Informatics Capability Development in the NHS

1. Informatics Capability Development in the NHS John WillshereDirector ICDDH InformaticsPolicy and Planning Division

2. Topics • New DH Function • What is informatics capability? • Operational Efficiency Programme • What are we doing now? • Where are we going? • Questions and Answers

3. Informatics Directorate

4. Capability Development • Resource and Capability Strategy (Grant) • Organisations thrive through flexibility in strategy • Building organisational resources (like knowledge) • Building capability • People • Culture • Processes

5. Informatics Capability • Capability • Organisational • Sustainable capability to exploit informatics for health care improvement • Workforce • Developing the individual • Specialist in Informatics • Generalist with Informatics Skills • Developing the career frameworks • Predicting demand/availability

6. Contents Chapter 1 Back office operations and IT Chapter 2 Collaborative procurement Chapter 3 Asset management and sales Chapter 4 Property Chapter 5 Local incentives and empowerment

7. Operational Efficiency • strengthen the governance of IT-enabled change projects; • strengthen Gateway assurance processes for all IT-enabled change projects; • implement portfolio management processes to prioritize projects and resources and • to reduce overlap and duplication in IT-enabled change projects; • promote greater standardization and simplification of IT systems, desktops, infrastructure and applications across the public sector; • develop internal IT capability (SFIA)

8. Challenges 2010 on • Financial/Performance • IT Costs • General Pressures • Implementations • Concurrency & Skill Gaps • Drivers for Change/Transformation • Commissioning/Quality • Of HIS • Information Quality and reporting • Innovation

9. How can we help? • Toolkits and initiatives • Personal Support • Organisational Support • Development of the new strategic framework for informatics

10. LISA • Local health community (LHC) focus • Prepares readiness for IM&T enabled change • PCT accountability for IM&T strategic planning • Alignment of IM&T strategy with LHC transformation goals CUI PSPG IG Tool kit CFH GPG NHS EWAs ITIL MSP Others.. • ORAM • Assists IM&T Programme Managers to assess organisational readiness to implement IM&T enabled change • Planning & delivery of programmes & projects • Programme & Project governance • Benefits realisation & lessons learned • NIMM • IT Infrastructure maturity model • Considers technology and IT management of IT infrastructure • Focus is on capabilities not specific products • Allows as is benchmarking and target planning in order to create a roadmap for coordinated infrastructure improvement ITIL MSP IG Tool kit TCA • HiBC • Framework for health informatics benchmarking • Identifies areas for service improvement • Promotes understanding of benefits & risks of alternative models • Address issues of information governance & accreditation • Compares performance of informatics services

11. LHC IM&T Self Assessment Tool (LISA) Assesses IM&T maturity dimensions for effective LHC-wide IM&T enabled transformation Executive Leadership Support for IM&T-Enabled Change PCTs and their Senior Responsible Owners (SROs) are responsible for realising benefits for the NPfIT and other IM&T investments and hence need to lead local health communities in planning and deploying solutions which support service transformation and achieve local and national service priorities. The Executive Leadership Support team is currently engaged with Clinical Leads, CEOs and SHAs and over 20 frontline NHS organisations, and has begun working towards raising awareness, local confidence and capability in leading IT-enabled change. Sharing and Building on Knowledge and Experiences • Coaching and Awareness Raising • Field Support Completed or • Agreed for 2008/9 • Cumbria and Lancashire IM&T Board • Bristol, Nth Somerset.& South Gloucester- Provider Informatics strategy development • Kent PCTs -Informatics/commissioning alignment of Integrated Care Pathways • SE Coast Benefits optimisation training • Surrey-co-design benefit roll out model • Westminster, Kensington and Chelsea • Pan London Primary Care Board refresh. • East Midlands (workshop series) • North West Clinical Leads • Barnet, Enfield& Haringey • Milton Keynes PCT –Informatics for commissioning community services • Over 20 LHC Informatics Strategic Assessments (LISA) diagnostic workshops have also been completed or are scheduled, with many others under discussion Creating a Climate for Champions Provision of Support and Facilitation Cascading IM&T Management Tools and Solutions to Local Ownership challenges

12. Programme and Project Management The vision “To establish recognised and respected PPM practices and professionalism across the NHS that will attract, develop and retain the best people and is valued for its effective contribution to improved delivery” The PPM Team are working with NHS organisations to help embed good project and programme management practices, support the development of a recognised career framework, publicise successes and collaborate with the NHS, the public sector and independent bodies championing PPM. The team are engaging with SHA leads and frontline organisations to support local areas of good practice and encourage sharing and collaboration at individual as well as organisational level. Everyone can, and should, learn and teach from experience • Career Paths • Competency frameworks • Role profiles • Review of workforce strategies • Priority development cohort -proof of concept • Community & Recognition • PPM Career success stories • PPM in graduate training • eSpace community • Membership of Human Systems and OGC • Training & Development • Skills gap assessment • Map of tailored learning to roles and competencies • 12 months of masterclasses • Mentoring, coaching, ALSs

