risk.




         System failure                                                 Benefits: Lack of decision
W12003                           System failure.                                                      3-Decreasing
         contingency                                                    support system.




                                                                        Time: Potential for time
                                                                        overrun.
                                 Project outputs not defined and        Benefits: Sign off can't
W12008   Project outputs.                                                                             3-Decreasing
                                 agreed.                                progress, functionality not
                                                                        delivered, clinical risk,
                                                                        beneits not achieved.




                                                                        Benefits: differences in
         User client             compatible/consistent client side
W12030                                                                  approach for products         3-Decreasing
         approach                approach for products
                                                                        impairs interface




                                 Absence of a formal benefits           Benefits: Benefits not
W12024   Benefits realisation.                                                                        3-Decreasing
                                 realisation plan.                      realised.




                                                                     Benefits: Plan is driven by
                                                                     supplier and not by
                                                                     customers needs,
         Project Plan
W12005                           Project Plan not owned by Customer. potentially leading to           3-Decreasing
         ownership
                                                                     activities being missed
                                                                     from plan or not done to
                                                                     the quality required.
                                                                     Benefits: Product
         Software             Software required to meet objectives & inadequate for service,
W12010                                                                                              3-Decreasing
         requirement.         deliverables not defined and agreed. credibility falls, solution
                                                                     not taken up by users.




                                                                       Benefits: System
                                                                       stagnates as existing
                              Post Project Roles inadequately
                                                                       reports not adapted to
W12011   Post Project Roles   defined – Information Services                                        3-Decreasing
                                                                       change. Unable to report
                              Manager (Report Analyst)
                                                                       against new local and
                                                                       national targets.



                                                                     Benefits: Product
                                                                     inadequate for service,
                              Hardware required to meet objectives
W12017   Hardware                                                    credibility falls, benefits    3-Decreasing
                              & deliverables not defined and agreed.
                                                                     not realised, possible
                                                                     project failure




                                                                       Time: end date not
                                                                       maintained.
                              Project outcomes not defined and
W12019   Project Outcomes                                              Benefits: System may not     3-Decreasing
                              agreed.
                                                                       be functional.




                                                                       Time: Potential for
                                                                       overrun.
                                                                       Benefits: Project loses
                                                                       credibility, critical
                                                                       blockages not removed,
         Board member         Lack of engagement by users on           decisions not made in
W12023                                                                                              3-Decreasing
         engagement           Project Board.                           timely fashion. System
                                                                       unable to be signed off,
                                                                       required functionality not
                                                                       delivered, clinical risk,
                                                                       non achievement of
                                                                       benefits.




                                                                       Time: Project end date
                              Lack of engagement by operational        not maintained.
W12025   IT engagement                                                                              3-Decreasing
                              technical IT staff.                      Benefits: Resources not
                                                                       properly deployed.
                                                                      Time: Benefits delayed.
         Resource - Clinical   Resources to verify protocols (approx. Benefits: Protocols do not
W12026                                                                                                 3-Decreasing
         expertise.            400).                                  come into effect in a
                                                                      timely manner.




                                                                         Costs: Requirement for
                                                                         SSL (Secure Socket
                                                                         Layer)? incl. licence
                                                                         purchase (initial +
                                                                         annual), technical
         Secure Socket layer Technical Clarification – SSL               implementation / support.
W12028                                                                                                 3-Decreasing
         (SSL)               requirement.                                On Benefits: Transaction
                                                                         Server: Software and
                                                                         Operating System.
                                                                         Stated requirement is
                                                                         Internet Explorer 6.0 SP1
                                                                         – 128 bit High Encryption.




                                                                     Benefits: Loss of
                                                                     credibility to project, user
                               Systems fail at switch to new ways of
W12015   System suitability                                          disillusionment, continued        3-Decreasing
                               working
                                                                     running of legacy system,
                                                                     continued clinical risk.




                                                                         Benefits: Decreasing
                               Solution not reliable in service due to
                                                                         credibility of solution and
                               inadequate user knowledge / supplier
                                                                         falling away in user take
         Implementation        support levels / lack of commitment to
W12018                                                                   up, excessive system          3-Decreasing
         failure               support arrangements / formal
                                                                         down time, worsening
                               communications between users and
                                                                         relationships between
                               solution supplier.
                                                                         Trust and supplier.




                                                                         Benefits: Product
                                                                         inadequate for service,
                                                                         credibility falls, benefits
                                                                         not realised, possible
                                                                         project failure.
                                                                         The project is a
                                                                         developmental project
W12006   Product suitability   Preferred option is not robust.                                         3-Decreasing
                                                                         where supplier has not
                                                                         got previous experience
                                                                         of product being used in
                                                                         UK or with main
                                                                         interfacing system. This
                                                                         raises the risk
                                                                         considerably.
                                                                          Time: Potential for time
                                                                          overrun..
            User engagement
   W13015                          Lack of engagement by Pilot Leads.     Benefits: Project loses        3-Decreasing
            (Pilots)
                                                                          credibility, slow or lack of
                                                                          progress.




                                                                          Time: Project end date
                               There is inadequate definition or
                                                                          not maintained...
   W13012   Project Management understanding of the tasks and                                            3-Decreasing
                                                                          Benefits: Resources not
                               milestones within the project.
                                                                          properly deployed.




                                                                       Benefits: Project loses
                                                                       credibility, critical
            User engagement        Lack of engagement by Project Board
   W13014                                                              blockages not removed,            3-Decreasing
            (Board)                members.
                                                                       decisions not made in
                                                                       timely fashion.




                                   Demographic interface required for
   W13004   System interfacing     Pilot 8, Baby record scanning. Lack of Time: Potential for delay.     3-Decreasing
                                   documented specification.




            Expectations not met                                          System implementation is
            – project wanted to                                           rushed with a resulting
W24001      be completed too                                              staff backlash as issues
                                                                                                          Initial Entry
            quickly.                                                      are encountered.
                                   Benefits not realised.
                                   Delays to project
         Training - Difficulties
                                   implementation. System
W24002   over attendance at
                                   not used to full potential.
                                                                 Initial Entry
         training
                                   Staff revert to previous
                                   methods.




                                   System not able to be
                                   signed off.
                                   Required functionality not
         Project outputs not
W24003   defined and agreed
                                   delivered, clinical risk,     Initial Entry
                                   non achievement of
                                   benefits, time and cost
                                   over-run




                                   Product inadequate for
         Software required to
                                   service, credibility falls,
         meet objectives &
W24004   deliverables not
                                   solution not taken up by      Initial Entry
                                   users, costs rise to make
         defined and agreed
                                   fit for purpose.
         Switch over to new
                                  Loss of credibility to
         ways of working fails
                                  project, user
         across certain sites /
                                  disillusionment as
W24005   departments.
                                  benefits unrealised for
                                                               Initial Entry
         (Difficulties in
                                  those where switch over
         disengaging from
                                  has been successful.
         current processes)




         Lack of formally
         agreed new business      Problems with data
         processes in current     quality entry result in
W24006   project fail to          issues of excessive          Initial Entry
         highlight need for       communication to clarify /
         high levels of data      confirm data.
         quality




                                  Decreasing credibility of
                                  solution and falling away
         System Failure           in user take up, excessive
W24007   (Contingency /           system down time.            Initial Entry
         Continuity Planning)     Reversion to paper based
                                  solutions. Benefits
                                  unrealised
                              As it is assumed that
                              additional PCs will be
                              required but additional
         Additional ICT       servers / power sockets /
W24008   Equipment            networks points and
                                                           Initial Entry
                              network connection
                              upgrades will not.
                              Impact is financial.




                              Where staff are let down
                              by a lack of basic PC
         System Not Used –
                              skills this leads to
         Staff Skills
W24009   Inadequate (Basic
                              frustration in use of main   Initial Entry
                              system and most likely to
         Desktop PC Skills)
                              revert to paper based
                              systems.
                                 Plan is driven by supplier
                                 (ICT) and not by
                                 customers‟ needs,
                                 potentially leading to
                                 activities being missed
                                 from plan or not done to
         Project Plan not
W24010   owned by Customer
                                 the quality required.          Initial Entry
                                 Project implementation
                                 subsequently poor with
                                 potential for outputs not
                                 correctly implemented
                                 and outcomes / benefits
                                 not being fully realised.




                                 Staff lack confidence to
                                 use system in intended
                                 manner. Potential
                                 reversion to paper based
         Staff not allocated     systems, or only certain
W24011   adequate time to        users use the system           Initial Entry
         take up new system.     resulting in poor overall
                                 use of system and
                                 resource implications
                                 when active users not
                                 available.




         There is inadequate
         resource or authority
                                 Project end date not
         dedicated to the
W24012   project within the
                                 maintained, product not        Initial Entry
                                 suitable for service
         Trust to execute the
         tasks




                                 Project loses credibility,
                                 critical blockages not
                                 removed, decisions not
                                 made in a timely fashion
         Lack of engagement
                                 System not able to be
W24013   by users on Project
                                 signed off, required
                                                                Initial Entry
         Board
                                 functionality not delivered,
                                 clinical risk, non
                                 achievement of benefits,
                                 time and cost over-run
                                Resources not properly
                                deployed, project end
                                date not maintained,
                                costs not controlled.
                                Particular impact where
                                ward staff out of normal
         Lack of engagement
                                working hours are unable
W24014   by operational
                                to access the system
                                                             Initial Entry
         technical IT staff
                                mainly through forgotten
                                log in details. This will
                                make staff revert back to
                                paper based systems
                                losing desired benefits of
                                project.




                                Benefits not realised.
         Absence of a formal
                                Whole point of
W24015   benefits realisation
                                undertaking project
                                                             Initial Entry
         plan
                                becomes moot.
                                           Current
        New Action                                                       Priority             Description of Reputational
                                      Recommendation
Recorded Since Last Update?                                            (Subjective)             Impact (if applicable)
                                (Please date before text entry)




            Yes                                                   3 - Signif‟t – Prj impact




            No                Escalation to Project Board         2 - Signif‟t - Prg impact




            No                                                    2 - Signif‟t - Prg impact
No                                          3 - Signif‟t – Prj impact




     ATR for a band 4 submitted which
     needs approval for in order for the
     following software to be deployed:
                                                                        Poor application support service and lack
No   version 35 to support 18 week           1 - LHC-wide Impact
                                                                        of support for new deployments
     functionalit, version 2 of CaB, NCRS
     MR1 and the re-organisational
     changes.



     ATR for a band 4 submitted which
     needs approval for in order for the
     following software to be deployed:
                                                                        Poor application support service and lack
No   version 35 to support 18 week           1 - LHC-wide Impact
                                                                        of support for new deployments
     functionalit, version 2 of CaB, NCRS
     MR1 and the re-organisational
     changes.

                                            3 - Signif‟t – Prj impact

     (24 Feb 06)
     WHICTS to provide MHPT with
No   MHMDS file while awaiting NCRS fix.                                None
     (30 Jun 07) Fix applied to the
     database MHPT able to request from
     front end


                                            3 - Signif‟t – Prj impact

     (31 Mar 06)
     Monitor performance                                                System fails and users unable to enter
No
     (15 Mar 06)                                                        information.
     CSC applied fixes to resolve issue.
      (24 Nov 06)
      JT has gone back to 3D biotronics and
      they have provided a new quote for
      cost of software. Currently evaluating                                  System will not be allowed to switch
No                                                2 - Signif‟t - Trust impact
      this version, if it is not appropriate then                             over.
      will go with Voxar. (02 Nov 06)
      UU will speak with JT to determine the
      way forward.




      (25 Jan 07) Acute Exec Team agreed
      with the approach put forward that
      obtaining password is mandatory(20
                                                                      System will be seen to have failed,
No    Dec 06)                             2 - Signif‟t - Trust impact
                                                                      patients will have to be seen again.
      SG will action with Programme Board
      to see if the project can get
      dispensation to train staff.




      Passed to IT to assess the extent
                                                    3 - Signif‟t – Prj
Yes   of the problem.
                                                        impact
      Working with CfH for a fix




      (04 Oct 07)
Yes                                              3 - Signif‟t – Prj impact
      PCT to decide on future of project.




      (9th Oct 06) Log with CFH, who agree
      to provide a fix to this problem.                                 Impact on provider activity, affects
      Communicate the problem to all Staff                              clinical uses perception of the system
No                                          2 - Signif‟t - Trust impact
      who use the diary view so that                                    and undermines the good work being
      contacts view is used in conjucntion                              done on engaging staff to use NCRS
      with diary view when allocating work.
                (29 Jan 07)
                Insignia mentioned that they are
                unlikely to have this for go live on the
                web viewer, investigating if we can
                install the client in those effected
                areas.                 (27 Feb 07)
                Insignia are determining how they can
    Yes         fix this issue in the web browser, if they 2 - Signif‟t - Trust impact N/A
                are successful then Dr Udeshi will sign
                off the solution allowing the project to
                go live.
                (12 Mar 07)
                Insignia fixed the issue in the web
                browser, Dr Udeshi has signed off the
                solution allowing the project to go live.




                (29 Jan 07)
                RS investigating Software stability, this
    No          should then evaluate if there is a major 2 - Signif‟t - Trust impact N/A
                issue or not. This issue resolved and
                fixed.




                (18 Oct 06)            Increase
                number of extinguishers. Rubbish bins
                emptied daily. Remove trip hazards.
Initial Entry   Turn power off when not in use. (22   4 - Dept / Local impact Fire risk to Hospital building.
                Jun 07) Reduce the number of stock
                held in the room and removed
                equipment scheduled for disposal.




                                                                                     Will impact on reputation of WHICTS to
                14/11/06 - To escalate to SHA and                                    deliver infrastructure developments and
    Yes                                                     1 - LHC-wide Impact
                Programme Boards                                                     will impact on CfH trough lack of
                                                                                     progress with NCRS




                The the project be fully examined by
                the sponsoring organisation (PCT) and                           Impacts on reputation of PCT to provide
    Yes         re-adopted to bring it back on target.      1 - LHC-wide Impact appropriate scoping and goeverance
                Meeting being arranged with Richard                             arrangements
                Harling as lead
                (01 Nov 07)
                Determining the best way forward for                                Clinics will be cancelled, patients will wait
                                                           2 - Signif‟t - Trust
Initial Entry   the PCT, if we could get the                                        longer, PCT will struggle with 18 week
                                                                impact
                consultants to accept 2 1.9MP                                       wait.
                monitors it will save the PCT £12,000




                                                                              Not having suitable storage will lead to
                (18 Oct 06)            To reduce the
                                                                              old equipment being left with users who
                amound of clutter. Repaired equipment
Initial Entry                                         4 - Dept / Local impact may see the lack of action as indicative
                to be stacked more appropriately/sent
                                                                              of the dept as a whole. Possibly also
                out to users faster.
                                                                              Health & Safety risk.




                3-Jan-07 Endeavour to install some if
    Yes                                               3 - Signif‟t – Prj impact
                not all planned mobile equipment asap




                05/11/07
                Process reviews to be done
                across the project stakeholder
                                                                        Trust - Business Change
                group to identify current and
   Yes                                          3 - Signif’t – Prj impact
                                                                        processes, acceptance /
                new processes and also
                                                                        implementation of change
                responsibilities for performing
                the processes. Documented
                outcome.



                05/11/07
                Further resource from Clinical
   Yes                                          3 - Signif’t – Prj impact
                Informatics to support the work
                requested by PM.


                                                        3 - Signif‟t – Prj impact

                (26 Sep 06)
                MHPT will stop rolling out Daycare
    No          changes and await Fleming.                                          None
                (16 Feb 06)
                MHPT to roll out Daycare changes.
                05/07/2007 Initial entry awaiting
                guidance from trust.
Initial Entry                                        2 - Signif‟t - Trust impact None
                (02/08/07) Trust requested rewording
                of the issue.




    No                                                 3 - Signif‟t – Prj impact




    No          None                                  2 - Signif‟t - Trust impact tbc
                (3rd April 07) IT to roll out new
    Yes                                                   2 - Signif‟t - Trust impact Breach of security - patient records
                version of Ward Enquiry




                Feedback to Ardentia on quality of
                documentation they have provided.                                     Service will be seen to be failing to
    Yes                                                   3 - Signif‟t – Dir impact
                Ardentia have agreed to provide                                       deliver
                further documentation




                (10 Oct 06)             PCT to ensure                           Could affect the depts reputation to deal
Initial Entry   that Project Manager takes                  1 - LHC-wide Impact with location moves through no fault of
                responsibility and is the sole contact.                         it's own.




                (10 Oct 06) Establish suitable network                             GP practices will receive better & more
Initial Entry                                          2 - Signif‟t - Trust impact
                links to all GP practices                                          comprehensive support from WHITS
      ICT Programme Board recommend
                                                                     Will significantly affect the ability of the
      ATR in order for the following software
                                                                     clinical applications support team to
      to be deployed: version 35 to support
No                                               1 - LHC-wide Impact conitnue deliver against what already is a
      18 week functionalit, version 2 of CaB,
                                                                     challenging workload and high customer
      NCRS MR1 and the re-organisational
                                                                     expectations.
      changes.




                                                                          Where projects fail, the question arises
      (6 Jun 07)
                                                                          whether sufficient resources were
      Continue to monitor - establish
                                                                          available. Where the project was not
      success of using contract header
                                                                          adopted the question over initial scoping,
      against initial theatres (Alex Hsp)
                                                                          planning, sponsorship and associated
      deployment (w23).
                                                                          governance are also key considerations.
      (3 May 07)
                                                                          The view is that the strategic Board will
No    Risk raised in ICT report - Both Capula 2 - Signif‟t - Trust impact
                                                                          only consider adopted projects - if the
      and Bluespier have been asked to
                                                                          resources agreed have been available
      provide details as to how they would
                                                                          their view is that the project has failed
      anticipate delivering such a new range
                                                                          from inability, not becuase of stretched
      of systems - this is awaited. No further
                                                                          resources for also managing unadopted
      Acute deployments should start until
                                                                          projects. This affects the reputation of
      this has been agreed and formalised.
                                                                          the ICT Directorate for the worng reason.




      14/11/06 - All 1st and 2nd line IT
      vacancies to be opened for
      recruitment. All ICT vacacies agreed
                                                                     Will impact on reputation of WHICTS to
      the the County ICT Programme Board
Yes                                              1 - LHC-wide Impact deliver a timely and effective IT support
      should be acted upon by hosting
                                                                     service
      organisation. Knowledge
      Manageement and IT Training posts
      (x2) to be released
                John Thornbury to produce an options
                paper on structure to suit project and                              Impact on PCT and MHPT reputation to
    No                                                     1 - LHC-wide Impact
                take to PCT and MHPT Executive                                      effectively manage CfH project
                Teams


                                                                               Impact on reputation of PCT and
                Choose and Book team to be identified                          WHICTS in relation to effecting
    No                                                     1 - LHC-wide Impact
                and trained in C&B administration                              organisational changes within the
                                                                               required timescales




                                                                                   GP calls can be completed more
                                                                                   effectively, better reputaiton with GPs if
                (10 Oct 06) Organise training with the
Initial Entry                                          2 - Signif‟t - Trust impact techs are seen to have more
                3 main system suppliers
                                                                                   understanding. Techs feel better
                                                                                   prepared when visiting GP sites.




                                                                               Systems not available once power
                (12 Oct 06) a full audit to ensure                             restored, already frustrated users more
Initial Entry                                              1 - LHC-wide Impact
                switches are on UPS                                            frustrated when power returned and
                                                                               service not available




                (26 Oct 06) Use the Trust network and
Initial Entry                                         4 - Dept / Local impact Patient confidence
                data infrastructure.




                13/06/07
                1. Project Executive & Senior
                Users to contribute to
                expectation management.
                2. Change management work-
                stream within project.
                3. Plan to be generated an
                early stage of project and
                communicated to stakeholders.
                4. Adequate planning                                                1. Local ability to apply/follow
                mechanisms – iterative                      3 - Signif’t – Prj      Project Management principles.
   Yes
                planning sessions between                        impact             2. Lack of Customer/Supplier
                senior management prior to                                          partnership to control progress.
                formal start-up.
                5. Communication Plan defines
                series of regular, targeted and
                variety of types of
                communication techniques to
                ensure staff affected by change
                are kept up to date of plans,
                actions, their role in project and
                impact of desired changes.
                                              2 - Signif‟t - Prg impact



      (29 Sep 06)
      3 RA agents employed by PCT
      (16 Feb 06)
No                                                                         None
      WHICTS will provide RA for WF, SW
      and MHPT. RnB will support
      themselves




                                                                        Significant reputational impact on
                                                                        ICT Directorate. GPs feel that ICT
                                                                        cannot manage projects effectively -
No                                            3 - Signif‟t – Prj impact
                                                                        supplies dept inability to cover
                                                                        workload impacting on ICT
                                                                        reputation.




No                                            3 - Signif‟t – Prj impact




      4/6/07, Closed as Risk w2c035
      specifically relates to Out of hours
      support, as continued support is now
      resolved between normal working
                                                                           Impact upon ICT directorate as staff feel
Yes   hours of 9am - 5pm.                      3 - Signif‟t – Prj impact
                                                                           they are not supported adequately
      5/3/06 Rob has raised this with
      Richard Stringfellow
      15/12/06 Email back from Rob, this is
      still to




No    Escalate to project board.               3 - Signif‟t – Prj impact




No                                             3 - Signif‟t – Prj impact
     26/03/2007 - Development of a
     routine that will extract the record         3 - Signif‟t – Prj
No
     and populate missing fields before               impact
     re-popuulating the database.




                                               3 - Signif‟t – Prj impact




     (01 Nov 06)
     Legacy system has had a new tape
     drive installed by siemens. (08 Oct 06)
No   Legacy system running out of space                                    System will fail if the space runs out.
     need to install the hardware provided
     by siemens. (08 Jun 06)
     Monitor the system space issue.




     7/8/07 - As there are plans for a unified
      theatre computer system in the future
No    we recommend that this is brought in 3 - Signif‟t – Prj impact
      after the initial delivery of the product
                   (ie. A phase 2)




No   None                                      3 - Signif‟t – Dir impact tbc
No    None                                     1 - LHC-wide Impact tbc




      Clarify specific scoping issues with                                 Perception that ICT does not fully delvier
Yes                                            1 - LHC-wide Impact
      Project Board                                                        the necessary solutions to service depts




No    Refer to Project Board                 2 - Signif‟t - Trust impact
                (31-Jan-07) Waiting for server team to
                roll out the wc 5th Feb. new revised
                bar code font (9th Oct 06) Implement
                the bar code font of 3 of 9, ensure that
    No          the no patient details are retrieved if 2 - Signif‟t - Trust impact High impact - given clinical risk
                the bar code fails to scan
                correctly.(2nd Nov 06) 3 of 9 font
                introduced and labels being piloted in
                health records




                (30 June 07) Development team to
                advertise their development post and
    Yes                                                      1 - LHC-wide Impact
                then develop business case for
                replacement.




                31/01/07 Currently the only location
                where speed may be an issue is
                Tenbury and a new line has been
                                                              2 - Signif‟t - Trust   Staff at the Tenbury location may feel left
    Yes         installed between Tenbury and the
                                                                   impact            out.
                network. This is just awaiting full
                commissioning. 30/06/07 Tenbury
                link has been upgraded.



                31/01/07 The system is targeted for
                early 2007. It will be possible to install
                one PACS site before Christmas and
                then the remaining 3 from February            2 - Signif‟t - Trust
    Yes                                                                              N/A
                2007.                                              impact
                30/06/2007 WRH PACS has been
                upgraded as such staff and resources
                can now be allocated to this project.



                31/01/07 To see if other provision can
Initial Entry                                          2 - Signif‟t - Trust impact N/A
                be found.
                (31 May 07)
                Meeting on the 6th June to determine
                the way forward for the SAN
                architecture.
                (07 Jun 07)
                Meeting took place, depending on the
                final cost the SAN at the Alex will be
                                                                                   System may be seen by clinicians as
                upgraded to the same level as WRH to
    Yes                                                2 - Signif‟t - Trust impact being a failure and they will lose
                ensure that the any issues were not
                                                                                   confidence in it.
                version dependant. Investigation
                made with Insignia to determine how
                we ensure all images are in the
                appropriate place and there is a back
                up copy.
                30/06/2007 SAN upgrade has occured
                monitor for performance improvement




                (02 Nov 06)
                UU will speak with vascular team to
                determine the way forward.
                (10 Mar 07)
    Yes                                                 2 - Signif‟t - Trust impact N/A
                UU had a response from the Vascular
                team to say that they would like to use
                the system, equipment was order
                should be in end April.




                (31 May 07)
                Meeting on the 6th June to determine
                the way forward for the SAN
                architecture.
                (07 Jun 07)
                Meeting took place, depending on the
                final cost the SAN at the Alex will be
                                                                                   System may be seen by clinicians as
                upgraded to the same level as WRH to
Initial Entry                                          2 - Signif‟t - Trust impact being a failure and they will lose
                ensure that the any issues were not
                                                                                   confidence in it.
                version dependant. Investigation
                made with Insignia to determine how
                we ensure all images are in the
                appropriate place and there is a back
                up copy.
                30/06/2007 SAN upgrade has occured
                monitor for performance improvement




                31/01/07 To see if other provision can
Initial Entry   be found.                                4 - Dept / Local impact
                30/06/07 MP installed the equipment.
                Ensure representation on the Project
                                                                                      Lack of confidence in future development
    Yes         Team to take ownership of Trust           1 - LHC-wide Impact
                                                                                      work undertaken by ICT Directorate
                reporting requirements




                (9 Oct 06) all backups should be                                      Possible complete loss in faith of IT
Initial Entry                                             1 - LHC-wide Impact
                checked for successful completion                                     Services




                (10 Oct 06) Minimize the risk by
Initial Entry   implementing the system on a cluster     4 - Dept / Local impact Delay in treating A&E patients
                server (already built).




                (10 Oct 06) Review the current                                        Implications to other clinical and admin
Initial Entry                                           2 - Signif‟t - Trust impact
                maintenance agreement.                                                operational systems.




                                                                              Technicians could overlap on work,
                (10 Oct 06) All configuration changes
Initial Entry                                             1 - LHC-wide Impact some issues could effect fixes other
                need to be documented
                                                                              technicians have made




                Be pro active! Promote turning off kit at
Initial Entry   the end of the day. Promote potential 2 - Signif‟t - Trust impact Increases reputation
                savings to Trust Board.
                Site survey required to assess what
                remedial work needs to be carried out
                in preparation for N3 installation (22
                May 2007) Brian Hickman has agreed
                                                                               Any unscheduled down-time generates a
                to co-ordinate the removal of old
    Yes                                                    1 - LHC-wide Impact significant negative reputational impact
                equipment from all the hub rooms
                                                                               on ICT Services.
                across the county. Outline approval
                was given by John Thornbury, but is
                now on hold to waiting a decision on
                funding.




                2/01/2007: Await notification from                                  C&B availability has not been reliable
                Capula that they are ready to disable                               and its reputation locally with GPs and
    Yes                                                    1 - LHC-wide Impact
                slot poll and confirm with users an                                 patients is not good. Any more problems
                appropriate time to do this.                                        would reinforce this view.




                (4 May 2007) Investigations so far
                have been fruitless. Gary McCormack
                to provide some help to identify                                WHICTS failing to deliver solution that
    Yes                                             2 - Signif‟t - Trust impact
                whether the problem is with the                                 has been guaranteed by John Thornbury
                extracting database or with the
                underlying Ardentia schema tables.



                06/04/07 To see if other provision can
Initial Entry                                          2 - Signif‟t - Trust impact N/A
                be found.




                (31 May 07)
                The next MSI rollout will be fully tested
                                                                                      Clinicians will be unable to view images
Initial Entry   to ensure that it works before being      2 - Signif‟t - Trust impact
                                                                                      and patients may have to return.
                rollout. No late amends will be allowed
                to the file to ensure that it works.
                (31 May 07)
                The next MSI rollout will be fully tested
                                                                                      Clinicians will be unable to view images
Initial Entry   to ensure that it works before being      2 - Signif‟t - Trust impact
                                                                                      and patients may have to return.
                rollout. No late amends will be allowed
                to the file to ensure that it works.




                01/11/07 MP to investigate if the
Initial Entry                                                 4 - Dept / Local impact
                locations can gain connectivity.




                (11 Oct 06) Documentation needs to                                         Non standard installations may not give
Initial Entry                                                2 - Signif‟t - Trust impact
                be re-written as backup not available                                      all then benefits of this technology




                (6 Jun 07)
                Raise again in monthly ICT Services
                                                                                   ICT reputation rests largely on ability to
                report.
                                                                                   support service priorities. Without
                (20 Sep 06)
                                                                                   knowledge of those priorities in a timely
    Yes         Maintain awareness at county ICT               1 - LHC-wide Impact
                                                                                   manner achieving that goal is unlikely.
                Prog. Board of need for timely and
                                                                                   Future funding may be jeopardised
                clearly prioritised plans - stressing that
                                                                                   regardless of where dependency lay.
                members should take back risk to their
                own organisational Boards for action.
     (20 Sep 06)                                                      ICT reputation rests largely on ability to
     Maintain awareness at county ICT                                 support service priorities. Without
     Prog. Board of need for timely and                               knowledge of those priorities in a timely
No                                                1 - LHC-wide Impact
     clearly prioritised plans - stressing that                       manner achieving that goal is unlikely.
     members should take back risk to their                           Future funding may be jeopardised
     own organisational Boards for action.                            regardless of where dependency lay.




     (20 Sep 06)                                                      ICT reputation rests largely on ability to
     Maintain awareness at county ICT                                 support service priorities. Without
     Prog. Board of need for timely and                               knowledge of those priorities in a timely
No                                                1 - LHC-wide Impact
     clearly prioritised plans - stressing that                       manner achieving that goal is unlikely.
     members should take back risk to their                           Future funding may be jeopardised
     own organisational Boards for action.                            regardless of where dependency lay.
      (3 Jan 2007) Continue close
      monitoring of non-compliance via
Yes                                          4 - Dept / Local impact
      auditing. Address appropriately where
      non-compliance is due to other factors




Yes   Refer to Project Board                    1 - LHC-wide Impact




                                                                    To have visible management control of
      (3 Oct 07)                                                    this work is important to service
      Closure. Matt Gilks is lead.                                  colleagues / customers - gives
No    (12 Jun 06)                               1 - LHC-wide Impact confidence that work is being undertaken
      DoICT to identify prioriities and feed                        in a controlled manner and that
      back to ICT HoDs.                                             importance is placed on the outcome of
                                                                    the work.

                                               2 - Signif‟t - Prg impact
      (26 Sep 06)
No    JT informed board of issue and will                                  None
      raise at the next prog board.



      12/10/06 Emailed Dr.Kinsman and
      advised him of DLM 202. Spoken
No                                     4 - Minor / Local impact
      with Lyn at the surgery, monitor
      closely




      26/03/2007 - A sensible work-
      around seems which Gary is                  3 - Signif‟t – Prj
No
      working on is likely to resolve this            impact
      problem and will remove the risk.
No    None                                   4 - Minor / Local impact




No    None                                   3 - Signif‟t – Dir impact tbc




      (23 Aug 07)
      Gain acceptance of smaller Support
      SLA agreement.
                                                                           Folding Space - ability to support
No    (30 Jul 07)                            2 - Signif‟t - Prg impact
                                                                           product.
      Supplier support service level to be
      defined. Draft NHS Support contract
      provided to Supplier early May 07.




