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26 Performance summary
IT infrastructure Challenges to our delivery
We have concluded our discovery phase of our Core What did not go as well, took longer than
Systems Programme and are now progressing with the expected or changed direction during the year?
detailed design and development of our new platform.
• Core systems and service development
The Core Systems Programme operates under our
We encountered delays in initiating our two
established programme governance framework and
main change programmes (the Core Systems
includes a steering group and a programme assurance
Programme and the Claims Evolution Programme)
committee consisting of representatives across the
due to the time required to secure the necessary
organisation who will consider risks, issues and benefits
business case approvals. Having received the
arising from the programme. In addition, we are seeking
approvals, we initiated both programmes in
input from colleagues across the system to support our
2021/22 with both due to deliver first steps in
core system transformation programme as part of our
2022/23 with further iterations in the future.
user research. The programme has received NHSX (now
NHS England Transformation Directorate) Assurance • Healthcare Professional Alert Notices
Board approval and will follow the NHS approvals process. and Performers Lists Checks
We are responsible for the management of the
Cyber security Healthcare Professional Alert Notices (HPANs) system.
Our IT team is constantly striving to keep pace with the This is a system through which notices are issued by
ever-evolving threat to cyber and data security. We have us to inform NHS bodies and others about health
adopted NHS Digital sponsored cyber security services, professionals who may pose a significant risk of harm
allowing us access to specialist security expertise at to patients, staff or the public. We had hoped to
no additional cost. Additionally we have a specific key launch a new platform in 2021/22 to support this
performance indicator around our response times to service. However, while we continue to provide a pre
alerts from the NHS Digital CareCERT team. As a result employment check service, the development of new
of these changes our security stance along with its technology to improve the ease of access to this service
supporting administrative processes is more streamlined has been brought into our Core Systems Programme.
and responsive. We have successfully maintained • Maternity Incentive Scheme
our Cyber Security Essentials Plus certification as NHS Resolution and the Collaborative Advisory
well as passing our ISO 27001 surveillance audit. We Group (the group of experts from across the
have continued our programme of penetration and maternity system who support us with this work)
vulnerability testing along with a review and independent took the decision to pause year four of the MIS to
audit against the National Cyber Security Centre (NCSC) take into account the impact of Covid-19 on trusts'
14 cloud principles. Our Board, as well as our Audit ability to achieve the scheme's safety actions. We
and Risk Committee, are fully appraised of emerging listened to our members, and adapted and revised
threats and our approach to dealing with them. the MIS, while reinforcing the key principles of the
scheme which was relaunched on 3 May 2022.
Fraud
The risk of fraud is ever-present. With support from
our local counter-fraud specialist providers, and
participation in DHSC's Counter Fraud Liaison Group, we
continually review and monitor potential threats, provide
awareness training to staff and undertake proactive
exercises to detect potential fraud and improve our
control framework. Genuine claimants have nothing to
fear; however, where there is evidence of a fabricated
or exaggerated claim we will continue to take steps
to protect public funds and to pursue a custodial
sentence. Please see our case stories on exaggerated
and false claims as examples of how we handle cases
of this nature on page 40 for more information.