NHS South Central & West Commissioning Support Unit

Integrated Pathways Tool (IPT) Platform

A whole patient pathway and population health analytics platform, incorporating population segmentation, stratification, health inequalities and utilisation analysis. It incorporates the Johns Hopkins ACG® System for a clinically robust, data-driven approach for the classification and categorisation of populations. It provides a better understanding of need, enabling predictive system-wide decision making.

Features

• Integrated primary care and secondary health care activity data
• Patient and cohort level trends for risk, cost and prediction
• Risk prediction and stratification of citizens needing future acute care
• Risk prediction of an emergency admission and high cost
• Patient level costing over the past 12 months
• Clinically meaningful approach to population segmentation
• Utilisation by population segment and full pathway
• Supports pro-active care management
• Identify and pro-actively manage Core20Plus5 cohorts
• Shared access for partnerships through an integrated platform

Benefits

• System wide whole population decision making
• Better understand the disease prevalence of the whole population
• Understand how disease prevalence may change over time
• Supports effective redesign, decision making and modelling
• Understand the cost impact of changing a commissioned pathway
• Better understand the relationship between deprivation and health inequalities
• Make decisions based on whole patient pathways within a system
• Avoid silo-based perspectives and make system change across partners
• Understand how utilisation varies by segment and need
• Supports moving from descriptive analytics to predictive and prescriptive analytics

£105,000 a unit

Service documents

• Pricing document

  PDF

• Service definition document

  PDF

• Terms and conditions

  PDF

Request an accessible format

If you use assistive technology (such as a screen reader) and need versions of these documents in a more accessible format, email the supplier at scw.opportunities@nhs.net. Tell them what format you need. It will help if you say what assistive technology you use.

Framework

G-Cloud 14

Service ID

513478084847194

Contact

Lisa Greenhorn
07748 933599
scw.opportunities@nhs.net

Service scope

• Software add-on or extension: No
• Cloud deployment model: Private cloud
• Service constraints: 1. Client must have legal access to data for pathways analysis; 2. Updates are dependent on timely access to data; 3. Accuracy depends on access to multiple data sources that can be integrated with a shared key; 4. DARS applications need to be in place before data can be processed; 5. Privacy impact assessments, data sharing agreements and processing agreements need to be in place before data can be processed and accessed.
• System requirements: Modern browser which is internet enabled

User support

• Email or online ticketing support: Email or online ticketing
• Support response times: SCWs service desk is available Monday – Friday between 9am – 5pm (excluding all bank holidays). All incidents and contacts are recorded on service desk software with agreed priorities.; ; Our service levels for incidents are as follows:; - Critical: resolved with 24 hours; - High: resolved within 48 days; - Medium: resolved within 5 days; - Low: resolved within 15 days; - Non-urgent/information: resolved and closed within 30 days
• User can manage status and priority of support tickets: No
• Phone support: Yes
• Phone support availability: 9 to 5 (UK time), Monday to Friday
• Web chat support: No
• Onsite support: Onsite support
• Support levels: - Critical: resolved with 24 hours; - High: resolved within 48 days; - Medium: resolved within 5 days; - Low: resolved within 15 days; - Non-urgent/information: resolved and closed within 30 days
• Support available to third parties: No

Onboarding and offboarding

• Getting started: Tailored training for the IPT platform is provided as part of the on-boarding process which is delivered remotely.
• Service documentation: Yes
• Documentation formats: HTML
• End-of-contract data extraction: An export option to export certain historic data items from the system (additional fees may apply). This will be offered as a SQL database snapshot or CSV file export.
• End-of-contract process: Access to the IPT platform is removed for all customer users. Data is retained and destroyed in line with NHS England data retention and destruction policies.

Using the service

• Web browser interface: Yes
• Supported browsers:
  • Microsoft Edge
  • Chrome
• Application to install: No
• Designed for use on mobile devices: Yes
• Differences between the mobile and desktop service: Desktop experience is delivered via Microsoft PowerBI
• Service interface: Yes
• User support accessibility: None or don’t know
• Description of service interface: Interactive dashboards and data model based on tier of service procured.
• Accessibility standards: None or don’t know
• Description of accessibility: Accessible via PowerBI. Alternative methods can be provided based on users requirements.
• Accessibility testing: Generalised user interface accessibility testing has been carried out but not specifically for users of assistive technologies.
• API: No
• Customisation available: Yes
• Description of customisation: The IPT platform has been developed with population health analytics in mind and a number of user customisable dashboards are included based on the tier of service procured.; ; Further bespoke/tailored reports or dashboards can also be developed as part of the onboarding process. Further customisations can be considered in response to analytics, user feedback and product enhancements.