      On-going disucssions taking place
No    between ICT Technical Team And         2 - Signif‟t - Trust impact
      Bluespier




      (9th Oct 06) Escalate to CFH and SHA
      that the functionality of CaB needs to
Yes   be changed. Ensure staff are trained 2 - Signif‟t - Trust impact Impact on Health Records
      to reset the referral date to the original
      date on the original CaB referral.
                (4th May 07) Cleanse the 330,000
                duplicate records so that the key data
                items are complete and accurate so
                that they can be sent to NSTS for
                tracing. Based on the NHS number                                   Clinical Risk/delay migration to national
    No                                                 2 - Signif‟t - Trust impact
                the duplicate records with merged.                                 care record system
                There may be a number of records
                that that will require manual
                investigation to cleanse the data and
                ensure that an NHS number.




                (4 May 2007) Request Capula to
                develop a new printed theatre list that
                will hide the configured procedure
    No                                                  2 - Signif‟t - Trust impact Clinical Risk
                description and show the free text
                procedure decription, which would be
                acceptable to clinicans.




                (4 May 2007) Request that Capula fix
    No                                               2 - Signif‟t - Trust impact Impact on administative processes
                this issues asap



                (11 Oct 06)                                                       Knowledge seekers wil cease to use
Initial Entry   Replace 4 computers with later            4 - Dept / Local impact service as it becomes known as
                technology                                                        inadequate




                (11 Oct 06)                                                          Knowledge seekers wil cease to use
Initial Entry   Replace 14 computers with later          2 - Signif‟t - Trust impact service as it becomes known as
                technology                                                           inadequate




                26 October 2006 Recommend
                                                                                    Loss of confidence in service provided
Initial Entry   provision of work mobiles or              4 - Dept / Local impact
                                                                                    and may result in losing man hours
                blackberrys
      (02 Oct 06)
      Options Costed. Other costs to be
      identified.
      (01 May 2007) Received confirmation
      that orders can now be placed (22
      May 2007) Final quote from Siel
      received, waiting on other costs from                       Any unscheduled down-time generates a
Yes   Brian Hickman. Essential that the       1 - LHC-wide Impact significant negative reputational impact
      room is emptied of all old                                  on ICT Services.
      equipment before installation can
      proceed! Waiting on confirmation from
      John Thornbury that we can proceed
      with quote.
      (01 Oct 07)
      UPS installed on site.




      (02 Oct 06)
      Options Costed. Other costs to be
      identified.
                                                                Any unscheduled down-time generates a
      (01 May 2007) Received
Yes                                         1 - LHC-wide Impact significant negative reputational impact
      confirmation that orders can now be
                                                                on ICT Services.
      placed (22 May 2007) A review of the
      quotation in view of Hub room changes
      with Bovis needs to take place.
      (02 Oct 06)
      Options Costed. Other costs to be
      identified.
                                                                  Any unscheduled down-time generates a
      (01 May 2007) Received confirmation
Yes                                           1 - LHC-wide Impact significant negative reputational impact
      that orders can now be placed (22
                                                                  on ICT Services.
      May 2007) Site survey required to
      confirm requirements for PACS room
      and Frame room.




      (9th Oct 06)           Implement a
Yes   solution that enables printing from   2 - Signif‟t - Trust impact High impact - given clinical risk
      Ward Enquiry
      (9th Oct 06) CFH fully investigate why
      the affected services are not being
      made available in CaB. Capula to
      investigate that the all the services &
      appointments are polling successfully.                            High impact on patients which will have
Yes                                              1 - LHC-wide Impact
      (2nd Nov 06) a. all services checked                              financial implictaions on acute trust.
      against services being polled and all
      services atht shoudl be polling are.
      Multi service clinics are not polling
      fixed in Oasis P1R2




      (9th Oct 06)             Supplier
Yes   MSS to provide system functionality to 3 - Signif‟t – Dir impact High impact - clinical risk
      minimise this risk.




      (9th Oct 06) Migrate CAS cards from                               Alex A&E users will be severaly impacted
No    AS400 server to the Patient Frist         4 - Dept / Local impact by inability to do audits or retrieve
      system.                                                           previsou CAS cards
                (31 Mar 07)                                                          Knowledge seekers wil cease to use
    Yes         Replacement machines received.           2 - Signif‟t - Trust impact service as it becomes known as
                Awaiting installation                                                inadequate




                (01.12.2006)
    Yes         Replace Post (01.11.07)                   4 - Dept / Local impact No direct impact.
                REPLACEMENT ACHIEVED




                The PCT recommend a new                                              Lack of communication to users of ICT
    No                                                     1 - LHC-wide Impact
                Communications lead                                                  projects




                The project adoption process to be
                rigorously enforced to promote good                                  Negative impact on reputation ofboth
    No                                                     1 - LHC-wide Impact
                governance and enhance chance of                                     WHICTS and Trusts if projects fail.
                project successes.




                30/10/07 DG to start contacting staff to
Initial Entry                                            3 - Signif‟t – Prj impact
                           check availab
                30/10/07 DG to start contacting staff to
Initial Entry                                            3 - Signif‟t – Prj impact
                           check availab




                (24 Oct 06) This update has been
                blocked for Acute & Community sites.
                                                                                 That WHITS did not firesee or respond to
Initial Entry   But a fix needs to be deployed to GP 2 - Signif‟t - Trust impact
                                                                                 the problem
                practices (29 Jan 07) Problem fixed
                using WUS.


                                                                                     Any unscheduled down-time generates a
                (30th Jan 07) quotes for a managed
Initial Entry                                            2 - Signif‟t - Trust impact significant negative reputational impact
                service have been supplied by BT.
                                                                                     on ICT Services.



                (30th Jan 07) quotes for a managed
                                                                                  Any unscheduled down-time generates a
                service have been supplied by BT. (22
Initial Entry                                         2 - Signif‟t - Trust impact significant negative reputational impact
                May 2007) Equipment purchased,
                                                                                  on ICT Services.
                waiting installation dates.

                                                         4 - Minor / Local impact
                (29 sept 06)
                Paper accepted
    No                                                                               None
                (29 Jun 06)
                MP drafted paper for acceptance.




    No                                                  4 - Minor / Local impact




    No                                                   3 - Signif‟t – Prj impact
      We have been given the go ahead to
      hide these records on the system.
      Order to be placed around December
No    (delayed for budgetary reasons).           3 - Signif‟t – Prj impact
      There is also the posibility of using this
      module to hide other records that
      cannot be matched to users.




      22/09/2006 - Reports need
      amending to be passed to Mary
      Heffernan, so that a member of
                                                    3 - Signif‟t – Prj
No    her team can run it as part of their
                                                        impact
      daily routine. Provisions are
      already in place to cover
      sickness/leave etc.




No    None                                       3 - Signif‟t – Dir impact tbc




Yes   Refer to Project Board                    2 - Signif‟t - Trust impact
      (16 Feb 06)                            3 - Signif‟t – Prj impact
      No current procedure with HR for
      Leavers and Joiners PJ to discuss with
      RN.
No    (23 Apr 07)                                                      None
      VP informed that new PCT process
      had begun, and output will be
      monitored.
      (24 Aug 07)




           Oct 07 Raise order with Julie,
       Licences Yes, Training No (DG got 5
                free training places)
                                                                          ICT Departments reputation both
           Get JT approval to purchase
                                                                      internally and externally is damaged as
          Speak with IM Senior Supplier
Yes                                         2 - Signif‟t - Prg impact users and suppliers feel they are unable
                 Get costs off ICnet
                                                                       to move projects forward in an orderly
             6/8/07 - Speak with VFF
                                                                                      manner
       2/8/07 - Speak with JT regarding the
        project startup, he feels we should
                      press on.
                (9th Oct 06)            Prefix the
    Yes         affected Hospital numbers with the     2 - Signif‟t - Trust impact High impact - given clinical risk
                correct digits (5550, 6660, 4440)




                 29/10/07 Ensure we have adequate
                 coverage by WHITS Training Dept. -
                          Inform Project Exec
Initial Entry     12/10/07 Attempt to get additional   3 - Signif‟t – Prj impact
                training free as purchasing more user
                                licences
                 9/10 - spoke with Ian regarding this.




Initial Entry       5/10/07 DG to arrange Demo          3 - Signif‟t – Prj impact
                                                2 - Signif‟t - Prg impact




      (31 Mar 06)
      Escalate to SHA for guidance.
Yes   (02/08/07) Escalated again to SHA                                     None
      with no response hence increase in
      risk scores




      (11.10.2006)
Yes                                                     5 - Low             No direct impact.
      Replace Post




      21/11/06 - Surgery have confirmed
      they will be moving to Emis, indicating
No    at this point towards early 2007                  5 - Low
      9/10/06 Contact surgery in November
      to establish their current needs




      (5 Sep 07)
      Service considering effort/resource to
No                                            3 - Signif‟t – Dir impact
      further work on clinical content verses
      expected life of system
      (5 Sep 07)
      System use on hold pending PCT                                       Supplier - indicated minimum DBA
No                                             3 - Signif‟t – Prj impact
      decision on future of system. Testing                                requirements.
      could continue if required.




      (3 Oct 07)
                                                                          Staff failing to have access to systems
      Acute Trust to provide adequate
                                                                          because inadequate management
      resources to manage processes.
Yes                                           2 - Signif‟t - Trust impact resources exist rflects poorly on Trust
      Coverage is to provided by libraries
                                                                          management to support there staff in
      but management of processes also
                                                                          doing their work.
      need to be covered.




      (11.10.2006)
Yes   Replace Post (02.03.07) URGENT                   5 - Low             No direct impact.
      NEED TO REPLACE POST
                (11.10.2006)
    Yes                                                    5 - Low             No direct impact.
                Replace Post




                26/10/07 - Contact CfH for
Initial Entry   clarification over this apparent   3 - Signif‟t – Prj impact
                change in the software




                ()
    Yes         (14 Nov 06)                        2 - Signif‟t - Prg impact
                Comms Work needed
                                                                     Where projects fail, the question arises
                                                                     whether sufficient resources were
                                                                     available. Where the project was not
     (11 Jun 07)
                                                                     adopted the question over initial scoping,
     Continue to monitor.
                                                                     planning, sponsorship and associated
     (3 May 07)
                                                                     governance are also key considerations.
     Risk raised in ICT report - Acute Trust
                                                                     The view is that the strategic Board will
No   Board asked to confirm sponsorship of 3 - Signif‟t – Dir impact
                                                                     only consider adopted projects - if the
     this work, if agreed, production of Brief
                                                                     resources agreed have been available
     by Acute Directorate and formal
                                                                     their view is that the project has failed
     adoption process followed. No further
                                                                     from inability, not becuase of stretched
     action until that point.
                                                                     resources for also managing unadopted
                                                                     projects. This affects the reputation of
                                                                     the ICT Directorate for the worng reason.




     17/11/06 Appx 10 more CaB
     printers to go in, we are collating
     accurate requests from the                                        Reputational impact on ICT
     Practice Managers                                                 Directorate. GPs and staff feel that
No   12/10/06 37 printers outstnding as             5 - Low            ICT cannot manage projects
     part of the C&B rollout, 35 printers                              effectively, and repeated audits are
     to be received by I.T on the 16th                                 damaging relations.
     Oct.
     9/10/06 Wait until printer rollout i




No   Monitor                                4 - Minor / Local impact
    Yes                                                 3 - Signif‟t – Prj impact




                30/10/2007 - Keep in touch with
    Yes                                                 3 - Signif‟t – Prj impact
                Isoft regularly




                (6 Oct 06) Investivation needed to
Initial Entry                                            1 - LHC-wide Impact Practices losing confidence
                ascertain route cause




                                                                                No having suitable storage will lead to
                (13 Oct 06)                    To have                          old equipment being left with users who
    Yes         a dedicated storage facility on-site at 4 - Dept / Local impact may see the lack of action as indicative
                WRH.                                                            of the dept as a whole.          Possibly
                                                                                also Health & Safety risk.
                                                                           Where projects fail, the question arises
     (6 Jun 07)
                                                                           whether sufficient resources were
     Understood that deployment managed
                                                                           available. Where the project was not
     outside projects. Not satisfactory in
                                                                           adopted the question over initial scoping,
     terms of 'invisible work' taking away
                                                                           planning, sponsorship and associated
     resources from other deployments.
                                                                           governance are also key considerations.
     Recommend closure.
                                                                           The view is that the strategic Board will
No   (3 May 07)                                3 - Signif‟t – Dir impact
                                                                           only consider adopted projects - if the
     Risk raised in ICT report - Acute Trust
                                                                           resources agreed have been available
     Board asked to confirm sponsorship of
                                                                           their view is that the project has failed
     this work, if agreed, production of Brief
                                                                           from inability, not becuase of stretched
     by Acute Directorate and formal
                                                                           resources for also managing unadopted
     adoption process followed. No further
                                                                           projects. This affects the reputation of
     action until that point.
                                                                           the ICT Directorate for the worng reason.




                                              2 - Signif‟t - Prg impact




     (29 Jun 06)
                                                                           System will fail and users will be unable
     Reescalated to SHA for Guidance
No                                                                         to enter any information for a period of
     (16 Feb 06)
                                                                           time until errors were fixed.
     Escalate to SHA for guidance.
     3/1/07 Working along side the IT Dept
     to help arrange the installs with                                      Impact upon ICT directorate as gp
     minimal impact on staff levels.                                        surgery staff feel that they are not seen
No                                              3 - Signif‟t – Prj impact
     06/12/06 Brief emails to Pravin, he has                                as being important, and start to loose
     indicated that the printer rollout isn't a                             faith with the ICT directorate
     high priority




     IT recruitment. IT to carry out Acute
No   Trust audits. Pravin to alocate            3 - Signif‟t – Prj impact
     resources.




     1/5/2007 - Second module is now
     largely complete and in need of
                                                  4 - Minor / Local
No   installation onto our system for
                                                       impact
     checking. When installed and
     signed off this can be closed.
No          3 - Signif‟t – Prj impact




No   None   3 - Signif‟t – Dir impact
No    None                                     2 - Signif‟t - Trust impact tbc




      (25th July 2007) - Interface testing
      will have to be carried out using
      dummy patients in the live
No    environment and there will be limitation 3 - Signif‟t – Dir impact
      on the ability to test performance. A
      RIS user would be required to assist
      testing in a live environment.




      (28 Oct 06)
      VP informed board of risk of not having
      a Proj Exec and Comms Lead
      (23 Apr 07)
      VP informed that Brian Hanaford has
No                                            2 - Signif‟t - Trust impact None
      been appointed as Project Exec.
      (30 Jun 07)
      Brian Hanaford has been appointed as
      Project Exec, and attended the June
      Project Board.



                                               4 - Minor / Local impact
      (15 Sep 06)
      Staff engaged and happy to be
      envolved. (08 Jun 06)
No                                                                         None
      Engage staff in the decisions needing
      to be made, ensure they are kept upto
      date.




      (11 Oct 06)
Yes                                             4 - Dept / Local impact No direct impact.
      Replace plastic brackets with metal
                 12/10/07 DG to raise Purchase order
Initial Entry           now authorised by JT           3 - Signif‟t – Prj impact
                5/10/07 DG to follow up with PL and IM




                 27/2/07 - Ensure that Maternity staff
                  are fully engaged in development
                   process. Also ensure that Trust
                Functional specification is adhered to.
    No          Update June 5th - meeting planned for       1 - LHC-wide Impact
                25th June to finalise 'Worcs' spec. Oct
                   07 -Refer Validation concerns to
                  supplier to agree way forward and
                       address Trust concens.




                Continue to liaise with Interface Lead
                and identify when risk escalates to a
    No                                                    2 - Signif‟t - Trust impact
                level where go-live is seriously
                compromised.




                  30/10/07 DG to promote this when
Initial Entry                                             4 - Minor / Local impact
                           installing TFTs




                Monitor . It is possible that Jo
                                                             3 - Signif‟t – Prj
    Yes         could continue the thread of work
                                                                 impact
                on Heather's return for continuity.
                                              3 - Signif‟t – Prj impact




     (31 Mar 06)
     Ensure that requirements for reporting
No                                                                        Local within ICT
     are fed to the Ardentia user group and
     ensure that PCTs are represented.




No                                            3 - Signif‟t – Prj impact




No                                            3 - Signif‟t – Prj impact




No                                            3 - Signif‟t – Prj impact




     Merge staff are being asked to give
No                                            3 - Signif‟t – Prj impact
     this a priority.
No    None                                     3 - Signif‟t – Prj impact




                                               3 - Signif‟t – Prj impact
      (04 Oct 06)
      Air Con has been ordered and should
      be installed in the next two weeks (23
No    Aug 06)                                                              N/A
      This risk is to be addressed by
      ensuring that aircon is ordered at the
      earliest point possible.




      (23rd July 2007) Follow up and
      ongoing work must be identified and
No    quantified so that suitable resources 2 - Signif‟t - Trust impact
      may be allocated prior to closure of the
      project.




      14/11/06 Incorporate into new IM&T                                   Impacts directly on the reputation of
Yes                                             1 - LHC-wide Impact
      Plan                                                                 Connecting for Health
                                                 3 - Signif‟t – Prj
No   Monitor for areas of deficiency
                                                     impact




     We are looking at controlled roll out of
     data starting with small bloacks. There
                                                                        Very high. If linked systems are taken
No   is an option to switch off certain       3 - Signif‟t – Prj impact
                                                                        down as a result of Oasis updates.
     interfaces when updates take place if
     they prove problematic.




No   None                                     4 - Minor / Local impact




No   None                                     3 - Signif‟t – Prj impact
    No          None                                        4 - Dept / Local impact




                31/01/07 The project can devise a
                rollout plan where by the locations that
                have the highest proportion of
                computer literate staff go first. While       2 - Signif‟t - Trust    Project will not be well received if staff
Initial Entry
                these sites are going live the other               impact             are unable to use it.
                location staff can be upskilled to
                ensure they are sufficiently computer
                literate




    No          None                                       2 - Signif‟t - Trust impact tbc




                (28 Oct 06)
                VP informed board of risk due to lack                             Impact the reputation of NCRS across
    No                                                2 - Signif‟t - Trust impact
                of resource, VP to determine best way                             the county
                forward
    Yes                                                 3 - Signif‟t – Prj impact




                                                                                    Any unscheduled down-time generates a
Initial Entry   Investigate splitting cluster           2 - Signif‟t - Trust impact significant negative reputational impact
                                                                                    on ICT Services.



                05/11/07
                1. Clinical Informatics
                processes review will include
                equipment requirements.
   Yes          2. Equipment requirements        3 - Signif’t – Prj impact
                cross project will be merged to
                identify duplicates and best fit
                for power/networking
                requirements.




                05/11/07
                1. Theatre specification
                produced with support from
                                                                        Local ability to specify and
   Yes          Clinical Informatics.           3 - Signif’t – Prj impact
                                                                        document requirements.
                2. Functionality and associated
                outputs used as a formal
                measure of project progress.


                                                        3 - Signif‟t – Prj impact



                (26 Sep 06)
                Change manager paper accepted by
                Prog Board therefore CMs will support
    No                                                                               None
                SW area.
                (01 Mar 06)
                No Change Manger for SWPCT.




    No                                                   3 - Signif‟t – Prj impact
No                                   3 - Signif‟t – Prj impact




     1/5/2007 - Work arounds being     3 - Signif‟t – Prj
No
     investigated.                         impact




No   None                            3 - Signif‟t – Prj impact




No   None                            3 - Signif‟t – Prj impact
                                                          3 - Signif‟t – Prj impact
                (29 Sep 06)
                PFI ordered equipment(08 Jun 06)
    No          This risk is to be addressed by                                       N/A
                ensuring that equipment is purchased
                through the PFI.


                04/09/07
                Support levels able to be
                provided need clarifying to set                         ICT Support services v Service
    No                                          3 - Signif’t – Prj impact
                expectation and assess                                  user needs.
                suitability.



                31/01/07 Ensure that staff are given as
Initial Entry                                           4 - Dept / Local impact
                much notice as possible to attend




                (25th July 2007) -

                (1)To create a web farm which will
                provide resilience and load balancing
    Yes         for the applications.                      1 - LHC-wide Impact

                (2) Create an additional Sql Server
                cluster to provide resilience for the
                data




                (25th July 2007) - Create a clustered
    Yes         instance of Rhapsody to provide fail       1 - LHC-wide Impact
                over resilience.




                                                          3 - Signif‟t – Prj impact
                (08 Jun 06)
                This risk is to be addressed by
    No                                                                                N/A
                ensuring a robust training plan is in
                place.



                31/01/07 Ensure that clinical staff are
                given as much support as possible
Initial Entry                                             4 - Dept / Local impact
                30/06/07 Staff are using the system
                with support from local staff and MP
                Contact already made with N3 network
                designers. Next step is to plan
                migration (01 May 2007) meeting has
                taken place with N3 to discuss
                migration. Plan to migrate the ALX &
                WRH N3 connections end of Aug                               Any unscheduled down-time generates a
Initial Entry   2007. (22 May 2007) meeting has         1 - LHC-wide Impact significant negative reputational impact
                taken place with N3 to discuss                              on ICT Services.
                adoption plan and network changes.
                Waiting on final design from N3
                designers. Next stage to migrate N3
                connections once new firewalls are
                installed.




                Continued pressure on SHA to develop                            Impact on reputation of WHICTS and IT
    No          coherent strategy based on business 2 - Signif‟t - Trust impact CfH in relation to lack of business
                requirements                                                    support from ICT




    No                                                 3 - Signif‟t – Prj impact




                (23rd July 2007) Risk will be reduced
                as part of current 18 week work being
    No          carried out by Capula. Must ensure 2 - Signif‟t - Trust impact
                that this field is included in the
                interface messages available.
      29/11/2006 Installation of identified
      additional power sockets at Alex not
Yes   delivered - financial constraint,          3 - Signif‟t – Dir impact
      Networking & Power at WRH not
      delivered- Bovis - not identified costs.




                                                 3 - Signif‟t – Prj impact

      (29 Sep 06)
      PCT have employed 3 RA agents to
      carry out RA. ICT will continue to
      support MHPT.
No                                                                           None
      (31 Mar 06)
      ICT will continue to support WF, SW
      and MHPT. RnB will be able to
      support themselves.




      12/10/06 Speak with surgeries who
      feel this is a problem and advise, point
No                                             4 - Minor / Local impact
      them to the DLM202 (update guide) on
      the vision web site




      12/10/06 Spoken with Richard, he
      needs to speak with the GPs on how
No                                               4 - Minor / Local impact
      they will tackle this prior to turning
      back on
     Closing as RA requirements aare
No   largely understood - opening individual 3 - Signif‟t – Prj impact
     risks for any outstanding areas.




     Escalated to Project Board to re-open
No   communications with Mental Health        3 - Signif‟t – Prj impact
     Trust.




     Establish requirements as soon as
No                                            3 - Signif‟t – Prj impact
     possible.




No                                            3 - Signif‟t – Prj impact




     Population of NHS numbers from
No                                            3 - Signif‟t – Prj impact
     Exeter and/or from NSTS
No          3 - Signif‟t – Prj impact




No          3 - Signif‟t – Prj impact




No   None   3 - Signif‟t – Prj impact




No   None   4 - Minor / Local impact
No    None                                      3 - Signif‟t – Dir impact




No    None                                      3 - Signif‟t – Prj impact




      Ardentia have completed Protoype
      Cubes and Data Feed these are
                                                                         Service will be seen to be failing to
Yes   currently awaiting testing. Review after 3 - Signif‟t – Dir impact
                                                                         deliver
      implementation of Action Plan follwing
      Development Day 28th June
                Referred to Director of ICT who will
                raise with Trust Exec team to ensure
    No                                                    1 - LHC-wide Impact
                strategic decisio of Trust is
                communicated to all key stakeholders.




                Establish in first instance, what is
    Yes         current network connectivity from GP    2 - Signif‟t - Trust impact
                Practises




                                                        3 - Signif‟t – Prj impact
                (08 Jun 06)
                This risk is to be addressed by
    No                                                                                Local to ICT if equipment not available.
                ensuring that all equipment needs are
                addressed in advance.


                Investigate splitting cluster. (22 May
                                                                                   Any unscheduled down-time generates a
                2007) Waiting on costings from Capula
Initial Entry                                          2 - Signif‟t - Trust impact significant negative reputational impact
                part of Disaster Recovery review by
                                                                                   on ICT Services.
                Jas Cartwright.




                (31.10.2006) REMAINING 2 DAYS
                FROZEN UNTIL Apr 07                                                   Disruption to the team and efficient
Initial Entry                                            4 - Dept / Local impact
                (11.10.2006)                                                          running of same
                Agree to reduction in hours
     (31 Oct 07)
                                                                          Folding Space - Formal Project
No   Need clarity of priorities and time      3 - Signif‟t – Prj impact
                                                                          Management.
     scales from supplier.




     (31 Oct 07)
No   Very little interest from operational    3 - Signif‟t – Prj impact
     settings.




     23/10/06 RA Staff have now started
     29/9/06 Rob Neill confirmed 2 staff will
     be starting the 16th and the third on
     the 25th of Oct                                                    Reputational impact on PCTs. GP
No   22/9/06 Rob believes that the three      3 - Signif‟t – Prj impact surgeries and pharmacies feel that PCTs
     new staff will be in post on the 16th                              are failing to provide required services.
     October.
     28/9/06 Project board informed that 3
     new




No                                            3 - Signif‟t – Prj impact




     6/06/2007 - Proposed Bluespier
     development has meant that
     developer time has been made
                                                2 - Signif‟t - Prg
No   available.
                                                     impact
     31/01/2007 - Await development
     team schedule information before
     a judgement can be made


     26/03/2007 - There is a
     workaround now being tested -
                                                 3 - Signif‟t – Prj
No   using a cut down data set to
                                                     impact
     populate the data which
     propogates very quickly.
No    None                                 3 - Signif‟t – Prj impact




No    None                                 3 - Signif‟t – Dir impact




      13/06/07
      1. Training Lessons Plans –
      developed to highlight (a)
      benefits of electronic capture
      over maintaining paper based
      systems, (b) reduction in
                                                             Local business change
Yes   duplicate entry necessary with 3 - Signif’t – Prj impact
                                                             management.
      system use, and (c) the
      reduction of associated
      communications necessary
      when equivalent basic data
      entered on system – to other
      wards, management staff etc.


      05/11/07
      1. Invitation to Training letter to
      be sent to relevant staff
      involved, inc night staff, should
      highlight the benefit from basic
      PC skills training available prior
      to system training.
No    2. Target training to support       3 - Signif’t – Prj impact
      data entry standards - also,
      enhanced use of knowledge
      based services available in
      county and greater
      communication routes via
      intranets, e-mail, on line alerts
      etc..



      05/11/07
Yes   1. Processes review work to        3 - Signif’t – Prj impact
      inform Benefits realisation.
      05/11/07
      1. Continuity Plan to include
      start up processes for getting
      data into system from period of
Yes   down-time.                      2 - Signif’t - Prg impact
                                                              Local management/planning
      2. Support will be required to
      input data backlog – managed
      via service leads.




      05/11/07
      1. Plan to be reviewed from
Yes   outcomes of processes                  3 - Signif’t – Prj impact
      reviews.




      Ensure representation on the Project
      Team to take ownership of clinical staff
      requirements. Also ensure attendance
      at Business process workshops etc
Yes                                                1 - LHC-wide Impact
      July 07 - Engage with Clinical Director
      (Steve Graystone) to elevate project
      communications and stakeholder buy-
      in.




      Meet with maternity leads to discuss
No    options paper and emhasise the             2 - Signif‟t - Trust impact
      urgence of making decisions
      1/5/2007 - A version has now been
      supplied for testing on
                                                 3 - Signif‟t – Prj
Yes   TESTPRAC. This will remain a risk
                                                     impact
      until it has been fully tested, and
      installed onto a live environment.



                                              1 - "Showstopper" (LHC-wide Impact)
      (08 Jun 06)
      This risk is to be addressed by
                                                                          System will fail no images will be
No    ensuring that all equipment software
                                                                          produced.
      has been thoroughly tested prior to
      switch over..


      05/11/07
      1. Outputs from requirements
      specification to be used as a
      measure of progress.
      2. New processes to be
                                                        Local ability to apply/follow
Yes   documented to inform future 4 - Minor / Local impact
                                                        Project Management principles.
      implementations.
      3. ICT equipment to enable and
      support operational use of
      computer based systems.




No                                            3 - Signif‟t – Prj impact




      15/12/06 - email back from Rob neil
      confirming this can be closed now                                   Reputational impact on ICT Directorate
      28/9/06 At todays board meeting Rob                                 and Supplies. GPs and staff feel that
No                                           3 - Signif‟t – Prj impact
      Neill confirmed he requests cards from                              ICT / supplies cannot manage projects
      Bernard Constantine at the SHA, 3                                   effectively
      new RA staff start in October




      22/9/06 Monitor the ETP national
Yes                                           3 - Signif‟t – Prj impact
      website regularly for updates.
      09/10/2006 Ensure clear channels of
      communication with the surgeries, to
Yes                                             4 - Minor / Local impact
      help put them at ease with the
      changes




      Closing Risk As we now understand
      usage in PCT and Acute Trust.
No                                              4 - Minor / Local impact
      Opening separate items for MHT and
      GP Surgeries.




      Closing this risk and opening indivual
No    risks for each orgaination. See           3 - Signif‟t – Prj impact
      W22013, W22014 and W22015




      Closing risk as CfH have rolled out
No                                              2 - Signif‟t - Prg impact
      training specvifications




      Audit work to establish IT costs.
                                                  4 - Minor / Local
No    Monitor situation for any other
                                                       impact
      costs.




      Book up as many available slots as
      possible. Contact CfH for availability of
No                                              2 - Signif‟t - Prg impact
      further training places. Re-assess local
      training requirements.




      Population of NHS numbers from PAF
No                                       3 - Signif‟t – Prj impact
      data, Exeter and/or NSTS
No                                           3 - Signif‟t – Prj impact




No                                           4 - Minor / Local impact




      Investigation of use of routines
      bein carried out. Disable all
      routines that are not required and        3 - Signif‟t – Prj
No
      can be disabled. Understand and               impact
      restrict access to ant that are
      required or cannot be disable.




      05/11/07
      1. Senior User to support
                                                                 Local adoption of Project
No    Implementation Team                  4 - Minor / Local impact
                                                                 Management principles.
      meetings.




