Archived decisions

Contact: Gill Duncan (01962) 833018 email: [email protected]

1. Summary:

The following decisions are sought:

1.1 That the Executive member support Option 2-the use of the Saturn system for administrative functions only, on desktop P.Cs from March 2007 and incorporate this action into the Financial Recovery plan giving a saving of £200, 000 over the next two financial years.

2. Reason

The purpose of this paper is to present to the Executive member the budget implications of full implementation of the Saturn IT system within the Nursing Homes and present options that are set in the context of the departmental financial position and take into consideration the impact of the implementation on the unit costs for In house Nursing Care.

2.1 As part of the Nursing Care Investment Strategy the IT infrastructure which was approved by Cabinet included three components, these being :-

(1) The Vivatec nurse call system (approved by the Executive Member for Social Care on 24 September) which was subsequently extended to cover the Residential units on the joint sites.

(2) The infrastructural costs of IT provision to any new Council building housing the number of administration staff and management. This includes the telephony and IT2000 fees to access core Council systems such as SAPR3 and Microsoft Office and provision for nursing staff to access guidance material and care practice materials. These costs total £231,000 per year plus £185,000 of capital set-up costs and are funded from existing budgets.

(3) The third being a specific home, care and staff management IT system for the homes. The system that was procured following approval was the Saturn system.

2.2 This report supports the corporate strategy in making Hampshire safer and more secure, and enhancing quality of place. It does so by ensuring the continued use of the Saturn system to help provide the best care and supports consistent operational practice .

3. Other Options considered and rejected:

3.1 Option 1. Carry on full use of Saturn from 2007-08

05-06 06-07 07-08 08-09 Total

£189,000 £209,000 £240,000 £318,00 £956,000

Option 3. Stop all use of Saturn from Mar 2007

05-06 06-07 07-08 08-09 Total

£191,000 £253,000 £0 £0 £444,000

4. Conflicts of Interest declared by the decision maker or other Executive member consulted

None

5. Dispensation granted by the Standards Committee

None

6. Reason(s) for the matter being dealt with if urgent

Not applicable

Approved by: ........................................... Date: ................

Councillor Patricia Banks

Executive Member for Adult Social Care

Contact: Gill Duncan (01962) 833018 email: [email protected]

1. Summary

1. 1.1 The purpose of this paper is to present to the Executive member the budget implications of full implementation of the Saturn IT system within the Nursing Homes and present options that are set in the context of the departmental financial position and take into consideration the impact of the implementation on the unit costs for In house Nursing Care.

1.

1.2 This report supports the corporate strategy in making Hampshire safer and more secure, and enhancing quality of place. It does so by ensuring continued use of the Saturn system to help provide the best care and supports consistent operational practice .

2. Impact Assessment

2.1 In compiling this report account has been taken of the requirements of the Corporate Equalities Plan and Race Scheme.

3. Consultation with Local Members

3.1 None

4. Introduction

4.1 As part of the Nursing Care Investment Strategy the IT infrastructure which was approved by Cabinet included three components, these being :-

The Vivatec nurse call system (approved by the Executive Member for Social Care on 24 September) which was subsequently extended to cover the Residential units on the joint sites.

The infrastructural costs of IT provision to any new Council building housing the number of administration staff and management. This includes the telephony and IT2000 fees to access core Council systems such as SAPR3 and Microsoft Office and provision for nursing staff to access guidance material and care practice materials. These costs total £231,000 per year plus £185,000 of capital set-up costs and are funded from existing budgets.

The third being a specific home, care and staff management IT system for the homes. The system that was procured following approval was the Saturn system.

5. Progress to Date

5.1 Vivatec

5.2 The nurse call system will be fully installed and operational in all sites by March 2007.

5.3 This system has been very positively received by staff and service users. In addition to the nurse call system the service is also beginning to maximise the benefits of the wellbeing data that is produces by this system. This enables staff to monitor and track individual resident activity and is particularly relevant in terms of falls management and dementia care service users. This will be delivered within the ENHANCE capital and revenue budgets for 2006/7.

6. Infrastructure

6.1 The IT infrastructure for all new units is in place and functioning. This will be delivered within the ENHANCE capital and revenue budgets for 2006/7.

7. Saturn System

7.1 In this financial year nursing staff have been trialling the use of the Saturn system for Diary Notes, Assessments and Care Plans . This has been within one of the smaller nursing units, this being Marlfield in Alton, which at full capacity has 40 Nursing Beds. All Nursing Homes are already using Saturn for resident administration; this enables standard recording and reporting for a range of operational and management information purposes.

7.2 The following describes the key areas of functionality covered by the Saturn system and how the service currently delivers these in all other operational nursing units.

7.2.1 Resident Care Management

This is being delivered through a paper based system that is used across all Residential and Nursing care units. As part of the implementation of the Nursing Care strategy this system was reviewed in 2005 to ensure a consistent set of care records across all residential and nursing units.

7.2.2 Home Management

Elements of this are delivered through a paper based system with the exception of accidents and Incidents which are reported and monitored through the Adult Services Care Governance incident reporting system.

7.2.3 Staff management

The element of the system would never be utilised as the SAP system is in use.

7.3 It should be noted that in comparisons with the Independent sector they achieve full benefits of the Saturn system as there is total usage of all functional elements which, due to other corporate systems, would never be achieved in our In House units.

8. Financial Options

The current budget for 2007/8 to support the Saturn system and ongoing revenue costs of IT and telecoms costs is £200, 000 of which £150, 000 is to support the implementation of the Saturn system.

The Executive member is asked to consider the following options:

Option 1. Carry on full use of Saturn from 2007-08

05-06 06-07 07-08 08-09 Total

£189,000 £209,000 £240,000 £318,000 £956,000

Option 2. Use Saturn for Admin only on desktop PCs from Mar 2007

05-06 06-07 07-08 08-09 Total

£191,000 £263,000 £50,000 £50, 000 £554,000

Option 3. Stop all use of Saturn from Mar 2007

05-06 06-07 07-08 08-09 Total

£191,000 £253,000 £0 £0 £444,000

8.1 Options Analysis

Option	For	Against
1	Using state-of-the-art technology to help provide the best care; Part of initial vision to provide a modern service. Has additional costs of £258,000 and no budget savings over two years	Very expensive, especially in light of current financial climate.
2	Provides saving on budget of £200,000 over two years; Enables Hampshire to continue to use the Saturn system to help provide the best care; Allows for consistent operational practice and recording across all Nursing Homes; Gives Hampshire the possibility of using Nursing Care modules in Saturn even if we relinquish the slates; Does not give rise to questions about Hampshire's commitment to modern Nursing care - shows Hampshire is financially responsible.	Requires spend in 07-08 and 08-09 of £50,000 per year.
3	Provides saving on budget of £300,000 over two years.	Compromises initial vision; Loss of reputation and credibility with staff, residents and Hampshire's public.

Recommendations

1. That the Executive member support Option 2 -the use of the Saturn system for administrative functions only, on desktop P.Cs from March 2007 and incorporate this action into the Financial Recovery plan giving a saving of £200, 000 over the next two financial years.

Section 100 D - Local Government Act 1972 - background documents

The following documents discuss facts or matters on which this report, or an important part of it, is based and have been relied upon to a material extent in the preparation of this report.

NB: the list excludes:

1. Published works

2. Documents which disclose exempt or confidential information as defined in the Act.