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Why Open Source in the NHS? 11th June 2014 Richard Jefferson Head of Business Systems What is Open Source? Based on 4 Software Freedoms: • Free to use software however you wish • Free to redistribute copies • Free to understand how it works and adapt it • Free to make and share improvements with anyone 18/07/2015 2 How can it be used in the NHS? • Large scale clinical or administrative applications • Speciality based products • Apps and services focused on mobility, safety, efficiency etc • Patient facing services • Integration and interoperability • Not only code but configuration • Supporting commodity software 18/07/2015 3 Why? Woland’s Cat Blog: A Platform for a Health Service “Let’s consider more closely the platform concept for bodies like the UK NHS. I would argue that the health service’s primary interest in a platform is to give providers a way to avoid procuring massively expensive, inflexible lock-in solutions, and instead procure incrementally, openly and adaptively.” http://wolandscat.net/2014/05/07/what-is-an-open-platform/#more-709 (Shared) Knowledge is power? Francis Bacon • Knowledge is perishable. • Knowledge has an ROI only if invested • You will get out more than you put in Shared Knowledge is power “It is tempting, if the only tool you have is a hammer, to treat everything as if it were a nail.” Abraham Maslow “Knowledge is knowing a tomato is a fruit, wisdom is not putting it in a fruit salad” Peter Kay OPEN SOURCE TECHNOLOGY PATIENT • • • • • • • Preventing people from dying prematurely Enhancing quality of life for people with longterm conditions Ensuring that people have a positive experience of care Freeing the NHS to innovate Driving Digitisation Interoperability within / across Health Economy Boundaries Affordability Direct • Choice • Disruption • Sharing • Lower TCO • Innovation Indirect • Best of Breed Interoperability (APIs) • Componentisation • Economic regeneration Collaboration…… ….for the greater good…… …….but with returns Lower Total Cost of Ownership “TCO reflects a measure of all the costs of identifying and acquiring software, installing it and operating it and the exit costs found in migrating away from the software.” A reality? How? • Creation of Communities • Build Supply • Build Demand • Support procurement • Support and guidance • Funding where appropriate Choice NHS Trust Developed Solutions • • • • • Moorfields: OpenEyes Northern Lincs & Goole: WebV Clinical Portal Leeds: eForms/EPR/Clinical Portal University Hospitals Birmingham: PICS Lite Several others in discussion about sharing their assets……………….. Existing Open Source Solutions • Tactix4: • Nursing eObs • RenaLink • GDIT / Medsphere (VistA) • DSS / Open Apps (VistA) Existing Proprietary > Open Solutions • • • IMS Maxims – Now fully released as open source Hewlett Packard Others we can’t name at this stage Further Innovation • OpenDental • Open Clinical Decision Support • Open VNA • Innovation Prizes • National competitions • Code4Health • ASHN’s / Universities Stimulating Demand The Vision Over time to… 1. Create a market of viable Open Source solutions, and for them to be considered equally with proprietary options. 2. Provide evidence of the value of Open Source to the wider Health and Social Care Community 3. Ensure by default all code created in the NHS is shared as part of a Library of assets for re-use 4. Ensure a level playing field for Open Source commodity & infrastructure services 5. Achieve a self-sustaining eco-system of communities Communities of Interest For more information: Email: [email protected] Tel: 0845 8677697 Web: www.technologystrategy.england.nhs.uk Twitter: @NHSOpenSource #NHSOpenSource