      13/06/07
      1. Acute Trust management
      and Surgical Senior
      management to stress to users
      the importance of using the
      system and that usage will be
      monitored and addressed if
      poorer than expected.
      2. Training Plan to ensure
Yes   coverage and progress in         3 - Signif’t – Prj impact
                                                               Local commitment
      training is evenly spread across
      locations.
      3. Backup / refresher training /
      materials to be made available
      post training. Super Users to
      monitor use of system in
      operational setting post go live
      to ensure that consistent use by
      all expected users.
      13/06/07
      1. Communication Plan – to
      articulate changes in working
      practice that will occur as a
      result of the introduction of new
      service processes and
      supporting clinical system.
      2. Communications to be
      backed up by information on
      training, post go live support
      and updates on benefits when
      they start to be accrued to
      highlight worth of change over.
Yes                                    4 - Minor / Local impact
      3. Benefits Plan (via Change
      Management) to specify metrics
      (e.g. increase in theatre
      utilisation?) to be used to
      monitor progress towards
      desired benefits.
      4. Surgical Heads of Depts to
      ensure, that as champions that
      staff are adequately updated,
      trained and provided access to
      support available in use of
      system.
      13/06/07
      1. Training Plan - developed to
      establish range of training
      availability options to maximise
      access to training. Plan to
      identify all those requiring
      training (by type (e.g. Super
      User / Standard) and a
      progress report regularly
      produced on those having been
      trained.
      2. Training coverage to be
      confirmed to maximise access
      as well as communicated to
      stakeholders.
      3. Project based personnel
      contact points to be made
Yes                                    3 - Signif’t – Prj impact
                                                               Local resource management.
      available at each desktop
      (paper) during duration of
      project with procedure for
      emergency calls included.
      4. Communications Plan –
      developed to produce a
      framework that maximises the
      impact of communications
      ensuring staff are given
      adequate warning over training
      requirements and how to
      access training, ensuring line
      managers are aware of need to
      plan for the release of staff to
      be trained (standard mail merge
      letter to be produced) and that
      staff actually attend training.




      (31 Oct 07)
No    Close risk, W12033 will identify any    3 - Signif‟t – Prj impact
      problems.




      (30 Jul 07)
      Approx 100 users required to
      concurrently test system/network
No                                          3 - Signif‟t – Prj impact
      performance following delivery of all
      actions from Technical review between
      local IT and Folding Space.
      Develop Training programme at
      earliest opportunity to assess likely
Yes   impact on staff time. Liz taylor to        1 - LHC-wide Impact
      engage with Bluespier to identify most
      effective means of delivering training.




      Pursuing via Primary Care Working
Yes   Group, and also letters to Practice       3 - Signif‟t – Prj impact
      Managers.




      Proposals for pragmatic resolution and
      formal close down currently being                                Service will be seen to be failing to
Yes                                          3 - Signif‟t – Dir impact
      drawn up. Target date for completion                             deliver
      end of January 2007
      (9th Oct 06) Ensure robust backup
      and restore processes are in place that                             Undermines ICT (lack of robust disaster
No                                            2 - Signif‟t - Trust impact
      can be managed, preferably by the                                   recovery plans)
      supplier or locally if required.




      (16th July 2007)
No    Ensure System Development team on         1 - LHC-wide Impact
      distribution list for RfC notices




       31/7/07 - It has been confirmed that
       our internal training department will
Yes   also be included on the ICNet training 3 - Signif‟t – Prj impact
      course's to enable flexibility in further
             staff training in the future
      April 07 - Bluespier to undertake a
      series of roadshows to promote the
      system thereby improving buy-in. July
Yes                                               1 - LHC-wide Impact
      07 - Improve Trust communications to
      ensure that all stakeholders are
      'engaged'




      28/2/07 Currently rolling out
      3/1/07 In the process or arranging
      printer orders, storage and installation                               Reputational impact on ICT Directorate.
      13/12/06 Reported to IT that we need                                   GPs and staff feel that ICT cannot
No                                               3 - Signif‟t – Prj impact
      50 ptrs and 15 trays. To follow up in                                  manage projects effectively, and
      January                                                                repeated audits are damaging relations.
      17/11/06 Appx 10 more CaB printers
      to go in, we are collating acc




      Training recruitment agreed. Training
No                                               3 - Signif‟t – Prj impact
      specifications also available.




      Passed to IT to assess the extent            3 - Signif‟t – Prj
No
      of the problem.                                  impact
     Testing of implications by Informatics
No                                            4 - Minor / Local impact
     team




No                                            4 - Minor / Local impact




     No orders in process ate the moment,
No   however a further order will soon be 4 - Minor / Local impact
     required.




     26/03/2007 - Revert back to use of
                                                 4 - Minor / Local
No   Capula module if this method
                                                      impact
     cannot be implemented




No   None                                     2 - Signif‟t - Trust impact
No   None                                    3 - Signif‟t – Prj impact




                                                                         Significant reputational impact on ICT
      31/7/07 - Ensure Prince 2 guidelines
                                                                           Directorate. User's and Clinicians
No     are followed to ensure a controlled   3 - Signif‟t – Prj impact
                                                                           effected lose faith with the Project
               project environment
                                                                                Management Department




                                                                         Significant reputational impact on ICT
                                                                           Directorate. User's and Clinicians
No                                           3 - Signif‟t – Prj impact
                                                                           effected lose faith with the Project
                                                                                Management Department
                                      Lose of faith in the ICT Project
No    3 - Signif‟t – Prj impact
                                        Management Department




Yes   3 - Signif‟t – Prj impact




                                  Staff feel that the ICT Department have
Yes   3 - Signif‟t – Prj impact
                                           no control over projects
Yes                                    3 - Signif‟t – Prj impact




No                                     3 - Signif‟t – Prj impact




No                                     3 - Signif‟t – Prj impact




      (2 Aug 07)
No    System use on hold pending PCT   3 - Signif‟t – Prj impact
      decision on future of system.




No    None                             4 - Dept / Local impact tbc
      (31 Oct 07)
      Pilot 5, Dept Post progressing with
      requirements for operational build fed
No                                                3 - Signif‟t – Prj impact
      back to supplier. Pilot 4, Meeting
      Papers had little progress - to follow
      up.




      (04 Oct 07)
      Awareness session held on Sep 18, IT
                                                                      Folding Space - lack of confidence in
No    Training following up with attendees. 3 - Signif‟t – Prj impact
                                                                      product delivery.
      Further deployment/promotion
      approaches to be considered.




      Identify urgently full requirement of kit
Yes   (inc network & power) & submit bid for       1 - LHC-wide Impact
      funding




      6/06/2007 - Workaround from a
      feed provided by Nick Bayes to
      fulfil project requirements.
                                                    3 - Signif‟t – Prj
Yes   26/03/2007 - Investigation of PCT
                                                        impact
      exeter feed for use should resolve
      this.




      (31 Oct 07)
No    Project on hold, no system use. Close       3 - Signif‟t – Prj impact
      risk.
Yes   None                                    4 - Dept / Local impact tbc




      Recommended governance
      arrangements and Terms of Reference
      have been submitted to the PCT and                                 Will impact on the LHC's reputation with
      MHPT Executive Teams and that the                                  SHA and it's ability to plan for ICT
Yes                                            1 - LHC-wide Impact
      new Prpgramme Board convenes in                                    developments including Connecting for
      Jan 07. PCT Programme Board                                        Healh
      established and first meeting held on
      19th June. Next meeting 16th July.




No                                            4 - Minor / Local impact




No                                                    5 - Low




                                                                      Reputational impact on ICT Directorate.
      09/10/2006 Dave Giffiths is monitoring
No                                           4 - Minor / Local impact GP surgeries and pharmacies feel that
      the situation closely
                                                                      ICT cannot manage projects effectively
No   4 - Minor / Local impact




No   3 - Signif‟t – Prj impact




No   3 - Signif‟t – Prj impact




No   3 - Signif‟t – Prj impact




No   3 - Signif‟t – Prj impact
     Monitor CfH communications and Pilot
No                                        4 - Minor / Local impact
     sites for indication of progress.




                                              3 - Signif‟t – Prj
No   Close Risk
                                                  impact




No                                         3 - Signif‟t – Prj impact




                                             4 - Minor / Local
No   Monitor
                                                  impact




                                             4 - Minor / Local
No   Monitor
                                                  impact
                                                  4 - Minor / Local
No   Monitor
                                                       impact




     Seperation is essential if this is to be
No                                              3 - Signif‟t – Prj impact
     completed in a costly/Timely manor.




No                                              4 - Minor / Local impact




No   Quote from Capula requested.               4 - Minor / Local impact
      Closing - Realtime Bed
      Management impact not effected
      data.
Yes                                                3 - Signif‟t – Prj impact
      Monitor. RTBM does not seem to
      have had a significant impact on
      data issues.




No    None                                         3 - Signif‟t – Dir impact




No    None                                         4 - Minor / Local impact



                                                   3 - Signif‟t – Prj impact

      (08 Jun 06)
      This risk is to be addressed once the                                    None at this stage, due to the software
No
      provider is able to develop the correct                                  not being centre compliant at this time.
      interface.


                                                   3 - Signif‟t – Prj impact
      (08 Jun 06)
      This risk is to be addressed once the                                    None at this stage, awaiting guidnace
No
      software is in place and the national                                    from centre
      standards are available.

                                                   4 - Minor / Local impact
      (08 Jun 06)
      This risk is to be addressed by
No                                                                             N/A
      ensuring that all staff time is identified
      at the earliest point.




Yes                                                3 - Signif‟t – Prj impact
Yes   3 - Signif‟t – Prj impact




                                     Staff lose faith in the ICT Project
No    3 - Signif‟t – Prj impact   Management Department as business
                                  continuity has been adversely effected




Yes   3 - Signif‟t – Prj impact
No                                             3 - Signif‟t – Prj impact           29/8/07 - Contact IcNet




      05/11/07
      1. Ensure appropriate technical
      staff committed to relevant work
      streams.
No    2. Confirmation of technical    3 - Signif’t – Prj impact
      support
      requirements/expectations
      required, inc out of hours.




      (2 Aug 07)
      System use on hold pending PCT
      decision on future of system. If system
No    to be used, update interface with notes 3 - Signif‟t – Prj impact Supplier - lack of partnership approach.
      for Drs going back to Adastra, to
      remove their need to look in CECC for
      these.



      (31 Oct 07)
No    Project on hold, no system use. Close 4 - Minor / Local impact
      risk.



      (7 Jun 07)
      Definitive statement required from
                                                                           Supplier - indicated minimum DBA
No    McKesson on SQL DBA role/tasks,          3 - Signif‟t – Prj impact
                                                                           requirements.
      awaiting response to email.




No    None                                     3 - Signif‟t – Dir impact tbc




      (31 Oct 07)
Yes                                            3 - Signif‟t – Prj impact
      Close risk.
      (31 Oct 07)
No                                             3 - Signif‟t – Prj impact
      Close risk.




Yes                                            3 - Signif‟t – Prj impact




      1/5/2007 -There is currently not a high
Yes   need for data checking. Moinitoring     3 - Signif‟t – Prj impact
      situation for future reference




      6/06/2007 - NSTS matching
      proves to be working sufficiently
      that a PAF licence may not be
      required.
                                                  3 - Signif‟t – Prj
Yes   26/03/2007 - Use of NSTS PAF
                                                      impact
      facilities. If this is un-workable or
      insufficient then the purchase of
      an additional licence for a suitable
      PAF system.




      26/03/2007 - Project closure by             3 - Signif‟t – Prj
Yes
      end of August 2007                              impact
         30/10/07 - Keep the Board fully
Yes   engaged and updated with all aspects 3 - Signif‟t – Prj impact
                   of progress




      30/10/07 - Keep in contact with the I.T
      Department, also keeping them up to
Yes                                           3 - Signif‟t – Prj impact
           date creating solid working
                  relationships.




                                                                            ICT department lose credability in
Yes                                            3 - Signif‟t – Prj impact
                                                                           delivering improved working systems




Yes         1/10/07 Arrange a demo             3 - Signif‟t – Prj impact
    Yes                                                 3 - Signif‟t – Prj impact            29/8/07 - Contac Icnet




                (31 Oct 07)
                Close risk. IT Training managing
    No                                                   3 - Signif‟t – Prj impact Folding Sapce - Speed of delivery.
                training following common local
                processes.




                (31 Oct 07)
                Close risk. IT produce sms package
    No                                                   3 - Signif‟t – Prj impact
                for deployment of client upgrade via
                Support Desk call.




                Assess IT requirement at earliest
    No                                                    1 - LHC-wide Impact
                opportunity to identify costs impact.




                (11 Oct 06)
                Estates representative contacts
    Yes         WHICTS (1st Feb 07) Computers           2 - Signif‟t - Trust impact New library will not be able to open.
                received. Waiting for installation.
                (12/04/07) Computers installed.




                (6 Jul 07) currently journals are being
                                                                                  Redditch Health Library will be
Initial Entry   temporarily stored in the former PGMC 2 - Signif‟t - Trust impact
                                                                                  dependent on outside resources
                Library
                123-02-2007 Jas taking to Section
    Yes                                             2 - Signif‟t - Trust impact Anyone as access to patient results
                Heads




                                                                                  Reputation of the service will be at stake
Initial Entry   (01/08/07)   Replace Post           2 - Signif‟t - Trust impact
                                                                                  if we fail to provide training and support




    No                                               3 - Signif‟t – Prj impact




    No                                               3 - Signif‟t – Prj impact




    No                                               3 - Signif‟t – Prj impact




    No                                               3 - Signif‟t – Prj impact




                (10 Oct 06)
    No          Use Quality Log within acceptance    3 - Signif‟t – Prj impact
                testing.




                (10 Oct 06)
    No          Maintain approach of only non        3 - Signif‟t – Prj impact
                operational piloting.
      (10 Oct 06)
No    Pilot activity only performed in non       3 - Signif‟t – Prj impact
      operational approach.


      (24 April 07)
      Service team very positive re the
No    system following training sessions.        3 - Signif‟t – Prj impact Customer - Management of change.
      Super Users using system.
      Recommend close.


      (24 Apr 07)
      System went live on 17th April, Super
      Users using system and will then
No                                               3 - Signif‟t – Prj impact
      support migration to system for
      remainder of nursing team.
      Recommend close.




      (10 Oct 06)
      In the event of CECC system failure,
No                                          4 - Minor / Local impact Supplier - product reliability.
      use of the Adstra system or hard copy
      down time forms will be adopted.




      (28 Feb 07)
                                                                             Customer/Supplier - Effective Project
No    Service is clear of it's aims and use of   3 - Signif‟t – Prj impact
                                                                             Management.
      the system. Risk being closed.




      (31 Jan 07)
      All software is being installed on Trust
No    standard computers. This will free up      3 - Signif‟t – Prj impact
      approx 24 computers.




      (10 Oct 06)
      Updated draft doc from General
Yes                                              3 - Signif‟t – Prj impact
      Manager (now left org) for review by
      Proj Exec.




No                                               3 - Signif‟t – Prj impact
No   3 - Signif‟t – Prj impact




No   3 - Signif‟t – Prj impact




No   3 - Signif‟t – Prj impact




No   3 - Signif‟t – Prj impact




No   3 - Signif‟t – Prj impact




No   3 - Signif‟t – Prj impact
No   3 - Signif‟t – Prj impact




No   3 - Signif‟t – Prj impact




No   3 - Signif‟t – Prj impact




No   3 - Signif‟t – Prj impact




No   3 - Signif‟t – Prj impact
                (22 Nov 06)
    No          Involve all pilot leads/key stakeholders 3 - Signif‟t – Prj impact
                in review of next install.




                (10 Oct 06)
    No          PMs to review, update and agree           3 - Signif‟t – Prj impact
                Project Plan.




                (22 Nov 06)
    No          Offer demonstration to Board following 3 - Signif‟t – Prj impact
                next release.




                (10 Oct 06)
    No                                                    3 - Signif‟t – Prj impact
                Pilot 8 closed. Close risk.




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Initial Entry
                                                                                                                                      ICT Area
                            Control Plan (Please date before text Actions Taken (Please date before                Organisational   (Raised from
      MoR Method
                                            entry)                           text entry)                              Impact             or
                                                                                                                                     Relates to )




                                                                      6/9/07 RN confirmed that there is still
                          9/5/07 – This is a well documented
                                                                      no change and no support - mentioned
                          problem and a solution is yet to be found,
Treat / Reduce / Mitigate                                             at PMF meeting today also.              Countywide                Project
                          I believe this risk should be raised to the
                                                                      5/9/07 I have emailed Rob Neil and
                          program board
                                                                      Kate Milichip asking for an update.




                          28/07/2007 - Contingency plan put         28/07/2007 - Ian McGregor
                          into action.                              coinfirmed as acting RA manager.
                          31/05/2007 - Contingency plan             Planning begun.
                          developed using Ian McGregor as           10/04/2007 - Escalatid to Director
Treat / Reduce / Mitigate RA manager and IT resources for           of ICT for urgent action.            Countywide                 Project
                          agants. Prioritaisation of staff to       Contingency plan developed using
                          migrate.                                  Ian McGregor as RA manager and
                          10/04/2007 - Escalation to Director       IT resources for agants.
                          of ICT for urgent action.                 Prioritaisation of staff to migrate.




                                                                    14/06/05 - Capula are having a bug fix
                                                                    week and hope to have a fix available
                                                                    this week. No guarantees of this.
                                                                    12/08/05 - Capula to come back to us
                                                                    with an update on priority/timescales
                                                                    etc
                                                                    22/08/05 - Bug fix received from
                                                                    Capula. PAS team to test.
                                                                    14/09/05 - Case note tracking fixed.
                                                                    Unfortunately a bug has been
                                                                    introduced that marks all volumes as
Treat / Reduce / Mitigate                                                                                  Acute                    Project
                                                                    volume 1 after merger. This has been
                                                                    passed back to Capula.
                                                                    18/11/05 - The module was reported to
                                                                    have been fixed in release 26, but
                                                                    testing has shown that although
                                                                    volume tracking has now been resolve
                                                                    there is a display issue with
                                                                    12/01/06 - No significant progress.
                                                                    Escalated via John Thornbury
                                                                    (WHICTS) and Andrew Russel
                                                                    (Capula)
                                                                      04/01/2007
                                                                      The data is now considered too old to
                          10/04/2007
                                                                      use as originally intended. We are
                          We now have all data back from
                                                                      looking at ways to either use the data
                          VisionWare that we are going to. Closing
                                                                      in an alternative method, or re-process
                          Risk.
                                                                      new data for relevant results.
                          04/01/2007
Treat / Reduce / Mitigate                                             20/10/2006 - Utimatum sanction by       Acute          Project
                          Options paper being prepared.
                                                                      board. Please provide data by close of
                          20/10/2006
                                                                      25/10 or we will be looking at
                          1) Increased pressure on VisionWare to
                                                                      alternatives. VisionWare have agrred
                          deliver with threat of alternative route.
                                                                      to provide a first cut of data by 25/10
                          2) Explore alternatives.
                                                                      and a full data set by 6/11 assuming
                                                                      no major changes following first set.




                                                                      (5 June 2007) Staff still considering
                                                                      this - to trial it during June. (4th May
                                                                      07) Band 4 appointed. (3rd April 07)
                                                                                                                             Clinical
Treat / Reduce / Mitigate ATR and appoint                             Suggested nine-day fortnight for Band Countywide
                                                                                                                             Informatics
                                                                      4 posts, to increase staffed hours each
                                                                      day.                  3/4/07 ATR granted,
                                                                      interviewing for Band 4 post 5/4/07.




                                                                      (4th May 07) Band 4 appointed. (3rd
                                                                      April 07) Suggested nine-day
                                                                      fortnight for Band 4 posts, to increase                Clinical
Treat / Reduce / Mitigate ATR and appoint                                                                     Countywide
                                                                      staffed hours each day.                                Informatics
                                                                      3/4/07 ATR granted, interviewing for
                                                                      Band 4 post 5/4/07.




                          WHICTS will provide MHMDS to MHPT
                                                                      (24 Feb 06)
Treat / Reduce / Mitigate until Fleming is installed when issue                                              Mental Health   Project
                                                                      WHICTS to provide MHPT with
                          should be resolved.
                                                                      MHMDS file while awaiting NCRS fix.




                                                                   (31 Mar 06)
                          CSC have impemented a number of fixes Monitor performance
Tolerate / Accept                                                                                            Countywide      Project
                          to their servers will continue to watch. (15 Mar 06)
                                                                   CSC applied fixes to resolve issue.
                                                                      (07 Dec 06)
                                                                      Demonstration to clincians to ensure
                                                                      that they are happy with the
                                                                      functionality of the system, which they
                                                                      were system will be installed in
                          (02 Nov 06)                                 January. (24 Nov 06)
Treat / Reduce / Mitigate UU will speak with JT to determine the      JT has gone back to 3D biotronics and Acute              Project
                          way forward.                                they have provided a new quote for
                                                                      cost of software. Currently evaluating
                                                                      this version, if it is not appropriate then
                                                                      will go with Voxar. (02 Nov 06)
                                                                      UU will speak with JT to determine the
                                                                      way forward.




                          (20 Dec 06)                                 (20 Dec 06)
                          LT is to provide some come and get your     SG to forward to programme board for
Treat / Reduce / Mitigate password lunchtime sessions. Staff will     decision. LT/MP devised a way of      Acute              Project
                          be shown the system at this point. These    getting staff to have passwords. Will
                          sessions however can not be mandatory       have staff available on go live day.




                                                                      5/10/2007 - We have a significcant
                                                                      amount of these keyboards in the
                                                                      county. We have tested the issue
                                                                      locally and can reproduce it. It
                                                                      appears to only be the case with
                            5/9/2007 - Passed to IT to assess
Treat / Reduce / Mitigate                                             v4 cards. IT have not progressed Countywide              Project
                            the extent of the problem.
                                                                      this, however TH has contacted
                                                                      CfH and is working with CfH and
                                                                      Dell for a solution.
                                                                      5/9/2007 - Passed to IT to assess
                                                                      the extent of the problem.



                                                                        (31 Oct 07)
                            (04 Oct 07)                                 PM agreed to provide project close
                            PCT to identify resource to lead project if documentation to service Matron, for   PCT (incl GP)   Project
                            further work required.                      approval before she leaves on 28th
                                                                        Dec 07.




                            (9th Oct 06) Logged with CFH as a bug.                                                             Clinical
Tolerate / Accept                                                  (9th Oct 06) Logged with CFH                PCT (incl GP)
                            Communicate known issue to staff.                                                                  Informatics
                                                                        (29 Jan 07)
                                                                        Project Team made aware
                                                                        investigating other ways of getting
                          (29 Jan 07)
                                                                        crosslines to effected staff
                          Insignia mentioned that they are unlikely
                                                                        (27 Feb 07)
Treat / Reduce / Mitigate to have this for go live on the web viewer,                                              Acute   Project
                                                                        Insignia are determining how they can
                          investigating if we can install the client in
                                                                        fix this issue in the web browser, if they
                          those effected areas
                                                                        are successful then Dr Udeshi will sign
                                                                        off the solution allowing the project to
                                                                        go live.




                          (29 Jan 07)
                                                                        (29 Jan 07)
                          RS investigating Software stability, this
Treat / Reduce / Mitigate                                               RS carrying out stability testing will    Acute    Project
                          should then evaluate if there is a major
                                                                        raise further if the testing fails
                          issue or not.




                            (19 Oct 06) Perform a fire risk             (19 Oct 06) Identified as a potential
Treat / Reduce / Mitigate                                                                                         Acute    H&S
                            assessment                                  health risk




                                                                        04/05/07 - Capital provided by SHA
                             14/11/06 Escalate to SHA and               and brokerage agreed05/02/07
                            Programme Boards. Maximise use of           Confirmation of capiltal funding
Tolerate / Accept           existing capital funding (Trust) and        received from SHA, £1.12m. However Countywide      Dir's Dept
                            reduce expectations for delivery in         there may be a need to broker into
                            2006/07                                     next year via PCT14/11/06 - escalated
                                                                        to SHA and Programme Boards.




                                                               08/11/07 - Project meetings continue
                          14/11/06 - Ressope the project and
                                                               on monthly basis and progress is
Treat / Reduce / Mitigate ensure sound governance arrangements                                      PCT (incl GP)          Dir's Dept
                                                               being made. 1st Ocober golive date
                          are in place
                                                               passed but system almost operational
                            Not yet in place further investigation
Treat / Reduce / Mitigate                                            Investigation                         PCT (incl GP)     Project
                            required.




                                                                     (19 Oct 06) Identified as a potential
                                                                     health risk (29 Jan 06) Less likely as                  1st 2nd Line
Treat / Reduce / Mitigate (19 Oct 06) Provide storage/build space                                           Acute
                                                                     there is not much stock held in                         Support
                                                                     store.




                          (31 Jul 06)
                          Where laptops are considered necessary
                          for space considerations, the use either
                          in a static (hard wire network connection)
                          or mobile (wireless network connection)
                                                                     (27 Sep 06)
                          needs to be defined as wireless may not
Treat / Reduce / Mitigate                                            Wireless connectivity being evaluated Acute             Project
                          be financially possible in current project
                                                                     for 5 areas at Alex
                          or possible in time frames. Where not
                          possible the impact to go live on that
                          ward needs to be defined – where go live
                          not possible, impact on project needs to
                          be defined.




                                                                     05/11/07
                            05/11/07                                 Existing processes left to map
Treat / Reduce /            Ken Hadley and Barbara Peters            are TCI office, Emergency, one
                                                                                                                     Acute      Project
Mitigate                    leading component of work,               clinician process. All new
                            linking with operational leads.          processes to be identified,
                                                                     documented and agreed.




                            05/11/07                                 05/11/07
Treat / Reduce /            Secure additional resource from          PM met with Head of Clinical
                                                                                                                     Acute      Project
Mitigate                    Clinical Informatics                     Informatics, additional project
                                                                     support agreed.




                                                                     (26 Sep 06)
                          Daycare modification training has been     MHPT will stop rolling out Daycare
Treat / Reduce / Mitigate developed along with MHPT to enable        changes and await Fleming.            Mental Health     Project
                          staff to correctly use the application.    (16 Feb 06)
                                                                     MHPT to roll out Daycare changes.
Tolerate / Accept           None as yet Trust will need to provide   None as yet                             Countywide   Project




                                                                     22/10/2006 - Because we are using a
                                                                     custom module built for specifying a
                                                                     list of Major/Minor records this will no
                                                                     longer be an issue.
                                                                     11/08/05 - here is a half way house
                                                                     with this issue, whereby we could run
                                                                     the automatic pre-processing to list all
                                                                     duplicate patients in a category and
Treat / Reduce / Mitigate                                            may then step through the patients       Acute       Project
                                                                     one at a time selecting the ones that
                                                                     would merge to the corret number to
                                                                     batch process.
                                                                     10/10/2005 - This issue becomes
                                                                     irelevant if we use the
                                                                     VisionWare/Capula merge process
                                                                     that allows us to specify the major and
                                                                     minor records for merging.




                            25/05/05 - Proj Exec commences           25/05/05 - Proj Exec
                            seeking SU roles                         commences seeking SU roles
                            31/05/05 - Update - no change            31/05/05 - Update - no change
                            31/05/05 - Sarah Smith has               31/05/05 - Sarah Smith has
Treat / Reduce / Mitigate   moved positions so revised SU            moved positions so revised SU Countywide             Project
                            letter now 1st June with Impl.           letter now 1st June with Impl.
                            Manager letters shortly after.           Manager letters shortly after.
                            Recommendation for SU Group is           Recommendation for SU Group
                            now (PCT)(?Alison Walshe),               is now (PCT)(?Alison Walshe),
                                                                     (6th Sept 07) Awaiting roll-out by IT.
                                                                     (02 August 07) RTF generated waiting
                                                                     approval.(04 July 07) IT currently
                                                                     arranging to rollout new Favourite for
                                                                     Trust users to access New Version of                  Clinical
Treat / Reduce / Mitigate IT to roll out new version of ward enquiry                                        Countywide
                                                                     Ward Enquiry This will not cover Gp's                 Informatics
                                                                     etc.                        (3rd Apr
                                                                     07) Discussions ongoing with IT
                                                                     Operations Manager Consideration
                                                                     still need to be give to GP etc




                                                           Further meeting with Ardentia
                            Further meeting with Ardentia
                                                           arranged for 7th July.
                            arranged for 7th July.
Treat / Reduce / Mitigate                                  Documentation and revised                       Countywide      Project
                            Documentation and revised Plan
                                                           Plan received. Feedback
                            received
                                                           meeting being arranged




                            (10 Oct 06)                      PCT to
                                                                                                                           1st 2nd Line
Terminate / Avoid           ensure that Project Manager takes                                              PCT (incl GP)
                                                                                                                           Support
                            responsibility and is the sole contact.




                                                                      (30 Aug 07) Access to GP services
                                                                                                                           1st 2nd Line
Treat / Reduce / Mitigate                                             has improved and the risk has been   PCT (incl GP)
                                                                                                                           Support
                                                                      transferred
                          (30 June 07) Post apppointed due to
                          commence 30th July 07. (5 June 07) 13
                          applications received, for shortlisting this
                                                                         (3rd April 07) ATR approved,
                          week. (4th May 07) post approved by
                                                                         advertised internally, no applicants.
                          exec team, no internal candidates,
                                                                         To go to external advert. (2nd nov                   Clinical
Treat / Reduce / Mitigate awaiting exteranl advertisement. (2nd                                                  Countywide
                                                                         06) a. financial approval agined t                   Informatics
                          Nov 06) a. Agree to increase to 1wte
                                                                         increase to 1 wte. B. JD agreed
                          (take funding from vacant Band 2 post),
                                                                         internally.
                          b. Job descrition and person specification
                          agreed. C. ICT Programme Board
                          autorise ATR d. advertise and appoint.




                                                                     (6 Jun 07)
                                                                     Contract Header agreements being
                                                                     created onto which schedules of
                                                                     specifications for individual systems
                                                                     will be attached as they are generated
                                                                     / available. If the project is a
                          (3 May 07)                                 developmental one, then the 1st
                          1. Exception Report raised for County, implementation stage of the project will
                          PCT, Acute Trust and relevant Acute ICT be to establish the functionality of the
                          Project Boards.                            system, get it formally signed off and
                          2. Governance structures generated to passed for attachment to the contract.
                          assure contract specifications and         (3 May 07)
                          discussions.                               1. Exception Report raised for County,
                          3. Theatres project (KGH) to be            PCT, Acute Trust and relevant Acute
                                                                                                                              Programme
                          stabilised but no further deployments      ICT Project Boards. Draft sent to JT
Treat / Reduce / Mitigate                                                                                       Acute         Project
                          until specifications clearly understood    on 4 May 07.
                                                                                                                              Management
                          and agreed.                                2. Governance structures generated
                          4. Other Acute deployments (except         to assure contract specifications and
                          Maternity) to either stabilise or stop (if discussions. Contained within
                          only in start up)                          Exception Report for consideration.
                          5. Full specification and contract to be 3. Theatres project (KGH) to be
                          agreed.                                    stabilised but no further deployments
                          6. New projects to be adopted via Briefs until specifications clearly understood
                          based on commercial business cases.        and agreed. Message discussed at
                                                                     Theatres meeting of 3 May 07.
                                                                     4. Other Acute deployments (except
                                                                     Maternity) to either stabilise or stop (if
                                                                     only in start up). Recommendation
                                                                     contained in Exception Report - formal
                                                                     message yet to be communicated.




