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Heartbeat July 2018

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Improving our IT infrastructure<br />

CORPORATE & GENERAL NEWS<br />

The last few months have been very<br />

challenging for those of us who have<br />

to use IT to work and access patient<br />

information.<br />

<strong>Heartbeat</strong> caught up with Chief<br />

Informatics Officer, Mark Reynolds who<br />

explained more about the issues being<br />

faced by his team.<br />

“Our IT infrastructure is very complicated<br />

and runs on a network that needs<br />

significant work to bring it up to date<br />

so it is able to cope with the volumes<br />

of work on the system. Over the past<br />

few weeks we have been working with<br />

external advisors who have given us a<br />

clear set of actions we need to take to<br />

improve the performance of the network<br />

and create resilience.<br />

“It is encouraging as the expert<br />

recommendations already build on the<br />

plans we have had in place internally to<br />

help us resolve the issues. This is positive<br />

news as it allows us the opportunity to<br />

focus our work on getting things right<br />

before Unity is launched later this year.<br />

“I am confident we will start to see<br />

an improvement in our day to day use<br />

of IT. My team and I are very aware<br />

that colleagues require a modern<br />

infrastructure that works, with reliable<br />

Wi-Fi and equipment that works.<br />

And we are working hard to ensure<br />

this becomes the norm across the<br />

organisation.”<br />

Building confidence after the<br />

major IT incident in May<br />

The major incident in May was caused<br />

by a change to the system which led to a<br />

significant breakdown to the network.<br />

“As a result we are working more closely<br />

with clinical colleagues and operational<br />

teams to ensure this does not happen<br />

again,” said Mark.<br />

“A change process panel has been<br />

created to ensure checks and balances<br />

are in place for all updates and requests<br />

for a change to our IT network. To make<br />

it clear we are not stopping what we<br />

were doing previously, we now just need<br />

colleagues to follow a process in order<br />

for their request to be considered and<br />

acted upon.”<br />

The change panel meets every Tuesday<br />

and is chaired by Rachel Barlow, Chief<br />

IT Deployment Engineers, Leon James (left) and John Marks (right) assist Healthcare Assistant, Karen<br />

Mowatt-Shirley<br />

Operating Officer. Decisions are taken<br />

very quickly and outside of the meeting<br />

there is an opportunity to have urgent<br />

requests submitted through the informatics<br />

duty manager, who is able to request<br />

an emergency change to the panel (if<br />

appropriate).<br />

Following the May incident, the informatics<br />

team supported by operational colleagues<br />

carried out some walkthroughs across<br />

Sandwell to find out what the issues were.<br />

Informatics Service Manager, Suki Heer<br />

explained: “Doing the walkthroughs was<br />

very beneficial for us and the teams we<br />

visited. Colleagues were pleased to see<br />

us out and about and it is something we<br />

would definitely like to continue to do in<br />

future.<br />

“We were quite surprised to find that<br />

colleagues generally don’t report incidents<br />

with the help desk so the majority of issues<br />

we logged during the walkthroughs were<br />

completely new incidents for us. I would<br />

urge everyone to raise a ticket for all IT<br />

issues no matter how small - it is the only<br />

way we can help and resolve the issues<br />

colleagues are having.”<br />

The walkthroughs at Sandwell saw 136<br />

initial tickets logged, of these 128 have<br />

been resolved and the team are working<br />

through the eight still outstanding. The<br />

majority of the tickets were related to not<br />

being able to connect to the network,<br />

wireless application (WAP) and iPad issues.<br />

Walkthroughs at City and Rowley Hospitals<br />

followed in June and <strong>July</strong> and have just<br />

been completed. The team are now<br />

working through the issues raised.<br />

Colleagues are urged to raise a ticket for all<br />

IT incidents on Connect or call the helpdesk<br />

on ext. 4050. Tickets are allocated a priority<br />

and response time as detailed in the table<br />

below.<br />

Priority Response time Resolution<br />

Critical 30 mins 4 hours<br />

Important 1 hour 8 hours<br />

Normal 4 hours 3 working<br />

days<br />

Low 5 hours 6 working<br />

days<br />

Service request<br />

!<br />

Informatics Data – Date: 20 <strong>July</strong> <strong>2018</strong><br />

875<br />

OPEN INCIDENTS<br />

CRITICAL<br />

ALERTS<br />

52<br />

6 hours 20 working<br />

days<br />

The graphic below shows the latest IT<br />

performance overview at the time of<br />

printing <strong>Heartbeat</strong>.<br />

DAYS SINCE LAST OUTAGE:<br />

2<br />

Sandwell and West Birmingham Hospitals<br />

OLDEST INCIDENT<br />

OUTSTANDING<br />

December 2016<br />

RESPONSE<br />

TIME TO<br />

HELPDESK<br />

AVERAGE: 1m 11s<br />

LONGEST: 17m<br />

NHS Trust<br />

12

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