Published on March 13, 2014
Open Source, Opened Up Richard Jefferson Head of Business Systems NHS England Pop-Up University Seminar 3rd March 2014
What is Open Source? • A paradigm shift: – Based on software improvement via collaborative open innovation – Driven by those with desire to use and / or improve the product – Successful new business models (e.g. RedHat) – Scale of openness to suit the needs • Based on 4 Software Freedoms: – Free to use software however you wish – Free to redistribute copies – Free to understand how it works and adapt it – Free to make and share improvements with anyone
How can it be used in the NHS? • Large scale clinical or administrative applications • Speciality based products • Apps and services focused on mobility, safety, efficiency etc • Patient facing services • Integration and interoperability • Not only code but configuration • Supporting software that underpins
Why do we want to do this? • Increase choice of solutions to support progression along the CDMI • Present wider opportunities to participate and innovate within the market. • Shorten time to market for innovation of new and existing products • Close the gap between NHS system users and the IT Dept to ensure the right products, for the right people at the right time. • Improve speed of resolution of software “bugs” through widespread, direct user participation in identifying defects • Reduce the total cost of ownership for the NHS, removing vendor lock in • Establish communities to share experience, products and innovation
How can we do it? • Create and support communities of interest and share best practices • Increase the number of providers engaging in Open Source • Provide funds to encourage the adoption and sharing of innovation • Grow collaborative communities to engagement clinicians and front line users in the design of solutions and delivery • Encourage sharing and re-use of effective solutions • Encourage NHS Organisations and commercial organisations to make their existing code Open Source to the NHS.
When will we do it? • Over time... it takes a community to build a community • However momentum is already building. We are: – raising awareness and understanding among stakeholders – identifying and engaging existing solutions and their communities – encouraging proposals to Integrated Digital Care Technology Fund • Trusts are actively engaged and looking to implement: – around 15 Trusts actively considering major Open Source systems. – support from NHS England on approach and delivery
Myth Busting Delivered in the right way Open Source Solutions: • Are as safe to use as proprietary software • Are as easy to support • Are as easy to manage source control • Remove the dependency between Supplier and Software • Provide transparency for managing change • Encourage involvement from a wide community of contributors • Can enhance the existing commercial software market not replace it. • Any trust can leverage this, at the level appropriate to them.
Examples of Open Source Solutions Currently Open Source • VistA • OpenEyes • Tactix4 • OpenClinical • OPAL • Renal Patient View Exploring Open Source • IMS Maxims • HP HCIS & Swift • Northern Lincolnshire & Goole NHS Trust: WebV portal • Blackcountry Partnership NHS Trust
Open vs Closed? Debate! • Chair: Tom Frusher, London Health Foundation • NHS Trust Representative: Rachel Dunscombe, CIO Bolton NHS Trust • Proprietary System Supplier Representative: Andy Clegg, Orion • NHS England: Richard Jefferson, Head of Business Systems Professionalism? Safety? Backup? Funding? Risk/Cost? TWEET QUESTIONS & COMMENTS TO @NHSOpenSource #NHSOpenSource
After this Seminar… • Visit us in the Entrepreneur Zone (Stand E18-01/04) • Today: Code For Health Show and Tell: Engaging clinicians and patients in app development • Tomorrow: Open Source Solution Showcases; CDMI Refreshed & Supporting SMEs, Entrepreneurs & Trusts in the digital market.
For more information… • Email:firstname.lastname@example.org • Tel:0845 8677697 • www.technologystrategy.england.nhs.uk • @NHSOpenSource #NHSOpenSource
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