                                                                  04/05/07 - John Thornbury circulaed
                                                                  letter to Chief Execitives requesting
                                                                  approval to release posts. Agrrement
                          14/11/06 - PCT/Programme Board to
                                                                  reached and ATS apporoved for IT
                          advise Acute Trust that those vacancies
Treat / Reduce / Mitigate                                         Clinical Informatics and IT Training     Countywide         Dir's Dept
                          passed by Programme Board should be
                                                                  (note not library staff) 14/11/06 - John
                          allowed to recruit.
                                                                  Thornbury raised with PCT Executive
                                                                  Team on 16th November 06. Posts
                                                                  released by end of May.
                            14/11/06 - To agree new Exective lead   Meetings held with Director of Finance
Treat / Reduce / Mitigate                                                                                  Countywide        Dir's Dept
                            and Board structure with PCT/MHPT       as Executive lead




                          13/06/07 - To agree C&B team and
                                                                    Roles identified and organisational
Treat / Reduce / Mitigate agree actions for implementing                                                   Countywide
                                                                    changes implemented effectively
                          organisational changes




                                                                                                                             1st 2nd Line
Treat / Reduce / Mitigate                                                                                  PCT (incl GP)
                                                                                                                             Support




                            (12 Oct 06) ensure all switches are                                                              1st 2nd Line
Treat / Reduce / Mitigate                                                                                  Countywide
                            covered by UPS                                                                                   Support




                                                                     (26 Oct 06) Request contact details
                                                                     from Kelly Bill of the medical support
                          (26 Oct 06) Review existing setup will the
                                                                     company. (29 Jan 07) Central PC will                    1st 2nd Line
Treat / Reduce / Mitigate medical support company to identify the                                           Acute
                                                                     be connected to the Trust to allow                      Support
                          best way forward.
                                                                     client to copy data onto Trust SAN
                                                                     which a backup is done daily.




                            05/11/07
                            1. Clinical Directorate
                            representation invited to
                                                                    05/11/07
                            Implementation meetings.
                                                                    Implementations meetings
                            2. Processes review and change
Treat / Reduce /                                                    commenced and scheduled,
                            work managed via set of separate                                                         Acute      Project
Mitigate                                                            and processes meetings
                            meetings.
                                                                    commenced with more to be
                            3. ALX Theatre specification
                                                                    scheduled.
                            development involving service
                            and Informatics teams.
                                                                          (29 Sep 06)
                                                                          3 RA agents employed by PCT
                            ICT will where required provide RA            (16 Feb 06)
Treat / Reduce / Mitigate                                                                                      PCT (incl GP)    Project
                            function for trusts.                          WHICTS will provide RA for WF, SW
                                                                          and MHPT. RnB will support
                                                                          themselves




                            Keep pressure on CAB
Treat / Reduce / Mitigate                                                                                      Countywide           Project
                            implementation team




                            Keep pressure on people currently
Treat / Reduce / Mitigate responsible for appointing RA                                                        Countywide           Project
                            representative in each PCT




                            8/3/07 - Rob Neill is unable to confirm the  4/6/07, Closed as Risk w2c035
                            plan at this time and will be exculating     specifically relates to Out of hours
                            the risk further with his line manager       support, as continued support is now
                            (Richard Stringfellow)                       resolved between normal working
Treat / Reduce / Mitigate                                                                                       PCT (incl GP)       Project
                                                                         hours of 9am - 5pm.
                          This is still to be finalised as it impacts on 30/4/07 - Rob Neill has confirmed that
                          other projects. The main problem will be nothing has been decided on support
                          out of hours suppor                            8/3/07 - Rob Neill escul




                                                                02/08/2007 - Escalated again via Ian
                                                                as no response received.
                          10/04/2007 - Early involvement of all 31/05/2007 - Escalated again via
                                                                project Board. Letter sent to
                          organisations to ensure that
Treat / Reduce / Mitigate                                       organisation asking for confirmation of Mental Health           Project
                          requirements are correctly assessed commitment of resources for various
                          and planned for.                      aspects of the work
                                                                1/5/2007 - No further feedback from
                                                                lead - Escalated to project Board




Treat / Reduce / Mitigate                                                 TBC                                  Acute            Project
                          26/03/2007 - There is a workaround
                                                                    28/08/2007 - Workaround
                          now planned - creation of a routine
                                                                    implemented - process to read and
Treat / Reduce / Mitigate that will extract the record and                                            Acute                         Project
                                                                    populate all fields before update
                          populate missing fields before re-
                                                                    takes place..
                          popuulating the database.




                                                                    (02 Nov 06)
                                                                    Siemens PACs booked to come out
                                                                    and fit the tape drive to remove this
                          (08 Jun 06)
                                                                    risk, however a service engineer
                          Ensure that space is available in the
                                                                    arrived instead of a installation
                          legacy system and monitor is this
                                                                    engineer. Raised with SW to
Treat / Reduce / Mitigate becomes a problem and staff need to be                                               Acute                Project
                                                                    resolve.(08 Oct 06)
                          diverted to resolve this. Mitigate the
                                                                    Legacy system running out of space
                          amount of staff time required to maintain
                                                                    need to install the hardware provided
                          the system.
                                                                    by siemens escalate with Siemens
                                                                    PFI. (08 Jun 06)
                                                                    Monitor the system space issue.




                                                                         3/10/07 It is understood by the
                                                                    involved stakeholders that theatres are
                                                                     not to be covered at this point in time
                                                                      as we do not have a unified theatres
    Tolerate / Accept                                                                                                  Countywide       Project
                                                                       system in place and data collection
                                                                              would be impossible.
                                                                     3/9/07 Interfacing meeting to be held
                                                                        on the 12th Sept at Kidderminster




                            13/07/05 - Dates expected to be         13/07/05 - Dates expected to
Treat / Reduce / Mitigate   confirmed 13/07/05. Slots have          be confirmed 13/07/05. Slots               Countywide           Project
                            been pre-booked.                        have been pre-booked.
                            13/07/05 - understood that             13/07/05 - understood that
                            contract will be available for         contract will be available for
                            meeting on 14/07/05                    meeting on 14/07/05
                            20/10/05 - new proposal will also      20/10/05 - new proposal will
                            contain contract for meeting of        also contain contract for
Treat / Reduce / Mitigate                                                                                Countywide     Project
                            10/11/05                               meeting of 10/11/05
                            04/11/05 - Peter Fitzsimmons           04/11/05 - Peter Fitzsimmons
                            appointed by Ardentia - will work      appointed by Ardentia - will
                            on new proposal to particulalry        work on new proposal to
                            highlig                                particulalry highlig




                                                                     Clarification obtained from Senior
                                                                     supplier (JT) - ensure consistent view
                                                                     from remainder of Board. NOTE:
                                                                     Project Brief clear in its scope and
                          Apl/May - raise at Project Board level.
                                                                     submitted to Acute Programme Board
                          1st May - P.Board agree to include
                                                                     for formal adoption. 3rd May - Project
                          portable devices in scope and
                                                                     Board agree that portable devices now
                          development of 'call up' routine from
Treat / Reduce / Mitigate                                            included in scope. Also discussion in Countywide   Project
                          Bluespier to Oasis.       5th June- mtg
                                                                     hand with Bluespier to develop 'call up'
                          arranged for 25th to finalise 'Worcs' spec
                                                                     routines to Oasis to facilitate singly
                          against which Acceptance criteria will be
                                                                     point of entry portal for clinical staff.
                          measured.
                                                                     10th July - see W3d001 (System
                                                                     Functionality) - Sep 07 - part of
                                                                     Business Process review see Risk Ref
                                                                     013




                          Refer to Project Board for clear
                                                                   15th August - Referred to Project
Treat / Reduce / Mitigate statement re: uni / bi-directional                                             Countywide     Project
                                                                   Board
                          requirements
                                                                      (30-06-07) Awaiting IT solution for the
                                                                      roll out of bar code font. (4th May 07)
                                                                      The revised bar code font was rolled
                                                                      out but problems have been found with
                                                                      it which are being investigated. (21
                                                                      April 07) IT delivered rollout
                          (9th Oct 06) Remove the existing bar
                                                                      mechanism for font. Under test. (03rd
                          code from the label. a. Develop the bar
                                                                      April 07) No Change (21 March 07)
                          code using 3 of 9. b. Pilot the printing of                                                          Clinical
Treat / Reduce / Mitigate                                             awaiting IT solution for rolling out the Acute
                          and use of the new bar code. c. Test the                                                             Informatics
                                                                      new font. (31-Jan-07) The bar codes
                          use of th barcode. d. Deploy fully once
                                                                      have been tested and no issues
                          agreed that the risk has been minimised.
                                                                      reported, new bar code will be rolled
                                                                      out wc 5th Feb. (2nd Nov 06) a. being
                                                                      tested in Health record.(9th Oct 06) a.
                                                                      Bar code has been generated using
                                                                      the 3 of 9 font. b. Ready to deploy into
                                                                      test area




                                                                       (6th Sept 07) Submitted ATR to Ian
                                                                       McGregor. (30 June 07) Awaiting                         Clinical
Treat / Reduce / Mitigate                                                                                      Countywide
                                                                       development team to advertsie their                     Informatics
                                                                       post.




                            31/01/2007 Ensured that the link will be   31/01/2007 Contacted IM who
Treat / Reduce / Mitigate                                                                                      PCT (incl GP)   Project
                            active by the end of this financial year   confirmed date, continue to monitor




                          31/01/2007 To utilise staff that have less 31/01/2007 Assessment made as to
Treat / Reduce / Mitigate work on the WRH PACS in this               who can be added to the project team PCT (incl GP)        Project
                          deployment                                 to assist




                          31/01/2007 To assist the IT department       31/01/2007 Initial conversations with
Treat / Reduce / Mitigate with installation of machines where          RD to determine what help can be        PCT (incl GP)   Project
                          possible                                     given
                          (31 May 07)
                          No current control plan awaiting the
                                                                   (06 Jun 07)
                          outcome of the meeting.              (06
Treat / Reduce / Mitigate                                          Meeting held with SAN suppliers to         PCT (incl GP)   Project
                          Jun 07)
                                                                   discuss options
                          Servers to be upgraded to ensure that
                          SAN architecture is the same.




                                                                         (02 Nov 06)
                                                                         UU will speak with vascular team to
                                                                         determine the way forward.
                          (02 Nov 06)
                                                                         (25 Sep 07)
Treat / Reduce / Mitigate UU will speak with vascular team to                                                  Acute          Project
                                                                         RS has spoken with Vascular team for
                          determine the way forward.
                                                                         them to confirm what setup they want.
                                                                         Has struggled to get concensus due to
                                                                         clinician annual leave.




                          (31 May 07)
                          No current control plan awaiting the
                                                                   (06 Jun 07)
                          outcome of the meeting.              (06
Treat / Reduce / Mitigate                                          Meeting held with SAN suppliers to         Acute           Project
                          Jun 07)
                                                                   discuss options
                          Servers to be upgraded to ensure that
                          SAN architecture is the same.




                            (23 Apr 07) MP will be able to install the
                            equipment with guidance from the IT
Treat / Reduce / Mitigate                                                                                     PCT (incl GP)   Project
                            department, as they are currently unable
                            to carry out install in May.
                                                                         March - Project team formed with
                            April 07 - Identify Reporting Lead on
                                                                         specific 'lead' identified to oversee
                            Project Plan to oversee report
                                                                         reporting requirements. Jun, 07 - Mtg
                            component. July 07 - Project Team
                                                                         with information leads identifies that
                            action - review reporting functionality to
                                                                         CMDs data requirements should be
                            determine if data can be acquired from
Terminate / Avoid                                                        driver for development of maternity    Countywide    Project
                            varous sources thereby reducing
                                                                         datasets. 16th july - Project Team
                            requirement for Maternity System to
                                                                         agreed to identify specific data
                            supply all data. Sep 07 - Meeting
                                                                         requirements to determine whether
                            planned between supplier and Trust rep
                                                                         statutory returns can be produced from
                            to agree requirements.
                                                                         a variety of different sources




                            (9 Oct 06) Third line to investigate (22
                                                                     (26 Sept 07) Action taken by Third
                            Jun 07) At present Third Line have taken                                                          1st 2nd Line
Treat / Reduce / Mitigate                                            Line to ensure that the backup system Countywide
                            all responsibility for data recovery                                                              Support
                                                                     is more reliable,
                            incidents.



                                                                         (19 Oct 06) Identified hardware (29
                                                                         Jan 07) Third line have arrangement
                            (10 Oct 06) Install the A&E application      with MSS to install the application.                 1st 2nd Line
Treat / Reduce / Mitigate                                                                                      Acute
                            onto the second clustered server             Installation date has not been                       Support
                                                                         confirmed. (26 Sept 07) Informed that
                                                                         the work has been completed.


                          (10 Oct 06) Improve currently
                                                                         (30 Aug 07) Working procedures have                  1st 2nd Line
Treat / Reduce / Mitigate procedures and introduce a better                                                  Acute
                                                                         been improved                                        Support
                          hardware maintenance agreement.



                                                                    (30-Aug-07) Risk has been reduced
                            (10 Oct 06) procedures in place to have                                                           1st 2nd Line
Treat / Reduce / Mitigate                                           with the change in the Change                Countywide
                            config/change management                                                                          Support
                                                                    Management procedure.




                                                                         (19 Oct 06) Identified as a potential
Treat / Reduce / Mitigate (19 Oct 06) Trust initiative                                                           Countywide   Dir's Dept
                                                                         health risk
                          30/10/2006
                          Hub rooms monitored on a regular                                                                 3rd Line
Treat / Reduce / Mitigate                                                                                  Countywide
                          basis and equipment removed when                                                                 Support
                          necessary




                                                                      (31-Jan-07) table space extended and
                            02/01/2007: Chase Capula regularly to     the 2ww acute services re-attached to                Clinical
Treat / Reduce / Mitigate                                                                                   Countywide
                            get eta for fix.                          only one clinic. 02/01/2007: Capuls                  Informatics
                                                                      contacted twice today.




                          (4 May 2007) Investigate and remedy if
                                                                      (5 June 2007) Resolved by Gary -
                          possible. If not, explore different means
                                                                      missing indexes restored to database.                Clinical
Treat / Reduce / Mitigate of providing data to Trusts. HDM                                                  Countywide
                                                                      (4 May 2007) Gary McCormack to                       Informatics
                          demonstration on Monday, IMcG to
                                                                      investigate/diagnose
                          attend.



                          06/04/2007 To assist the IT department      06/04/2007 Conversations with RD to
Treat / Reduce / Mitigate with installation of machines where         determine what help can be given, MP PCT (incl GP)   Project
                          possible                                    will be able to install where appropriate




                          (31 May 07)
                                                                      (31 May 07)
Treat / Reduce / Mitigate Fullly test the MSI before rollout and will                                      PCT (incl GP)   Project
                                                                      Control Plan drawn up
                          not except any changes without testing.
                          (31 May 07)
                                                                      (31 May 07)
Treat / Reduce / Mitigate Fullly test the MSI before rollout and will                                         Acute           Project
                                                                      Control Plan drawn up
                          not except any changes without testing.




Treat / Reduce / Mitigate None at this stage initial entry                                                    PCT (incl GP)   Project




                          10 - Oct - 06 - document needs to be
                                                                                                                              1st 2nd Line
Treat / Reduce / Mitigate recovered, failing recovery needs to be                                             Countywide
                                                                                                                              Support
                          re-written




                                                                         (1 Mar 07)
                                                                         PCT & Acute Trust LDPs remain
                          (20 Sep 06)                                    unavailable.
                          Maintain awareness at county ICT Prog.         Use of priorities set out in DoH
                          Board of need for timely and clearly           Operating Framework 2007/8 - these
                          prioritised plans - stressing that members     were confirmed in Prog Board meeting
                          should take back risk to their own             of 12th Jan 07.
                          organisational Boards for action.              (1 Feb 07)
                          Maintain risk log to raise and manitain        PCT & Acute Trust LDPs remain                        Programme
Treat / Reduce / Mitigate awareness of Trusts to release plans as        unavailable.                          Acute          Project
                          soon as vailable. Raise awareness that         Use of priorities set out in DoH                     Management
                          the later the LDPs are made available the      Operating Framework 2007/8 - these
                          less likely that ICT will be able to address   were confirmed in Prog Board meeting
                          the plans in a logical manner as funding       of 12th Jan 07.
                          and plans would have been developed            (20 Sep 06)
                          outside the service spehere and within         SLA has section on LDP dependencies
                          financial rounds.                              for development of ICT plans. Need to
                                                                         be signed off by county ICT Prog
                                                                         Board.
                                                                         (25 Jun 07)
                                                                         PCT LDP available
                                                                         Acute summary of priorities available.
                                                                         (1 Apr 07)
                                                                         PCT & Acute Trust LDPs remain
                                                                         unavailable.
                                                                         Use of priorities set out in DoH
                                                                         Operating Framework 2007/8 used for
                                                                         submission of 2007/8 ICT Plan to SHA.
                                                                         (1 Mar 07)
                                                                         PCT & Acute Trust LDPs remain
                                                                         unavailable.
                          (20 Sep 06)                                    Use of priorities set out in DoH
                          Maintain awareness at county ICT Prog.         Operating Framework 2007/8 - these
                          Board of need for timely and clearly           were confirmed in Prog Board meeting
                          prioritised plans - stressing that members     of 12th Jan 07.
                          should take back risk to their own             (1 Feb 07)
                          organisational Boards for action.              PCT & Acute Trust LDPs remain
                          Maintain risk log to raise and manitain        unavailable.                                           Programme
Treat / Reduce / Mitigate awareness of Trusts to release plans as        Use of priorities set out in DoH       PCT (incl GP)   Project
                          soon as vailable. Raise awareness that         Operating Framework 2007/8 - these                     Management
                          the later the LDPs are made available the      were confirmed in Prog Board meeting
                          less likely that ICT will be able to address   of 12th Jan 07.
                          the plans in a logical manner as funding       (28 Dec 06)
                          and plans would have been developed            Mental Health Partnership has
                          outside the service spehere and within         provided a draft business plan.
                          financial rounds.                              (30 Oct 06)
                                                                         Oct HoD meeting discussed likely
                                                                         priorities - based on 10 HIC + 18 week
                                                                         wait (to act as contingency plan)
                                                                         Meeting arranged with HoDs to
                                                                         discuss other likely areas
                                                                         LDP availability now standing item on
                                                                         Worcs ICT Prog. Board
                                                                         (20 Sep 06)
                                                                         SLA has section on LDP dependencies
                                                                         for development of ICT plans. Need to
                                                                         be signed off by county ICT Prog
                                                                         Board.




                          (20 Sep 06)
                          Maintain awareness at county ICT Prog.
                          Board of need for timely and clearly
                          prioritised plans - stressing that members
                          should take back risk to their own
                          organisational Boards for action.              (20 Sep 06)
                          Maintain risk log to raise and manitain        SLA has section on LDP dependencies                    Programme
Treat / Reduce / Mitigate awareness of Trusts to release plans as        for development of ICT plans. Need to Mental Health    Project
                          soon as vailable. Raise awareness that         be signed off by county ICT Prog                       Management
                          the later the LDPs are made available the      Board.
                          less likely that ICT will be able to address
                          the plans in a logical manner as funding
                          and plans would have been developed
                          outside the service spehere and within
                          financial rounds.
                          (3 Jan 2007) Financial constraints due
                          to delay in release of SHA monies
                          mean additional power and
                          networking points not installed. New
                          hardware not functioal.                (31
                          Jul 06)
                          Equipment Audit specifies prioritised list
Treat / Reduce / Mitigate                                            (3 Jan 2007) Senior Supplier aware   Acute           Project
                          of desktop PCs and printers for each
                          ward. Important that list specifies where
                          equipment is critical for system to be
                          used at go live point to maximise
                          possibility of overall system use from go
                          live date. Project Executive & Director of
                          ICT to agree financial aspects.




                                                                    Refer to Project board - 3rd May
                                                                    Board agree timescales but with 3
                                                                    month extension to allow development
                            Obtain Assurance from Project Board
Treat / Reduce / Mitigate                                           of portable devices Sep 07 - Potential Countywide     Project
                            that timescales are acceptable.
                                                                    delay in developing system due to
                                                                    underestimation of development
                                                                    timescales..



                                                                    (3 Oct 07)
                          (12 Jun 07)                               Closure. Matt Gilks is lead.
                          1. Placed as strategic risk in ICT        (12 Jun 07)                                           Programme
Treat / Reduce / Mitigate Services Report covering May 07.          1. Placed as strategic risk in ICT    PCT (incl GP)   Project
                          2. Placed on Jul 07 agenda for County     Services Report covering May 07.                      Management
                          ICT Programme Board.                      2. Placed on Jul 07 agenda for County
                                                                    ICT Programme Board.



                                                                    (26 Sep 06)
                            None at this stage awaiting more
Treat / Reduce / Mitigate                                           JT informed board of issue and will   Countywide      Project
                            information.
                                                                    raise at the next prog board.


                                                                    30/11/06 Still haven't managed to
                                                                    speak with Lyn
                            12/10/06 Ensure surgery reads
                                                                    9/11/06 Difficulty speaking with
Treat / Reduce / Mitigate DLM202, monitor closely, good                                               PCT (incl GP)           Project
                                                                    Lynn. Possible avoidance
                            communications
                                                                    12/10/06 Pass on relevant
                                                                    information to surgery.




                          26/03/2007 - There is a workaround        28/08/2007 - Workaround
                          now being tested - using a single         implemented - Semi Automated
Treat / Reduce / Mitigate                                                                                 Acute           Project
                          machine to decrypt and transfer data      method using staff input (from
                          tro another location.                     informatics team) to send file.
                          (31 Jul 06)                                   (29 Jan07) Some wards found to have
                          „in office hours‟ health records will be      retained admission books and
                          asked to do registrations. „Out of hours‟     continuing with double data entry-
                          Clinical Informatics will take the risk and   support to be given to encourage
Treat / Reduce / Mitigate                                                                                      Acute          Project
                          generate a reporting mechanism to pick        change                             (22
                          up any data quality issues (missing data      Sep 06)
                          and duplicate patients) and resolve           Item 1 - Paper removed from
                          issues.                                       Alexandra




                            25/05/05 - Trust CEOs being                 25/05/05 - Trust CEOs being
                            asked (via Project Executive) to            asked (via Project Executive) to
                            identify following roles by close of        identify following roles by close
                            6th Jun 05:                                 of 6th Jun 05:
                            Comm.'g / Contract Manager                  Comm.'g / Contract Manager
Treat / Reduce / Mitigate                                                                                 Countywide          Project
                            Information Manager /                       Information Manager /
                            Performance Indicator Manager               Performance Indicator Manager
                            Finance Manager with PbR                    Finance Manager with PbR
                            responsibilities                            responsibilities
                            Pubic Health Information                    Pubic Health Information


                                                                        (23 Aug 07)
                                                                        Support SLA, small document,
                          (31 Jan 07)                                   provided to supplier for
                          Solution will not be viable without a         review/agreement. Smaller than NHS
Treat / Reduce / Mitigate                                                                                     Countywide      Project
                          robust Support mechanism from the             Contract doc, thereby hoping to speed
                          Supplier.                                     provision of an agreed/documented
                                                                        service.




                                                                        Sep 07 - Referred to Simon
                                                                        Honeyborne as overall performance
                            Monitor progress of discussions at this     issue - this is not a maternity specific
Treat / Reduce / Mitigate                                                                                        Countywide   Project
                            stage                                       issue but would impact on the system
                                                                        if it were to go live with performance
                                                                        difficulties.



                                                                      (21 March 07) raised at the national
                            (9th Oct 06) Information dept are running
                                                                      CaB/Oasis workshop - with CFH to                        Clinical
Tolerate / Accept           reports to monitor alterations in CaB                                           Acute
                                                                      review. (9th Oct 06) Escalated to SHA                   Informatics
                            referral dates.
                                                                      & CFH
                          (4th May 07) Commence data cleansing        (4th May 07) Daily monitoring in place
                          activities and ensure regular submissions   for possible duplicates that may exist
                          to NSTS for NHS Number matching.            on the system. Health Record                         Clinical
Treat / Reduce / Mitigate                                                                                    Acute
                          Ensure monitoring processes are in place    processes in place to monitor report                 Informatics
                          to ensure any further duplicates are not    and ensure duplicates are merged
                          craeted.                                    electronically.




                                                                   (6th Sept 07) Awaiting development
                                                                   dates from Capula. (4th May 07)
                                                                   Project manager to submit the theatre
                          (4th May 07) Submit revised theatre list list to Capula. (3rd July 07) Capula
                          to Capula that picks up the free text    have set a number of days aside for                     Clinical
Treat / Reduce / Mitigate                                                                                Acute
                          procedure rather than coded one whose this, email sent to DM ascertaining                        Informatics
                          description is not clinically relevant.  current status. (2nd Aug 07) Meeting
                                                                   to be held with Capula next week. (06
                                                                   Sept 07 Capula informed of all
                                                                   requirements at meeting)




                                                                      (30th June 07) Fix applied. (4th May                 Clinical
Treat / Reduce / Mitigate (4th May 07) Capula to fix problem.                                                 Acute
                                                                      07) logged with Capula                               Informatics



                            (11th Oct 06)                                                                                  Knowledge
Treat / Reduce / Mitigate                                                                                     Countywide
                            Purchase new computers                                                                         Management




                            (11th Oct 06)                                                                                  Knowledge
Treat / Reduce / Mitigate                                                                                     Countywide
                            Purchase 14 new computers                                                                      Management




                                                                      26 October 2006 Identified as a
                                                                      possible risk to health and the
                            26 October 2006 Review benefits of                                                             1st 2nd Line
Treat / Reduce / Mitigate                                             business (26 Sep 07) Restructured       Countywide
                            providing phone etc                                                                            Support
                                                                      team and work procedures to reduce
                                                                      the risk. ISS support also available.
                                                                  30/10/06
                          30/10/2006
                                                                  review of current UPS's taken place,
                          Regular testing of UPS to ensure                                                            3rd Line
Treat / Reduce / Mitigate                                         Functionality of devices tested      Countywide
                          functionality. Replace old UPS that are                                                     Support
                                                                  07/09/07 Final order placed with
                          no longer covered by warranty
                                                                  suppliers waiting on delivery date




                            30/10/2006
                                                                    30/10/06
                            Regular testing of UPS to ensure                                                          3rd Line
Treat / Reduce / Mitigate                                           review of current UPS's taken place, Countywide
                            functionality. Replace old UPS that are                                                   Support
                                                                    Functionality of devices tested
                            no longer covered by warranty
                          30/10/2006
                                                                  30/10/06
                          Regular testing of UPS to ensure                                                                      3rd Line
Treat / Reduce / Mitigate                                         review of current UPS's taken place, Countywide
                          functionality. Replace old UPS that are                                                               Support
                                                                  Functionality of devices tested
                          no longer covered by warranty




                                                                         (6th Sept 07) Waiting fro IT to roll out
                                                                         new icon. ((21 march 07) all users
                                                                         need to have access to print at the
                                                                         moment only certain staff have access
                                                                         to do this - (02 march 07) all the user
                                                                         who originally requetsed to print have
                                                                         been enabled. As new requests are
                          (9th Oct 06)                         a. train logged they are being addressed. (31
                          staff to cut and paste the results into        Jan 07) Further roll-out, to sites who
                          Word inorder to print them b. purchase have requested ability to print, is
                                                                                                                                Programme
                          and configure server c. test the printing ongoing by clinical informatics
Treat / Reduce / Mitigate                                                                                          Countywide   Project
                          solution in pilot areas d. agree list of staff sepcialist. (2nd Jan-06) Printing at
                                                                                                                                Management
                          who can print from ward enquiry e. once beech implemented and working OK.
                          pilot is successful roll out to all agreed     plan being put together of roll-out to
                          areas.                                         other sites who have requested
                                                                         printing. (2nd Nov 06) a. testing
                                                                         continues with support of IT services
                                                                         (9th Oct 06) a. staff using word to print
                                                                         b. erver installed and confgured c. list
                                                                         of areas who want to print from ward
                                                                         enquiry agreed d. wards are testing
                                                                         the solution
                                                                     (6th Sept 07) All the multiple
                                                                     microsessions linked to 1 service have
                                                                     been reviewed and updated to 1:1
                                                                     relationship. Capula to go to CFH on
                                                                     6th July to agree way forward. (21
                                                                     March 07) Awaiting the version2 fix for
                                                                     CaB which will allow multi service
                                                                     sessions showing on CaB. Other
                                                                     known issues are investigated and
                          (9th Oct 06) Call logged with Capula to
                                                                     resolved as they are logged on the
                          check that services are being polled they
                                                                     servicedesk. (31-Jan-07) CAB/Oasis
                          have said 'yes', daily report suggest that                                                     Clinical
Treat / Reduce / Mitigate                                            messaging is causing this problem. As Countywide
                          they are. Call logged with CFH for                                                             Informatics
                                                                     cases of displaced appts arise they
                          investigation. Escalated to SHA & CFH
                                                                     being sorted. Version 2 CAB due to
                          on 3rd Oct.
                                                                     Capula/CFH due to commence testing
                                                                     wc 5th Feb. (2nd Nov 06) a. all non-
                                                                     multi service clinics are polling.
                                                                     Ideitified that some services have been
                                                                     set up on DoS not to poll on a Monday -
                                                                     this is being addressed by the acute
                                                                     C&B team. (9th Oct 06) a. Escalated
                                                                     on 3rd Oct. B. Escalated again on 9th
                                                                     Oct.




                                                                    (05 Oct 07) Awaiting advice from
                                                                    clinical staff as what links from
                                                                    medication to the allergy need to be
                                                                    formed. (21 March 07) The fix has
                          (9th Oct 06) Staff are reminded to look
                                                                    been applied to test system. Clinical                Clinical
Treat / Reduce / Mitigate up each allergy before prescribing                                                Countywide
                                                                    processes need to be agreed before it                Informatics
                          medication
                                                                    is deployed so that the correct
                                                                    medication is linked to the appropriate
                                                                    medication. (31-Jan-07) The fix from
                                                                    the supplier does not work.




