Developing a target ‘future state’
in social care informatics
Andrew Fenton
DH
Opportunity?
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Opportunity = Benefits?
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Information & Technology can help . . .
To Improve people’s lives
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Where are we headed?
Improved citizen outcomes and experience, the
transparency agenda, integration across service
domains, enabling citizen participation
Transparency
Transactions
Participation
Interoperability and trust
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Numerous challenges
• Culture change
• Information Governance
• Benefits case for investment
• Identity management
• Information standards – data
collections, messaging etc
• Common terminology &
definitions
• Open architecture & APIs
across third party vendors &
services
• IT infrastructure
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Across services within
local government and
the community
Across service
domains – NHS, local
government, social
care, public health,
voluntary sector
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Social care informatics scoping project
Information Standards
• Benefits case and supporting narrative for LAs
• Identifying enabling ‘foundation’ standards
• Identifying priorities and timelines
• Implementing an optimal approach for standards
development, adoption and implementation across LAs
Client Level data
• Benefits case for primary and secondary use
• IG challenges – developing IG toolkit and guidance
Quick wins – building on Care Act implementation, Information
Sharing Project, Pioneers work, sharing assets across health
and care, enabling ‘essential’ infrastructure
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Building on progress so far
• NHS Number
• Secure email
• Admissions & Discharge Notifications (Hospital and
Social Care) – the ‘Adapter’ project in London
• GP Referral to Social Care
• Continuity of Care
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DH – Leading the nation’s health and care
We need an agreed target state
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Social Care - Digital Maturity Model
Goals:
1. Fully automated business processes
2. User portals transacting online
3. Digitally enabled assessments, reviews and transactions
4. On-line access to health and social care record
5. Joined up health and care ecosystem, including independent sector
transferring data seamlessly
6. User in charge of their data
7. Wider use of bespoke apps to encourage self-care
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Digital maturity model
Information Standards, Tool Kits, Guidance
Health and Social Care
Information sharing:
Secure email, encryption,
structured messaging
Fully
Digital
Mainly
paper
based
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Partially
Digital
Full
Integration
Partial
(across all
Integration
(within the care settings)
organisation)
Information for Citizens made accessible in a format they
prefer: paper, email, smartphone, app, portal, etc.
We need your help!
To develop and establish in more detail and at a local level:
• What is the target state for information and IT enablement
and what are the steps along the way that we must prioritise
– what would success look like for citizens and how must we
change to deliver?
• For each organisation; where we are now and what must we
do first, second . . . and so on
• To develop a social care/local government digital maturity
model that embraces variation and innovation
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Discussion
• Would a social care informatics and digital maturity index/
road map be useful?
• If it was developed, initial views about what a social care
informatics maturity index and road map would look like:
Simple/ complex?
Formal,informal?
Transparency?
• How could such a toolkit and be owned and adopted across
England effectively?
• If it isn’t a good idea, what other ideas could be looked at for
improving and standardising information across social care?
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