Transcript Slide 1
NPFIT UPDATE • New Perspectives • Stocktake • Planning Guidance – Information Governance – Capability and Capacity – SCR • Clinical dashboards • Summary Care Record • Leadership/professionalisation/staff development Clinical Dashboards - Commitments NSR • ‘The next stage in achieving high quality care, requires us to unlock local innovation and improvement of quality through information – information which shows clinical teams where they most need to improve, and which enables them to track the effect of changes they implement.’ • Within organisations, we know that a defining characteristic of high performing teams is their willingness to measure their performance and use the information to make continuous improvements...We will develop ‘Clinical Dashboards’ which will present selected national and locally developed measures in a simple graphical format as a tool to inform the daily decisions that drive quality improvement.’ HIR • NHS clinicians are dependent upon good quality information and data to make sure they are providing the right services to patients. They must have appropriate access to data whenever they need it, in a usable format. The provision of a clinical dashboard will improve the clinical team’s ability to focus on improving the quality of care locally. It will provide NHS clinicians with good quality information that will help them make sure that they are providing the right services to patients. It will give them appropriate access to data, whenever needed, in a usable format and will present them with meaningful clinical indicators, defined by local teams, in an immediate and impactful way. We are developing a prototype which will be evaluated prior to further development. 2 Prototype site Clinical Dashboards 1 The Homerton Accident & Emergency Depart - Clinical Dashboard Prototype site Clinical Dashboards 2 The Nottingham Urology Depart - Clinical Dashboard Prototype site Clinical Dashboards 3 The Bolton PCT- Clinical Dashboard Fast Followers London Enthusing Next Sites •Equitable access IT schedule (5) now includes SCR. •Operating framework includes SCR reference. •Readiness Assessment Tool now “significantly” completed. •Planning and reporting tool live for Fast Follower PCTs to use. •Integrated Adastra solution available in January. •Promotion of SCR as a tool for accessing End of Life care plans. •Availability of resource from CFH team. •Clarity on benefits and linkages to NSR. Cross Cutting Tool Kits: Relationship Management Deploying Capability Embedding Skills Frameworks Recruitment Performance Management Reward Learning & Development Leadership People Management Strategic Thinking Comms & Marketing Financial Management PPM Developing Capability Sources: Function Specific Tool Kits: TG - OGC - HMT - HR IT Profession - Security Services - Other Professions Policies (Gov & Local) - Standards (Gov, Local & Industry) Methods (Local & Industry) - Guidance (Gov & Local Exemplars (Gov, Local & Industry) Learning & Development Opportunities Analysis & Use of Evidence Academy Conceptual Model - Training CIO Leadership Development Programme CIO Senior Manager Delivery Through Suppliers Lead Practitioner Managing Business Change Reliable Project Delivery Senior Managers’ Core Programme ` Core IT Enabled Policy Delivery Core Executive Managers Workshop Accredited existing learning electives by competency Practitioners & Senior Practitioners Business of Govt Govt IT Landscape Practitioner Key Accredited existing learning electives by competency Supplier Sol’n Service Bus. Change P’gmme & Mgt Architecture Delivery Mgmt Project Mgt Foundation Programme Core (timed for Fast Stream) Current Academy provision Next focus for development Future development Sol’n Dev & Impln’tion Existing market offerings Info Mgt &Security Tech specific SHOULD WE BE CERTIFIED… NYHDIF Time out 13/14th November 2008 NEXT STEPS REVIEW • Improving health and healthcare requires a better understanding of: – – – – – Needs Expectations Choices for patients Outcomes Performance • Change HEALTHY AMBITIONS • • • • • • • Information for patients on treatments/outcomes Reduced nos trips to hospitals Faster and better treatments Improved VFM Support for organisations to work together Greater access to patient information for clinicians Better access to prescribing information and risk scoring THE CHALLENGE • “good informatics services are vital to delivering the health and social services we hope for, and the only way of knowing how well we have delivered……… (they)………….will improve patient experience and enable …………………improve(ments) in the quality of care” (Health Informatics Review) THE RESPONSE • • • • • • • • Leadership Professionalisation ETD/CPD Developing future leaders Creating careers Developing people Raising standards Developing capability Career pathways Other training providers Universities 21 st century context NHS, patients, etc Master classes The individual W ork shops Modular courses SfH Employer NHS Employers KSF General In IT In IM HI qualifications The IC IM HINOS GSS etc E-learning Leadership development Use of ICT Accreditation BCS content Foundation degrees IT HINOS SFIA etc KSF Core NHS CfH Education Providers NHS Institute Sources and uses of data Other NHS Skills Frameworks Agenda for Change NHS pay system Job evaluations using 16 factors weighted together to set grades and pay and create job profiles Knowledge & Skills Framework Learning part of pay modernisation Health Informatics National Occupational Standards (HINOS) contains further detail 6 core dimensions 8 general dimensions 3 groups of specific dimensions 20 Health Informatics 11 Information & Library services 6 Records, 31 IT Professionals are developed and used by NHS CfH, The IC, NHS Healthcare workforce, NHS Employers, NHS Careers UKCHIP ASSIST IHRIM, GSS, PACC, CILIP, Govt ITP, others NHS service providers Accreditation/regulation IRHIM, RSS, PACC, CILIP, BCS, others Tertiary and HE institutions, NHS Institute, others BCS HI Forum, HI PDB, NHS Faculty for HI Professional associations Education providers Other support for the purposes of job design, recruitment, performance management, identifying team skills & knowledge gaps NHS employers identifying skills and knowledge gaps, improving performance and pay through individual learning and development identifying learning needs and defining learning outcomes and using these to design qualifications NHS employees Education providers to create and maintain a profession that contributes to improved health outcomes by ensuring that members have the right professional competence and comply with ethics and behavioural standards BCS HIF/CFH content ACCREDITATION and CERTIFICATION • Certification – 3rd party attestation of products/processes/systems – Lifetime or time limited • Accreditation – 3rd party attestation of assessment process How an accreditation scheme might work The United Kingdom Accreditation Service (UKAS) is the sole national accreditation body recognised by government to assess, against internationally agreed standards, organisations that provide certification, testing, inspection and calibration services. Certification Certification Organisation(s) Independent Scheme Owner Standards used to define the scheme – Subject to ongoing refinement and national agreement Standards [Based on DH Information Accreditation Scheme] The Process of testing the standards, and validating organisational status/position. Support Getting people up to standard, and supporting movement from one level to another Visit www.dh.gov.uk/accreditation for more information. THREATS • • • • • Failing processes leading to replacement Being compared to unreasonably high standards Costs of assessment and of adherence to standards Diversion of resources to meet process requirements Falling reputation and morale BENEFITS TO PROVIDER • • • • • • • Increased professional reputation More attractive to commissioners Greater freedom to operate Marketing tool Attractive to new high calibre staff Reduction in staff turnover Increase in morale BENEFITS TO COMMISSIONER • • • • • • Third party assurance Increased public confidence Greater likelihood of legislative compliance eg H&S Implications for CNST High quality service delivery at low cost Confidence in levels and consistency of standards of work • Increased assurances for Boards RAISING STANDARDS • • • • Focus on services Identify core services (for initial assessments) Set standards Assess against standards – Self – Peer • • • • • Publish results Establish validity/reliability/reputation of results Determine improvement plan Secure additional resources Use results to raise individual standards So are you up for it ……………………..