Transcript Jean Roberts (291 kb)

The way forward for
NHS Health Informatics
Dr Jean Roberts
Policy Lead, BCS HI Forum
BCS STG/HIF/BISG Feb 7th 2008
Key themes
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Way Forward
• Ongoing developments
• Future developments
• Professionals and super-users
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Challenges
• Organisational
• Requirements
• Professionals, super-users and citizens
BCS STG/HIF/BISG
Our role for HI
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Expert contributors
Critical friend
Consultation Respondents
Expert witnesses
Learned Professional Society
Informed Citizens
www.bcshif.org
BCS STG/HIF/BISG
Ongoing developments
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National solutions implemented at
local level
• Each home country taking different paths
on staggered timeframes
• Capability and capacity re-versioned
• Enhanced solutions, more interfaces
• Market turbulence jeopardises
partnerships
BCS STG/HIF/BISG
Patient data may come from anywhere
• Visits the dentist / therapist ...
• Has home visit from GP, nurse, care worker, midwife …
• Visits a Walk-in Centre / Treatment Centre
• Calls OOH service
• Uses a Home Healthcare Guide
• Calls NHS Direct or NHS Direct Online
• Visits OP
• Attends A&E
• Visits GP / Practice nurse
• Goes to pharmacy / self-medicates
•Goes private / abroad
• Attends as IP and has interventions ….
BCS STG/HIF/BISG
Organisational challenges
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Politics and politics :
consider effects of wider
initiatives
Coordinate agencies
involved
Resolve concerns about
sharing
Migrate : interoperability
not ‘ruthless’
standardisation
Invest in standards
design, development and
deployment
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OPPORTUNITIES (risks)
• Engagement
• Information strategy
• Capacity & capability
• Patient-centredness
• Contract refits – vendor
capacity
• Devolution (NLOP)
• Two-way communication
• Information governance
BCS STG/HIF/BISG
BCSHIF recommended actions
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Implement EPRs locally
Sort out the concerns about sharing
content (SCR / DCR confusion)
Invest in data quality and standards
for inter-working
Share experiences and make
programmes transparent
Embrace communication with
stakeholders
BCS STG/HIF/BISG
Sharing with care
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Data transfers are secure
Data sharing : sensitive and safe
Professionals carry out authorised tasks
Audit trails are robust
Data changes cascade
Vulnerable individuals are protected
Dilemma : opt in – opt out
BCS STG/HIF/BISG
Ongoing objectives
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Seeing business improvements from
informatics deployment
• Diagnosis, care & treatment
• Efficiency and effectiveness
• Financial VFM
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Improvements in quality of life
• Life to years
• Years to life
BCS STG/HIF/BISG
Professionals and super-users
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Understand solutions, information governance,
tools & techniques
Rapidly extend training requirement
Accredit continuing fitness to practice
Meet citizens’ expectations
Sustain transparency of communication
Learn from history and document experiences
BCS STG/HIF/BISG
Touching on the Future
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Robust decision support – for and
about individual care, health planning
and organisational effectiveness
Comprehensive welfare records
Safer, more appropriate and viable
NHS
Increased HI professionalism
Lifestyle input and interrogation
Assistive and ambient technologies
BCS STG/HIF/BISG
New Dawn ?
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Safer, more appropriate and viable
NHS
Increased HI professionalism
Enhanced decision support – for and
about individuals and organisations
BCS STG/HIF/BISG
Working together; prepared for choppy
seas but heading for calmer waters
BCS STG/HIF/BISG
Further Information
www.bcshif.org
www.connectingforhealth.nhs.uk
www.hscni.net
www.show.scot.nhs.uk
www.ihc.wales.nhs.uk
www.equalitec.org.uk/equalitec_main/research.cfm
HC2008 – www.healthcare-computing.co.uk
BCS STG/HIF/BISG