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This page sets out additional detail which builds on these descriptions, in particular regarding the information to be included on the Roadmap, versioning of Standards and Capabilities and the processes of the Catalogue Authority in managing change. The relevant section sand clauses of the ancillary document are referenced accordingly within this document
Standards and Capabilities Model
Capabilities
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This section relates to clauses 3-8 of the Change Management and Roadmap Content ancillary document |
Capabilities are the distinct functions a business needs, and often directly map to modules or functions which a Solution may provide. This is a step change away from having Principal and Subsidiary systems. The introduction of Capabilities for GP IT Futures is intended to allow Suppliers to innovate by being less prescriptive and also to segment the requirements in a way to allow more flexibility and choice for buyers. The scope of what historically made up the Principal Clinical Systems has now been broken down into Capabilities.
Structure of a Capability
Each Capability will have an ID, title, description, outcomes, epics and acceptance criteria and then potentially other elements to give more detail as necessary. This section describes the structure of a Capability and the information within it.
Capability ID
Each Capability has a unique identifier composed of one letter followed by a number. The letter C indicates a Capability. The number is arbitrary and does not have any additional meaning such as priority, sequence or inter-relationships. This allows for the identification of Capabilities in a consistent manner.
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Each Capability has a version number. Version numbers will iterate depending on the nature of the change (e.g. major, minor, patch) impacting the Capability. There is no relationship between the version numbers of different Capabilities and Standards.
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A concise description of the purpose of the Capability.
Outcomes
This describes the main users of the Capability and the outcomes they want to achieve from using the Solution.
Epics and acceptance criteria
These describe the requirements of the Capability at a high level and will be used to assess the suitability of Solutions from suppliers at suppliers at the Capabilities Assessment stage of onboardingof onboarding.
The Epics are written as high level user stories with Acceptance Criteria describing the conditions which can be demonstrated for the user stories to be considered achieved. The collection of Epics which make up the qualifying component of each Capability description, simply describe the minimum functions that a Catalogue Solution must be able to demonstrate in order to be classified as achieving the Capability in question.
Suppliers will be assessed against 'Must' Epics only. 'May' Epics may be detailed for information.
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- NHS Digital to express the business needs during the procurement
- NHS Digital for the initial assessment of Solutions for on-boarding onboarding to the Buying Catalogue
- Suppliers to categorise their products and to see market opportunities
- Buyers to search for products that meet their needs on the Buying Catalogue
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A set of Foundation Capabilities have been identified which will be the access point for GMS funding. These are a subset of the wider set of Capabilities mandated in the NHS England GP IT Operating Model. The Foundation Capabilities are clearly identified on the Capability and Standards Model. Suppliers do not have to supply any of the Foundation Capabilities and can choose to provide one or more. Buyers will have to take all of the Foundation Capabilities in order to access central funding.
Standards
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central funding.
Standards
Standards describe the technical or operating conditions required to achieve Catalogue Compliance
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- Overarching Standards (e.g. Information Governance)
These will be applicable to all Supplier Solutions and are NHS Digital Standards reasonably agnostic of care setting. - Capability Specific Standards (e.g. Appointments Management - GP)
These are only applicable to Supplier Solutions delivering a particular Capability and may contain business rules, data items and best practice. - Context Specific Standards - these Standards are only applicable to some Supplier Solutions depending on the implementation and scope of Capabilities they are supporting. Suppliers will have to go through compliance against these Standards per Solution offering. These include:
- Interoperability Standards (e.g. GP Connect APIs, IM1, PDS, eRS and ePS integration etc.). These cover various mechanisms for interoperability and national integration. Each entry will be mapped to one or many Capabilities.
- Common Reporting - applicable to any Solution providing a Capability that has reporting requirements.
- Management Information Reporting - supports the collection and submission of information to NHS Digital.
- Citizen Access - applicable to any Solution providing Citizen facing Capabilities.
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Each Standard has a version number. Version numbers will iterate depending on the nature of the change (e.g. major, minor, patch) impacting the Standard. There is no relationship between the version numbers of different Capabilities and Standards.
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Suppliers will need to have achieved compliance against all Effective Standards (see Status below) in order to onboard on onboard on to the Catalogue and be awarded a place on the first GP IT Futures Framework
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- Draft
- Published
- Effective
- Retired
These terms and the lifecycle life-cycle of a Standard are described in more detail in the Change Management Process and Roadmap Content Further Information section below.
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During the Compliance phase of on-boarding onboarding to the Buying Catalogue, Suppliers will have to evidence how they will meet all of the Standards applicable to their Solution, dependent on the Capabilities they will provide.
