eHealth and care: Implementing successful change Dr Michael Quinn – Clinical Director Encompass Programme Jason Hall – Director of Health, BT

Dr M Quinn - Clinical Director of Encompass Programme Integrating health and social care Dr M Quinn - Clinical Director of Encompass Programme

HSC Today - Encompass Tomorrow

HSC Today – Encompass Tomorrow Puts us Standardise Processes – Do Once, capture once, at point of contact Consistently Unambiguous Prescribing, Diagnoses, Problems, Allergies, Procedures, Nursing Inconsistent coding = inconsistent costing Poor decision support Introduces risk Makes baselining impossibly complex Where do we invest for best outcomes? How do we know? How do we measure outcomes?

Every transformation is digital now

Current Priorities Action: Outcomes: Reducing Care Variation Mobilising Clinical Workforce Managing Clinical Workforce Designing 24/7 Care Services Outcomes: Improved Patient Outcomes More Relevant Outcomes Why do doctors/nurses not want to work in HSC ? Not necessarily hospitals

45th STP – We’ve been one for years

Bengoa

Encompass - part of the Arsenal

How Encompass Helps An ability to see all care input – everywhere – safe handovers / prescribing : boundary-less care! Elective care centres Population management Treatment sets LTC - Review at risk only – Better Support wellness diabetes / vascular / cancer follow up / psychiatry Understanding how patients really use our services / population health Baseline health data – clinical governance and workflow standardisation Feel better about risk – let clinicians manage it! We are still responsible when they’re at home – it’s a partnership

Jason Hall BT Health Director NICON 2018 – Delivering Together 18th April 2018

Health and care services are facing huge challenges The NHS is arguably facing its most challenging period since it was created in 1948 The health and social care system faces unprecedented challenges. Constraints on resources, coupled with rising expectations and an escalating demand for services, are placing the current models of health and social care under increasing strain. Better Health Better Care Financial Stability

BT has a long-standing commitment to the NHS and care organisations General Election General Election General Elections IoT NW & VOICE SECURITY MOBILITY 5G IT INFRASTRUCTURE AI Local & Regional Focus Transition Network 2003 2010 2014-16 2017-2020 2018 2018+

Consumer technology trends are shaping health expectations and interactions 1.8m population Average age is 40 83% of households have internet access 62% of households own a tablet 76% of adults of own a smartphone 58% of adults state that their smartphone was their most important device for going on- line Spend an average of 20.3 hours on-line per week (2016)

The technology trends we can see in practice Digital Organisation (cost-effective, flexible & secure infrastructures) Digital Employee (collaborative information sharing anywhere) Digital Patient (new ways to deliver care where needed) Security (protecting patient data & systems) Global Digital Exemplars and Accountable Care Systems becoming patterns for the rest of the NHS. Increased take-up of mobile & flexible working across organisations Mobility solutions Unified communications & collaboration Digital First agenda Shifting more citizen support to online and mobile devices Migration from N3 to HSCN Increased focus on moving ICT to the cloud NHS Digital support cloud subject to meeting security conditions Reduce the cost of the existing estate Doing more with less Security & compliance increasingly an issue at board level due to high profile security incidents. … by extending superfast, adding EE Mobile to the WAN to enable an enhanced disaster recovery capability … in order to meet your business challenges. BT continues to be at the forefront of innovative services such as City Verve and driving the convergence of Health and Regional networks An integrated and evolving health and social care service built on secure, reliable fast-flowing information between people, organisations and machines.

Our Vision Connected Care Eco-System An eco-system for collaboration and coordination with secure, flexible information sharing across health and social care. Citizen-centric Care Real-time information and support for citizens, enabling staff and patient engagement, when and where it is required, through digital and mobile technologies in a citizen’s home, community or a traditional care setting. Digital Hospital A mobile, collaborative workforce and effective resource tracking delivering improved efficiency and real time information to anticipate care and improve planning and demand management.

Q&A @BTBusiness #NICON18