2016-000083

Clinical software contracts at a national level include:

  • GP IT Services – for the provision of general medical practice information technology software and services.
  • Picture Archive and Communication System (PACS) – for the acquisition, storage, retrieval and display of digital patient images.
  • Radiology Information System (RIS) – this holds patient data associated with images contained in PACS.
  • National IT Services Contract – delivers a large range of national IT services including hosting, application development and support.
  • Docman – GP IT electronic document management and transfer.
  • Opera – national operating theatres management system.
  • Tracelineand eProgesa System – run by the Scottish National Blood Transfusion Service for management of blood supply.
  • National Sexual Health (NaSH) – a bespoke community sexual and reproductive health clinical tracking system.
  • NHS24 – providing core IT services to NHS24 service.
  • Patient Management System (PMS) – patient management system and related clinical modules and services.
  • Diabetic Retinopathy Screening (DRS) – for screening of patients to prevent onward complications of diabetes with respect to their sight.
  • Abnormal Aortic Aneurysm (AAA) – for screening and management of patients.

Software category:

  • GP IT Services = EPR and PAS.
  • PACS = PACS.
  • RIS = RIS.
  • National IT Services = all categories.
  • Docman = EPR and PAS.
  • Opera = PAS.
  • Traceline and eProgesa System = PAS and integration.
  • NaSH = EPR and PAS.
  • NHS24 = clinical portal and integration.
  • PMS = EPR, PAS and pharmacy.
  • DRS = EPR and PAS.
  • AAA = EPR and PAS.

Software supplier:

  • GP IT Services = Egton Medical Information Systems and In Practice Systems.
  • PACS = Carestream.
  • RIS = Carestream.
  • National IT Services = Atos.
  • Docman = PCTi Solutions Ltd.
  • Opera = GE.
  • Traceline and eProgesa= MAK System.
  • NaSH=Axsys Technology Ltd.
  • NHS24 = Cap Gemini/British Telecom.
  • PMS =Intersystems.
  • DRS = Northgate.
  • AAA = Atos.

Software name:

  • GP IT Services = EMIS PCS and InPS Vision.
  • PACS = Picture Archiving and Communication System.
  • RIS = Radiology Information System.
  • National IT Services = A wide variety of software products and services including commercial off the shelf (COTS) type and bespoke developed software/systems.
  • Docman = Docman.
  • Opera = Opera.
  • Traceline and eProgesa=Traceline and eProgesa.
  • NaSH= Generic Clinical System (GCS) which is a flexible clinical systems development toolkit/environment.
  • NHS24 = Strategic Frontline Application (SFLA).
  • PMS =TrakCare.
  • DRS = Vector.
  • AAA = AAA.

Description of software:

  • GP IT Services = EMIS PCS, Pocket EMIS, Business Continuity. InPS Vision 3, Vision Online Services (VOS), Vision 360. Upgrade, maintenance and support included.
  • PACS = Not modular and provides full functionality as described above. Upgrade, maintenance and support included.
  • RIS = Not modular and provides full functionality as described above. Upgrade, maintenance and support included.
  • National IT Services = This contract delivers many areas of functionality. Major examples of these include:
  •  HP Zone which is for infection management and control including upgrade, maintenance and support.
  •  Hosting and Managed Technical Services (MTS) for many systems and services delivered to NHS Scotland including upgrade, maintenance and support.
  •  Screening programme systems (e.g. Bowel Screening, Breast Screening, Community Preventative Care, Abnormal Aortic Aneurysm etc.) including upgrade, maintenance and support.
  •  Support of Scottish Care Information (SCI) product suite for the integration and sharing of information between NHS sectors (e.g. referrals etc.). This includes upgrade, maintenance and support.
  •  National Colonoscopy Clinical Information and Audit System (NCCIAS) software used in colonoscopy clinics across NHS Scotland. This includes upgrade, maintenance and support.
  •  Emergency Care Summary (ECS) for provision of clinical information to Out OF Hours (OOH) services. This includes upgrade, maintenance and support.
  •  Knowledge Management System to support NHS24 services. This includes, upgrade, maintenance and support.
  • ePharmacy programme for the provision of acute and chronic pharmacy services (e.g. automated repeat prescribing etc.). This includes upgrade, maintenance and support.
  • Docman = Docman, Pocket Docman. Upgrade, maintenance and support included.
  • Opera = Not modular and provides full functionality as described above. Upgrade, maintenance and support included.
  • Traceline and eProgesa=Traceline and eProgesa products and Proteus Movement Interface module. Upgrade, maintenance and support included.
  • NaSH= Bespoke system developed using Generic Clinical System toolset. Upgrade, maintenance and support included.
  • NHS24 = Not modular and provides full functionality as described above. Upgrade, maintenance and support included.
  • PMS = A&E, Trak Maternity, Neonatal, Mental Health, Theatres and Order Comms. Upgrade, maintenance and support included.
  • DRS = Not modular and provides full functionality as described above. Upgrade, maintenance and support included.
  • AAA = Not modular and provides full functionality as described above. Maintenance and support included.

