Integrated Digital Care
Records and Interoperability
Inderjit Singh
Head of Enterprise Architecture
12 November 2014
Health Insights Manchester
www.england.nhs.uk
Integrated Digital Care Record
Commissioning
Toolkit
Tech Fund
Community
of Practice
Commercial
Toolkit
Interoperability
Guidance
Benefits
Toolkit
Open
Source
Foundation
www.england.nhs.uk
Digital
Maturity
Measures
IDCR
Toolkit
IDCR Applications
• Strong focus on integration projects, with a high proportion
proposing a portal approach. Many of these had
aspirations to open the portal to patients as well as fellow
professionals.
• Approximately a third of the applications included
integration between health and social care organisations.
Around 15% had health-social care integration as their
primary focus.
• The most frequently planned integrations are between
primary and acute care settings, followed by social care
and community health organisations. A number were also
beginning to consider the possibilities of integrating with
emergency services and independent sector providers.
www.england.nhs.uk
Interoperability
Underpinning IDCRs, is the need for information to be shared – interoperability.
IDCRs
IDCRs
IDCRs
IDCRs
Interoperability
Interoperability programme established across DH, HSCIC, NHS England
- co-ordinate national activity on interoperability and away from siloes
- provide “handbook” on key policies, standards and guidance e.g. to commissioners
- be clear on priorities and strategic direction
www.england.nhs.uk
Interoperability programme
Policies
Interoperability
Programme
Provide the
“handbook” for
commissioners,
providers
Interoperability
Programme
Standards
e.g. NHS Number
Guidance
e.g. Citizen
Identity
What is the
strategic
direction?
What are the
key
priorities?
www.england.nhs.uk
e.g. Open API
policy
NHS Number
Clinical Headings
End of Life
Crisis
Interoperability Timeline
Technical Capability
Demonstrator Sites
engaged
Pioneers Engagement
on Interoperability needs
NHS Number
survey launched
Interoperability
Policies (Open
APIs) published
July-14
Oct-14
Sept-14
Integrated Digital
Care Fund launched
Integrated Care
Pioneer Sites
programme
www.england.nhs.uk
Integrated Digital
Care Fund awarded*
Social care
standards
engagement
Aug-14
Guidebook to
Interoperability
available
Dec-14
Nov-14
Feb-15
Jan-15
Apr-15
Mar-15
NHS Number survey
report published
NHS Standard
Contract/
CCG Planning
Guidance
Key priority policies,
standards and
guidance identified
Commissioners Toolkit
• IDCR needs to be a core component of every health
economy’s plans
• CCGs are key to ensuring this, however, they may not
always have the expertise or bandwidth to do so.
• The toolkit will help commissioners ensure that they
have a digital strategy in support of the integrated
services they commission.
• e.g. “What does interoperability mean for you as
commissioners, why is it important, what do I need to
consider?”
www.england.nhs.uk
Commercial Toolkit
• Development of market model nurturing and incentivising
innovation within the health sector.
• Facilitate Trusts access to this engaged vibrant
marketplace to enable procurement.
• Broker relationships between buyers and suppliers and
improve understanding on both sides.
www.england.nhs.uk
Digital Maturity Programme
• A set of indicators to evidence achievement of DCRs and
IDCRs.
• First indicator (CDMI) launched in November 2013.
• Roadmap to deepen (effective use, penetration and
interoperability) and extend scope including Community,
Mental, Social and Primary care settings.
• Ambition to demonstrate/evidence how technology
maturity enables benefits and improved outcomes.
www.england.nhs.uk
Call to Action
A growing Community of Practice to support collaboration:
•
•
•
•
•
•
Learning
Knowledge
Ideas
Best practice
Problems and solutions
Research Findings
The aim is that patients will receive good quality care that is
timely and provides a positive patient experience
www.technologystrategy.england.nhs.uk
england.techcommunity@nhs.net
www.england.nhs.uk
@NHSEnglandCOP
For discussion today
Theme for Question 1: Testing Market Capability
Once you identify a need for a solution, how do you research what the market
has to offer?
• Discuss if there anything that could be done or tools that could
improve this process?
Theme for Question 2: Interoperability supporting IDCRs
What are the key policies, standards and guidance you need to help you?
Building on existing – open API policy, ITK standards, identity management
guidance.
•
What do you see as the priority next wave of interoperability
standards? end of life, crisis management, pharmacy to GP….
•
What are the key policies, standards and guidance that you would like
to see to help you?
www.england.nhs.uk
Thank you
Please engage with us at:
www.technologystrategy.england.nhs.uk
england.techcommunity@nhs.net
@NHSEnglandCOP
www.england.nhs.uk