                                                                    (02 Nov 07) Currently with IT server
                                                                    team to upload the files into PF. (5
                                                                    June 2007) MSS are in process of
                          (9th Oct 06) Supplier MSS has been        translating the files into SQL. Will
                          asked to provide quotation for the work   need to test before applying to live.
                          required to migrate the records form      (21 March 07) MSS are awaiting the                   Clinical
Treat / Reduce / Mitigate                                                                                    Acute
                          AS400 server into Patient First. If       data from IT services for the data to be             Informatics
                          agreeable then this solution shodul be    transferred. (9th Oct 06) MSS have
                          agreed and funded.                        been asked to provide a quote for this
                                                                    work. The User Group have agreed
                                                                    to support the work. Ian McGregor has
                                                                    agreed to raise the order.
                                                                     (25th Sept 06)
                            (11th Oct 06)                                                                                           Knowledge
Treat / Reduce / Mitigate                                            Request placed for replacement             Countywide
                            Purchase 30 new computers                                                                               Management
                                                                     computers via SIFT funding




                                                                     02/07/07 Require urgent Approval to
                          (01.12.2006)
                                                                     recruit owing to escalation in
                          Complete vacancy impact- form,
                                                                     projects where I T Training is
                          Aduit current schedule of
                                                                     necessary. I cannot commit to
Treat / Reduce / Mitigate commitments                                                                    Countywide                 ICT Training
                                                                     timescales for Priority 1 projects
                          Update other HOD of
                                                                     owing to staff resources (01.11.07
                          commitment/capcity (01.11.07)
                                                                     TRAINER APPOINTED RISKS
                          TRAINER APPOINTED
                                                                     REDUCED




                                                                     05/02/07 Communications Lead
                          14/11/06 - Communications Lead to be       identified (Paul Lynn) and terms of
Treat / Reduce / Mitigate                                                                                       Countywide          Dir's Dept
                          identified by PCT                          reference for the role providedRisk
                                                                     raised to PCT on 16th November 06




                          14/11/06 - Project adoption to be
                          rigorously enforced and projects only      Risk taken to PCT Eexecutive team.
Treat / Reduce / Mitigate proceed when there is appropriate          Projrct adoption process to be             Countywide          Dir's Dept
                          service sign up and seniority on project   communicated and enforced
                          baords




                                                                     29/10/07 VFF Emailed Prj Exec Claire
                                                                     Constantine explaining about the trusts
                                                                        decision and additional 5 places
                                                                                     obtained
                                                                      23/10/07 Icnet agree 5 more training
Treat / Reduce / Mitigate                                            places will be added free (this will now          Countywide       Project
                                                                          cover 75% of the IC nurses)
                                                                      12/10/07 Training will not be funded
                                                                     12/10/07 Spoken with and emailed IM
                                                                      change control for additional training
                                                                                    and costs
                                                                      29/10/07 VFF Emailed Prj Exec Claire
                                                                      Constantine explaining about the trusts
                                                                         decision and additional 5 places
                                                                                      obtained
                                                                       23/10/07 Icnet agree 5 more training
Treat / Reduce / Mitigate                                             places will be added free (this will now           Countywide       Project
                                                                           cover 75% of the IC nurses)
                                                                       12/10/07 Training will not be funded
                                                                      12/10/07 Spoken with and emailed IM
                                                                       change control for additional training
                                                                                     and costs




                          24 Oct 06 A Registry fix will be deployed 24 Oct 06 Richard Danson has written
                                                                                                                                      1st 2nd Line
Treat / Reduce / Mitigate to GP practices to prevent IE7 being      Registry fix and is testing it on 25 Oct PCT (incl GP)
                                                                                                                                      Support
                          downloaded                                06




                          30/10/06
                                                                                                                                      3rd Line
Treat / Reduce / Mitigate Survey all affected sites & produce                                                    Countywide
                                                                                                                                      Support
                          report detailing requirements & costs




                                                                    (30th Jan 07) Discussions on-going
                            (30th Jan 07) Discussions on-going with                                                                   3rd Line
Treat / Reduce / Mitigate                                           with suppliers to provide solution. (22      Countywide
                            suppliers to provide solution.                                                                            Support
                                                                    May 2007) Equipment ordered.


                                                                   (29 sept 06)
                          MP has taken the national guidance and Paper accepted
Treat / Reduce / Mitigate                                                                                        Countywide           Project
                          developed a single side sheet for staff. (29 Jun 06)
                                                                   MP drafted paper for acceptance.




Treat / Reduce / Mitigate                                                                                        Countywide               Project




                                                                      22/08/05 - It has been confirmed by
Treat / Reduce / Mitigate                                             the Information team that this will not    Acute                Project
                                                                      be an issue.
                                                                   28/8/2007 - Micro records now clased
                                                                   as inactive patient records so fall out of
                                                                   scope. Follow on action recommends
                                                                   hidding records. Closing risk.
                          10/10/2006 -
                                                                   20/10/2006 - Project Board confirm
                          1) We have been given the go ahead to
                                                                   that this is still on hold till December
                          hide these records on the system.
                                                                   10/10/2006 - Report showed that most
                          Physical records have now been
                                                                   records were deceased staff. Report
                          destroyed.
Treat / Reduce / Mitigate                                          presented to Acute Boa5rd and              Acute        Project
                          2) Order to be place in December. N.B.
                                                                   decision made to remove all records.
                          please ensure that we do not want to use
                                                                   Removal on System not easy/cheap so
                          this for other records at the same time
                                                                   the option to hide them has been
                          before raising the order.
                                                                   aproved.
                          3) run script to hide records.
                                                                   12/01/2006 - Sue Myers to investigate
                                                                   the usefulness of these records. PAS
                                                                   team to discuss ways of 'hiding' the
                                                                   records with Capula.




                                                                     31/07/2007 - updated reports can
                                                                     be run by any member of staff who
                                                                     knows where they are. Details
                                                                     passed to Sue Myers for her team
                                                                     to use. This is now an operational
                                                                     issue. Closing Risk.
                          04/012007 -
                                                                     04/012007 - Reports are now
                          Reports are now written - to be
Treat / Reduce / Mitigate                                            written - to be formally handed    Acute              Project
                          formally handed over to Mary's
                                                                     over to Mary's Team.
                          Team.
                                                                     20/10/2006 - Terri Green will take
                                                                     this up with Jayne Dashey
                                                                     22/09/06 - this was to happen by
                                                                     8/09/2006, but clearly hasn't.
                                                                     Escalated to project board.




                            08/09/05 - Acute will provide a          08/09/05 - Acute will provide a
                            PC to intially use as test server.       PC to intially use as test server.
                            09/09/05 - IT Ops indicate that a        09/09/05 - IT Ops indicate that
                            test server may come available in        a test server may come
Treat / Reduce / Mitigate   Oct 05 with the freeing of curent        available in Oct 05 with the       Countywide         Project
                            servers from implementation of           freeing of curent servers from
                            the SAN                                  implementation of the SAN
                            12/10/05 - Test server currently         12/10/05 - Test server currently
                            being used on                            being used on




                                                                     Initial advice sought from Senior User
                          Refer to Project Board for clear           as to requirement. Aug 07 - Senior
Treat / Reduce / Mitigate statement re: uni / bi-directional         User confirms that this stage of project Countywide   Project
                          requirements                               does not include interface from CRIS
                                                                     (Ultrasound) system
                                                                  (16 Feb 06)
                                                                  No current procedure with HR for
                                                                  Leavers and Joiners PJ to discuss with
                            PJ to discuss issues with Ruth Nash
                                                                  RN.
Tolerate / Accept           head of HR to see if a streamlined                                           Countywide          Project
                                                                  (24 Aug 07)
                            process can be developed.
                                                                  New starters process working well,
                                                                  PCT looking at how leavers can be
                                                                  managed easier.




                                                                   25/10/07 Request sent to Julie Owen
                                                                               to raise Pur Ord.
                                                                   20/10/07 DG has got 5 extra training
                                                                           places included by ICnet
                                                                    10/10/07 We can purchase licences
                                                                             but not extra training.
                                                                      3/10/07 Change Control for both
                                                                      licenses and training have been
                                                                         completed and are awaiting
                                                                                  submission
                                                                    20/8/07 Change Control Initiated for
                                                                     users licences to 25 named users
                                                                     15/8/07 VFF confirmed PO raised
Treat / Reduce / Mitigate                                                                                       Countywide       Project
                                                                     7/8/07 Emailed VFF (in a meeting)
                                                                               telephoning later
                                                                      7/8/07 IM has emailed VFF back
                                                                    confirming JT has requested DG to
                                                                   handle contract issues, and press on
                                                                              without using HPC.
                                                                  6/8/07 - Spoke with VFF regarding this
                                                                          issue, VFF will contact IM.
                                                                  2/8/07 - Spoke with JT who expressed
                                                                      we should press on regardless of
                                                                    current contract and confirmed that
                                                                        Julie had been asked to raise
                                                                                purchase order
                                                                     (4th May 07) The numbers have been
                                                                     now been loaded and prefixed. (3rd
                                                                     April 07) A call has been raised for IT
                                                                     to run the update script on Live. Issue
                                                                     with 292 duplicate records identified.
                                                                     (21st March 07) Update has been
                                                                     applied to test and data checks appear
                                                                     that the update has been successful.
                                                                     Manual checks for the 800 records are
                          (9th Oct 06)            a. Establish the   taking place. (31-Jan-07) 63,000
                          residence of the affected patients b.      records match and will be prefixed in
                                                                                                                                Clinical
Treat / Reduce / Mitigate Compare the file with Oasis to establish   Feb 07. 1,000 records require mnaul Acute
                                                                                                                                Informatics
                          what the prefix should be c. Request fix   inetrvention - due to lack of resources
                          from MSS d. Apply the fix                  this cannot be actioned. (2nd Nov 06)
                                                                     a. the file has been matched agianst
                                                                     Oasis data and 64,000 records are
                                                                     4440 records. 3000 will require further
                                                                     manual intrevention to establish
                                                                     whether they are 4440 or 6660
                                                                     patients.        (9th Oct 06) a.
                                                                     Requested a file from Information dept
                                                                     to identify the affected with
                                                                     demographic details




                                                                     29/10/07 VFF Emailed Prj Exec Claire
                                                                                   Constantine
                                                                      23/10/07 Icnet agree 5 more training
                                                                     places will be added free (this will now
Treat / Reduce / Mitigate                                                 cover 75% of the IC nurses)              Countywide       Project
                                                                      12/10/07 Training will not be funded
                                                                     12/10/07 Spoken with and emailed IM
                                                                      change control for additional training
                                                                                    and costs




                                                                     11/10/07 Demo by AH Icnet - all went
Treat / Reduce / Mitigate                                                                                          Countywide       Project
                                                                     well - awaiting live trial by our staff now
                                                                      (31 Mar 06)
                          Escalated to SHA for guidance, to           Escalate to SHA for guidance.
Transfer                  determine any cost pressures for            (02/08/07) Escalated again to SHA        Countywide        Project
                          enabling functionality.                     with no response hence increase in
                                                                      risk scores




                          02/07/07 Need ATR owing to
                          increased time spent in GP practices
                          and on site undertaking Tiger
                          Training, having impact on I T
                          Trainers filling this role (11.10.2006)
Treat / Reduce / Mitigate                                                                                      Countywide        ICT Training
                          Complete vacancy impact- form,
                          Aduit current schedule of
                          commitments
                          Update other HOD of
                          commitment/capcity




                                                                    3/10/07 Site are still waiting for repairs -
                                                                    to check again late November
                                                                    2/10/07 I have emailed the surgery
                          Monitor progress with the GP surgery,
                                                                    and Shuna asking for an update
Tolerate / Accept         check any intention to move fully over to                                              PCT (incl GP)       Project
                                                                    30/7/07 Emailed Shuna for an update -
                          the Emis system already in house
                                                                    The funding has now been agreed -
                                                                    although after the local flooding they
                                                                    are




                          (5 Jul 07)
                          Local clinical team had been making and     (7 Jun 07)
                          identifying changes to content, where       Service have escalated problem to
                          possible McKesson were helping to make      PCT Management Team to consider if PCT (incl GP)           Project
                          the required changes to the system e.g.     further resource/effort is to be put into
                          search and replace operations with          system.
                          locally specified words/terms.
                                                                     (7 Jun 07)
                          (5 Sep 07)                                 A high end spec computer has been
                          Higher spec pc provided to help            installed at KH site to enable testing by
Treat / Reduce / Mitigate                                                                                      PCT (incl GP)   Project
                          determine origon of problem (hardware      the service to confirm/rule out any
                          spec or system).                           contribution to performance issues by
                                                                     client computer spec.




                          (3 Oct 07)
                          1. Acute Trust to provide adequate
                          resources to manage processes. HR
                          management through ESR is
                                                                     (3 Oct 07)
                          acknowledged as the preferred method.
                                                                     Item 2 - seek update from IMG / JT on
                          2. Coverage is to provided by libraries
                                                                     current service coverage.
                          but management of processes also need                                                                Programme
                                                                     Item 4 - done - response awaited.
Treat / Reduce / Mitigate to be covered.                                                                   Acute               Project
                                                                     Item 5 - done - response awaited.
                          3. Other methods to be investigated by                                                               Management
                                                                     Item 6 - e-mail to IMG / JT to
                          Acute Trust.
                                                                     recommend process of seeking
                          4. Raise via monthly ICT Services report
                                                                     update.
                          5. Place on County ICT Programme
                          Board agenda (Nov 07)
                          6. Seek update via Dir ICT Services at
                          Acute Trust Exec Team meeting.




                                                                     (02.07.07) Appointed Trainee Trainer
                          (11.10.2006)                               (31.10.2006) Agreed to Put wte
                          Complete vacancy impact- form,             Vacancy in front of Board
                          Aduit current schedule of                  (11.10.2006)
Treat / Reduce / Mitigate                                                                                 Countywide           ICT Training
                          commitments                                Complete Vacancy impact form
                          Update other HOD of                        Yes to contingency plan - generic
                          commitment/capcity                         resources available spread of skills
                                                                     across the board
                                                                         (31.10.04) Vacancy to be frozen
                          (11.10.2006)
                                                                         until Apr 07
                          Complete vacancy impact- form,
                                                                         (11.10.2006)
                          Aduit current schedule of
Treat / Reduce / Mitigate                                                Complete Vacancy impact form         Countywide     ICT Training
                          commitments
                                                                         Yes to contingency plan - generic
                          Update other HOD of
                                                                         resources available spread of skills
                          commitment/capcity
                                                                         across the board



                                                                31/10/07 Davenal will switch on -
                                                                made aware of the box
                                                                30/10/07 Mina from SHA is
                          14/9/07 Dave is in contact with Isoft contacting Jason about this.
Treat / Reduce / Mitigate and the concerned surgeries to try    29/10/07 Barnt Green and                     PCT (incl GP)       Project
                          and resolve this issue.               Churchfields also confirm the
                                                                change - raising with SHA / CfH
                                                                26/10/07 Court Road surgery
                                                                report apparent change in sys




                          (31 Jul 06)
                          Project Executive & Senior Users to
                          contribute to expectation management.
                          Change management work stream within
                          project. Proper responsibilities of roles
                          and processes defined in PID. Adequate
                          planning mechanisms – iterative planning
Treat / Reduce / Mitigate sessions between senior management                                                 Acute           Project
                          prior to formal start-up. Communication
                          Plan defines series of regular, targeted
                          and variety of types of communication
                          techniques to ensure staff affected by
                          change are kept up to date of plans,
                          actions, their role in project and impact of
                          desired changes.
                                                                 (11 Jun 07)
                                                                 E-mail passed to CG from 1LS (PM)
                                                                 implying to 'Head & Neck' Dept that
                                                                 project being actively managed. Sue
                                                                 Willis (H&N) contacted to indicate that
                                                                 this was not the case and that Dr Peter
                                                                 Rice had been sent the necessary
                                                                 documentation on 16th May 07 but no
                                                                 response received. Understand that
                          (3 May 07)
                                                                 there are 2 requests, one for a single                       Programme
                          1. Risk raised for Acute Trust action
Treat / Reduce / Mitigate                                        PC and one potential (relating to Dr    Acute                Project
                          2. Further action dependent on outcome
                                                                 Rice) for wider deployment of Dolphin.                       Management
                          of 1.
                                                                 Sue Willis' request passed back to 1LS
                                                                 for action as understood that a
                                                                 Request Form has already been
                                                                 completed. Illustrates the issue
                                                                 regarding poor adherance to adoption.
                                                                 (3 May 07)
                                                                 1. Risk raised for Acute Trust action -
                                                                 risk raised in may 07 ICT monthly
                                                                 report.




                                                                 17/11/06 Receiving emails from
                                                                 Practice Managers detailing
                          Establish hardware requirements
                                                                 requirements
                          that the Practice Managers believe
                                                                 Sept 2006 Monitoring situation in
Treat / Reduce / Mitigate they still need towards the end of the                                              PCT (incl GP)       Project
                                                                 conjunction with risk W2C016
                          CaB printer rollout. , John Thornbury
                                                                 using the printer rollout
                          is aware of this Issue.
                                                                 spreadsheet from Shuna and
                                                                 communications to GP Surgeries


                                                                      28/8/2007 - This is now deemed out of
                                                                      scope for the project. Closing the
                                                                      issue.
                          04/01/2007
                                                                      22/09/05 - It is beleived by the PAS
Treat / Reduce / Mitigate It is believed that the implcations are not                                          Acute          Project
                                                                      team that this will not be a significant
                          significant. Monitor
                                                                      issue. It may be that we need to alter
                                                                      Oasis front end screens to make the
                                                                      fields clear.
                                                                        31/10/07 Lola Abdulu Actiing
                                                                        Director Of Primary Care is
                                                                        currently the Project Executive
                                                                        19/7/07 CG confirmed a new Dir
Treat / Reduce / Mitigate                                               of Primary Care is being appointed PCT (incl GP)          Project
                                                                        by the PCT and will be the PE for
                                                                        EPS
                                                                        9/7/07 Emailed CG for further
                                                                        advice

                                                                30/10/07 We have re-run the EPS
                                                                report at Stourport and
                                                                Northumberland House when NO
                          14/9/07 Dave is in contact with Isoft users are on the system, this
Treat / Reduce / Mitigate and the concerned surgeries to try    appears to of resolved some of the PCT (incl GP)                  Project
                          and resolve this issue.               problems. Further investigations
                                                                continue
                                                                3/10/07 DG is in contact with Isoft
                                                                regularly trying to resolv


                                                                        (6 Oct 06) Investigation taking place
                                                                        (22 Jun 07) Provided alternative
                                                                        solution to their email system (NHS
                            (6 Oct 06) Third Line to investigate - no   Mail or Exchange Web Mail). Migration                 1st 2nd Line
Treat / Reduce / Mitigate                                                                                     PCT (incl GP)
                            action taken.                               of email is slow due to lack of                       Support
                                                                        reasources. (2 Aug 07) Migration of
                                                                        accounts to the WHITS email system
                                                                        has reduce the risk.




                                                                        (13 Oct 06)                      Initial
                                                                        Entry                    (16 Oct 06)
                                                                        No longer allowed to use hub rooms
                          (13 Oct 06)                        To         for storage. Techs advised that old
                                                                                                                              1st 2nd Line
Treat / Reduce / Mitigate have a dedicated storage facility on-site     equipment either stays with users or is Acute
                                                                                                                              Support
                          at WRH.                                       moved to IMH. (Limited space.) (2
                                                                        Aug 07) Established an agreement
                                                                        with a Disposal company to remove
                                                                        unwanted items.
                          (6 Jun 07)
                          Understood that deployment managed
                          outside projects. Not satisfactory in
                                                                   (3 May 07)
                          terms of 'invisible work' taking away                                                        Programme
                                                                   1. Risk raised for Acute Trust action -
Treat / Reduce / Mitigate resources from other deployments.                                                Acute       Project
                                                                   risk raised in may 07 ICT monthly
                          (3 May 07)                                                                                   Management
                                                                   report.
                          1. Risk raised for Acute Trust action
                          2. Further action dependent on outcome
                          of 1.




                                                                   (29 Jun 06)
                                                                   Reescalated to SHA for Guidance
Transfer                 Escalated to SHA for guidance.                                                   Countywide   Project
                                                                   (16 Feb 06)
                                                                   Escalate to SHA for guidance.
                                                                      4/9/07 96% installed - 100% Delivered
                                                                      30/7/07 Note: target level of 80% has
                                                                      been achieved
                          06/12/06 - Keep I.T services fully upto     4/7/07 83% have now been installed -
Treat / Reduce / Mitigate date with the volumn of printers that are   100% delivered                        PCT (incl GP)       Project
                          required in the surgeries                   1/6/07 77% have now been installed -
                                                                      100% delivered
                                                                      30/4/07 54% have been installed
                                                                      2/4/07 Printers are going




                          31/05/2007 - Contingency plan to
                          use Scott Hannaford to carry out
                                                                      31/05/2007 - Contingency plan to use
                          some of the work.
Treat / Reduce / Mitigate                                             Scott Hannaford to carry out some of Countywide       Project
                          10/04/2007 - Forward planning and           the work.
                          advanced booking of training
                          resources.




                                                                      28/08/2007 - Capula modules now
                                                                      delivered.
                                                                      31/01/2007 - I am given to believe
                                                                      that work on this has still not
                                                                      began. We will try and cancell the
                           22/09/2006 -                               order as we beleive that the
Treat / Reduce / Mitigate 1) - Cancel order                           Capula/Rhapsody interface can do Acute                Project
                           2) - Build into Rhapsody                   this work.
                                                                      10/10/2006 - The module is
                                                                      currently being built. Delays are
                                                                      anticipated to be minimal.
                                                                      22/09/2006 - Requested ETA from
                                                                      capula to analyse potential impact.
                          Item 1 - Training Plan - develop to
                          establish range of training availability
                          options to maximise access to training.
                          Plan to identify all those requiring training
                          (by type (e.g. Super User / Standard) and
                          a progress report regularly produced on
                                                                          (29 Jan 07) Additional training
                          those having been trained.
                                                                          sessions planned for Ward Clerks-
                          Item 2 - Training coverage – Extensive
                                                                          error correction and Midwifery Ward
                          on site and on call training to be available
                                                                          Clerks specific training, 1 day release
                          prior to and 2 weeks post site go live to
                                                                          nurse training commencing March 07.
                          maximise system use skills.
                                                                          Oasis training to be included in
                          Item 3 - Project based personnel contact
                                                                          induction training
                          points to be made available at each
                                                                          (27 Sep 06)
Treat / Reduce / Mitigate desktop (paper) during duration of project                                              Acute   Project
                                                                          e-mail to matrons /Srs to encourage
                          with procedure for emergency calls
                                                                          greater uptake of superuser training at
                          included.
                                                                          WRH
                          Item 4 - Communications Plan –
                                                                          (31 Jul 06)
                          developed to produce a framework that
                                                                          Item 1 - Complete
                          maximises the impact of communications
                                                                          Item 2 - Arrangements complete
                          ensuring staff are given adequate
                                                                          Item 3 - Arrangements complete
                          warning over training requirements and
                                                                          Item 4 - Complete
                          how to access training, ensuring line
                          managers are aware of need to plan for
                          the release of staff to be trained
                          (standard mail merge letter to be
                          produced) and that staff actually attend
                          training.




                          (31 Jul 06)
                          Item 1 - Paper systems to be removed
                          from wards.
                          Item 2 - Communication Plan – to specify
                          that use of paper systems will be
                          unacceptable from a specified time –
                          backed up by information on training,           (29 Jan07) Some wards found to have
                          post go live support and updates on             retained admission books and
                          benefits when they start to be accrued to       continuing with double data entry-
                          highlight worth of change over.                 support to be given to encourage
Treat / Reduce / Mitigate                                                                                        Acute    Project
                          Item 3 - Benefits Plan (via Change              change                             (22
                          Management) to specify metrics (e.g.            Sep 06)
                          reduction in phone calls from bed               Item 1 - Paper removed from
                          management staff for basic bed status           Alexandra
                          information) to b used to monitor
                          progress towards desired benefits.
                          Matrons to ensure, that as champions
                          (via Super User status) that staff are
                          adequately trained and provided access
                          to support available in use of system.
                            25/05/05 - Trust CEOs being                  25/05/05 - Trust CEOs being
                            asked (via Project Executive) to             asked (via Project Executive) to
                            identify following roles by close of         identify following roles by close
                            6th Jun 05:                                  of 6th Jun 05:
                            Comm.'g / Contract Manager                   Comm.'g / Contract Manager
Treat / Reduce / Mitigate                                                                                  Countywide         Project
                            Information Manager /                        Information Manager /
                            Performance Indicator Manager                Performance Indicator Manager
                            Finance Manager with PbR                     Finance Manager with PbR
                            responsibilities                             responsibilities
                            Pubic Health Information                     Pubic Health Information




                            (25th July 2007) - Interface testing will
                            have to be carried out using dummy
                                                                         (25th July 2007) - Oasis testing
                            patients in the live environment and there
                                                                         performed as part of other interface                 Software
Tolerate / Accept           will be limitation on the ability to test                                           Acute
                                                                         work, and current RIS situation                      Development
                            performance. A RIS user would be
                                                                         clarified.
                            required to assist testing in a live
                            environment.




                                                                         (22 Dec 06)
                                                                         JT in conversations with ICT
                                                                         Programme Exec to find a Project
                            None at this stage awaiting more
Tolerate / Accept                                                        Exec once the PCT structure is          Countywide   Project
                            information.
                                                                         confirmed (28 Oct 06)
                                                                         VP informed board of risk of not having
                                                                         a Proj Exec and Comms Lead




                          (08 Jun 06)                                    (Aug 06)
Treat / Reduce / Mitigate Ensure that staff are envolved in the          Staff envolved in helping to determine Acute         Project
                          decision making process.                       which monitors should be purchased.



                                                                         (10th Sep 06)
                                                                         Secretary of CHEC contacted
                            (11th Oct 06)                                (25th Sep 06)                                        Knowledge
Treat / Reduce / Mitigate                                                                                       Other
                            Replace plastic brackets with metal          Contractor instructed by Scretary of                 Management
                                                                         CHEC (1st Feb 07) Date agreed for
                                                                         work to be carried out
                                                                     30/10/07 DG contacted Julie Owen to
                                                                         purchase now quote received
Treat / Reduce / Mitigate                                                 12/10/07 All clear to order               Countywide       Project
                                                                     10/10/07 Checked with IM if we could
                                                                       purchase - he is checking with JT




                                                                        March 07 - Functional spec and
                                                                         existing manual documentation
                                                                          submitted to Bluespeir to aid
                                                                    development. Also Manners Datasets
                                                                          issued to supplier to ensure
                          March - Issue High Level functional spec compliance with current data quality
                          to supplier. Evaluate supplier response requirements. Jun, 07 - Meeting held
                          to ensure that proposed system meets         to discuss further development of
                          with Trusts requirements. Include          Worcs spec - meeting planned with
Treat / Reduce / Mitigate                                                                                    Countywide          Project
                          Manners datasets in submission. Sept Elaine Newell on 25th june. 10th July -
                          07 - Ensure that system validation rules 'Worcs' Functional spec now complete
                          are included in development cycle and      and issued to Trust Service Lead for
                          final product.                              sign off. Aug 07, Functional Spec
                                                                      now issued to Supplier. Sep '07 -
                                                                   Interim Testing undertaken to highlight
                                                                        functionality deficiences in initial
                                                                          release of software - Issues
                                                                     documented and issued to Supplier




                            Continue to liaise with Gary McCormack Sep 07 - Referred to Project Board -
Treat / Reduce / Mitigate                                                                               Countywide               Project
                            to monitor progress.                   John Thornbury to escalate to Capula



                                                                       29/10/07 Email to Janet Turner to
                                                                               Arrange visit to Alx
                                                                        25/10/07 CK circulates to other
                                                                                members of team
Treat / Reduce / Mitigate                                                                                           Countywide       Project
                                                                        19/10/07 Dave circulates user
                                                                          instructions for shared area
                                                                      10/10/07 Dave shows WRI staff the
                                                                              network shared area



                                                                    5/9/2007 - Jo has now been given
                                                                    an additional role of Information
Tolerate / Accept           02/05/2007 - Monitor situation                                              Acute                    Project
                                                                    manager, so her limited availablity
                                                                    is even greater stretched.
                            To control the reporting ownership issue,   (31 Mar 06)
                            links with the Ardentia user group have     Ensure that requirements for reporting
Treat / Reduce / Mitigate                                                                                      Countywide         Project
                            been made to ensure that Trust reporting    are fed to the Ardentia user group and
                            needs are meet.                             ensure that PCTs are represented.




                                                                        2/10/07 72% GP Practices have
                                                                        accredited software installed
                                                                               97% of Pharmacies have
                                                                        accredited software installed
                            Continued monitoring of the suppliers
Treat / Reduce / Mitigate                                               4/9/07 45% GP Practices have              PCT (incl GP)       Project
                            progress and tracking database
                                                                        accredited software installed
                                                                               97% of Pharmacies have
                                                                        accredited software installed
                                                                        30/7




                          10/04/2007 - Early involvement of all         31/05/2007 - Letter sent to
                          organisations to ensure that                  organisation asking for confirmation of
Treat / Reduce / Mitigate                                                                                       Acute             Project
                          requirements are correctly assessed           commitment of resources for various
                          and planned for.                              aspects of the work




                          10/04/2007
                          Use of Rhapsody for cleaning remaing          01/11/2006 - Re-processesed data
Treat / Reduce / Mitigate data being developed.                         with new match rules to improve hit       Acute           Project
                          04/01/2007                                    rate.
                          Currently investigating alternate routes.




                                                                        04/01/2007 - Merge staff are being
                                                                        asked to give the preventative work a
                                                                        priority over all but clinical required
                          04/01/2007                                    merging.
                          Monitor data entry for increases in           10/10/2006 - Following on-going staff
Treat / Reduce / Mitigate                                                                                         Acute           Project
                          duplicates.                                   reductions, and the retirement of Jan
                                                                        Bastic, this concern is increasing
                                                                        again.
                                                                        12/01/2006 - Sue Myers looking into
                                                                        centralising this task
                          (31 Jul 06)
                          Item 1 - Helpdesk coverage enhanced
                          (to be confirmed) – specific to log in /
                          access details coverage to be enhanced
                          for period of project + 2 weeks post last
                          site go live.
                                                                         (27 Sep 06)
                          Item 2 - Training coverage – Extensive
                                                                         Item 1, 2, 3 - Provision at Alex
Treat / Reduce / Mitigate on site and on call training available prior                                        Acute        Project
                                                                         excellent- now provided by
                          to and 2 weeks post site go live to
                                                                         Professional Development
                          maximise system use skills.
                          Item 3 - Project based personnel contact
                          points to be made available at each
                          desktop (paper) during duration of project
                          with procedure for emergency calls
                          included.




                                                                     (29 Sep 06)
                          (08 Jun 06)
                                                                     Air Con due to be installed in the next
Treat / Reduce / Mitigate Ensure that Air con is ordered as early as                                         Acute         Project
                                                                     two weeks. (23 Aug 06)
                          possible.
                                                                     Develop robust test plan.




                                                                         (23rd July 2007) Issue raised with
                                                                         project manager (Tom Harvey)
                            (23rd July 2007) Issue raised with           (6 Sep 2007) The follow on                        Software
Treat / Reduce / Mitigate                                                                                     Acute
                            project manager (Tom Harvey)                 actions/recommendations have been                 Development
                                                                         included in the project closure
                                                                         documentation.




                                                                         04/05/07 - meeting arranged with DoH
                                                                         cancelled, issue discussed at
                                                                         Programme Board and John
                                                                         Thornbury to advice PCT to include
Tolerate / Accept           14/11/06 - forward financial planning                                             Countywide   Dir's Dept
                                                                         addiotnalt reveue costs in 2008/09
                                                                         LDP 29/01/07 - Further meeting held
                                                                         with DoH and SHA on 16th June 2007,
                                                                         awaiting response.
                                                                        02/08/2007 Holidays booked
                                                                        througout August have been
                          02/08/2007 - Use of additional
                                                                        identified. Attempting to spread
                          resources to cover workload during
Treat / Reduce / Mitigate                                               workload so work can continue          Countywide   Project
                          holidays.
                                                                        during absentees.
                          28/06/2007 - Monitor situation.
                                                                        28/06/2007 - raised to board
                                                                        awareness. Monitor situation

                                                                    22/10/2007 - transferred to follow on
                          04/01/2007
                                                                    action.
                          Tests on small batches of data to
Treat / Reduce / Mitigate                                           Gary McCormack has been bought             Acute        Project
                          understand implications.
                                                                    into discussions regarding systems
                          Out of hours batching to minimise impact.
                                                                    that trigger from Oasis.