Number of users/licenses:

  • GP IT Services = 15,000+ users.
  • PACS = Unlimited user license.
  • RIS =Unlimited user license.
  • National IT Services = Service contract therefore system and service dependent.
  • Docman = 2,200+ user licenses in total.
  • Opera = National license bought under a national framework agreement.
  • Traceline and eProgesa= 250+ concurrent users.
  • NaSH= Unlimited user license.
  • NHS24 = Service contract therefore system and service dependent.
  • PMS = Implementation and module rollout done locally at Health Board level therefore user numbers at a national level cannot be estimated.
  • DRS = Unlimited user license.
  • AAA = Unlimited users.

Annual spend:

  • GP IT Services = Nationally between £500,000~£1,000,000 depending on nationally agreed developments. Health Boards pay for annual support and maintenance locally.
  • PACS = £1,850,000 approx. for basic service. Health Boards pay for any expanded services locally. Archive and infrastructure charges included in the National IT Services contract.
  • RIS = Is an enabling framework contract only, therefore Health Boards pay all costs locally.
  • National IT Services = £40,000,000 approx.
  • Docman = £1,100,000 approx.
  • Opera = £200,000 approx.
  • Traceline and eProgesa= £250,000 approx.
  • NaSH= £420,000+ approx.
  • NHS24 = £7,000,000 approx. However, this service is currently managed by NHS24 Health Board so the approximation given is only an estimate requiring their verification.
  • PMS = Is an enabling framework contract, therefore Health Boards pay all costs locally.
  • DRS =£550,000+ approx. This service is not yet live as it will take over from the current DRS service delivered as part of the National IT Services contract.
  • AAA = £80,000 approx.

Contract duration:

  • GP IT Services = Framework contract 4 years. Call-Off contracts 7 years.
  • PACS = Framework contract 11 years.
  • RIS = Framework contract 4 years. Call-Off contracts 7 years.
  • National IT Services = Contract between NSS and Atos 11 years with options to extend variously for a further 10 years.
  • Docman = Perpetual software license.
  • Opera = Framework contract 10 years.
  • Traceline and eProgesa= Perpetual software license.
  • NaSH= Potentially indefinite sole source Call-Off contract from GCS Framework contract.
  • NHS24 = Contract between NHS24 and Cap Gemini/BT has 12 year term.
  • PMS = Framework contract 4 years. Call-Off contracts 10 years.
  • DRS = Contract between NSS and Northgate has 5 year term.
  • AAA = Contract between NSS and Atos has 10 year term.

Contract start, expiry and review date:

  • GP IT Services = Framework contract 01/02/2010~28/02/2014, no review date. Call-Off contracts variably 01/02/2014~28/02/2021, no review date.
  • PACS = 11/04/2006~28/02/2017, review date 28/02/2016.
  • RIS = Framework contract 27/03/2013~26/03/2017, no review date. Call-Off contracts variably 31/03/2020~31/03/2024, no review date.
  • National IT Services = 01/04/2007~31/03/2018 extended to 31/03/2022, review date 31/03/2019.
  • Docman = 25/05/2004~24/05/2009 reviewed and extended to in perpetuity licenses.
  • Opera = 27/02/2009~27/02/2019, no review date.
  • Traceline and eProgesa= Effective date 30/06/2006 in perpetuity until terminated by either party.
  • NaSH= Call-Off contract 14/02/2007~potentially indefinite.
  • NHS24 = 02/03/2012~03/03/2024, no review date.
  • PMS = Framework contract 25/01/2010~24/01/2014, no review date. Call-Off contracts variably 25/01/2010~24/01/2024.
  • DRS = Effective date 31/12/2015 with 5 year initial term and option to extend for a further 2 years, review date 31/12/2018.
  • AAA = Effective date 15/02/2011 with 10 year initial term and options to extend to 31/012026, review 14/02/2019