| Client Name | Description of Project | Duration |
| Kent and Medway Pathology Network | Production of an Outline Business Case for the modernisation and reconfiguration of pathology services in Kent & Medway. Involving engagement with all internal and external stakeholders to reflect their views and identify options for reconfiguration of the network. The OBC reflects a benefits led approach, using process modelling to identify the best use of facilities, staffing, financial resources and equipment. | 2009 |
| Department of Health | Point of Care Testing Accreditation Project. Facilitation of two stakeholder engagement workshops, that were successful in identifying issues to be resolved and in gaining commitment from stakeholders to contribute to the project. | 2009 |
| National Screening Committee | Pathway redesign for the Newborn Hearing Screening Programme and Newborn and Infant Physical Examination Programme, leading to procurement and service management of national screening IT systems. | 2008-2009 |
| NHS Connecting for Health | Executive Leadership Team, NHS Connecting for Health, leading consultancy assignments on: Information Requirements for Commissioning; Provider Services Strategy Development and Commissioning new pathways. | 2008-2009 |
| Bolton Primary Care Trust | Providing project management and change management expertise to Bolton PCT for their Community PACS project. The project aims to free PACS images from the existing organisational boundaries and allow all NHS-commissioned images and reports to be securely accessed anywhere in the community. This will enable collaborative working between healthcare communities and clinical networks, across all NHS commissioned services, improving significantly the likelihood that a patient’s images are available online for clinical use as they move through different stages of care between specialties and organisations. |
2008-2009 |
| NHS Connecting for Health | Clinical Specialty Lead for the Clinical Dashboard programme, engaging with key national and local stakeholders and professional bodies during the pilot stages of the programme, to drive consensus around best practice. Read more about the programme | 2008-2009 |
| NHS Connecting for Health | Production of Strategic Outline Case for Primary Care Pathology Test Requesting and Reporting. Identified significant economic and patient safety benefits through re-provision of national electronic communication capability prior to the cessation of the present service. Recommended testing of options for the preferred solution through an early adopter programme. |
2008 |
| NHS Connecting for Health | Recommendation for a framework for assuring and disseminating national content for care records. Development of a stakeholder engagement plan to ensure that relevant professional bodies, national projects and a broad range of specialities, settings and disciplines from all SHAs in England were consulted and lessons were learned in producing the recommendations. | 2008 |
| CityWest Homes (arms-length agency of Westminster City Council) | In-depth research of customer-facing processes, for both tenants and home-owners, to contrast actual experience with intended and established business processes. Also, developing new processes for staff induction. | 2008 |
| NHS South East Coastal SHA | Providing senior countywide (Kent) programme management support on behalf of CIO. Providing leadership to all aspects of IM&T deployment, across Kent. | 2007-09 |
| NHS Connecting for Health | Leading a workstream as part of the national Summary Care Record Early Adopter programme. Responsible for business process development covering SCR takeup, confidentiality and the use of the SCR in unscheduled care. Providing resources into a knowledge portal, for use by local healthcare communities in the imminent rollout. Read more | 2007-08 |
| NHS Connecting for Health | Working with the Royal Colleges to develop SNOMED-CT subsets of national relevance. The work as part of the SNOMED in Structured electronic Records Programme (SSeRP) also included the development of national processes to develop, evaluate and maintain subsets. Read more about SNOMED CT | 2007-08 |
| United Lincolnshire Hospitals NHS Trust | Assisting a programme to improve urgent and emergency care, by developing definitions of the work required in programme terms, and then using the structured approach to plan the detail of work and resources required. | 2007 |
| Bolton Primary Care Trust | Assessing the benefits of deploying interim NHS CRS solution, by developing future-state clinical processes, from which we identified the information flows needed. These were mapped against the system's capabilities, and recommendations made. | 2007 |
| South West London and St George's Mental Health NHS Trust | Programme and project management support for an intensive period of multiple and complex projects – including implementation of interim LSP Care Record Service, data warehouse and many IT and organisational infrastructure projects. Developing an umbrella Trustwide function of programme management across all service and infrastructure programmes, linking IM&T into the patient service programmes to create 'pull' rather than 'push'. |
2006-07 |
| Healthcare Commission | The Healthcare Commission intends that its information supports patients and service users in making decisions about their healthcare. In this assignment Medical Mosaic is supporting development of key web-based products so that the wide-ranging regulatory data the Commission holds is accessible to patients and the public. This includes the heart surgery website giving survival rate information for individual surgeons in the UK. | 2006-07 |
| NHS Connecting for Health | Identified and evaluated feasible options for electronic SAP to be provided as a national service. Made recommendations on an information systems architecture that were accepted by the Care Records Service Development Board. Consulted closely with users, service users, IT suppliers from health and social care and relevant academic centres. Read more Proposals for developing SAP have moved into the new Common Assessment Framework (CAF). Read more |
2006 |
| NHS Connecting for Health | Assessment of the capabilities of SNOMED CT to meet the needs of a procedure classification. The SNOMED CT/OPCS-4 Convergence Project identified issues to be addressed if SNOMED CT were to replace OPCS-4 for generating HRGs and provide the basis for analysis of procedure information. It represented leading edge work in the application of current technical guidance for analysis of SNOMED-CT encoded data. Read more |
2006 |
| NHS Connecting for Health |
Developing national electronic records for health and
social care: Iidentified and evaluated the viable technical architectures for
NHS Connecting for Health to deliver systems support for SAP. Medical Mosaic evaluated viable solutions to support information sharing across health and social care. This required
developing and specifying models to fulfil the business need for information sharing, and identifying the optimal technical architecture. Read more |
2006 |
| NHS Connecting for Health |
Developed the national strategies for implementation and
training for the enhanced OPCS-4.3 classification, National Interventions Classification (NIC).