                          (31 Jul 06)
                          Specific Bed Management Reporting
                          stage (specified by Clinical Informatics)
                          within plan to ensure:
                          (a) reports for bed management fully
                          understood,
                          (b) system checked for production of
                          current (and where possible future
                          reports not currently possible due to
                          inadequate data capture) reports,
Treat / Reduce / Mitigate (c) bed management staff trained in the                                              Acute        Project
                          use of the system to ensure they
                          maximise reporting functionality of
                          system and..
                          (d) bed management report critical data
                          items are specified in the ward staff
                          training as critical for capture to fortify
                          message that without this data being
                          captured, bed management staff will
                          continue to contact wards for basic
                          information.




                          (31 Jul 06)
                          Training Lessons Plans – developed to
                          highlight:
                                                                        (29 Jan 07) Additional training
                          (a) benefits of electronic capture over
                                                                        sessions planned for Ward Clerks-
                          maintaining paper based systems,
                                                                        error correction and Midwifery Ward
                          (b) reduction in duplicate entry necessary
Treat / Reduce / Mitigate                                               Clerks specific training, 1 day release Acute       Project
                          with system use, and
                                                                        nurse training commencing March 07.
                          (c) the reduction of associated
                                                                        Oasis training to be included in
                          communications necessary when
                                                                        induction training
                          equivalent basic data entered on system
                          – to other wards, bed management staff
                          etc..)
                          (31 Jul 06)
                          System uptime for Capula Oasis in
                          previous 3 months has been 98%-100%.
                          Although this is high, a Continuity Plan is
                          required (via Change Management) in
                          event of system failure. This to include
                          start up processes for getting data into
                          system from period of down-time. Likely
Treat / Reduce / Mitigate to need to use paper based system –                                                Acute            Project
                          extreme danger that staff then retain
                          paper system after electronic system
                          back up and running. Support will be
                          required on wards to data input backlog –
                          can this be covered through financial
                          benefits accrued from use of system(?).
                          Continuity Planning to be a specific stage
                          within Plan.




                          31/01/2007 Send out an assessment via
                                                                    31/01/2007 LR to send out the
Treat / Reduce / Mitigate hospital leads so that Training dept have                                          PCT (incl GP)    Project
                                                                    information to hospital leads
                          as much notice as possible for staff




                            25/05/05 - Understood that                  25/05/05 - Understood that
                            development has commenced.                  development has commenced.
                            Expect delivery in June. No other           Expect delivery in June. No
                            options available.                          other options available.
Treat / Reduce / Mitigate   23/06/05 - Understood that                  23/06/05 - Understood that      Countywide            Project
                            testing should have completed in            testing should have completed
                            next 2 weeks - this will indicate           in next 2 weeks - this will
                            availability of module                      indicate availability of module
                            13/07/05 - Module now availab               13/07/05 - Module now availab



                                                                        (28 Oct 06)
                          None at this stage awaiting more              VP informed board of risk due to lack
Treat / Reduce / Mitigate                                                                                     PCT (incl GP)   Project
                          information.                                  of resource, VP to determine best way
                                                                        forward
                                                                   31/07/2007 - Mike Davies has
                                                                   completed testing with the C&B and
                                                                   concludes that no issues are present
                                                                   in introducing a duiplication when the
                                                                   flsag is set. Closing Risk
                          04/01/2007                               10/10/2006 - C&B test sysem is
Treat / Reduce / Mitigate Informatics team to test on new C&B test installed. Reduced issue to risk - the Acute            Project
                          environment.                             concern being that it is capable of
                                                                   testing the processes that are
                                                                   required.
                                                                   12/01/2006 - C&B test enviroment
                                                                   being implemented. Should be in place
                                                                   by the end of Jan.




Treat / Reduce / Mitigate Discuss options with HSS & TORUS                                               Countywide        Dir's Dept




                                                                   05/11/07
                                                                   Some requirements identified
                            05/11/07
                                                                   but being reconsidered as
Treat / Reduce /            Equipment requirements are to
                                                                   processes are reviewed,                         Acute      Project
Mitigate                    support new processes.
                                                                   requirements included on single
                                                                   spreadsheet shared cross
                                                                   project.




                                                                   05/11/07
                            05/11/07
                                                                   1. Requirements Specification
                            Requirements specification
Treat / Reduce /                                                   developed by service lead.
                            essential and to be change                                                             Acute      Project
Mitigate                                                           2. Clinical Informatics
                            controlled into Contract.
                                                                   supporting specification
                                                                   document development.




                                                                   (26 Sep 06)
                                                                   Change manager paper accepted by
                          Change Managers have begun to
                                                                   Prog Board therefore CMs will support
Treat / Reduce / Mitigate engage with SW staff to bring them up to                                       PCT (incl GP)     Project
                                                                   SW area.
                          the same level as WF and RnB staff.
                                                                   (01 Mar 06)
                                                                   No Change Manger for SWPCT.




Treat / Reduce / Mitigate                                                                                Countywide            Project
                          9/5/07 – It is envisaged that the system
                          will revert back to a paper prescription.
                                                                       16/5/07 - Jason confirmed the system
                          An emergency smart card could be kept
                                                                       will revert back to paper prescriptions.
Treat / Reduce / Mitigate securely on site, this has implications                                               PCT (incl GP)       Project
                                                                       9/5/07 - Emailing Jason Clarke CfH
                          with regards to unauthorised staff
                                                                       EPS lead for clarification
                          allowed access to certain system
                          functions such as adding




                          26/03/2007 - Dialogue with Capula in
                          progress to understand this issue     28/08/2007 - Workaround
Treat / Reduce / Mitigate fully. A possible work around         implemented - use of exsisting  Acute                           Project
                          involving a separate flag has been NSTS batch to set validation flag.
                          identified and is being investigated.




                          (31 Jul 06)
                          Item 1 - Training Plan to ensure
                                                                       (29 Jan 07) On-going Training
                          coverage and progress in training is
                                                                       sessions planned- especially error
                          evenly spread across and within wards.
                                                                       correction and Maternity specific
Treat / Reduce / Mitigate Backup / refresher training / materials to                                                            Project
                                                                       training (27 Sep 06)
                          be made available post training.
                                                                       Additional training sessions planned as
                          Item 2 - Super Users to monitor use of
                                                                       ongoing need identified
                          system on ward post go live to ensure
                          that consistent use by all ward staff.




                          (31 Jul 06)
                          System functionality mapped (managed
                          through ICT Change Management) to
                          current data collection to ensure
Treat / Reduce / Mitigate reporting gaps (for operational ward staff                                             Acute          Project
                          and others including bed management
                          staff) do not exist. Next phase project
                          will examine the adequacy of data
                          collection to future needs of service.
                            (08 Jun 06)                               (29 Sep 06)
Treat / Reduce / Mitigate                                                                                   Acute              Project
                            Ensure that all PFI orders the equipment. PFI Ordered the equipment.




                            05/11/07
                            Define support requirements,               05/11/07
Treat / Reduce /
                            consider SuperUser access to               None yet.                                       Acute      Project
Mitigate
                            Supplier helpdesk.



                          Ensure that training sessions are flexible
Treat / Reduce / Mitigate for staff to use. May be carried out as 1-                                        PCT (incl GP)      Project
                          to-1s.



                                                                     (25th July 2007) - SQL server cluster
                            (25th July 2007) -
                                                                     has been set up to allow us to test
                                                                     feasability of running all databases off
                          (1)To create a web farm which will
                                                                     one clustered data node.
                          provide resilience and load balancing for                                                            Software
Treat / Reduce / Mitigate                                            (10 Oct 2007) - After speaking with      Countywide
                          the applications.                                                                                    Development
                                                                     Pete Lowe we agreed we would wait
                                                                     until the Server Virtualisation work was
                          (2) Create an additional Sql Server
                                                                     completed prior to clustering the dev
                          cluster to provide resilience for the data
                                                                     WebServers




                                                                    (25th July 2007) - Identified that
                                                                    clustering is possible.
                                                                    (6 Sep 2007) - Have queried with
                                                                    Supplier regarding the expected
                                                                    release date for the next version of
                                                                    Rhapsody which supports load
                          (25th July 2007) - Create a clustered     balanced clustering, prior to
                                                                                                                               Software
Treat / Reduce / Mitigate instance of Rhapsody to provide fail over undertaking the clustering work.       Countywide
                                                                                                                               Development
                          resilience.                               (30 Oct 2007) - After contacting the
                                                                    supplier it transpires that the load-
                                                                    balanced clustering has been pushed
                                                                    back to a later version. As such we
                                                                    have contacted Pete Lowe to begin the
                                                                    process of creating a failover cluster
                                                                    using the current fversion.




                            (08 Jun 06)
                            Ensure that staff are identified. Develop (08 Jun 06)
Tolerate / Accept                                                                                           Acute              Project
                            a training schedule that includes training Develop robust training plan.
                            in advance and of the week of go live




                            The service has stated that they will
Treat / Reduce / Mitigate                                                                                   PCT (incl GP)      Project
                            ensure that all staff use the equipment.
                          30/10/06
                                                                                                                         3rd Line
Treat / Reduce / Mitigate Issues raised with N3. Waiting on                                              Countywide
                                                                                                                         Support
                          adoption plan from N3.




                          08/11/07 - Ensure robust debate with
Treat / Reduce / Mitigate SHA around deployment options for          Risk already raised with SHA        Countywide
                          Trusts




                          Ongoing training will be provided by OOH
                          service Super Users and IT Training                                            PCT (incl GP)   Project
                          service.




                          (23rd July 2007) Raise issue at 18 week
                          project meeting.
                          (6 Sep 2007) This has been raised and
                          the field will be included in relevant
                                                                    (25 Jul 2007) Issue raised at 18 week                Software
Treat / Reduce / Mitigate messages. The 18 wk soultion will be                                            Acute
                                                                    meeting.                                             Development
                          deployed to QA by Capula in Nov 07,
                          although it is unclear whether this first
                          deployment will include the amended
                          interface components.
                          (31 Jul 06)
                          Equipment Audit to specify prioritised
                          need (whether critical for pre-project go
                          live, for go-live, go live + 1 month, go live
                          + 2 months, desirable but not critical for
                          adequate use of ADT on ward) for
                          desktop PCs / printers. Specific location
                          within ward to be specified to establish
Treat / Reduce / Mitigate whether existing network points               28/11/2006 Dept Dir ICT Informed    Acute            Project
                          available. IT to indicate likely costs and
                          delivery of providing new network points.
                          Project Executive & Director of ICT to
                          agree financial aspects.28/11/2006 audit
                          identifying areas where new euipment
                          not in use because of need for additional
                          power,networking and mobile trolleys and
                          not fully compliant with ADT input




                                                                     (29 Sep 06)
                                                                     PCT have employed 3 RA agents to
                                                                     carry out RA. ICT will continue to
                            ICT will where required provide RA       support MHPT.
Treat / Reduce / Mitigate                                                                                   PCT (incl GP)    Project
                            function for trusts.                     (31 Mar 06)
                                                                     ICT will continue to support WF, SW
                                                                     and MHPT. RnB will be able to
                                                                     support themselves.




                                                                      28/2/07 Closed as InPractice sites are
                                                                      now using the software
                                                                      22/1/07 Target resolution date
                            12/10/06 Communicate with surgeries       changed
Tolerate / Accept           with as much detailed information as they 22/1/07 Dave has spoken with the       PCT (incl GP)       Project
                            required                                  surgeries who initially raised this
                                                                      problem and they are now live.
                                                                      12/10/06 Fully read DLM 202, passing
                                                                      on relevant inf




                                                                     12/2/07 Richard confirmed site are
                                                                     using
                          9/11/06 Richard is still keeping the ETP   22/1/07 ETP has been switched back
                          module off until further training by       on
                          InPractice has been done                   17/1/07 Rich has activated half off the
Treat / Reduce / Mitigate                                                                                    PCT (incl GP)       Project
                          12/10/06 Ensure Richard reads              users and is continuing to do so. To
                          DLM202, monitor closely, good              follow up in the near future.
                          communications                             19/12/06 I have emailed Richard for an
                                                                     update
                                                                     21/11/06 Rich is cont
                           10/04/2007 - Being established early
Treat / Reduce / Mitigate in the project to ensure that they are                                               Countywide      Project
                           available when required.




                          31/05/2007 - Early analysis of              31/05/2007 - Breakdown of
                                                                      communications with Mental Health
                          users/systems. Involvement of
Treat / Reduce / Mitigate                                             Trust. Position escalated to Project     Mental Health   Project
                          Organisational leads, Informatics           Board. Ian McGregor raising with Ian
                          team and RA staff from the start.           McCarley for action.



                                                                      28/7/2007 - Richard Bridgewater
                          28/7/2007 - Establish with Richard          replaced Duncan Jackson as lead.
Treat / Reduce / Mitigate                                                                              Countywide              Project
                          Bridgewater trust position.                 Communication established, but
                                                                      no conclusion yet reached.




                                                                     28/8/2007 - Change of aproach to use
                                                                     of NHS number merging only has
                                                                     removed this risk. Closing Risk
                                                                     10/10/2006 - data team has been
                                                                     identified. There is still concern about
                                                                     the level of priority this aspect is being
                          A data quality team has been identified
                                                                     given. It is fundamental to getting the
                          that will be responsible for making
                                                                     data right.
                          recommendations to the board on safe
                                                                     14/06/05 - Sue Myers will be meeting
Treat / Reduce / Mitigate levels to use. The team has two sections -                                            Acute          Project
                                                                     with Mike Davies on 17/06/05 to test
                          data checkers (who will check data and
                                                                     the rules and to try and establish what
                          report on findings) and Quality, who will
                                                                     is safe to procede with.
                          asses and recomend based on findings.
                                                                     22/8/05 - It is agreed that everyone is
                                                                     happy to use the NHS number for
                                                                     merging purposes. No further
                                                                     decisions will be made on further
                                                                     merge criteria until NHS number
                                                                     merges are completed.




                                                                      01/01/2006 - Order for cleansing
                          01/01/2006 - Visionware to match with
                                                                      placed with VisionWare.
                          postcode and exeter data to
Treat / Reduce / Mitigate                                             26/09/05 - Discussions ongoing with      Acute           Project
                          reduce/eliminate the amount of poor
                                                                      Visionware for data cleansing
                          postcode data.
                                                                      solution/costs
                          04/01/2007
Treat / Reduce / Mitigate Informatics team to understand                Discussions with Fife                    Acute    Project
                          implications in liaison with Fife acute trust




                          10/04/2007
                          The changed plan to use the data means
                          that (a) less data checking will be
                          required, and (b) data checking will be        22/10/2007 - Transferred to follow on
                          less critical. There will still need to be a   actions
                          certain amount of data checking, but           10/10/2006 - the alocated data
                          some can be automated. I can potentially       checkers are BOTH on long term sick
Treat / Reduce / Mitigate be handled wirthin the existing team.          leave. There is currently no alternative Acute   Project
                          04/01/2007                                     staff identified.
                          1) Identification of staff needed.             12/01/2006 - Responsibilty to pass to
                          2) Consulation with responsible                PAS team. Jas Cartright will alocate
                          managers                                       apropriate staff.
                          3) Alocation of Staff
                          4) Escalation to Project Board if
                          requirements are not met




                          (31 Jul 06)
                          Configure project board and team
                          appropriately, maintain communication to
Treat / Reduce / Mitigate                                                                                        Acute    Project
                          promote ongoing commitment, monitor
                          attendance and response to task
                          allocations.




                          (31 Jul 06)
                          Recruitment of appropriately engaged
                          Project Board Members. Briefing to
                          ensure their understanding of roles is
                          clear. Highlight that Project Board
Treat / Reduce / Mitigate                                                                                        Acute    Project
                          cannot delegate ownership of their
                          decision making to Service Project
                          Manager. Purpose and clear benefits of
                          using a controlled mechanism to manage
                          project is relayed and agreed.
                          (31 Jul 06)
                          Item 1 - Ensure appropriate technical
                          staff committed to relevant work streams.
                          Item 2 - Confirmation of technical support
                                                                          (29 Jan 06) Lack of IT Services
                          being gained by ICT Programme
                                                                          resources would be a constraint on
                          Manager through Senior Supplier (ICT
Treat / Reduce / Mitigate                                                 hardware roll-out if finances available Acute   Project
                          Director) prior to official project start up.
                                                                          to put in additional power and
                          Item 3 - Ensure details of out of hours
                                                                          networking points
                          support identified prior to start up and
                          this is in the communications plan and
                          listed under contact sheets next to each
                          PC.




                          (31 Jul 06)
                          Super Users drawn from wards (matron +
                          3 others) are those either in positions of
                          authority to champion use of system, or
Treat / Reduce / Mitigate                                                                                        Acute    Project
                          use the system most effectively at current
                          time, and therefore most likely to retain
                          skills and use them in most effective and
                          efficient manner.




                            24/11/05 -Outstanding issues
                            identifed. Action Plan put in place           24/11/05 -Outstanding issues
                            including Contingency Plan.                   identifed. Action Plan put in
                            Contingency Plan used. Data                   place including Contingency
                            extract from IPM available                    Plan. Contingency Plan used.
Treat / Reduce / Mitigate   20/12/05. Ardentia working with               Data extract from IPM          Countywide       Project
                            Worcestershire to produce                     available 20/12/05. Ardentia
                            relevant reporting functionality by           working with Worcestershire to
                            end of Janua. 12/12/06 Ardentia               produce relevant reporting
                            have produced prototype,                      functionality by end of Janua
                            awaiting testing
                                                                     15 June, 2007 - Referred to Director of
                                                                     ICT who will raise with Trust Exec
                                                                     team to ensure strategic decisio of
                                                                     Trust is communicated to all key
                                                                     stakeholders. June 29 - Concern
                                                                     expressed that Trust Service Lead not
                                                                     appropriately engaged - too much time
                                                                     supplier driven rather than customer
                                                                     driven. 1st July - Following
                          Referred to Director of ICT who will raise discussions, 'emphasis of Service
                          with Trust Exec team to ensure strategic Lead' role will be more 'customer
Treat / Reduce / Mitigate                                                                                     Countywide     Project
                          decisio of Trust is communicated to all    driven' in order to focus on 'Trust
                          key stakeholders.                          issues. 17th July - Meeting planned
                                                                     with Clinical Lead to agree action plan
                                                                     for increasing stakeholder buy-in. Aug-
                                                                     07 - Senior Customer to issue 'brief' to
                                                                     key stakeholders outlining project and
                                                                     importance of key stakeholder 'buy-in'.
                                                                     Sep 07 - Enid Darby to raise profile of
                                                                     stakeholder buy-in workstream - article
                                                                     in Connect and also targetting specific
                                                                     stakeholders.




                          Establish current arrangments and
                                                                        Aug 07 - Request for advice sent to
                          review situation thereafter - potential for
                                                                        Simon Honeyborne. Sep 07 - Agreed
                          redesign of business processes. Meet
Treat / Reduce / Mitigate                                               approach to use terminal services to    Countywide   Project
                          with WHITS Network Mgr to discuss
                                                                        provide access from GP Practises -
                          technical implications of GP Practice
                                                                        Peter Lowe overseeing.
                          connectivity.




                          (08 Jun 06)                                   (8 Jun 06)
Treat / Reduce / Mitigate Ensure that all equipment has been            Full inventory of all equipment drawn   Acute        Project
                          identified where possible                     up for ordering.




                                                                                                                             Clinical
Treat / Reduce / Mitigate Discuss options with Capula                                                           Countywide
                                                                                                                             Informatics




                            (11.10.2006)
                            Ensure days chosen to work are              (11.10.2006)
Tolerate / Accept                                                                                               Countywide   ICT Training
                            appropriate and will cause minimum          Complere request /appliction form
                            disruption to the team
                                                                   (25 Jun 07)
                          (2 May 07)
                                                                   Progress/planning meeting held on 8th
Treat / Reduce / Mitigate Pr Mgr has regular review with Supplier,                                       Countywide            Project
                                                                   June. Regular follow-up/review via
                          inc system issues.
                                                                   email/phone.




                          (25 Jun 07)                                (31 Oct 07)
                          Folding Space considering ways to          Little interest raised at Awareness
Treat / Reduce / Mitigate address concerns raised. Dart II to be     session. Demo provided to ALX             Countywide      Project
                          implemented by Folding Space if DWM        Surgical admin team, little interest in
                          not viable.                                use received.




                          13/12/06 Decision to close as RA staff
                          now in place and issuing cards as
                                                                     17/11/06 Contacted both Julie and
                          required.
                                                                     Rob to confirm current status
                          17/11/06 Julie McCann and Rob are
                                                                     Sept 2006 Advised project board of
Treat / Reduce / Mitigate following up the remaining 20                                                        PCT (incl GP)       Project
                                                                     the remaining 58 pharmacists that
                          pharmacists. Rob is receiving lists from
                                                                     need smart cards, the new members
                          the GP surgeries of who still needs a
                                                                     of staff will be focusing on them.
                          smart card
                          Three new RA staf



                                                                     This will be tested as part of the
                                                                     thorough testing of the merge process.
Treat / Reduce / Mitigate                                                                                   Acute              Project
                                                                     Closing this risk and adding it as a
                                                                     note on issue MPI001


                                                            6/06/2007 - Proposed Bluespier
                                                            development has meant that
                                                            developer time has been made
                          31/01/2007 -
                                                            available.
Treat / Reduce / Mitigate Development team asked to provide                                                    Acute           Project
                                                            31/01/2007 - Awaiting schedule
                          work schedule for risk assesment.
                                                            from development team to fully
                                                            understand risk.




                          26/03/2007 - There is a workaround
                          now being tested - using a cut down 22/10/2007 - Transferred to follow
Treat / Reduce / Mitigate                                                                        Acute                         Project
                          data set to populate the data which on actions
                          propogates very quickly.
                          (31 Jul 06)
                          Invitation to Training letter to be sent to
                          all ward staff involved that should they
                          feel they may benefit from basic PC skills
                          training then this will be undertaken
                          before ADT training. Associated risk – it
                          would be preferable to have a mini
                          Training Needs Analyses conducted on
Treat / Reduce / Mitigate                                                                                    Acute           Project
                          staff to be involved from wards.
                          However, may be inadequate time
                          therefore reliant upon staff nominating
                          themselves. Super Users on each ward
                          should be asked to check lists of those
                          put forward for basic PC training in case
                          some staff are missing based on Super
                          User knowledge of staff skills.

                          (31 Jul 06)
                          Ownership of adequately developed plan
                          to be signed off by Project Executive.
                          Supplier (ICT) has provided outline
Treat / Reduce / Mitigate template plan based on previous                                                    Acute           Project
                          implementations. This will be used as
                          framework from which detailed plan will
                          be developed. Plan will now be adapted
                          for local use by Service Project Manager
                          in discussion with ICT Project Manager




                                                                        05/11/07
                           05/11/07
                                                                        1. Ken Hadley / Barbara Peters
Treat / Reduce /           Change Management, Clinical
                                                                        leading processes review work                Acute      Project
Mitigate                   Informatics and IT Training on
                                                                        which will inform future training.
                           project Implementation team.




                           02/07/07
                                                                02/08/07
                           Generic staff invitation to basic IT
Treat / Reduce /                                                Details for basic desktop pc
                           training, promoted via Super                                                              Acute      Project
Mitigate                                                        skills training requested by ICT
                           Users.
                                                                PM from Training Manager.




                           05/11/07
                                                                        05/11/07
                           Business Process Review to
Treat / Reduce /                                                        Clinical Informatics and Change
                           inform benefits realisation                                                               Acute      Project
Mitigate                                                                Management review work in
                           document.
                                                                        progress.
                                                                         05/11/07
                                                                         Paper process is backup in
                            05/1/07
Treat / Reduce /                                                         event of electronic system
                            Continuity Plan to be produced.                                                                 Acute      Project
Mitigate                                                                 failure, sample down time form
                                                                         provided to service for
                                                                         consideration.




                                                              05/11/07
                            04/09/07
                                                              Additional resources gained
                            Project Plan to be maintained and
Treat / Reduce /                                              from Clinical Informatics for
                            controlled via Service Lead, ICT                                                                Acute      Project
Mitigate                                                      specification work and further
                            and Supplier Project Managers.
                                                              processes review work, plan to
                                                              be reviewed and updated.




                                                                         Planned workshop invitations include
                                                                         clinical staff. Jun, 07 - Concern
                                                                         expressed to Acute Exec team that
                                                                         Trust strategic decision to adopt
                                                                         Bluesper, not being communicated to
                                                                         clinical staff who may not buy in to the
                                                                         system. June 29 - Concern expressed
                                                                         re: Trust Service Lead not
                                                                         appropriately deployed - to much time
                                                                         driven by supplier rather than
                                                                         customer. 10th July - E-mail to
                                                                         Clinical Leads in Neonatal unit inviting
                            Mar - Identify necessary 'mix' of clinical   them onto project team - awaiting
Treat / Reduce / Mitigate                                                                                          Countywide       Project
                            staff to attend workshop.                    reply. July 17th - meeting arranged
                                                                         with clinical lead re: stakeholder buy-in
                                                                         Aug 07 - Senior Customer to issue
                                                                         brief to key stakeholders to emphaise
                                                                         importance of 'buy-in'. Sep 07 - Enid
                                                                         Darby to raise profile of stakeholder
                                                                         buy-in workstream - article in Connect
                                                                         and also targetting specific
                                                                         stakeholders. Sep 07 - Request sent
                                                                         to Proj Exec ( & Senior User) to raise
                                                                         issue of Clinical Engagement
                                                                         especially for development of
                                                                         abnormal datasets




                                                                         Aug 07 - Meeting planned with Service
                                                                         lead to emphasise the need for early
                                                                         decision as to revised processes. Aug
                                                                         -07 - Nilam Bola (WHITS informatics
                          07/08/2007 - Meeting planned with              lead) continuing to meet with senior
Treat / Reduce / Mitigate Service lead to emphasise the need for         Maternity Staff to determine new       Countywide          Project
                          early decision as to revised processes         processes. Sep 07 - Concern raised
                                                                         with Project Board - agreed that Enid
                                                                         Darby (Service Lead) would liaise with
                                                                         Nilam (ICT Business Change) to
                                                                         ensure appropriate level of ownership.
                            31/07/2007 - No longer needed to
Treat / Reduce / Mitigate complete the project. ClosingRisk                                                    Acute               Project
                            26/03/2007 - Liaison with Capula.




                          (08 Jun 06)
                                                                       (08 Jun 06)
Treat / Reduce / Mitigate Ensure that all equipment and software                                               Acute               Project
                                                                       Develop robust test plan.
                          has been fully tested.




                            04/09/07
                            Requirements specification
                                                                       05/11/07
                            produced, will be used as basis
Treat / Reduce /                                                       ICT requirements to be
                            for county wide specification.                                                                 Acute      Project
Mitigate                                                               included in processes review
                            Project Plan to measure against
                                                                       work.
                            functionality outputs.




Treat / Reduce / Mitigate                                                                                      Countywide              Project




                                                                       14/12/06 Emailed Rob for Info
                                                                       17/11/06 Most pharmacists have been
                                                                       issued, some outstanding GP staff still
                          Situation being monitored - Cards are
                                                                       to have cards but not a large volume of
Treat / Reduce / Mitigate available via the SHA in small batches,                                              PCT (incl GP)           Project
                                                                       people
                          Rob and Jackie are aware of this.
                                                                       Sept 2006 Confirmed at SHA meeting
                                                                       the continued procedure of obtaining
                                                                       cards, Rob Neill and Jackie Ki




                                                                         26/10/07 Changes to EMis PCS - since
                                                                         patch now asking for authorised users -
                          Suppliers from both GP and pharmacy asking CfH about this
                          sides need to fulfill criteria as specified by 3/10/07 There are issue's with Isoft
Treat / Reduce / Mitigate                                                                                        PCT (incl GP)         Project
                          CfH. Only then will the software be            Premiere with regards to low numbers
                          approved for rollout.                          of prescriptions printing off with
                                                                         barcodes, DG is in touch with Isoft
                                                                         trying to r
                                                                     26/10/07 Have activated 5 EMIS PCS
                                                                     sites, although a reccent patch is now
                          15/12/06 - Visiting some GP sites to raise
                                                                     making it ask for an authorised user if
                          awareness.
                                                                     the person generating the script is not
Treat / Reduce / Mitigate Ensure good PR and communication with                                              PCT (incl GP)       Project
                                                                     a GP - this may effect buy in if not
                          each Practice - Which has been done pro-
                                                                     resolved.
                          actively
                                                                     3/10/07 3 out of the 4 Isoft Premiere
                                                                     sites are now li




                          10/04/2007 - Early analysis of
                          users/systems. Involvement of
Treat / Reduce / Mitigate                                                                                   Countywide       Project
                          Organisational leads, Informatics
                          team and RA staff from the start.



                          10/04/2007 - Early involvement of all
                          organisations to ensure that
Treat / Reduce / Mitigate                                                                                   Countywide       Project
                          requirements are correctly assessed
                          and planned for.




                          10/04/2007 - Outside of local control.    30/7/2007 - Early comms with CfH
                          Continued monitoring and                  team suggest that training environment
Treat / Reduce / Mitigate                                                                                  Countywide        Project
                          communication with                        is complete and updates will be
                          National/Regional teams.                  available soon.




                            10/04/2007 - Early auditing of work     30/4/2007 - Plans include audit
Treat / Reduce / Mitigate                                                                                   Countywide       Project
                            to understand implications.             work for IT needs.




                          28/07/2007 - Liz's training team to       28/07/2007 - Remaining slots booked.
                          handle training requirements              Trust leads have agreed that any short
                                                                    fall can be filled by Liz's training team.
                          31/05/2007 - Booking available slots.
Treat / Reduce / Mitigate                                           31/05.2007 - Ensured that training         Countywide    Project
                          Reviewing training needs. Preparing       have booked slots that they require.
                          training team for additional              Tried to bblock book slots, but not
                          requirements.                             possible on-line.



                                                                    01/01/2006 - Order for cleansing
                          01/01/2006 - Visionware to match with
                                                                    placed with VisionWare.
                          postcode and exeter data to
Treat / Reduce / Mitigate                                           26/09/05 - Discussions ongoing with     Acute            Project
                          reduce/eliminate the amount of poor
                                                                    Visionware for data cleansing
                          postcode data.
                                                                    solution/costs
                          01/04/2007                                  28/08/2007 - It has been confirmed
                          1) identify if functionality exsists.       that details of merged records and
Treat / Reduce / Mitigate                                                                                      Acute            Project
                          2) document function or contact Capula      locations of notes are recorded
                          for information.                            correctly.




                                                                     028/8/2007 - Project will be closed
                                                                     before christmas 2007
                          20/03/2007                                 10/10/2006 - Issue re-opened as a risk
                          Essentially on hold till cOctober 2007.    as it it now re-ocuring for 2006!!! I have
                          Monitor situation and confirm staff        set priority to Minor as much of the
Treat / Reduce / Mitigate                                                                                       Acute           Project
                          availability. Cross check against plan and work shhould be completed by then,
                          re-align if required. Project hopefully    but ongoing delays may change this.
                          closed before December 2007.               31/01/2006 - Exception raised to board
                                                                     highlighting delays in the original
                                                                     planned timescales.



