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Information Strategy for the NHS. Dr Peter Drury Head, Information Policy Unit Department of Health Satellite Seminar - 16th January 2003, University of Plymouth. The Plate Juggler. Victoria Climbie.
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Information Strategy for the NHS Dr Peter Drury Head, Information Policy Unit Department of Health Satellite Seminar - 16th January 2003, University of Plymouth
Victoria Climbie “In deciding who was to blame for (her) death… a social worker, police officer and doctor were all named and shamed.” HSJ 25 January 2001
Getting better with information • 1992: Getting better with information • Person-based systems on a national infrastructure • No money • No political support • No clinical support • Information for managers
Information for Health • 1998 Information for Health
Shifts in the balance of power • NHS Plan - services designed around the patient • e-Government; “Choice” • Clinical standards; governance; care pathways • “Shifting the Balance of Power” • Wanless Report
Towards Delivering 21st Century IT • Local IT monies used on other priorities; more central direction wanted • Getting information into the mainstream Dec 2001 • No. 10 seminar - Feb 2002 • Lord Hunt announces Delivering 21st Century IT - June 2002
Increase IT funding dramatically - ring fence spend National Direction & Performance Management of IT Partner with eGov & IT Industry - deliver compliant systems & clinical applications - National, Regional, Local Provide Prescriptions Service Provide Bookings Service Build Life-long Health Record Accelerate connecting the NHS with secure Broadband Delivering 21st Century IT
Delivering 21st Century IT • For patients: services designed around each patient’s choice, quickly, conveniently and seamlessly
Delivering 21st Century IT • For staff: electronic communications, better knowledge management and support, faster access to essential information (notes, test results) and routine access to specialised expertise
Delivering 21st Century IT • For managers: good quality data to support NSFs, clinical audit, governance and management information
National Information Infrastructure Services • Infrastructure: • NHSnet, e-mail • Information services • nhs.uk, NeLH • Application services • e-learning, NHS Direct
Integrated Care Record Services • Integrated • Care • Record • Services
Integrated Care Record Services • Generic • admin, ordering, reporting, booking • User environment • tools, info governance • Sector specific functions • NSFs • Across commuities
Ainlee Walker • “…It is particularly remarkable that for almost a year (14 July 2000 to 26 June 2001) health agencies, the police and housing all had serious concerns, but none of this information passed to social services…. It is recommended that each agency re-assess the process of record keeping and tracking the information relevant to the protection and welfare of children.” • Extracts from the Report on the death of two year old Ainlee Walker, killed by her parents. December 2003
Procurement • Local Delivery Plans • Prime Service Providers • Alignment with StHAs • Engagement with NHS Trusts and PCOs • Avoiding planning blight
Health Informatics skills for all staff • ECDL • Modules A & C Certificate/Diploma in IM&T (Health) • Accredited short courses
Health Informatics skills for specialists • Professional Awards • National Clinical Coding Qualification • IHRIM, IITT • BCS, ISE, • MSc • Advanced Professional Diploma • MBAs
Delivering 21st Century IT • Political support • Ministerial Taskforce • Clinical support • Management support • Significant funds • Director General • Role of Strategic HAs
Some challenges • Procurement strategy • Engagement of stakeholders • Business process and cultural change • The informed patient and citizen • Managing expectations!