This was required for HRG v4.0 as part of the Payment by Results programme.
The assignment involved managing the implementation of the
classification with considerable stakeholder liaison, to ensure the
preparedness of processes that depend upon the enhanced
classification. Read more |
2005-06 |
| Surrey Health Informatics Service |
Short/medium term systems options appraisal of Community Health system for three PCTs, considering immediate deployment of LSP system (Cerner-Millennium), or LSP-supplied interim alternative, or locally-funded alternative. |
2005 |
| Surrey Health Informatics Service | IM&T Interim Management (Chertsey): Provision of interim management and turnaround of specific parameters: customer confidence, staff morale and a sense of substantive progress. | 2005 |
| South West London and St George's Mental Health NHS Trust | Access to Emergency and Crisis Mental Health Care. A Medical Mosaic team developed new models of care for Mental Health, by collecting and analysing data about the levels and patterns of need for Crisis and Emergency access to services. | 2004-05 |
| Surrey Health Informatics Service (HIS) | Providing Senior Project Manager, Mental Health to work on the Care Records Service Implementation in the newly integrated Surrey-wide Mental Health and Learning Disabilities NHS Trust — Surrey and Borders Partnership NHS Trust | 2004-05 |
| West Middlesex University Hospitals NHS Trust |
Specified, procured and implemented a clinical system database to support Cancer services. This was to ensure the Trust complied with new NHS Cancer Dataset and Reporting requirements, as a by-product of a system designed for clinical use to support the clinical process. A senior clinical and management team, including one of the national clinical leads for Cancer services, signed off the specification, produced through extensive clinical pathway mapping. |
2004-05 |
| West Middlesex University Hospitals NHS Trust | Development of the Trust’s data warehouse system and transferal of skills, focused on producing integrated information regarding access to services and also the effectiveness of Intermediate Care services. | 2005 |
| Information Centre for Health and Social Care | 2004-2005 |
|
| Surrey Health Communities | Built an Evaluation Template for measuring outcomes of implementing Single Assessment Process (SAP). | 2004 |
| NHS Professionals (South East Region) |
Developed an effective programme and project management function to support the rollout of the NHS Professionals initiative. Created a work programme and component projects in properly specified and achievable work and resource plans, using our own ‘Project Office On-Line’ or POOL™ service. Provided mentoring support to senior implementation staff. |
2004 - 2005 |
| Crawley PCT |
Business Strategy for IT: The work undertaken had to deal with: replacement of systems by new national IT services; movement to community-wide Health Informatics services; view of IT-related expenditure from being a cost to being an investment; view of IT usage from being an admin overhead to being a clinical necessity. |
2004 |
| South West London and St George's Mental Health NHS Trust | Developed new Key Performance Indicators (KPIs) for management reporting, by re-sourcing the data upon which the KPIs depend. We produced a meta database matching data from several different systems: PAS, Human Resources, Complaints and Finance. Our recommendations were accepted, ensuring that the source data is of quality, so that the resulting information is fit for use. | 2004 |
| NHS Information Authority | SAP dataset national survey. The objective of this work was to identify potential health and social care communities to pilot the Single Assessment Summary dataset as developed under the National Dataset Development Programme. Medical Mosaic reviewed the degree of implementation of the SAP in health and social care communities across the country and made an assessment of the readiness of communities to implement the SAP summary dataset. | 2004 |
| South West London and St George's Mental Health NHS Trust | Redesign of processes for starters and leavers, mapping new processes for the new Registration Authority to manage Role-Based Access in preparation for the new Care Record Service. | 2004 |
| NHS Connecting for Health | Worked with the national team and several local NHS Trusts to develop practical guidance to configure Legitimate Relationships. These are to be embedded in the new national Care Record Service, to ensure that a user looking up someone’s record has indeed a legitimate purpose to do so. | 2004 |
| Surrey Health Community |
Emergency
and Unscheduled Care: Developed an Integrated Clinical
Network.
