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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

The way forward for NHS Health Informatics

Dr Jean Roberts

Policy Lead, BCS HI Forum

BCS STG/HIF/BISG Feb 7th 2008


Key themes
Key themes

  • Way Forward

    • Ongoing developments

    • Future developments

    • Professionals and super-users

  • Challenges

    • Organisational

    • Requirements

    • Professionals, super-users and citizens

BCS STG/HIF/BISG


Our role for hi
Our role for HI

  • Expert contributors

  • Critical friend

  • Consultation Respondents

  • Expert witnesses

  • Learned Professional Society

  • Informed Citizens

    www.bcshif.org

BCS STG/HIF/BISG


Ongoing developments
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


Patient data may come from anywhere
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

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


Bcshif recommended actions
BCSHIF recommended actions initiatives

  • 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
Sharing with care initiatives

  • 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
Ongoing objectives initiatives

  • 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


Professionals and super users
Professionals and super-users initiatives

  • 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
Touching on the Future initiatives

  • 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
New Dawn ? initiatives

  • Safer, more appropriate and viable NHS

  • Increased HI professionalism

  • Enhanced decision support – for and about individuals and organisations

BCS STG/HIF/BISG



Further information
Further Information calmer waters

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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