13. Knowledge Management • Knowledge Management is about connectivity • Connecting people together to create, share and exploit knowledge more effectively • Connecting people to the information they need to develop and apply their knowledge in new ways • Connecting people to the tools they need to process information and knowledge • Knowledge Management is also about improving the key processes of • Knowledge creation and acquisition including reflection on experience • Knowledge capture, structuring and maintenance for knowledge best retained in an explicit form • Knowledge sharing and re-use The Knowledge Management Team has been working with a number of NHS communities across London and NME and with NPFIT programmes internally to leverage the work that has been done on lessons learned and create effective knowledge management strategy and approach. London Knowledge Management Pilot Knowledge Management Framework Everyone can, and should, learn and teach from experience NME Lessons Learned Collaboration Knowledge Harvesting Pilot NHS CFH Lesson Learned Review Lessons Learned Peer Assist Communities of Practice Knowledge Assets eSpace Knowledge Management

14. Health Informatics Development • Supporting healthcare modernisation and better, safer patient services through: • establishing quality standards supported by accreditation schemes for informatics professional practice, service delivery and courses; • building informatics specialist and clinical capability; • facilitating knowledge sharing, research and development HI Professionalism www.ukchip.org.uk PHI www.nhscfh.nhs.uk/phi • Talent Management • www.hicf.org.uk • Health Informatics Graduate Training Scheme • Leadership Development for HI Specialists • HI National Occupational Standards Development E-ICE Embedding Informatics in Clinical Education “Learning to Manage Health Information – a theme for clinical education” www.nhscfh.nhs.uk/eice • NHS Health Informatics Services Benchmarking Club • 130 Members • www.hibc.nhs.uk • Building knowledge Communities • UK Faculty of Health Informatics • Think Tank • Master Classes • Research & publications • Health Informatics Community in eSpace Recognising Quality in Health Informatics Modular Courses – “HI Quality Scheme for Learning & Development” Health Informatics: “the knowledge, skills and tools which enable information to be collected, managed, used and shared to support the delivery of healthcare and promote health”

15. Training Quality Improvement Support and improve the quality of NPfIT and IT-related training across the NHS, reinforcing NHS CFH commitment to improving patient safety • Training Centre Accreditation • Will recognise quality training within the NHS • Administered by an external supplier: • Provides a framework and accreditation • process based on the ETD standards • Produces action plans and development • pathways to facilitate centre progress from • one level of accreditation to another • 3 levels of accreditation: Bronze Silver & • Gold • Quality Assurance Process for NPfIT Supplier Training • To establish consistent high quality • training delivery into the NHS • Review and approve training • proposals strategies and products • Development of Key Performance • Indicators will measure effectiveness • of training delivery • Professional Development • Nationally funded development • opportunities • Promote Mentoring and Action • learning sets Online Self Assessment Tool Will be developed for ETD practitioners to support competency assessment and gap analysisfor personal development and career pathway planning • ETD Standards Tool • An online application that: • Allows benchmarking against the ETD standards to determine at which level a • training centre is performing • Uses the standards to create improvement plans for training centres • Stores evidence in support of Training Centre Accreditation • ETD Practitioner Development for Trainers and Training Managers • Generic job profiles linked to KSF • and National Occupational • Standards • Learning needs and career • pathways reports • Case studies on ETD career • pathways • High level learning resources • identified • ETD Standards • 9 new standards developed by the NHS for the NHS • Each standard is divided into 3 levels (Bronze, Silver and Gold) • A guidance document that includes tools and templates supports each • standard • Will be used to benchmark training performance and underpin the quality • assurance framework for training • Can be used standalone in either printed or electronic format Quality Assurance Framework

16. Education Training & Development Relationship and Service Management Essential IT Skills Programme Effective ETD relationship and service management NHS Microsoft IT Academies • Delivery and support of fully accredited Microsoft specialist testing centres • Enabling the NHS to develop the information analysis and technical workforce necessary to support the NPfIT • All SHA academies accredited to deliver technical qualifications since 31st Mar 09 • Academic pricing to take advantage of national economies of scale • Stakeholders engaged and consulted about all ETD initiatives. • Through proactive listening, our aim is that all our communications and implementation are done with the NHS rather than done to them. • At all stages from planning to evaluation we seek to base all of our work around one simple question – “How does this ultimately improve patient care” • Pre-requisite IT skills and information governance training to support NPfIT systems training • 187 approved NHS training and testing centres throughout England • ‘World class’ E-Learning materials available to all NPfIT systems users • 2000+ qualifications completed since March 2008 Mobile Training Units (MTUs) framework agreement NASP Training Scheduling Service Relationship Management, Communications and Engagement • Proactive, collaborative relationships with key NHS stakeholders • Relationship Management resource to work with SHAs from requirements gathering to post deployment support • Centralised communications, delivering a single consistent message • Scheduling and coordination of RA, and SUS training to support rollout of National Applications • Central service management and assurance • 350+ courses delivered in 2008/9 • National agreement for the procurement of MTUs to support large scale NPfIT training rollouts • Short term training capacity solutions that can be delivered at short notice and ‘in situ’ • Centralised service management and assurance • 1000 deployment days since 2006 • Significant local cost savings

17. Questions