Health and Social Care in the Digital Age
John Matheson
Director
Finance, EHealth and Pharmaceuticals Directorate
Public Finances – Fall in Government Expenditure
eHealth Strategy Board
• Digital Public Service Sector Board for Health
• The governance body providing overall strategic
guidance and investment approval
• eHealth Strategy published in September 2011
– Six Strategic Aims
– eHealth approach is collaborative, incremental, locally led and
outcomes focused
Three Key Drivers
• Person Centred
• Safe
• Effective
eHealth Strategy 2011 - 17
The 3 Quality Ambitions
Person
Centred
Strategic
eHealth
Aims 201117
Maximising efficient working
practices
Supporting people to
communicate with NHSS and
manage their own health and
wellbeing
Contributing to care
integration and supporting
people with long term
conditions
Enhancing the availability of
appropriate information for
healthcare workers
Improving the safety of people
taking medicines and their
effective use
Providing clinical and other
local managers with the
management information they
need to inform their decisions
Safe
Effective
• Six Strategic Aims
• eHealth approach is
• collaborative
• incremental
• locally led
• outcomes focused
eHealth Strategy 2011 - 17
•
Clinical Portal
– The portal delivered for clinicians, patients and the four health boards. It was
described by one consultant as: ‘ the nearest thing to the Holy Grail we will ever
get’
•
ECS
– ‘Access to GP drugs is particularly helpful in palliative care units, the patients
druglist can be long and the dosage range large. Up to date information provides
a measure of safety.’ Palliative care consultant
•
KIS
– ‘Excellent for sharing info with relevant others’
– ‘Structured, concise and easy to fill in’
– ’easy to use and navigate’
Policy and Strategic Drivers
• Adult Health and Social Care
Integration Bill
• Children and Young People Bill
• Renewing Scotland's Public
Services - Priorities for Reform
• The McClelland Review of
Scottish Public Sector ICT
Infrastructure
• Scotland's Digital Future Delivery of Public Services
Focus on partnership and
collaboration
2020 Vision
A 2020 Vision of healthcare
• We will have a healthcare system where we have integrated
health and social care, a focus on prevention, anticipation
and supported self management.
• When hospital treatment is required, and cannot be provided
in a community setting, day case treatment will be the norm.
• Whatever the setting, care will be provided to the highest
standards of quality and safety, with the person at the centre
of all decisions.
• There will be a focus on ensuring that people get back into
their home or community environment as soon as appropriate,
with minimal risk of re-admission.
Delivering 2020 Vision
•
•
•
•
Increasing the role of Primary Care
Integrating Health and Social Care
Accelerated safety improvements
Strengthen delivery of unscheduled and
emergency care
• People powered Health and Social Care
Services
• Focus on Multiple and Chronic Illnesses
• Increased investment in new innovations
Adult Health and Social Care
Integration Bill
•
•
•
•
Services firmly integrated around the needs of
individuals, their carers and other family members
Strong and consistent clinical and care professional
leadership
Joint accountability for effectively improved delivery
Flexible, sustainable financial mechanisms giving
priority to the needs of the people they serve NOT the
organisations through which they are delivered
Children and Young Person Bill
Getting It Right For Every Child (GiRFEC)
•
•
•
•
•
•
•
More effective rights for children and young people
A focus on wellbeing
Better service planning and delivery
Improved reporting on outcomes
Improved access to high quality, flexible and integrated
early learning and childcare,
Better foster care
Specific provisions around the named person and
child’s plan
The Early Years Collaborative - Ambition
To make Scotland the best place in the
world to grow up in by improving outcomes,
and reducing inequalities, for all babies,
children, mothers, fathers and families
across Scotland to ensure that all children
have the best start in life and are ready to
succeed.
Relationship with other Strategies
and Governance Bodies
Health and Social Care Information
and Technology Strategy
“By 2014 a new health and social care IT strategy
will have been developed in partnership with local
authorities. This will have paved the way for
improvements in information sharing between
health and social care workers and greater
integration of health and social care services, for
people of all ages, across Scotland.”
eHealth Strategy 2011 – 2017
– overseen by the Data Sharing Technologies Board (DSTB)
Strategy Scope
• Provides a framework of principles and guidance to
facilitate service integration.
• Contains an agreed high-level model of what various
aspects of integration will look like.
• Has an agreed set of outcomes and high level delivery
plan
• Focuses on the needs of practitioners, managers and
citizens.
• Concentrates on cross-sector and cross-organisation
activities
• Encourages local initiatives and facilitates wider
implementation if required.
Conclusion
•
Many good examples of local partnership working between
Local Authorities, Health Boards and the third sector that
are delivering local benefits.
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•
•
•
•
•
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Ayrshire and Arran - Ayrshare
Fife - SASPI
Tayside - MiDIS
Lanarkshire - local eCare
GGC - Orion Portal
Lothian - CareFX Portal
West Lothian – Electronic Adult Protection
Conclusion
• Close collaboration on national projects
proving successful (eg SWAN).
• The policies and over-arching strategies
provide a solid framework for delivery.
• Locally led IT based initiatives are already
enabling improved data sharing.
• DSTB and Health and Social Care
Information and Technology Strategy will
provide clear strategic direction.