London Programme for IT

Change management

Changes arise as a result of problems, but many changes can come from proactively seeking business benefits such as reducing costs or improving services. The goal of the Change Management process is to ensure that standardised methods and procedures are used for efficient and prompt handling of all changes, in order to minimise the impact of change related incidents upon service quality, and consequently to improve the day-to-day operations of the organisation.

To make an appropriate response to a change request entails a considered approach to assessment of risk and business continuity, change impact, resource requirements and change approval. This considered approach is essential to maintain a proper balance between the need for change against the impact of the change.

It is particularly important that Change Management processes have high visibility and open channels of communication in order to promote smooth transitions when changes take place.

You need to be registered for the Service Management group to be able to access the forward schedule of change, success/failure report and the trust raised RfC report - please register here.


End-to-end change process

This section includes the End-to-end change process, business rules, RFC template, clinical risk rejection form, PACS modality guidance note, Choose and Book change process

The end to end change management process is the process by which all changes for all LSP and PACS services are controlled and managed via standardised practices to ensure the timely and effective handling of all proposed changes so as to minimise the potential for negative impact upon supported services. It also explains the chargeable process if applicable to the request. This process applies to RFCs raised by trusts, BT Health and LPfIT. The objective of this document is to have a common understanding between the Trusts, LPfIT and BT Health to ensure all parties understand how the process works


Service requests

A service request is characterised by the fact that the change can be made under strict, well defined procedural control and is therefore (virtually) risk free.


Planning a power outage or taking down a trust hosted LSP services?

If you are planning a power outage or you need to take down trust hosted LSP services trusts must complete a request for change form. BT request that trusts provide 10 days notice to ensure that the appropriate resources are made available to support you in taking down and restoring service. The request for change process should also be followed for an trust related changes that may affect the delivery of LSP services to them, such as firewall changes.

Failure to complete this notification may result in negation of your contracted service levels and as many of the services are remotely monitored, results in false alarms and engineers being dispatched, which may be chargeable.

Back to top


Have you also notified BT N3?

N3 should be informed about any planned network outages by completing the corresponding form on its website

An outage to an N3 connection generates an alarm which the helpdesk has to investigate. Therefore if you can spend a short time completing the template, it will enable BT to focus their efforts on resolving true incidents

Back to top

Please email the Change Management Team if you have any queries

  • This website is speech enabled
  • NHS Direct logo
  • NHS logo
  • My NHS alerts logo

designed and developed by Precedent