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The way forward for NHS Health Informatics

The way forward for NHS Health Informatics. Dr Jean Roberts Policy Lead, BCS HI Forum. Key themes. Way Forward Ongoing developments Future developments Professionals and super-users Challenges Organisational Requirements Professionals, super-users and citizens. Our role for HI .

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The way forward for NHS Health Informatics

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  1. The way forward for NHS Health Informatics Dr Jean Roberts Policy Lead, BCS HI Forum BCS STG/HIF/BISG Feb 7th 2008

  2. Key themes • Way Forward • Ongoing developments • Future developments • Professionals and super-users • Challenges • Organisational • Requirements • Professionals, super-users and citizens BCS STG/HIF/BISG

  3. Our role for HI • Expert contributors • Critical friend • Consultation Respondents • Expert witnesses • Learned Professional Society • Informed Citizens www.bcshif.org BCS STG/HIF/BISG

  4. Ongoing developments • 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

  5. 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

  6. 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 OPPORTUNITIES (risks) Engagement Information strategy Capacity & capability Patient-centredness Contract refits – vendor capacity Devolution (NLOP) Two-way communication Information governance Organisational challenges BCS STG/HIF/BISG

  7. BCSHIF recommended actions • 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

  8. Sharing with care • 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

  9. Ongoing objectives • Seeing business improvements from informatics deployment • Diagnosis, care & treatment • Efficiency and effectiveness • Financial VFM • Improvements in quality of life • Life to years • Years to life BCS STG/HIF/BISG

  10. Professionals and super-users • 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

  11. Touching on the Future • 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

  12. New Dawn ? • Safer, more appropriate and viable NHS • Increased HI professionalism • Enhanced decision support – for and about individuals and organisations BCS STG/HIF/BISG

  13. Working together; prepared for choppy seas but heading for calmer waters BCS STG/HIF/BISG

  14. 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

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