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The live site can be accessed GP IT Futures Capabilities and Standards - Home
Change Management
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This section relates to clauses 18-54 of the Change Management and Roadmap Content ancillary document
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NHS Digital will generally aim to agree and set the Standards which are to become Effective during the lifecycle life-cycle of a Framework in advance of that Framework in order that Suppliers can plan and account for any required development capacity and cost within the List Price to be set at the start of any Framework.
New and uplifted Standards to be progressed through the Urgent Change or Opportunity Items route may be added to the Roadmap at any time. There are however restrictions regarding the addition of new Roadmap entries in the Managed Capacity route where and Effective Date is set. Refer to clauses 29-33 of the Change Management and Roadmap Content ancillary document for this information.
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Changes progressing through this route are published for all relevant Suppliers to deliver i.e. the new or uplifted Standard may or may not apply dependent on the Capabilities which a Supplier has selected to support. Suppliers are expected to incorporate the cost of the capacity required to deliver items in the Managed Capacity route which have an Effective Date within the lifecycle life-cycle of the Framework as part of their List Price set for that Framework. Suppliers must ensure that they make available sufficient capacity to deliver all the work specified via the Standards and Capabilities Roadmap which falls within the lifecycle life-cycle of the applicable Framework. Capacity issues shall not relieve a Supplier of their obligations to achieve compliance with the relevant Standards by the set Effective Dates.
It is anticipated that the majority of changes in the Managed Capacity route which have an Effective Date within the lifecycle life-cycle of the subsequent Framework will be discussed and agreed with Suppliers ahead of that Framework in order that Suppliers can set their List Price accordingly. However the Catalogue Authority reserves the right to add items to the Roadmap within the lifecycle life-cycle of a Framework which will also become Effective during that Framework. Given that the Frameworks are expected to be relatively short, this is not expected to be a common scenario as any given Effective Date is likely to fall within a subsequent Framework, thus allowing a Supplier to re-set their List Price, however any such occurrence will be handled as per the terms set out in clauses 30-33 of the Change Management and Roadmap Content ancillary document. It should also be noted that the Catalogue Agreement does not restrict the ad hoc resetting of the List Price subject to the conditions set out in the Commercial Standard and the Framework Agreement.
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- The key strategic (SRO Priority) changes, as agreed by the NHS England CCIO with the support of the Senior Responsible Owners (SRO) group which will need to be implemented by a set Effective Date within the lifecycle life-cycle of the Framework. This is the group who are accountable for the prioritisation and delivery of the key Department of Health and Social Care and NHS England strategies and objectives (e.g. Secretary of State Technology Vision). These items will generally be agreed with Suppliers ahead of any Framework opportunity and should be accounted for in the List Price set for the Framework.
- Regulatory and legislative change which must be delivered by a set Effective Date. These items should be accounted for in the List Price set for the Framework.
- Minor and Patch uplifts to previously Published or Effective specifications which will be regular items on the Roadmap to account for small tweaks to existing specifications with Effective Dates every three months. These could include minor or patch uplifts to a range of Standards or Capabilities but the volume of change in each entry will be carefully monitored. It is anticipated that these uplifted specifications would be published a minimum of three months in advance of each Effective Date. As per clause 47.5 of the Change Management and Roadmap Content ancillary document, these items should be accounted for in the List Price set for the Framework.
- A list of other changes which deliver benefits to the NHS and which NHS Digital would like to be delivered. These items will have Published specifications and may or may not have Effective Dates. These items should not be accounted for in the List Price set for the Framework, however they may be associated with incentive payments for delivery of the change item within a particular bounded time period.
- For example - the introduction of a new version of the Electronic Prescribing Service (EPS). Plans could be issued by the NHS Digital spine team to retire old versions across the market in four years. The new specification which introduces a change to the existing EPS Standard could be Published alongside the Effective specification. Suppliers are then able to implement either the new Published version or the existing Effective one and both would be deemed as compliant. However, closer to the retirement date of the existing Effective specification (perhaps two and a half years in), an Effective Date by which Suppliers will need to have achieved compliance may then be set for the new Standard. Therefore until that point there will be a Published Standard which is not Effective.
- For example - the introduction of a new version of the Electronic Prescribing Service (EPS). Plans could be issued by the NHS Digital spine team to retire old versions across the market in four years. The new specification which introduces a change to the existing EPS Standard could be Published alongside the Effective specification. Suppliers are then able to implement either the new Published version or the existing Effective one and both would be deemed as compliant. However, closer to the retirement date of the existing Effective specification (perhaps two and a half years in), an Effective Date by which Suppliers will need to have achieved compliance may then be set for the new Standard. Therefore until that point there will be a Published Standard which is not Effective.
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Suppliers will generally be able to select and develop items in the Managed Capacity route in a manner to suit their development plans and approach, but must ensure that they deliver all the key strategic priorities identified by the NHS England SRO group and achieve compliance by the set Effective Dates. As per clause 47 of the Change Management and Roadmap Content ancillary document, Suppliers are expected to work with the Catalogue Authority to share and agree delivery plans and development milestones to ensure that obligations can be met.
