NPfIT presentation to SCATA 17 th November 2005

1. NPfIT presentation to SCATA 17th November 2005 Ian H K Scott Medical Director Ipswich Hospital NHS Trust National Clinical Lead for secondary care

2. Connecting for Health Aims To deliver a 21st Century health service that is better for patients, citizens, clinicians and people working in the NHS through the efficient use of IT To improve the convenience, quality and safety of patient-centred care by ensuring that those who give and receive care have the right information at the right time

3. Risk Mitigation Within the development of IM&T products Within the clinical assessment/treatment cycle Maintenance of Business as Usual

4. Patient Safety NPSA have identified three principal areas for concern Right patient, right treatment Prescribing and dispensing medications Communication between health professionals

5. Assessment/Treatment Cycle To ensure safety of process, demands precision in: Information Options appraisal/diagnosis Treatment plan Treatment delivery

6. Information Management Connecting for Health aims to: Connect islands of digital information Improve data quality Provide knowledge for decision making and patient information

7. Connecting Islands of Digital Data Use of the NHS number National Care Record Service Confidentiality

8. Data Quality High Level: Information Standards Data definitions Data sets Transfer protocols Low Level Organisation and personal responsibility

9. National Care Record Service CRDB tasked small group to define nature of NCRS: Sir Cyril Chantler chaired group of NCLs and technical office

10. National Care Record Service Nineteen iterations to achieve present view: Demographics Diagnoses Current therapies Allergies

11. Knowledge Management WHY? Medical and clinical knowledge expanding at a near exponential rate Patients want more involvement in decision about how they are treated Map of Medicine

12. Diagnosis and Treatment Decision Support Care pathways NPSA believe that there are 65,000 significant prescribing/medicines management errors annually

14. Prescribing Solutions Electronic transfer of prescriptions Electronic prescribing Available towards end of programme NCLs are very keen to have this advanced Political commitment to deliver this in Oncology

15. CfH Safety Principles Deliver IT systems that enhance clinical safety Provide Trusts with guidance on safe deployment and use of CfH products Test every product by end-to-end hazard assessment and, therefore, provide safety assurance prior to “sign off”

16. Right care for the right patient Mitigate risks of clinical hand over Ensure safe management of investigations and results Service wide information e.g. PACS CfH products should protect patients

17. CfH products should protect patients Clinicians must feed into the design of products as: Poor processes can harm patients Changes in working practice need to be delivered as results of clinical need not IT system design

18. Risk Mitigation There are several risk management processes in CfH – most are concerned with technical issues 5th December 2005 New Clinical Risk Mitigation Group to be assembled

19. Management of existing systems In the context of today means: Theatre systems Critical Care systems

20. Management of existing systems Combined approach: Assimilation of best practice Enabling Common User Interface to display information from several systems

23. Risks This is a huge programme – therefore Delays are inevitable Errors will occur Risk mitigation is essential