                          03/05/2007 - Investigation of use of
                          routines bein carried out. Disable all      22/10/2007 - Transferred to follow
                          routines that are not required and          on actions
Treat / Reduce / Mitigate                                                                                Acute                  Project
                          can be disabled. Understand and             03/05/2007 - Modules identified.
                          restrict access to ant that are             Investiagations started.
                          required or cannot be disable.




                                                                      03/10/07
                           04/09/07                                   Agnes Young, General
                           Project Board established,                 Manager Surgical Specialties,
Treat / Reduce /           meetings scheduled and will                taking Project Exec role. Sue
                                                                                                                        Acute      Project
Mitigate                   identify any required changes to           Klein, Bluespier Project
                           governance structure.                      Manager, taking over from
                                                                      Stuart Van Rooyen.




                                                                      05/11/07
                           05/11/07                                   1. IT Training Manager and
                           IT Training working with Supplier          Bluespier taking partnership
Treat / Reduce /
                           to provide training via local              approach to planning training.                    Acute      Project
Mitigate
                           resources.                                 2. Training requirements to be
                                                                      raised via local IT Training
                                                                      dept.
                   05/11/07                 05/11/07
                   1. Communications &      Clinical Informatics and Change
Treat / Reduce /
                   Stakeholder Engagement   Management review work in         Acute   Project
Mitigate
                   Strategy produced.       progress which will increase
                                            staff buy-in.
                                                                      05/11/07
                           04/09/07
                                                                      1. Processes review work
                           Local IT Training Team able to
Treat / Reduce /                                                      commencing, to inform training
                           provide system training late 07,                                                           Acute      Project
Mitigate                                                              and responsibilities.
                           Supplier will meet need in the
                                                                      2. Training will be delivered via
                           interim.
                                                                      local IT Training.




                          (26 Apr 07)
                          CECC has no defined network                 (7 Jun 07)
                          bandwidth. Staff will use Adastra only if   Network testing performed due to
Treat / Reduce / Mitigate                                                                                   PCT (incl GP)     Project
                          slowness occurs, to inform if only CECC     system performance issues, no
                          affected, if both systems slow then a       network problems identified.
                          network issue may be the cause.




                                                                      (6 Jun 07)
                          (6 Jun 07)
                                                                      Better integration between Document
                          Problems will be escalated to Senior
                                                                      Workflow Manager and Active
Treat / Reduce / Mitigate Supplier if necessary. Very productive                                            Countywide        Project
                                                                      Directory now achieved. User data
                          meeting and outcomes from review
                                                                      now held at server level to address
                          between local IT and Folding Space.
                                                                      previous roaming issues.
                                                                    Apl 07 - Workstream Lead Identifed &
                                                                    Midwives made aware of resource
                                                                    implicatios. May '07 Midwives
                                                                    concerns about resourcing escalated
                                                                    to Project Board. 4th May, Project
                                                                    Board acknowledge risk, - maintain
                                                                    watching brief. - Liz Taylor to meet
                          Identify Training Lead on Project Plan to
                                                                    with Bluespier to discuss approach to
                          oversee training programme. Ensure
                                                                    training. July 07 - Project team action
Treat / Reduce / Mitigate that lead midwives are made aware of                                               Countywide     Project
                                                                    for Liz Taylor to meet with Hugh ?
                          impact on resources as the project
                                                                    (Bluespier) to agree joint strategy for
                          unfolds.
                                                                    training end users. Sep - 07 - Mtg
                                                                    Planned with Trg Dept and Snr
                                                                    Midwives to discuss potential risk that
                                                                    midwives will be unable to be released
                                                                    for Training. Sep 07 - Risk reiterated
                                                                    to Proj Board - meeting planned Oct
                                                                    11th to discuss detail of training plan.




                                                                    5/9/2007 closing risk
                                                                    02/08/2007 - We have had 80%
                                                                    response with no users. A second
                                                                    letter went out that stated that we
                                                                    would assume no usage for the
                                                                    remainder if no response was received
                                                                    before 01/08/2007 - we are now
                            28/07/2007 - Letter to all GP
                                                                    making that assumption.
Treat / Reduce / Mitigate surgeries to confirm status.                                                      PCT (incl GP)   Project
                                                                    28/07/2007 - Letter to all GP surgeries
                                                                    to confirm status.
                                                                    31/05/2007 - Raised with Shuna
                                                                    Balnaves to put on the Primary Care
                                                                    Working group agenda. Also
                                                                    recommended that a letter go to all
                                                                    Practice Managers requesting
                                                                    confirmation of use.




                                                             Staff have been identified for
                                                             Data Loader roles. JD/PS
                                                             bearing prepared for
                                                             recruitment and/or inclusion in
                                                             Vacancy Impact Form. New
                                                             proposals for pragmatic
                                                             solution in absence of formal
                            Staff have been identified for
                                                             recruitment currently being
                            Data Loader roles. JD/PS bearing
Treat / Reduce / Mitigate                                    drawn up.3rd April Meeting      Countywide                     Project
                            prepared for recruitment and/or
                                                             with Paul Johnson who wishes
                            inclusion in Vacancy Impact Form
                                                             to start dialogue with PCT,
                                                             CMHT and WHICTS as to how
                                                             deployed system will be
                                                             managed and supported. Matrix
                                                             of Staff Roles to be produced
                                                             for next EIS project Board on
                                                             20th June
                                                                      (2nd Nov 06) rebuild of test database
                                                                      performed. Awaiting date from MSS
                                                                      on when to perform rebuild of live - will
                          (9th Oct 06) Work with supplier to test
                                                                      be done when the live is upgraded with                       Clinical
Treat / Reduce / Mitigate nback-up and restore of test & live                                                   Countywide
                                                                      new version. (9th Oct 06) Test system                        Informatics
                          systems.
                                                                      has been rebuilt and tested front end.
                                                                      Information dept have been asked to
                                                                      validation back-end data.




                                                                      (16th July 2007) New RfC process
                          (16th July 2007)                            implemented WHICTS wide. To be re-
                                                                                                                                   Software
Treat / Reduce / Mitigate Ensure System Development team on           evaluated in one month.            Countywide
                                                                                                                                   Development
                          distribution list for RfC notices           (6 Sep 2007) New procedure seems
                                                                      to be working well.




                             2/8/07 1. Training Plan - developed to
                             establish range of training availability
                            options to maximise access to training.
                          Plan to identify all those requiring training
                         (by type (e.g. Super User / Standard) and
                            a progress report regularly produced on
                                   those having been trained.
                            2. Training coverage to be confirmed to
                                  maximise access as well as            29/10/07 It is becoming apparent that
                                communicated to stakeholders.            training will possibly fall during the
                          3. Project based personnel contact points         Christmas period, DG to start
                             to be made available at each desktop contacting staff in the coming month to
Treat / Reduce / Mitigate (paper) during duration of project with            start booking appointments               Countywide       Project
                           procedure for emergency calls included. 3/10/07 - An increase in the training
                           4. Communications Plan – developed to         that Icnet are to provide may need
                          produce a framework that maximises the extending as change control will be
                           impact of communications ensuring staff submitted to increase the user licenses
                          are given adequate warning over training
                          requirements and how to access training,
                              ensuring line managers are aware of
                          need to plan for the release of staff to be
                           trained (standard mail merge letter to be
                            produced) and that staff actually attend
                                             training.
                                                                    March - Project team formed with
                                                                    specific 'lead' identified to oversee
                                                                    system development requirements.
                                                                    1st May - Bluespier Roadshows
                          March - Identify specific workstreams     planned to enhance buy-in. June 29 -
                          within overall plan and formulate project concern expressed by Project Mgr that
                          team around those workstreams. This 'Service Lead' not appropriately
                          will help individual to focus on specifc  deployed - too much time 'supplier
                          work areas and will help to identify      driven'. 1st July - Following
                          individual workstreams where adequate discussions, 'emphasis of Service
Treat / Reduce / Mitigate resources are not being deployed. July Lead' role will be more 'customer          Countywide    Project
                          07 - Re-emphasis placed on Service        driven' in order to focus on 'Trust
                          Lead to identify & engage with key        issues. Aug 07 - Senior Customer to
                          stakeholders. July '07 Engage with        issue 'Brief' to Key Stakeholders
                          Trust management/clinical leads to raise outlining project and emphasising
                          'awareness' amongst stakeholder           need for stakeholder 'buy-in'. Sep 07 -
                          community                                 Trust input doubled to 4hrs per week
                                                                    for 4 people (16 hrs) - Supplier to
                                                                    reassess timescale for delviery based
                                                                    on this new input level - potential
                                                                    extension of timescale for delivery.




                                                                    4/9/07 100% Delivered - 97%
                          2/3/07 Updated figures: 54 Printers 16
                                                                    Installed
                          trays
                                                                    4/7/07 100% delivered - 83% installed
                          13/12/06 Reported to IT that we need 50
                                                                    1/6/07 100% delivered - 77%
                          ptrs and 15 trays. To follow up in
Treat / Reduce / Mitigate                                           installed                             PCT (incl GP)       Project
                          January
                                                                    30/4/07 98% delivered - 54% installed
                          Situation being monitored using printer
                                                                    2/4/07 96% Delivered 50% Installed
                          spreadsheet and direct communication
                                                                    28/1/07 84% of the printers have been
                          with GP Surgery staff.
                                                                    delivered and 32% have




                          10/04/2007 - Forward planning and
Treat / Reduce / Mitigate advanced booking of training                                                    Countywide      Project
                          resources.



                          5/9/2007 - Passed to IT to assess         5/9/2007 - Passed to IT to assess
                          the extent of the problem. Flash v9 is    the extent of the problem. Flash v9
Treat / Reduce / Mitigate part of the standard build. Awaiting      is part of the standard build.      Countywide        Project
                          confirmation that v9 is suitable for      Awaiting confirmation that v9 is
                          training requirements.                    suitable for training requirements.
                                                                      10/10/2006 - Currently being
                            10/10/2006 - Currently being investigated
Treat / Reduce / Mitigate                                             investigated in the test environment by Acute   Project
                            in the test environment by Mike Davies.
                                                                      Mike Davies.




                                                                     The action of preventing the entry of
Treat / Reduce / Mitigate                                            NHS numbers at point of registration    Acute    Project
                                                                     has been ruled out by the board.




                                                                     22/10/2007 - Transferred to follow on
                          04/01/2007                                 actions
Treat / Reduce / Mitigate                                                                                    Acute    Project
                          No orders in process. Monitor.             Pressure on Supplies to process
                                                                     orders with appropriate priorities.




                          26/03/2007 - If the planned method
                                                             28/08/2007 - Workaround
                          cannot be implemented then we will
Treat / Reduce / Mitigate                                    implemented - use of module to                  Acute    Project
                          revert back to use of the Capula
                                                             merge records.
                          module.




                          (31 Jul 06)
                          Where use of laptops agreed the
                          following: Physical security mechanisms
                          to be agreed prior to deployment and
Treat / Reduce / Mitigate staff made aware of mechanisms to be                                               Acute    Project
                          used. Data security (e.g. no information
                          on hard disk) and associated good
                          practice to be agreed and communicated
                          to staff prior to deployment.
                            (31 Jul 06)
                            V32 will be tested specifically (via Clinical
Treat / Reduce / Mitigate                                                                                          Acute                Project
                            Informatics) on ADT modules prior to
                            release.




                          31/7/07 - Ensure Prince 2 guidelines are
                            followed to ensure a controlled project
                             environment - Monitor the BC where
                                            applicable.
                            1. Project Executive & Senior Users to
                           contribute to expectation management.
                             2. Change management work-stream
                                           within project.
                          3. Plan to be generated an early stage of
                                  project and communicated to
                                                                            31/7/07 - Note to reference PRC
                                           stakeholders.
Treat / Reduce / Mitigate                                                criteria to ensure a controlled startup           Countywide       Project
                             4. Adequate planning mechanisms –
                                                                        before proceeding onto the next stage.
                              iterative planning sessions between
                          senior management prior to formal start-
                                                 up.
                          5. Communication Plan defines series of
                           regular, targeted and variety of types of
                             communication techniques to ensure
                            staff affected by change are kept up to
                          date of plans, actions, their role in project
                                 and impact of desired changes.




                          2/8/07 1. Service functionality agreed as
                             a primary stage within project and
                                                                     3/10/07 - Meetings have now taken
                                     formally signed off.
                                                                     place at both board and team level.
Treat / Reduce / Mitigate 2. Functionality and associated outputs                                                          Countywide       Project
                                                                    The project outputs have been clearly
                            used as a formal measure of project
                                                                      stated and hopefully understood.
                                          progress.
                              2/8/07 1. Communication Plan – to
                            articulate changes in working practice
                                that will occur as a result of the
                            introduction of new service processes
                                 and supporting clinical system.
                           2. Communications to be backed up by
                                                                        3/10/07 We have had several user and
                              information on training, post go live
                                                                          board meetings now which included
                            support and updates on benefits when
                                                                           discussions surrounding change
                          they start to be accrued to highlight worth
                                                                                     management
Treat / Reduce / Mitigate                of change over.                                                            Countywide   Project
                                                                         29/8/07 Senior user meeting at WRH
                                  3. Benefits Plan (via Change
                                                                           to discuss new working practices
                            Management) to specify metrics to be
                                                                         Aug 07 Visit to Cheltenham by senior
                               used to monitor progress towards
                                                                         users to see working system in place
                                        desired benefits.
                             4. Heads of Depts, as champions, to
                          ensure that staff are adequately updated,
                           trained and provided access to support
                                   available in use of system.




                                                                     25/10/07 Admin guides emailed out to
                                                                     CK also CK has suggested 3 Admins.
                                                                     Gail Preece (Community) Janet Turner
                             2/8/07 1. Project Executive to secure
                                                                          (Acute) Clare Kambal (Acute)
                            names and ensure new job description
                                                                      3/10/07 - Administration roles have
                                      included within role.
Treat / Reduce / Mitigate                                               been discussed and although not             Countywide   Project
                            2. JD available from ICNet on activities
                                                                       formally accepted at this point it is
                                           expected.
                                                                         envisaged that there will be one
                                                                         administrator in the community
                                                                      department and the other two in the
                                                                                acute department




                              2/8/07 1. Ownership of adequately
                              developed plan to be signed off by                25/10/07 We have good
                                       Project Executive.                communications with the supplier and
                            2. Supplier (ICT) has provided outline      their Project Plans match our own with
                               template plan based on previous            the customers interests at heart, we
                            implementations and that provided by                  are steering this plan.
Treat / Reduce / Mitigate system Supplier. This will be used as            3/10/07 - The PID and Icnet project      Countywide   Project
                           framework from which detailed plan will      plan is to be tabled at the project board
                                         be developed.                   meeting on the 5th October - this will
                          3. Plan will now be adapted for local use     be signed off and the project executive
                          by Service Project Manager in discussion          should at this point agree to take
                                   with ICT Project Manager                             ownership.
                           2/8/07 1. Acute Trust management and       6/10/07 Board meeting went well.
                            Dept Senior management to stress to       Training time will be given to staff,
                          users the importance of using the system although it will be around the xmas
                            and that usage will be monitored and                    period.
                             addressed if poorer than expected.        3/10/07 - Project board meeting
                          2. Training Plan to ensure coverage and planned for the 5th October - which will
Treat / Reduce / Mitigate   progress in training is evenly spread     cover project plan and timescales.           Countywide       Project
                                      across locations.              25/7/07 ICNet demonstration raising
                          3. Backup / refresher training / materials              awareness
                             to be made available post training.     19/7/07 Senior users meeting raising
                          Super Users to monitor use of system on                 awareness
                               ward post go live to ensure that        10/7/07 Kick off meeting raising
                               consistent use by all ward staff.                  awareness




                                                                       3/10/07 All meetings up to this date
                                                                     have had a good attendance from both
                                                                       users and board members showing
                             2/8/07 1. Configure project board and
                                                                        that resources are available when
                                  team appropriately, maintain
                                                                                     required.
Treat / Reduce / Mitigate     communication to promote ongoing                                                     Countywide       Project
                                                                         19/7/07 Senior users meeting to
                             commitment, monitor attendance and
                                                                      confirm roles and further expand on
                                  response to task allocations.
                                                                             stakeholders involvement
                                                                      10/7/07 Kick off meeting establishing
                                                                           and confirming project roles




                                                                     3/10/07 Initial indications are that this
                                                                       system could be in place for early
                                                                     January, thus allowing the community
                                                                       department an implementation as
Treat / Reduce / Mitigate                                                             planned                      Countywide       Project
                                                                     29/8/07 Spoke with Carole Clive at the
                                                                      WRH meeting they are happy to go
                                                                        live at the start of a new quarter.
                                                                             Aiming for January 2008




                                                                     (28 Feb 07)
                          (29 Mar 07)
                                                                     Use of system for training, staff
                          Ensure interface specification identifies
Treat / Reduce / Mitigate                                            practice, content anglacisation all    PCT (incl GP)       Project
                          any disruption known or potential for this
                                                                     contributes to checking against impact
                          against existing systems.
                                                                     on other systems.


                            13/07/05 - understood that               13/07/05 - understood that
                            (hosting) Acute Trust finance dept       (hosting) Acute Trust finance
                            will confirm overall budget.             dept will confirm overall budget.
Treat / Reduce / Mitigate                                                                              Countywide               Project
                            Requires Dir. ICT Services to            Requires Dir. ICT Services to
                            confirm configuration of the             confirm configuration of the
                            budget.                                  budget.
                                                                      (29 Aug 07)
                          (6 Jun 06)                                  Pilot 4 - Meeting Papers: Information
                          DWM application is installed for            Governance group in PCT to use
                          interested parties to contribute to view,   system, V 7.3.1.0.
Treat / Reduce / Mitigate                                                                                   Countywide      Project
                          feedback and potential of the system,       Pilot 5, Department Post: PCT Exec‟s
                          feedback to Project Board for               office using system.
                          consideration.                              Local Application Support and IT
                                                                      Training Dept supporting work.




                                                                      (04 Oct 07)
                                                                      Web & Taxonomy Project is separate
                          (25 Jun 07)
                                                                      piece of work, leaving purely DWM
Treat / Reduce / Mitigate Pilot Project extended to run to August                                           Countywide      Project
                                                                      work to this project.
                          07 to enable completion.
                                                                      Awareness session held on 18th Sep
                                                                      07.




                                                                      Review of IT requirement underway.
                                                                      Aug 07 - initial costs submitted to
                                                                      Senior Supplier (John Thornbury).
                          Identify urgently full requirement of kit   Aug 07 Mtg planned with Ian
Treat / Reduce / Mitigate (inc network & power) & submit bid for      McGregor to discuss RTBM funding / Countywide         Project
                          funding                                     Transfer to Maternity Project. Sep 07 -
                                                                      Mtg Planned to identify potential
                                                                      'duplication' of requirements for
                                                                      Maternity, RTBM and Theatre projects.




                          6/06/2007 - Workaround from a feed          31/07/2007 - Exeter extract
                          provided by Nick Bayes to fulfil            passed to development team. This
                          project requirements.                       will be adequate for project needs.
Treat / Reduce / Mitigate 26/03/2007 - A feed is being                Closing Risk                        Acute             Project
                          developed with the PCT isung DTS            6/06/2007 - Workaround from a
                          messaging. Investigation of the use         feed provided by Nick Bayes to
                          of this is in progress.                     fulfil project requirements.



                                                                      (29 Mar 07)
                          (5 Jul 07)
                                                                      Service involvement continues to be
                          Communication performed via monthly
                                                                      excellent. Maintain this to keep
Treat / Reduce / Mitigate nurse team meetings, weekly conf calls                                            PCT (incl GP)   Project
                                                                      stakeholder group informed of
                          on hold.
                                                                      progress/plans.
                                                                   21/10/05 - Understood (SUS
                                                                   PbR Release Schedule) SUS
                            21/10/05 - Understood (SUS PbR
                                                                   PbR to be available regulalry
                            Release Schedule) SUS PbR to
                                                                   from end of Nov 05.
                            be available regulalry from end of
                                                                   Acute Trust confirm that able to
                            Nov 05.
                                                                   provide ClearNet data to feed
                            Acute Trust confirm that able to
Treat / Reduce / Mitigate                                          PbR.                             Countywide           Project
                            provide ClearNet data to feed
                                                                   02/11/05 - DoH letter (gateway
                            PbR.
                                                                   No 5723) indicates that SUS
                            02/11/05 - DoH letter (gateway
                                                                   PbR will not be used as
                            No 5723) indicates that SUS
                                                                   11/12/06 McKesson adopted as
                            PbR will not be used as
                                                                   provider for SUS feeds. Now
                                                                   out of project scope




                                                                   05/02/07 - New governance
                                                                   arrangements agreed by Programme
                            14/11/06 - provide recommended
                                                                   Board on 12th January 07.14/11/06 -
                            governance rrangements to
Treat / Reduce / Mitigate                                          Document with recommended           Countywide        Dir's Dept
                            Worcestershire Trusts. New Board
                                                                   governance arrangements provided to
                            conveningJan o7
                                                                   Trusts. PCT Prgogramme Board
                                                                   arranged.




Treat / Reduce / Mitigate Check with all gp suppliers on this                                            PCT (incl GP)       Project




                                                                28/2/07 Closing as this is no longer a
                                                                risk
                                                                3/1/07 Tracking database and SHA
                          Ensure RA agents are aware of the new reports are now reflecting the one
Treat / Reduce / Mitigate code, consuilt with the SHA - I have  organisation                             PCT (incl GP)       Project
                          emailed Rob Neill just to confirm.    17/11/06 New code will be used, and
                                                                can be changed in bulk by agents
                                                                Sept 2006 Confirmed the new
                                                                organisation code (5PL) and infor




                                                                   22/1/07 Dave is promoting the
                          Closely monitor the system suppliers and
                                                                   software and aiding sites on
Treat / Reduce / Mitigate the roll outs for both the GPs and                                             PCT (incl GP)       Project
                                                                   implementation where possible this
                          Pharmacists
                                                                   helps to raise awareness.
                                                                     30/4/07 SHA have confirmed nurse
                                                                     prescribing will be in Release 2
                                                                     2/3/07 There is still no clear
                                                                     information from CfH, GP suppliers or
                            Monitor information released by the      Pharmacy suppliers at this point in
Treat / Reduce / Mitigate                                                                                   PCT (incl GP)       Project
                            suppliers                                time
                                                                     22/1/07 Target resolution date
                                                                     changed
                                                                     3/1/07 Starting to investigate Phase 2
                                                                     p




                          9/5/07 Ensure strong communication
                          channels with both SHA and system
                                                                     4/7/07 CfH have not selected
                          suppliers. Confirm as a contingency that
                                                                     Worcestershire PCT as an early
Treat / Reduce / Mitigate Release 2 can be switched off or                                                 PCT (incl GP)        Project
                                                                     implementor so this risk has been
                          bypassed allowing business continuity in
                                                                     reduced accordingly
                          the event of major issues. Ensure
                          contingency plans are kept up to date




                                                                    10/8/07 The B0278 code has now
                                                                    been added to admin staff (ie.
                          9/5/07 - I have contacted the SHA / CfH
                                                                    receptionists) at GP surgeries -
                          and they are still looking into this, the
                                                                    reduced risk accordingly
Treat / Reduce / Mitigate B0240 Prescribe code could be added to                                            PCT (incl GP)       Project
                                                                    4/7/07 Jason Clarke has stated that
                          any selected staff – although CfH are
                                                                    with Release 2 it is envisaged that non
                          again checking in to this.
                                                                    clinical staff will be able to add
                                                                    medication and this will




                          9/5/07 Ensure strong communication
                          channels with both SHA and system
                                                                     4/7/07 CfH have not selected
                          suppliers. Confirm as a contingency that
                                                                     Worcestershire PCT as an early
Treat / Reduce / Mitigate Release 2 can be switched off or                                                 PCT (incl GP)        Project
                                                                     implementor so this risk has been
                          bypassed allowing business continuity in
                                                                     reduced accordingly
                          the event of major issues. Ensure
                          contingency plans are kept up to date




                          10/04/2007 - Involving all
                          organisations and encouraging cross
Treat / Reduce / Mitigate                                                                                  Countywide       Project
                          organisation discussion and
                          approach.
                          10/04/2007 - Outside of local control.
                          Continued monitoring and
Treat / Reduce / Mitigate                                                                                 Countywide       Project
                          communication with
                          National/Regional teams.




                          10/04/2007 - Registrations of Project    02/05/2007 - Closing risk.
                          Manager as an additional lead to         30/04/2007 - Project Manager is
Treat / Reduce / Mitigate                                                                                 Countywide       Project
                          ensure communications are                now registered and receiving
                          delivered directly to the project.       comunications.




                          10/04/2007 - Early involvement of all    31/05/2007 - Letter sent to
                          organisations to ensure that             organisation asking for confirmation of
Treat / Reduce / Mitigate                                                                                  PCT (incl GP)   Project
                          requirements are correctly assessed      commitment of resources for various
                          and planned for.                         aspects of the work




                                                                31/05/2007 - Set to low as Rob
                                                                Neill already has plans for handling
                          10/04/2007 - Early involvement of all
                                                                this which should not effect the
                          organisations to ensure that
Treat / Reduce / Mitigate                                       project.                             Countywide            Project
                          requirements are correctly assessed
                                                                16/05/2007 - Initial discussions
                          and planned for.
                                                                with Rob Neill to assess possible
                                                                impact.




                                                                31/05/2007 - Set to low as acute
                                                                trust was late to issue any
                          10/04/2007 - Early involvement of all certificates so expiry is not
                          organisations to ensure that          expected within the project
Treat / Reduce / Mitigate                                                                                 Countywide       Project
                          requirements are correctly assessed timescales.
                          and planned for.                      16/05/2007 - Initial discussions
                                                                with Rob Neill to assess possible
                                                                impact.
                                                                    31/05/2007 - Set to low as the
                          10/04/2007 - Early involvement of all     numbers of staff involved are very
                          organisations to ensure that              small.
Treat / Reduce / Mitigate                                                                              Countywide     Project
                          requirements are correctly assessed       16/05/2007 - Initial discussions
                          and planned for.                          with Rob Neill to assess possible
                                                                    impact.




                                                                    28/08/2007 - The recoring of all paper
                                                                    case notes and locations in electronic
                                                                    records post merger has been
                          04/01/2007                                confirmed and checked. Closing Risk.
                          1) Heather Warner to re-communicate
                          policy and process to merge staff.        It has been agreed that the seperation
Treat / Reduce / Mitigate                                                                                   Acute     Project
                          2) recording of electronic mergers when   must happen, as there are not enough
                          they take place so that paper mergers     resources to cary out both tasks in one
                          can follow as required.                   go. Paper docs will be banded
                                                                    together when electronically merged
                                                                    by staff. Bulk mergers will have to be
                                                                    seperated.




                                                                    28/08/2007 - Investigations were
                                                                    completed and corrections made as
                                                                    required. The change in approach to
                                                                    merge by NHS number has also
                                                                    reduced issues arround NHS number
                            Ongoing - awaiting results of           use. Any further work is out of scope
Treat / Reduce / Mitigate                                                                                    Acute    Project
                            investigations.                         and will form part of another project.

                                                                    Investigation into modules to ensure
                                                                    that NHS number and hospital number
                                                                    are displayed on all relevant
                                                                    screens/reports/paper work.




                                                                    10/10/2006 - It has not been posible to
                                                                    implement the restrictions due to a
                                                                    system limitation in Oasis, and the
Treat / Reduce / Mitigate Quote requested from Capula.                                                        Acute   Project
                                                                    probability of this happening is slim. As
                                                                    this is unlikely to happen the risks
                                                                    associated are less significant.
                                                                        10/10/2006 - It has been
                                                                        established that no new entries are
                                                                        being made on the ward by
                                                                        untrained staff. They are being
                          04/01/2007 -
                                                                        handled by the usual A&E and
                          1) Monitor data entry for issues.
Treat / Reduce / Mitigate                                               admission staff so this is a greatly Acute                 Project
                          2) Identify areas of fault.
                                                                        reduced risk.
                          3) Target training.
                                                                        28/7/2006 - Work is currently
                                                                        being undertaken to estimate
                                                                        levels of input impact and possible
                                                                        preventative work.


                          (31 Jul 06)
                          Business Case sets out desired outputs
                          outcomes in high level terms and outputs
Treat / Reduce / Mitigate in detail, respectively. PID to include                                            Acute                 Project
                          agreed Customer Quality Expectations
                          project objectives which must articulated
                          in communications.



                          (31 Jul 06)
                          Benefits Realisation an identified work
Treat / Reduce / Mitigate                                                                                    Acute                 Project
                          stream (via Change Management) within
                          the project plan

                           Ensure that system is compliant
                           or that compliance will be
                           available in the next 12 months.             (08 Jun 06)
Tolerate / Accept                                                       Supplier informed that they must make Acute                Project
                                                                        the software compliant




                           (08 Jun 06)                                  (08 Jun 06)
Tolerate / Accept          Ensure that once available that the          Supplier informed that they must make Acute                Project
                           guidance coding is used by the system.       the software compliant



                          (08 Jun 06)
Treat / Reduce / Mitigate Ensure that all staff required are given as                                        Acute                 Project
                          much notice as possible ahead of time.




                          2/8/07 1. Technical specification agreed
                                                                   29/10 DG has contact I.T about active
                           as a primary stage within project and
                                                                     Sync - still to contact regarding the
                                     formally signed off.
                                                                           Desktop Icon to ICnet
Treat / Reduce / Mitigate 2. Functionality and associated outputs                                                     Countywide       Project
                                                                    3/10/07 - Meetings with senior users
                            used as a formal measure of project
                                                                   and system supplier have taken place
                                          progress.
                                                                                to agree these.
                          2/8/07 1. Training Lessons Plans
                          – developed to highlight (a)
                          benefits of electronic capture
                          over maintaining paper based     30/10/07 We are moving directly to the
                          systems, (b) reduction in                      Main Server.
                          duplicate entry necessary with    3/10/07 - It is expected that the loan
Treat / Reduce / Mitigate                                     server will promote good working                     Countywide   Project
                          system use, and (c) the
                                                              practices once the users start to
                          reduction of associated           formally use it. This will include the
                          communications necessary when         production of standard codes
                          equivalent basic data entered on
                          system – to other departments,
                          staff etc..)



                              2/8/07 1. Although system uptime is
                           expected to be high, a Continuity Plan is
                            required (via Change Management) in
                           event of system failure. To include start
                          up processes for getting data into system
                                                                        3/10/07 - The main contingency plan
                          from period of down-time. Likely to need
                                                                       as specified in the PID is to revert back
                            to use paper based system – extreme
                                                                         to current working ways, there are
Treat / Reduce / Mitigate      danger that staff then retain paper                                                 Countywide   Project
                                                                        regular system backups taken which
                            system after electronic system back up
                                                                        has already been discussed with the
                                          and running.
                                                                                     server team.
                             2. Support will be required input data
                             backlog – managed via service leads.
                             3. Continuity Planning to be a specific
                                       stage within Plan.