Medical Mosaic helped to plan the potential linkage of countywide
emergency services with A&E departments, Walk-In Centres, Out of
Hours Primary Care services and the developing Chronic Disease
Management services. |
2004-05 |
| Brighton and Hove Health and Social Care community |
Devised a programme and all component project plans for implementing Single Assessment Process (SAP), reflecting all the complexities of multi-agency projects. Co-ordinated development of policy and pathways, developed strategy for improving data quality and project-managed the implementation of SAP. Undertook a review of a single team’s progress with SAP, identifying barriers to their process, refining it and recommending improvements to the SAP training programme. |
2003-2004 |
| Plymouth Social Care, Education and Health Care Agencies |
Training staff in mapping new Information Sharing and Assessment (ISA) processes, formerly Identification Referral and Tracking (IRT). Highlighting information flowing between professionals and between agencies and producing a specification for the information support required for the child concern model. |
2003 |
| East Sussex, Brighton and Hove | SAP. Assessed the preparedness of local organisations and systems, in respect of policy, people, process and systems. Made specific recommendations regarding resourcing an effective project and applying more visible senior management commitment. | 2003 |
| NHS Information Authority | Maternity Data Dictionary (MDD). A review of the MDD produced as part of the Maternity Data Set project against existing NHS data standards. This included identifying and reporting on any anomalies between the data sets and producing a maternity data set using the standard dataset template. | 2003 |
| Berkshire Health Community | Facilitating a strategic workshop to initiate a project for the West Berkshire national pilot in Choice on Referral. | 2003 |
| East Sussex Hospitals NHS Trust | Mapping Cardiology Processes. Following the Trust's then recent merger, Medical Mosaic used process mapping to identify consistent and robust processes for the delivery of Cardiology services. Information mapping was also applied to identify the information requirements in support of the new processes. | 2003 |
| West London Mental Health NHS Trust |
Implementation of an Incident Reporting System Project using the SAFECODE project, across the whole Trust. This involved developing a robust Trust policy for incident reporting, agreeing processes and structures for reporting and the technical arrangements for installation of the supporting software. Medical Mosaic also designed and rolled out a training programme for all staff involved in reporting incidents. |
2003 |
| East Sussex Hospitals NHS Trust | Integrating and Modernising Theatre Processes. Medical Mosaic helped clinicians and managers in reviewing their working practices across the Trust, to develop the role of the Theatres process in improving whole-Trust performance. New processes were agreed in support of the Trust's objective to improve operating theatre performance. We also developed the Business Case and Output Based Specification for procurement of a new IT system. | 2003 |
| Berkshire Healthcare NHS Trust | eCPA Project: Specification of the processes and information flows to support adult mental health services in Berkshire across multiple agencies. This included training care professionals in process mapping techniques, supporting them through the mapping phase and the development of data sets, key performance indicators and information sharing protocols. It also involved raising the profile of the project across the different agencies and gaining commitment to a multi-agency approach to the delivery of IT support to mental health. | 2003 |
| West Sussex | “Supporting People”: implementation of a national integration of Social Care and Housing needs assessment functions and eligibility for support. Medical Mosaic produced new integrated process and information maps and a systems gap analysis, which was used not only to implement the “Supporting People” initiative, but also to specify and to develop a new information system. | 2002 |
| West Sussex PCTs |
Improving access to acute services. Mapped care pathways for each of four ‘Short-Life Working Groups’, to define far speedier referrals between primary and acute care. Process mapping was adopted as a standard for developing and communicating care pathways. |
2002 |
| West Sussex | Primary-Community Integration Pilot – specification and project management of pilot implementation of integrated access to information across two GP practices and their associated Health Visiting teams. | 2002 |
| West Sussex | Single Assessment Process and Intermediate Care programmes. Coordinated the programme plans for SAP, undertaking and / or assisting with process mapping, information needs analysis; systems gap analysis, systems architectures strategic appraisal, policy development, peer review, product assurance and evaluation. Undertook preparation of full 5-level Business Case for SAP IT support – supported for funding by the Chief Executives in West Sussex, shelved by SHA in anticipation of NHS Connecting for Health/NPfIT solution. | 2002-2003 |
| East Sussex Hospitals NHS Trust | Mapping of integrated processes in the pharmacy services, in a recently merged NHS Trust, across the two legacy departments. Information and role mapping onto the processes were used to complete a detailed information specification for the procurement of a single new Pharmacy IT system. | 2001-02 |