Scaling

• Independence of resources: Designed for cloud first delivery, the IPT platform is highly scalable to meet customer needs. Demand and capacity is regularly monitored as part of internal check processes.

Analytics

• Service usage metrics: Yes
• Metrics types: System resources, active users and population coverage/volumes
• Reporting types: Reports on request

Resellers

• Supplier type: Not a reseller

Staff security

• Staff security clearance: Other security clearance
• Government security clearance: None

Asset protection

• Knowledge of data storage and processing locations: Yes
• Data storage and processing locations: United Kingdom
• User control over data storage and processing locations: Yes
• Datacentre security standards: Managed by a third party
• Penetration testing frequency: At least once a year
• Penetration testing approach: Another external penetration testing organisation
• Protecting data at rest: Encryption of all physical media
• Data sanitisation process: No
• Equipment disposal approach: A third-party destruction service

Data importing and exporting

• Data export approach: Not applicable - the IPT platform provides an integrated visual representation of data from multiple sources which would not be available to any single organisation in order to remain compliant with appropriate NHS Information Governance and other applicable standards.
• Data export formats: Other
• Data import formats:
  • CSV
  • Other
• Other data import formats:
  • SQL
  • JSON
  • XML
  • TXT

Data-in-transit protection

• Data protection between buyer and supplier networks: TLS (version 1.2 or above)
• Data protection within supplier network: TLS (version 1.2 or above)

Availability and resilience

• Guaranteed availability: 99%, assured by contractual commitment, excluding planned downtime for maintenance.
• Approach to resilience: The IPT platform is built to take advantage of the resilience of the cloud with automatic failovers and redundancy built in.
• Outage reporting: Any outages will be reported via email correspondence to designated customer leads.

Identity and authentication

• User authentication needed: Yes
• User authentication: Username or password
• Access restrictions in management interfaces and support channels: Identity server to manage roles based access control
• Access restriction testing frequency: At least once a year
• Management access authentication:
  • Username or password
  • Other
• Description of management access authentication: Multi-Factor Authentication (MFA)

Audit information for users

• Access to user activity audit information: Users contact the support team to get audit information
• How long user audit data is stored for: At least 12 months
• Access to supplier activity audit information: Users contact the support team to get audit information
• How long supplier audit data is stored for: At least 12 months
• How long system logs are stored for: At least 12 months

Standards and certifications

• ISO/IEC 27001 certification: No
• ISO 28000:2007 certification: No
• CSA STAR certification: No
• PCI certification: No
• Cyber essentials: Yes
• Cyber essentials plus: Yes
• Other security certifications: No

Security governance

• Named board-level person responsible for service security: Yes
• Security governance certified: No
• Security governance approach: Security governance approach includes: ; • Data Protection and Security Toolkit Compliance ; • Cyber Essentials Plus; • ISEM (Information Assurance for Small & Medium sized Enterprises) ; • ISO27001
• Information security policies and processes: There is an Information & Cyber Security Strategy and Plan, managed through an IT Security Team with access to the wider IT teams. SCW adhere to NHS England Policies and all procedures are based on ITIL good practice.

Operational security

• Configuration and change management standard: Supplier-defined controls
• Configuration and change management approach: There is an ITIL based Change Advisory Board (CAB) that manages the processes configuration changes.
• Vulnerability management type: Supplier-defined controls
• Vulnerability management approach: As the platform services are hosted on Azure, the vulnerability management approach is provided by Microsoft. Microsoft Azure is responsible for ensuring the service is highly available, definitions are updated regularly, that configuration through the Azure Management Portal is effective and that the software detects and protects against known types of virus and malicious software. MCIO (Microsoft Cloud and Infrastructure Operations) managed hosts in the scope boundary are scanned to validate anti-virus clients are installed and current signature-definition files exist. Vulnerability scans are performed on a quarterly basis at a minimum.
• Protective monitoring type: Supplier-defined controls
• Protective monitoring approach: The infrastructure is monitored by the supplier with active port monitoring alerts in place. Incidents are dealt with in line with SCW ITIL Incident, Request Fulfilment and Problem Management Procedures. Standard response times are below:; Priority Level 1 (Major Incident) KPI - 95% resolution within 4 hours.; Priority Level 2 KPI - 90% resolution within 8 hours.; Priority Level 3 KPI - 80% within 3 working days.; Priority Level 4 KPI - 95% resolution within 5 working days.; Priority Level 5 KPI - 95% resolution within 30 working days
• Incident management type: Supplier-defined controls
• Incident management approach: The management of Incidents follows the standards set out by ITIL and defined in our own Incident and Problem Management Policy. Users report incidents via the Service Desk either via Telephone or portal. Each incident is given a unique reference number and a priority which defines the length of time allowed to resolve the incident. Incidents are analysed to look for common trends by reviewing the types of incidents logged and to identify root causes.