                          2/8/07 1. Invitation to Training letter to be
                             sent to relevant staff involved should
                           highlight the benefit from basic PC skills
                          training available prior to system training.
                                 2. Associated risk – it would be
                          preferable to have a mini Training Needs
                                                                        25/0/07 Dave is actively promoting and
                               Analysis conducted on staff to be
                                                                        showing users how to use and access
                               involved. However, there may be
                                                                           the "new" shared network drive -
                           inadequate time - therefore reliant upon
                                                                                  increasing staff skills.
                             staff nominating themselves. „Senior
Treat / Reduce / Mitigate                                                3/10/07 - Even at these early stages      Countywide   Project
                          Users‟ to check lists of those put forward
                                                                            staff are aware that they will be
                           for basic PC training in case some staff
                                                                          required to attend training this has
                               are missing based on Senior User
                                                                           been conveyed during the recent
                                     knowledge of staff skills.
                                                                                        meetings
                            3. Additional expected positive spin off
                          anticipated - enhanced use of knowledge
                            based services available in county and
                               greater communication routes via
                              intranets, e-mail, on line alerts etc..
                                                                   4/9/07 Spoke with Katie at ICNet - this
                                                                       is not possible - although initial
                                                                   configuration is undertaken by them -
Treat / Reduce / Mitigate                                          so on going maintainance is all that is           Countywide       Project
                                                                                   required
                                                                     29/8/07 Users concerned that this
                                                                              would be required



                                                                04/09/07
                                                                IT engagement proved good to
                                                                date, in respect of Bluespier
                            04/09/07                            system server migration and
                            End user support process will be end user icon deployment.
Treat / Reduce /            via internal IT/Application support System user account
                                                                                                                       Acute         Project
Mitigate                    processes, escalated to Supplier management and application
                            level as appropriate.               support processes being
                                                                reviewed for management
                                                                within local processes (IT
                                                                Helpdesk and Application
                                                                Support Team).



                                                                   (26 Apr 07)
                          (07 Dec 06)
                                                                   System now live with interface in
Treat / Reduce / Mitigate No product acceptance without single                                               PCT (incl GP)        Project
                                                                   place. Documentation to be followed
                          agreed interface specification.
                                                                   up, chased 24/4/07.



                                                                 (26 Apr 07)
                          (29 Mar 07)
                                                                 Service has an agreed training pack
                          Consideration to guidance on processes
Treat / Reduce / Mitigate                                        and guidance on when not to triage          PCT (incl GP)        Project
                          e.g. for data capture and recording
                                                                 with CECC product. OOH Matron
                          required.
                                                                 leading on this work.



                                                                   (7 Jun 07)
                            (13 Dec 06)
Treat / Reduce / Mitigate                                          PM requested definitive statement re      PCT (incl GP)        Project
                            McKesson considering skills tranfer.
                                                                   SQL DBA role, awaiting response.




                            25/05/05 - Understood that             25/05/05 - Understood that
                            development has commenced.             development has commenced.
                            Expect delivery in August. No          Expect delivery in August. No
Treat / Reduce / Mitigate   other options available. October       other options available.         Countywide                    Project
                            06 Example functionality created       October 06 Example
                            by another Health Economy              functionality created by another
                            available                              Health Economy available




                          (04 Oct 07)
                                                                   (31 Oct 07)
                          Virtual server platform implemented by
Treat / Reduce / Mitigate                                          System checked/tested on new virtual Countywide                Project
                          local IT. Folding Space installed app
                                                                   server, functioning.
                          software. System testing in progress.
                          (29 Aug 07)                                    (29 Aug 07)
                          Knowledge Management will manage               Local Application Support Team will
                          taxonomy. Application Support will             support the users. IT Training team will
Treat / Reduce / Mitigate                                                                                         Countywide    Project
                          support application e.g. weed support          train users. System problems that
                          calls, set Administrators, Designers,          cannot be addressed locally will be
                          leavers.                                       escalated to the supplier.




                          9/5/07 – At the last SHA / CfH board
                          meeting it was suggested that this will        16/5/07 - Jason confirmed funding will
                          come from a “central pot” although as yet      come centrallyfrom the GPSOC
Treat / Reduce / Mitigate                                                                                       PCT (incl GP)       Project
                          I am unable to confirm this and currently      9/5/07 - Emailing Jason Clarke CfH
                          seeking advice from Jason Clarke - CfH         EPS lead for clarification
                          EPS Lead.




                          6/6/2007 - Using NSTS foir data
                          checking.
                                                                         31/7/2007 - Data checker in place and
                          10/04/2007
                                                                         working on data. Much of the work is
                          We now have all data back from
                                                                         being automated. Reducing Risk.
                          VisionWare that we are going to. The
                                                                         04/01/2007 - On hold until staff
                          changed plan to use the data means that
                                                                         requirements are re-assesed.
                          there will be a smaller staff input required
                                                                         20/10/2006 - Project board to provide
                          and some can be automated. It can
                                                                         staff for data checking via Jas
Treat / Reduce / Mitigate potentially be handled wirthin the existing                                           Acute           Project
                                                                         Cartwrights team.
                          team.
                                                                         20/09/2006 - Escalated to project
                          04/01/2007
                                                                         board.
                          1) Identification of staff needed.
                                                                         25/05/2006 - Work is currently being
                          2) Consulation with responsible
                                                                         undertaken to estimate levels of input
                          managers
                                                                         required, and to ensure that the
                          3) Alocation of Staff
                                                                         resources are available.
                          4) Escalation to Project Board if
                          requirements are not met




                                                             31/07/2007 - NSTS, MACS and
                                                             Oasis Data sufficient for matching
                          26/03/2007 - Investigate use of
                                                             needs. Closing Risk
                          NSTS for PAF matching. Investigate
Treat / Reduce / Mitigate                                    6/06/2007 - NSTS matching          Acute                           Project
                          additional licence for local PAF
                                                             proves to be working sufficiently
                          database matching.
                                                             that a PAF licence may not be
                                                             required.




                            26/03/2007 - Request input from              31/7/2007 - Time scales and
Treat / Reduce / Mitigate                                                                                       Acute           Project
                            Project Board                                deadline agreed. Closing Risk.
                                                                    6/10/07 Board attended yesterday and
                                                                             showed commitment.
                            2/8/071. Recruitment of appropriately
                                                                        3/10/07 Another Project board
                              engaged Project Board Members.
                                                                        meeting has been arranged for
                          Briefing to ensure their understanding of
                                                                                   5/10/07.
                             roles is clear. Highlight that Project
                                                                     29/8/07 Project board and users are
                          Board cannot delegate ownership of their
Treat / Reduce / Mitigate                                               engaging well in meetings and                 Countywide   Project
                              decision making to Service Project
                                                                               communications
                                           Manager.
                                                                       19/7/07 Senior users meeting to
                          2. Purpose and clear benefits of using a
                                                                     confirm roles and further expand on
                          controlled mechanism to manage project
                                                                           stakeholders involvement
                                    is relayed and agreed.
                                                                     10/7/07 Kick off meeting establishing
                                                                         and confirming project roles




                            2/8/07 1. Ensure appropriate technical
                                                                              30/10/07 We have had a positive
                          staff committed to relevant work streams.
                                                                            response when required from the I.T
                              2. Confirmation of technical support
                                                                                            Dept.
                                being gained by ICT Programme
                                                                              3/10/07 The loan server is now in
                           Manager through Senior Supplier (ICT -
                                                                               place, backup plans have been
Treat / Reduce / Mitigate    Ian McGregor) prior to official project                                                  Countywide   Project
                                                                            discussed, network shared area has
                                             start up.
                                                                                        been created.
                           3. Ensure details of out of hours support
                                                                           3/9/07 DG has started to engage both
                            identified prior to start up and this is in
                                                                          the desktop and server team regarding
                              the communications plan and listed
                                                                                       the project etc.
                            under contact sheets next to each PC.




                                                                          5/10/07 Project Board have signed off
                                                                                         the PID
                               2/8/07 1. Benefits Realisation an          3/10/07 PID has been completed and
Treat / Reduce / Mitigate     identified work stream (via Change          we are awaiting sign off at the project     Countywide   Project
                              Management) within the project plan           board meeting on the 5th October.
                                                                          30/7/07 PID in final draft - this details
                                                                                       the benefits




                                                                          5/10/07 Icnet showed the PDAs off at a
                                                                          quick demonstration - the project team
                                                                                   were satisfied with this.
                                                                          4/9/07 DG has confirmed that the Icnet
Treat / Reduce / Mitigate                                                                                             Countywide   Project
                                                                            PDS Software is a cut down version
                                                                               and the screens should not be
                                                                            cluttered. Also Icnet did not supply
                                                                                   Cheltenham with PDAs
                                                                        30/10/07 After meetings held since
                                                                       September this is no longer a risk and
                                                                               as such DG is closing
                                                                      4/9/07 Spoke with Katie at ICNet - this
                                                                             is not the case, although
Treat / Reduce / Mitigate                                                                                              Countywide       Project
                                                                      recommended to keep the lists as tight
                                                                          as possible to improve system
                                                                                    performance
                                                                         29/8/07 Users conveyed that the
                                                                               system may be limited




                          (31 Oct 07)
                                                                      (04 Oct 07)
                          IT Training supporting
                                                                      Draft training Plan created. Virtual
                          deployment/training. User Manual
                                                                      server configured, new users will be on
Treat / Reduce / Mitigate produced and reflected within online Help                                           Countywide            Project
                                                                      new server, existing users will migrate
                          feature, Training approch agreed (two
                                                                      to new server at next software
                          levels of user and Designer), local
                                                                      upgrade.
                          Application Support agreed.




                          (30 Jul 07)                                 (04 Oct 07)
                          Local IT change control process             Virtual servers installed by local IT,
Treat / Reduce / Mitigate                                                                                       Countywide          Project
                          introduced, any technical changes to go     supplier installation of application
                          via that process.                           software done.




                                                                      The IT requirements is dependant
                                                                      upon any revised business processes
                                                                      that may manifest themselves.
                                                                      Therefore undertake a review of the IT
                                                                      requirements once new business
                                                                      process have been agreed. Jun, 07 -
                                                                      request to midwife leads to identify kit
                                                                      requirements. June 29 - Cost
Treat / Reduce / Mitigate Initial requirement underway                                                         Countywide           Project
                                                                      implications referred to JT for advice.
                                                                      15th July - Trust Service Lead in
                                                                      process of identifying I.T Kit
                                                                      Requirements - final statement
                                                                      anticipated End July. Aug 07 - Iniital
                                                                      costings (circa £70000) referred to
                                                                      Senior Supplier (John Thornbury) - no
                                                                      apparent issue with costs




                                                                      (1st Aug 06)
                            (11th Oct 06)                                                                                           Knowledge
Treat / Reduce / Mitigate                                             Estates rep advised to contact            Countywide
                            Estates rep liaises with WHICTS                                                                         Management
                                                                      WHICTS




                                                                      (6th Jul 07) Estates aware. No
                            (6th Jul 07) Locate alternative storage                                                                 Knowledge
Treat / Reduce / Mitigate                                             definite plans for re-allocation of       Countywide
                            area                                                                                                    Management
                                                                      PGMC.
Treat / Reduce / Mitigate




                                                                       01/08/07 Require urgent Approval to
                          (01.08.2007)                                 recruit owing to escalation in
                          Complete vacancy impact- form,               projects where I T Training is
                          Aduit current schedule of                    necessary. I cannot commit to
Treat / Reduce / Mitigate                                                                                  Countywide     ICT Training
                          commitments                                  timescales for Priority 1 projects
                          Update other HOD of                          owing to staff resources
                          commitment/capcity                           01/09/2007 ATR received Advert out
                                                                       externally




                            Risk closed due to duplication with
                                                                                                          PCT (incl GP)   Project
                            W12005.




                            Closed due to duplicatation with W12003.                                      PCT (incl GP)   Project




                            Scope of project does not include
                            changing approach to demographic                                              PCT (incl GP)   Project
                            extract loading.




                            (27 June 06) Closed due to duplication
                                                                                                          PCT (incl GP)   Project
                            with W12013.




                          (10 Oct 06)                                  (10 Oct 06)
Treat / Reduce / Mitigate Quality Log produced detailing quality       Quality Log produced (approx 80    Countywide      Project
                          checks for product delivery.                 checks listed so far).




                            (10 Oct 06)
                                                                       (10 Oct 06)
Tolerate / Accept           Business continuity ensured as pilot not                                      Countywide      Project
                                                                       None required.
                            replacing any operational practice.
                          (10 Oct 06)
                                                                       (10 Oct 06)
Treat / Reduce / Mitigate Business continuity ensured as pilot not                                             Countywide        Project
                                                                       None required.
                          replacing any operational practice.


                          (28 Feb 07)
                                                                       (29 Mar 07)
                          Software deployment in operational
                                                                       Some system install done in
Treat / Reduce / Mitigate setting required to enable practice on                                               PCT (incl GP)     Project
                                                                       operational environmnet at WRH and
                          system to maintain skill level gained at
                                                                       KH, to be continued.
                          training, and interest in system.



                           (28 Feb 07)
                           Achieve adequate implementation by end (28 Feb 07)
Tolerate / Accept          of April for go-live in May. Matron can Service team has maintained interest        PCT (incl GP)     Project
                           make/authorise content changes from     and enthusiasm.
                           that time.




                          (10 Oct 06)                                  (31 Jan 07)
                          Ensure Adastra and CECC can run              Each of the Adastra, CECC or
                          independently of each other in event of      telephony VIP systems can be run
Treat / Reduce / Mitigate                                                                                      PCT (incl GP)     Project
                          one failing.                                 independently of the others. This has
                          Investigate and assess hard copy down        been tested with the installs done to
                          time forms.                                  date.




                          (10 Oct 06)                                  (28 Feb 07)
Treat / Reduce / Mitigate Review Business Case. Build items into       Pro Mgr to update and maintain quality PCT (incl GP)      Project
                          Quality Log as appropriate.                  log.




                                                                       (31 Jan 07)
                           (31 Jan 07)                                 All software and install instructions are
                           Duplicate hardware will not be removed      on site and have been tested. Training
                                                                                                                 PCT (incl GP)   Project
                           until software is installed and tested at   venues and key locations already
                           the workstation.                            installed.




                                                                       (28 Feb 07)
                          (10 Oct 06)
                                                                       Pathology Benefits Realisation
                          Change and Benefits Management
Treat / Reduce / Mitigate                                              document used as template, OOH doc PCT (incl GP)          Project
                          document in production, updated draft
                                                                       produced and updated and supplied to
                          with Proj Exec.
                                                                       Pro Exec / Clinical Director.




                           Template plan developed and adapted
                           for local use by Customer Project
                           Manager in discussion with NHS ICT    Shared plan updated by Supplier PM
                                                                                                               PCT (incl GP)     Project
                           Project Manager, NHS Technical        following weekly conference call.
                           Support, McKesson Project Manager and
                           McKesson Technical Support.
System has been used elsewhere but not
interfaced with Adastra or in the UK,
therefore as a developmental project a
series of stage checks will be defined
based on the Customer Quality                PCT (incl GP)   Project
Expectations and Statement of Need.
As the OOH team is relatively small it is
expected this will allow adaptation
decisions to be made more rapidly.




Responsibility of General Manager and
                                             PCT (incl GP)   Project
Operations Manager




Hardware required is fully defined in pre-
                                             PCT (incl GP)   Project
install checklist supplied by McKesson.




Business Case and Statement of Need
set out desired outcomes in high level
terms and outputs in detail, respectively.
PID to include agreed Customer Quality       PCT (incl GP)   Project
Expectations and project objectives
which must in due course be shared and
agreed with the chosen supplier.




Recruitment of appropriately engaged
Project Board Members. Briefing to
                                             PCT (incl GP)   Project
ensure their understanding of roles is
clear.




Ensure appropriate technical staff
committed to relevant work streams.
Confirmation of technical support being
                                             PCT (incl GP)   Project
gained by ICT Programme Manager
through Senior Supplier (ICT Director)
prior to official project start up.
Protocols checked and authorised for use
by Medical Director. Clinician colleagues
                                                                                  PCT (incl GP)    Project
to assist with less critical detail e.g.
health information.




Internal system, SSL not required. Was
listed in McKesson documentation as                                               PCT (incl GP)    Project
standard content.




Robust contingency plan.
Robust User Acceptance Testing.
Ensure use of Adastra system in isolation
still available with hard copy of                                                 PCT (incl GP)    Project
knowledge bases.
Go Live date not committed to „public‟ to
early.


McKesson providing training
documentation.
Post project training to be covered
through Train the Trainer mechanism by                                            PCT (incl GP)    Project
OOH General Manager / ICT Training
Dept. Post training documentation to be
signed off.




Weekly conference calls scheduled as        System only provides additional
checkpoints.                                support for processes, not replacing
Ensure robustness of sign off criteria is   existing system. Further demonstration PCT (incl GP)   Project
assured by service project management       provided. Core product installed on
and operational OOH team.                   site for training/awareness.
                                                                      (22 Nov 06)
                                                                      Changes to Pilot leads (CCN2). Some
                          (10 Oct 06)                                 stability hoped for following staff
Treat / Reduce / Mitigate Assess Pilot Leads availability for role,   changes.                              Countywide         Project
                          identify blockages to address.              (10 Oct 06)
                                                                      None - awaiting product availability.




                                                                   (22 Nov 06)
                                                                   Beta system delivered, system issue
                          (10 Oct 06)
                                                                   process established, outline plan for
                          PMs to review and agree project plan
Treat / Reduce / Mitigate                                          extending pilot produced/agreed.            Countywide      Project
                          and review project deliverables. Session
                                                                   (10 Oct 06)
                          to be arranged.
                                                                   None - tba.




                                                                      (22 Nov 06)
                                                                      Richard acting as Project Executive,
                                                                      supportive of extending pilot project.
                          (10 Oct 06)
                                                                      (10 Oct 06)
Treat / Reduce / Mitigate Identify likely candidates for Project                                               Countywide      Project
                                                                      Richard Stringfellow approached for
                          Executive role.
                                                                      Project Exec role, he is considering
                                                                      this.




                          (10 Oct 06)
                                                                      (10 Oct 06)
Treat / Reduce / Mitigate Folding Space developing interface for                                               Countywide      Project
                                                                      None required.
                          testing.



                           1. Project Executive & Senior
                          Users to contribute to
                          expectation management.
                          2. Change management work-
                          stream within project.
                          3. Plan to be generated an early
                          stage of project and
                          communicated to stakeholders.
                          4. Adequate planning
                          mechanisms – iterative planning
Treat / Reduce / Mitigate sessions between senior                                                              PCT (incl GP)   Project

                          management prior to formal start-
                          up.
                          5. Communication Plan defines
                          series of regular, targeted and
                          variety of types of
                          communication techniques to
                          ensure staff affected by change
                          are kept up to date of plans,
                          actions, their role in project and
                          impact of desired changes.
                       1.       Training Plan - developed
                          to establish range of training
                          availability options to maximise
                          access to training. Plan to
                          identify all those requiring
                          training (by type (e.g. Super User
                          / Standard) and a progress
                          report regularly produced on
                          those having been trained.
                          2.      Training coverage to be
                          confirmed to maximise access as
                          well as communicated to
                          stakeholders.
                          3.      Project based personnel
                          contact points to be made
Treat / Reduce / Mitigate available at each desktop            Project
                          (paper) during duration of project
                          with procedure for emergency
                          calls included.
                          4.      Communications Plan –
                          developed to produce a
                          framework that maximises the
                          impact of communications
                          ensuring staff are given
                          adequate warning over training
                          requirements and how to access
                          training, ensuring line managers
                          are aware of need to plan for the
                          release of staff to be trained
                          (standard mail merge letter to be
                          produced) and that staff actually
                          attend training.

                       1.      Service functionality agreed
                          as a primary stage within project
                          and formally signed off.
Treat / Reduce / Mitigate 2.     Functionality and             Project
                          associated outputs used as a
                          formal measure of project
                          progress.



                       1.      Technical specification
                          agreed as a primary stage within
                          project and formally signed off.
Treat / Reduce / Mitigate 2.     Functionality and             Project
                          associated outputs used as a
                          formal measure of project
                          progress.
                        1.      Communication Plan – to
                          articulate changes in working
                          practice that will occur as a result
                          of the introduction of new service
                          processes and supporting clinical
                          system.
                          2.      Communications to be
                          backed up by information on
                          training, post go live support and
                          updates on benefits when they
                          start to be accrued to highlight
Treat / Reduce / Mitigate worth of change over.                  Project
                          3.      Benefits Plan (via Change
                          Management) to specify metrics
                          to be used to monitor progress
                          towards desired benefits.
                          4.      Senior GP‟s / Practice
                          Managers / Heads of Depts to
                          ensure, that as champions that
                          staff are adequately updated,
                          trained and provided access to
                          support available in use of
                          system.
                        1.       Training Lessons Plans –
                          developed to highlight (a)
                          benefits of electronic capture
                          over maintaining paper based
                          systems, (b) reduction in
Treat / Reduce / Mitigate
                          duplicate entry necessary with         Project
                          system use, and (c) the reduction
                          of associated communications
                          necessary when equivalent basic
                          data entered on system – to
                          other wards, management staff
                          etc..)
                          1.     Although system uptime is
                          high, a Continuity Plan is
                          required (via Change
                          Management) in event of system
                          failure. To include start up
                          processes for getting data into
                          system from period of down-time.
                          Likely to need to use paper
Treat / Reduce / Mitigate based system – extreme danger          Project
                          that staff then retain paper
                          system after electronic system
                          back up and running.
                          2.      Support will be required
                          input data backlog – managed
                          via service leads.
                          3.      Continuity Planning to be
                          a specific stage within Plan.
                         1.      An audit will take place
                          following change management‟s
                          identification of new structure of
                          service. Equipment Audit
                          specifies prioritised list of
                          desktop PCs for each location.
                          Important that list specifies
                          where equipment is critical for
                          system to be used at whether
                          critical for pre-project go live, for
                          go-live, go live + 1 month, go live
                          + 2 months, desirable but not
                          critical for adequate use, to
Treat / Reduce / Mitigate                                         Project
                          maximise possibility of overall
                          system use.
                          2.       Where additional
                          equipment is required it will be
                          prioritised and a financial report
                          submitted to the Project Board
                          for consideration and then the
                          PCT (phase 1) and Acute (for
                          sections of phase 2) ICT
                          Programme Board as a request
                          for further finances if not
                          available from current ICT stock
                          (as determined by ICT Director).
                         1.      Invitation to Training letter
                          to be sent to relevant staff
                          involved should highlight the
                          benefit from basic PC skills
                          training available prior to system
                          training.
                          2.       Associated risk – it would
                          be preferable to have a mini
                          Training Needs Analyses
                          conducted on staff to be
                          involved. However, there may
                          be inadequate time - therefore
                          reliant upon staff nominating
Treat / Reduce / Mitigate themselves. „Super Users‟ on            Project
                          each ward should be asked to
                          check lists of those put forward
                          for basic PC training in case
                          some staff are missing based on
                          Super User knowledge of staff
                          skills.
                          3.       Additional expected
                          positive spin off anticipated -
                          enhanced use of knowledge
                          based services available in
                          county and greater
                          communication routes via
                          intranets, e-mail, on line alerts
                          etc
                        1.      Ownership of adequately
                          developed plan to be signed off
                          by Project Executive.
                          2.      Supplier (ICT) has
                          provided outline template plan
                          based on previous
                          implementations and that
Treat / Reduce / Mitigate provided by system Supplier.          Project
                          This will be used as framework
                          from which detailed plan will be
                          developed.
                          3.      Plan will now be adapted
                          for local use by Service Project
                          Manager in discussion with ICT
                          Project Manager

                        1.      Relevant managers to
                          stress to users the importance of
                          using the system and that usage
                          will be monitored and addressed
                          if poorer than expected.
                          2.      Training Plan to ensure
Treat / Reduce / Mitigate                                       Project
                          coverage and progress in
                          training is evenly spread across
                          locations.
                          3.      Backup / refresher training
                          / materials to be made available
                          post training.

                        1.     Configure project board and
                          team appropriately, maintain
                          communication to promote
Treat / Reduce / Mitigate                                       Project
                          ongoing commitment, monitor
                          attendance and response to task
                          allocations.

                        1.      Recruitment of
                          appropriately engaged Project
                          Board Members. Briefing to
                          ensure their understanding of
                          roles is clear. Highlight that
                          Project Board cannot delegate
Treat / Reduce / Mitigate ownership of their decision           Project
                          making to Service Project
                          Manager.
                          2.      Purpose and clear
                          benefits of using a controlled
                          mechanism to manage project is
                          relayed and agreed.
                        1.       Ensure appropriate
                          technical staff committed to
                          relevant work streams.
                          2.       Confirmation of technical
                          support being gained by ICT
                          Programme Manager through
                          Senior Supplier (ICT) prior to
Treat / Reduce / Mitigate                                      Project
                          official project start up.
                          3.       Ensure details of out of
                          hours support identified prior to
                          start up and this is in the
                          communications plan and listed
                          under contact sheets next to
                          each PC.



                        1.      Benefits Realisation an
                          identified work stream (via
Treat / Reduce / Mitigate                                      Project
                          Change Management) within the
                          project plan
                                         Type of Risk
                                                                   Status
          Project Title                 (Issue / Risk /                                  Probability        Impact             Controlability
                                                                Open / Closed
                                            To Do)




 W2C Electronic Transmission of
                                              1 - Issue   1c - Open (esc'd to Prg Bd)    50 - Certain      10 – Major        1 - Not Confident
         Prescriptions




W02.2 - NSTS Closure              1 - Issue               1b - Open (esc'd to Prj B'd)   50 - Certain     10 – Major        1 - Not Confident




W03.8 - MPI (Oasis Duplications) 1 - Issue                0 - Closed                     50 - Certain   20 - Catastrophic   2 - Little Confidence
W03.8 - MPI (Oasis Duplications) 1 - Issue   0 - Closed        50 - Certain    10 – Major         1 - Not Confident




               X                 1 - Issue   0 - Closed        50 - Certain    10 – Major         1 - Not Confident




               X                 1 - Issue   0 - Closed        50 - Certain    10 – Major         1 - Not Confident




                                 1 - Issue   0 - Closed   50 - Certain                       3
                                                                              20 - Catastrophic – Confident




W2A-NCRS Project




                                 1 - Issue   0 - Closed   50 - Certain                       3
                                                                              20 - Catastrophic – Confident



W2A-NCRS Project
W3I-PACS (WRH)                 1 - Issue   0 - Closed                          50 - Certain    20 - Catastrophic       3 – Confident




W3I-PACS (WRH)                 1 - Issue   0 - Closed                          50 - Certain    20 - Catastrophic       3 – Confident




W02.2 - NSTS Closure           1 - Issue   1a - Open (within project)          50 - Certain      10 – Major        2 - Little Confidence




W12 - GP Out of Hours Triage
                               1 - Issue   1a - Open (within project)          50 - Certain       10 – Major        2 - Little Confidence
System




               X               1 - Issue                                       5
                                           1b - Open (within Dir / esc'd to Dir) 0 - Certain      10 – Major        2 - Little Confidence
W3I-PACS (WRH)   1 - Issue   0 - Closed                      50 - Certain   20 - Catastrophic   4 - Highly Confident




W3I-PACS (WRH)   1 - Issue   0 - Closed                      50 - Certain   20 - Catastrophic   4 - Highly Confident




            X    1 - Issue   1a - Open (within dept)         5 - Possible    5 – Moderate          3 – Confident




            X    1 - Issue   0 - Closed                      50 - Certain      10 – Major       2 - Little Confidence




            X    1 - Issue   1c - Open (esc'd to Trust Bd)   50 - Certain      10 – Major       2 - Little Confidence
                                                                                                         20 -
W20-Community PACS            1 - Issue             1a - Open (within project)        50 - Certain                     4 - Highly Confident
                                                                                                     Catastrophic




              X               1 - Issue             0 - Closed                        2 - Unlikely    10 – Major          3 – Confident




W17 - Real Time Oasis (RTO)
                              1 - Issue             1a - Open (within project)        50 - Certain    10 – Major          3 – Confident
Project




  W23 ALX Theatres (non
                                      1 - Issue   1b - Open (esc'd to Prj B'd) 50 - Certain          10 – Major         3 – Confident
       inerfaced)




  W23 ALX Theatres (non
                                      1 - Issue   1b - Open (esc'd to Prj B'd) 50 - Certain          10 – Major         3 – Confident
       inerfaced)



                              1 - Issue             0 - Closed                   50 - Certain        10 – Major     3 – Confident




WA2-NCRS Project
W2A-NCRS Project                 1 - Issue   1a - Open (within project)   50 - Certain   10 – Major   3 – Confident




W03.8 - MPI (Oasis Duplications) 1 - Issue   0 - Closed                   50 - Certain   10 – Major   3 – Confident




W04 - EIS (Ardentia)             1 - Issue   0 - Closed                   50 - Certain   10 – Major   3 – Confident
               X       1 - Issue                                       5
                                   1b - Open (within Dir / esc'd to Dir) 0 - Certain   10 – Major   3 – Confident




W04 - EIS (Ardentia)   2 - Risk    0 - Closed                           10 – Likely    10 – Major   3 – Confident




               X       1 - Issue   0 - Closed                          50 - Certain    10 – Major   3 – Confident




               X       1 - Issue   1a - Open (within dept)             5 - Possible    2 – Minor    3 – Confident
X   1 - Issue   0 - Closed   50 - Certain   10 – Major   3 – Confident




X   1 - Issue   0 - Closed   50 - Certain   10 – Major   3 – Confident




X   1 - Issue   0 - Closed   50 - Certain   10 – Major   3 – Confident
         X              1 - Issue           0 - Closed                 50 - Certain   10 – Major       3 – Confident




         X              1 - Issue           0 - Closed                 50 - Certain   10 – Major       3 – Confident




         X              1 - Issue           0 - Closed                  1 - Rare      2 – Minor        3 – Confident




         X              1 - Issue           1a - Open (within dept)    50 - Certain   10 – Major       3 – Confident




         X              1 - Issue           0 - Closed                 50 - Certain   10 – Major       3 – Confident




W23 ALX Theatres (non                       1b - Open (esc'd to Prj                     5 –
                                1 - Issue                             50 - Certain                 2 - Little Confidence
     inerfaced)                                     B'd)                              Moderate
                                  1 - Issue               0 - Closed                     50 - Certain        10 – Major     4 - Highly Confident




W2A-NCRS Project




 W2C Electronic Transmission of
                                              1 - Issue           0 - Closed                  50 - Certain   5 – Moderate 2 - Little Confidence
         Prescriptions




 W2C Electronic Transmission of
                                              1 - Issue           0 - Closed                  50 - Certain   5 – Moderate 2 - Little Confidence
         Prescriptions




 W2C Electronic Transmission of
                                              1 - Issue           0 - Closed                  50 - Certain   5 – Moderate      2 - Little Confidence
         Prescriptions




W02.2 - NSTS Closure              1 - Issue               1b - Open (esc'd to Prj B'd)        50 - Certain   5 – Moderate      2 - Little Confidence




W03.8 - MPI (Oasis Duplications) 1 - Issue                0 - Closed                          50 - Certain     10 – Major      4 - Highly Confident