Achieving a Digital
Integrated Care Record
Beverley Bryant
Director of Strategic Systems
and Technology
NHS England
#healthdata
30th April 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
2 NHS | Health Insights | 30 April 2014
What are the benefits of paperless
to the NHS?
Clinical diagnosis
Patient & staff experience
Safety
Reduce burden & improve
efficiency
3
NHS | Health Insights | 30 April 2014
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
4 NHS | Health Insights | 30 April 2014
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
5 NHS | Health Insights | 30 April 2014
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
6 NHS | Health Insights | 30 April 2014
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
7 NHS | Health Insights | 30 April 2014
Procurement & Commercial Support
The NHS
England Open
Source
Programme is
about increasing
the range of
digital solutions
available for the
care community.
8 NHS | Health Insights | 30 April 2014
NHS England
will launch a
“Commercial
Toolkit” to allow
Trusts easy
access to best
practice
guidance and
support
What will NHS England do Re Open Source?
 Spread awareness of the deployment of Open Source Solutions with
the NHS and support them in procuring associated services
 Promote the engagement of Clinicians and front line users through
the Code for Health initiative
 Generate Communities of Interest around solutions and areas of
interest
 Support the use of IDC Technology Fund and Nurse Technology Fund
for Open Source initiatives
9 NHS | Health Insights | 30 April 2014
Leadership and Professionalism for Change
Strong organisational leadership
Strong leadership of the informatics
function
Professional standards and
accreditation (individuals, teams
and organisations)
Invest in professional development
Apply same standards to suppliers
10 NHS | Health Insights | 30 April 2014