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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 Dr Jean Roberts Policy Lead, BCS HI Forum BCS STG/HIF/BISG Feb 7th 2008
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 • Expert contributors • Critical friend • Consultation Respondents • Expert witnesses • Learned Professional Society • Informed Citizens www.bcshif.org BCS STG/HIF/BISG
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 • 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
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 • 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 • 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 • 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 • 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 • 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 ? • Safer, more appropriate and viable NHS • Increased HI professionalism • Enhanced decision support – for and about individuals and organisations BCS STG/HIF/BISG
Working together; prepared for choppy seas but heading for calmer waters BCS STG/HIF/BISG
Further Information 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