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Alpha, Definition and First of Type (see clause 51.2 of the Change Management and Roadmap Content ancillary document). Opportunities for Suppliers to collaborate and co-produce specifications and to develop these up to the First of Type stage and to refine the specification before it is Published for all other relevant Suppliers to implement through the Managed Capacity route.
Other opportunities (see clause 51.3 of the Change Management and Roadmap Content ancillary document). Opportunities for the wider Supplier market to deliver changes such as new Capabilities or standalone features which do not necessarily have to be implemented by Foundation Solution Suppliers or Suppliers supporting a particular Capability. These opportunities may allow a Supplier to set their product apart from others and potentially enter new markets and gain market share or offer a product via the Framework which they may have not been able to previously. These are changes which may be more efficiently and effectively delivered by Suppliers who already have existing products to meet the desired business needs rather than commissioning bespoke development from existing Suppliers.
Feasibility Assessment
(See clause 51.1 of the Change Management and Roadmap Content ancillary document). The Feasibility Assessment process will be controlled in the same manner as the Opportunity Items. It is to cover change requests requiring an assessment involving input, analysis and feedback from Suppliers to assist in determining the feasibility, scope, sizing/complexity and nature of the change request prior to it progressing through one of the other change routes and also to assist in defining specifications. This is for work which does not require any development, but goes beyond the scope and time required for an RFI as set out in the Catalogue Agreement. Following completion of the Feasibility Assessment, the change may either be withdrawn or progressed via one of the other change routes.
Urgent Change
Please refer to clauses 38-43 of the Change Management and Roadmap Content ancillary document for information regarding Urgent Change.
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As per clause 47.4 of the Change Management and Roadmap Content ancillary document, Suppliers are obliged to share their Delivery Plans in relation to items on the Roadmap with the Catalogue Authority to facilitate alignment of work items between these plans and the Standards and Capabilities Roadmap. This should include as a minimum:
The earlier these plans are made available and the more detail they contain, then the development and delivery of the change should be more efficient and effective enabling the Supplier to meet Effective Dates and achieve incentives where available. |
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The Full Assessment process is triggered either by a change passing the Entry Assessment or following completion of an Opportunity Item where a change now needs to be published for all relevant Suppliers to implement. The Full Assessment process determines the route by which the change will be progressed and considers the details and parameters of that change such that it is clear to Suppliers what will need to be delivered and when. Some of the elements of this Full Assessment process have sub-processes and more detailed checklists etc. which are detailed below where applicable. In the case where a change is moving from an Opportunity Item or Feasibility Assessment into the Full Assessment process, then a new change form is not required and a discussion will be held between the GP IT Change team and the change requestor to validate the original details given on the form and amend as necessary ahead of completing the Full Assessment. The Full Assessment process will include analysis of the elements listed below in order to determine the most appropriate change route for this request and the parameters associated with it. This will be completed by the GP IT Change team, engaging the support of the relevant subject matter experts and Suppliers on each of the elements of this as required to ensure a consistent and fully considered assessment. This will include consultation with representatives from Business Analysis, Technical Architecture, Solutions Assurance, Service Management, Information Governance, Finance, Commercial, Buying Catalogue, Clinicians and other system users and other specialist teams as required, as well as Suppliers. Supplier engagement in this process will be managed via the RFI process, the Feasibility Assessment route or another suitable procurement vehicle or commissioning route which is available at the time. Depending on the nature of the change in question and the Capabilities and standards which are impacted, this engagement may either be mandatory or optional for Suppliers.
Further information regarding the details of each of these aspects of the assessment is included below. At any point of this assessment process, it may be necessary to escalate either by convening a meeting between relevant stakeholders or by sending to a board or other governance group to make a final decision on certain elements of the change assessment. This will be particularly important for prioritisation where the NHS England SRO group will determine the key strategic priorities for the subsequent period. Once all the details are agreed, the Roadmap entry can be updated and the change will progress into one of the defined change routes. The following table sets out some general guidelines for assessing the most suitable change route, however this is not exhaustive and change requests will need to be considered case by case:
Align to Standards and Capabilities Model
Alignments and Dependencies
Set Dates and Timescales
Determine Incentives and Funding
Sizing and Complexity
Urgent Change Assessment
Prioritisation
Materiality
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Major changes: Any revisions which are assessed as major changes will be assessed through the Change Management Process and the Effective Dates and other parameters associated with the change adjusted accordingly to account for the work required from Suppliers. The Roadmap would be updated as necessary to reflect this change and this may be subject to the restrictions set out in clauses 30-33 of the Change Management and Roadmap Content ancillary document.
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