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An Overview of NPfIT. Professor Mike Pringle Joint National Clinical Lead for GP in NHS Connecting for Health ESRC Seminar 20 th July 2005. The vision for NHS IT. To develop a system for moving and sharing health information that is: Patient focused Improves patient outcomes
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An Overview of NPfIT Professor Mike Pringle Joint National Clinical Lead for GP in NHS Connecting for Health ESRC Seminar 20th July 2005
The vision for NHS IT • To develop a system for moving and sharing health information that is: • Patient focused • Improves patient outcomes • Improves choice and control for patients • Helps clinicians to make better decisions • Reduces errors • Is practicable/usable/effective
The vision for NHS IT • All sites linked • GP2GP • Electronic prescribing • Choose and book • Electronic communications • Patient care linked through the Care Record • Summary available 24/7 • Confidentiality and security
NHS Care Record Visit to Hospital 1-2 days Visit to Practice Nurse Local Hernia repair (1980) Tetanus jab (1987) Diabetes diagnosed (1979) Broken leg treated (1993) National Visit to GP 2nd visit to Hospital1 day Grazed knee requires bandage (1983) Visit to nurse Local
Thinking Bigger • For example: • diabetic retinopathy • GPs • Endocrinology OPD • Ophthalmology • Local opticians
The benefits for patient care • Safety • Records always available • Decision support and warnings • Increased confidentiality • Consistency • Support for guidelines, NSFs, pathways of care etc • Choice
The challenges in primary care • System choice • Getting improvement while the rest catches up • The content of the Care Record • Implementing GP2GP and ETP • Ensuring we and our patients are confident about confidentiality and security
The National Clinical LeadsWho and why Hospital Doctors Dr Simon Eccles Mr Ian Scott Jan Dowsett Dr Gillian Braunold Prof Mike Pringle Heather Tierney-Moore Barbara Shuttle Allied Health Professionals General Practitioners Nurses
The National Clinical LeadsLinkages with the programme Contracting And Programme management Service Implementation And Clinical Engagement
National Clinical Leads The National Clinical LeadsLinkages with the programme PACS Choose and Book Electronic Prescribing Elect. Transmission of Precriptions N3 – national network The National Spine Secondary Uses Service NHS Contact • Benefits realisation • Clinical • Managerial • Financial • Knowledge service • Nat Library for Health • Decision support • ‘Busy Clinician’ • ‘Do Once and Share’ The 5 Local service providers NHS Care Records Service The NHS
Reflections on large NHS projects • Need to know the aspirations of those who work in the service: alignment with policy is ideal • Recognise the cultural changes required • Manage the change through information, education, support and acceptance of the pain • Reward and recognise success; help with failure, but don’t punish
An Overview of NPfIT Professor Mike Pringle Joint National Clinical Lead for GP in NHS Connecting for Health ESRC Seminar 20th July 2005