| West Sussex Mental Health and Social Care Trust | Whole systems mapped to identify unified models of service delivery. Processes also mapped for corporate services. | 2001-02 |
| Worthing and Southlands Hospitals NHS Trust | Mapped processes for elective and unscheduled care in acute services, in support of implementing EPR systems. Produced information flow maps to have been used to give direction to implementing EPR in A&E and Medical Admissions Unit. | 2002 |
| West London Mental Health NHS Trust | Review of the flow and processing of data into management information at executive and directorate levels. Across this large and diverse Trust, mapped how every indicator was derived and assessed its dependency on data sources of varying quality. Identified new data transformations to be automated through a data warehouse, plus extensive recommendations for raising data quality and improving the skills of the Information Team. | 2001 |
| West London Mental Health NHS Trust | Medical Mosaic assigned to implement the recommendations above: designing, developing and implementing a new data warehouse, providing year-long interim management of the Information Team to turnaround their structure and skills, initiatives to improve data quality at source, process and information-flow mapping and new training materials for eCPA.. | 2001-2003 |
| East Sussex Older People Services | Trained potential process mappers across Health and Social Care. Applied process mapping to review services for older people – SAP, stroke services, falls assessment and prevention. | 2002-03 |
| Anglia Support Partnership Shared Services Consortium | Designed new HR processes for e-recruitment and “self-serve” training administration for a newly established countywide Human Resources shared service department. Information maps to support the new processes used to specify an IT solution. | 2002 |
| West Surrey Electronic Health and Social Care Record Project |
Programme and project management for a national English demonstrator project to develop and test the concept of an integrated electronic record across primary and secondary health and social care, accessible also in any 24-hour care setting. Part of the ERDIP programme (forerunner to the new National Care Records Service), Medical Mosaic led the bid to ERDIP for funding. Following approval, we led the work programme , developed a nationally adopted protocol for sharing for information and commissioned the evaluation process. |
2001-2003 |
| West Sussex GPs Mapping Project | Created an agreed form of process map to enable future development of integrated care pathways: both within primary care and also across primary and acute care. Completed systems gap analysis: to assess the extent to which existing systems could meet the new processes. | 2001-02 |
| Royal Surrey County Hospital NHS Trust | Trained in-house clinical services redesign team in process mapping. Review of Admitted Patient Care administrative process, showing impact of current process upon clinical and administrative support functions. Development of awareness between clinical and management staff. | 2000-01 |
| Worthing Priority Care NHS Trust | Specification and procurement of
Trust-wide
clinical system: Completed a map of whole systems of service
delivery
with the senior management team, also involving social services and
Primary Care Groups. Developed a process-map-driven specification for
the procurement and implementation of an IT system, supported by information flows defined to standard common
datasets. Suppliers then had to
confirm their ability to supply fit-for-purpose information to
support the Trust's processes.
Transferred process and information mapping skills to in-house staff. |
2000 |
| Surrey Ambulance Service NHS Trust | The Surrey Emergency Care System (SECS)
project pursued linkage of countywide emergency
systems with A&E departments for an integrated and
consistent emergency service. This included use of central
tele-diagnostic and tele-consultation facilities. Medical Mosaic planned the project and its business case and gave
overall direction. We also helped map the new processes through training and supporting in-house staff, involving the ambulance, acute hospital services, NHS Direct and primary care, to demonstrate great potential benefits for both emergency and lower priority cases. |
2000-2001 |
| North West Surrey Community and Mental Health Services | A comprehensive process mapping and redesign
project. Medical Mosaic trained 28 clinical and support staff in
process mapping, who identified and mapped processes for specialist
and community services, for children, families, adults,
older people, mental health and learning disabilities. Major changes to processes, with more consistently high quality
processes, which thereafter formed the cornerstone of clinical
governance.
This was one of the first clinical process-map-driven
procurement of an
IT system in the NHS - where process mapping used to support a
trust-wide specification, procurement and implementation of a clinical
electronic patient record (EPR) system. |
1998 - 2002 |
| South Cambridgeshire Primary and Community Services | Developed new processes to improve the planning of care to patients to support the transition to primary care teams of community staff of various disciplines. The project consisted of an overall map of team-based care management, with sub-processes for the various discipline-specific pathways. It was computer-simulated for resource-planning purposes, prior to the Trust-wide implementation of the transition. | 1996 |