Transcript Slide 1

eHealth Strategy for
NHSScotland
2011-2017
New proposals
• Move away from funding discrete projects &
programmes to outcomes based approach
• Funding allocated to Boards (3 funds)
• 5 strategic eHealth aims
• Boards will progress the 5 strategic aims over 6
years
• From 2012-13 outcomes will be incorporated
into Board LDPs
• Boards will also have eHealth plans, aligned to
LDPs
Implications
• The new vision embraces the reality of Boards
using different IT systems, having different work
processes and being at different stages of
implementation of the strategy
• Boards will move at different speeds towards the
same end point
• A longer planning cycle enables Boards to use
eHealth to bring about genuine improvements
• Matches the ambition of the quality strategy
• Covers 2 LDP cycles
Consultation – so far
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Directors of Finance
Medical Directors
Nursing and AHP Directors
Directors of Pharmacy
eHealth Leads
CCLG
4 scoping workshops (included: patient
groups, academics, individuals, third sector
representation and health & social care workers)
Scoping Workshops
• Considered the wording and meaning of the 5 strategic
eHealth aims (unintended consequences, equalities,
diversity etc.)
• Suggestions on where eHealth might make the greatest
contribution
• Some worries about Boards’ setting their own outcomes
• Some concerns about Boards’ setting their own priorities
• Most participants found the workshops interesting and
welcomed the opportunity to be involved
General approach
• Boards welcomed outcomes based approach
linked to LDPs
• New approach will embed eHealth within
organisations as enabler of achievement of
clinical and business objectives
• Territorial boards welcomed new financial model
• Special boards worried about impact on systems
that have been funded nationally/centrally
Principles
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eHealth will improve NHS Scotland services by
reducing harm, variation and waste
SG interest in outcomes being achieved rather than
defining how Boards will achieve them
Boards will have different priorities at different times
Reap the benefits from assets that have been acquired
Promote and implement good practice and successful
local initiatives more widely
Encourage convergence of approaches to delivery of
outcomes to reduce duplication of effort and reduce
cost.
Promote collaborative working between Boards
Principles
• Boards supportive of principles proposed
• Supportive of need for convergence and
reduction in variation but unclear how this would
work in practice
• Need to promote and adopt standards to
encourage convergence
• Need to identify mechanism to support shared
good practice and factors for success
• Clarify central eHealth governance role
eHealth strategic aims
To use information and technology to:
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maximise efficient working practices, minimise
wasteful variation, bring about savings and vfm
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support people to manage their own health and
wellbeing, to interact with NHSScotland and improve
decision making
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contribute to shifting the balance of care to improved
community based care and support for people with
long term conditions and mental health problems
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improve the availability of appropriate information for
healthcare workers and the tools to use and
communicate that information effectively to improve
quality
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improve medication management as an essential part
of peoples’ care
Consultation Questions
• Do you agree with the wording of the 5 strategic eHealth
aims? If not, why?
• Do think our use of case studies, quotes and examples to
illustrate the 5 strategic eHealth aims is appropriate?
• What are you thoughts on the “actions” that are
highlighted in bold at end of each of the 5 Strategic
eHealth aims?
• Are there any other “actions” that should be included
under the 5 strategic eHealth aims?
• Do you support the move to a longer planning horizon? If
not, why?
Consultation Questions
• Do you agree that Boards’ LDPs are the
appropriate mechanism for the Scottish
Government to monitor Boards’ performance in
eHealth? If not, why?
• What are your thoughts on the requirement for
Boards to produce separate eHealth plans and
to report on their eHealth progress annually to
the eHealth Division in the Scottish
Government?
• Do you have any other comments on the draft
eHealth Strategy not covered by the questions?
Next steps
• First draft eHealth strategy approved by
Strategy Board (March’11)
• Written consultation on draft strategy –
April/May’11
• Meetings with stakeholders April/May’11
• Material on website
• Final draft to go to eHealth Strategy Board
16th June
• Ministerial approval – June’11???