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The Digital System Support (DSS) plays a core role in providing an assurance for EPRs within the Frontline Digitisation programme. Ensuring that the Trusts have aligned all the governance and clinical risks within the programme to ensure a safe Go Live of their EPRS. During 22/23 Xylem provided support to the DSS team as their workload increased due to the volume of EPRs being signed off for financial approval.
Xylem were asked to provide a number of expert associate partners who have the relevant skill set to become Review Team Leaders and also Subject Matter Experts (SMEs) for Data Migration, Testing, Cutover and Go Live Functions. Working collaboratively with DSS the team were embedded to undertake the roles of Review Team Lead (RTL) which consisted of Trust engagement both remote and on site, undertaking a written Terms of Reference to ensure the rules of engagement were clear, working with Trust Stakeholders to provide 1 hour review meetings across a single trust which comprised of 20+ meetings or in many cases dual Trust which comprised of 40+ meetings. Xylem’s team have also been responsible for scheduling meetings, providing a kick off review meeting with all SMEs who supported the RTL, engagement in all meetings to lead the review meeting and ask probing questions to understand the depth of control and governance with the EPR programme. On completion of the reviews the RTL is then tasked with writing up the report and engaging with SMEs for their input before finalising the report and providing a summary overview with the Trust lead.
In collaboration with the client, Xylem’s team undertook each Trust assignment against their own requirements and then subsequently the overarching role of DSS was supported by the knowledge of the team joining them such as:
The initial reviews being undertaken were slightly chaotic and misunderstood, however since the team have been able to align structure and demonstrated their expertise, the work assigned to them is more streamlined and better outcomes are being realised. Evidence of the improvements made are now well documented by way of improved booking and scheduling of review meetings, reduction in diary pressures for all concerned with competing review meetings. It has also meant improved note contributions from all SMEs, which has resulted in a calmer approach to the end stage report and a more professional approach with the Trusts to document their reviews of the reports and any subsequent amendments being made. Therefore, leading to approvals is much more streamlined and feedback being seen is complimentary to the improvements noted by the DSS team.
“Your associate has provided invaluable insights and support, a much-needed breadth and depth of EPR expertise and shared a wide range of useful advice, knowledge, processes, tools and contacts with both our trusts, programme teams, ICS, regional and FD partners.”
– NHSE Executive