Secure development

• Approach to secure software development best practice: Supplier-defined process

Public sector networks

• Connection to public sector networks: Yes
• Connected networks:
  • NHS Network (N3)
  • Health and Social Care Network (HSCN)

Social Value

• Social Value:

  Social Value

  • Fighting climate change
  • Covid-19 recovery
  • Tackling economic inequality
  • Equal opportunity
  • Wellbeing

  Fighting climate change

  The latest update to SCWs Green plan can be found here Green Plan - NHS SCW Support and Transformation for Health and Care (scwcsu.nhs.uk)

  Covid-19 recovery

  In 2020 SCW set up a new NHS111 Clinical Assessment Service to manage responses to the COVID-19 pandemic.; • We developed the service that is supplying GPs and other clinicians to support NHS111 COVID-19 clinical care with the governance, education and supervision to ensure safe patient care.; • We also built contractual frameworks that have enabled SCASFT to host the Covid-19 CAS on behalf of NHS England.; • At speed, we developed a data-warehouse and web-portal that acts as a CMS to manage clinicians from initial application to go-live.; • We developed an IT Support Desk that has received an increasing amount of delegated authority to act, not only from SCASFT but also from national organisations NHS Digital and NHS-X, as well as third-party suppliers.; • In partnership with NHS England, we developed a Locum-GP model, hosted and delivered by an Acute Trust in support of the Regions and General Practice.; • We built a programme plan that pulls together a wide stream of resources in support of the NHS111 CCAS, a plan that now includes, not only GPs but also, pharmacists, paramedics, physiotherapists and dentists.

  Tackling economic inequality

  SCW is proud to be the lead delivery partner for the NHS England Core20PLUS Connectors Programme which commenced in Autumn 2021.; NHS England has invested £2 million into the Core20PLUS Connectors which is now funding over 50 local Voluntary, Community, Social enterprise (VCSE) or local Healthwatch partner organisations in 24 integrated care systems (ICS) Connector sites ; across England. So far, over 380 Connectors have been recruited and over 150 bespoke and local resources have been collated and shared to spread learning and best practice.; ; The connectors programme has been specifically designed to tackle economic and healthcare inequalities, these are defined as unfair and avoidable differences in health across the population, and between different groups within society. The conditions and social factors in which people are born, grow, live, work and age can impact our health and wellbeing these are sometimes referred to as wider determinants of health.; ; People living in areas of high deprivation, those from Black, Asian and minority ethnic communities and those from an inclusion health group, for example people experiencing homelessness, are most at risk of experiencing these inequalities. ; Covid-19 has shone a harsh light on some of the health and wider inequalities that persist in our society.

  Equal opportunity

  SCWs strategy to ensure equality of opportunity ensures that we work closely with Organisational Development to establish an accessible equality, diversity, inclusion, wellbeing learning and development offer, focused on senior leadership development, comprising of statutory, mandatory, and self-directed learning solutions. ; • Align promotion with SCW improvement sustainability; • Great Place To Work; • Building a Culture of Belonging; • Organisational Development comms plans. Evidence and report engagement and learning completion.; SCW is also committed to getting the basics right by; • Establishing an effective method of measuring and evidencing the impact of belonging at SCW; • Incorporating Gender Pay Gap; • Workforce Race Equality Standard; • Workforce Disability Equality Standard indicators alongside staff survey and wellbeing survey insights; • Evidencing Equality Impact Assessment commitment and support this with the creation of an objective and SCW representative EDIW council.

  Wellbeing

  SCW has a people and wellbeing team setup specifically to ensure all colleagues feel safe, respected, and valued; in line with the NHS People Promise. The people and wellbeing team are focussed on creating a great place to work, where we all feel safe and can be our authentic selves. This means valuing and respecting everyone from all backgrounds and embracing equality, diversity, inclusivity and wellbeing across everything we do.; We are committed to listening, learning, and improving on our approach to ensure these principles remain at our heart, helping us all to thrive. SCW is committed to building a culture of belonging is not just about tackling discrimination. It's not just about addressing the diverse needs of individuals. It's about getting the harmony right between equality, diversity and inclusion in order to drive wellbeing.

Pricing

• Price: £105,000 a unit
• Discount for educational organisations: No
• Free trial available: No

Service documents

• Pricing document

  PDF

• Service definition document

  PDF

• Terms and conditions

  PDF

Request an accessible format

If you use assistive technology (such as a screen reader) and need versions of these documents in a more accessible format, email the supplier at scw.opportunities@nhs.net. Tell them what format you need. It will help if you say what assistive technology you use.