Published on March 14, 2014
The NHS England Vision for Achieving a Paperless NHS A guide to NHS organisations on how they might go about it Beverley Bryant, Director of Strategic Systems & Technology, NHS England 3rd March 2014
What do we mean by paperless? • Safe, digital record keeping • Nine stages of Clinical Digital Maturity Index (CDMI) • Held in a structured way for retrieval • Workflows within and across organisation boundaries • Transactions/workflows to and from patients (appointments, prescriptions, test results, correspondence reminders) We owe patients a seamless, paperless NHS, but if they want a letter - fine
What are the benefits of paperless to the NHS? • Clinical diagnosis • Patient & staff experience • Safety • Reduce burden & improve efficiency
2018 and beyond • Must have clinical ownership • Must have Board level drive & leadership • We need to build capability - IT professionals, vibrant supplier base • Must have delivery/change capability • Centre needs to drive standards for interoperability • Communities of Practice & spread of innovation • Mixed economy, best of breed, single solution & open source But it is not OK to do nothing
Technology Funds • Safer Hospitals, Safer Wards Tech Fund 1 • Nursing Tech Fund • Process for Tech Fund 2 • Benefits & VFM ratios to inform future Tech Funds • Economic analysis to underpin case for investment – revenue as well as capital for ongoing sustainable operations
Clinical Digital Maturity Index • Engage with it • It needs developing – Enterprise wide – Mental Health & Community • Next iteration May 2014 • 6 monthly plans audit of accuracy
Clinical Digital Maturity Index-Primary Care • Early stages of design • Starting with GP’s, ‘Securing excellence in GP IT services’ • Inform and build strategic direction for ‘creating the modern general practice’ • Insight reporting for commissioners to target investment • Assess costs as well as maturity • Collaboration tool to share, develop and exploit best practice, innovation to other sectors Excellent core IT Services National systems rollout Digital integration with care settings locally High user mobility Digital integration with any care setting nationally
How might the NHS tackle it? • Board level responsibility • Clinical ownership & buy-in • Robust delivery plans • Recruit IT professionals from across NHS on delivery & support/operation/upgrade • Open standards – insist on them • Apply for Tech Fund and then deliver
Procurement & Commercial Support • The NHS England Open Source Programme is about increasing the range of digital solutions available for the care community. • NHS England will launch a “Commercial Toolkit” to allow Trusts easy access to best practice guidance and support
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