1 An Investigation into the Development of a Computerised Information System for NHS Physiotherapy Services in England Dr Robert J. Jones East Sussex Hospitals NHS Trust.

2 PURPOSE To research the need for Computerised Information Systems development specific to Physiotherapy Services To undertake a long term Action Research Project on the development of an effective and efficient system, acceptable to physiotherapists and stakeholders To evaluate the process

3 Identifying Triggers for Change –Government policy and initiatives –Clinical requirements –Managerial imperatives THE PROBLEM SITUATION

4 THE RESEARCHER’S VISION Satisfied Stakeholder Requirements Physiotherapy Management Imperatives Clinical Needs

5 THE PROBLEM SOLVING PROCESS Establishing the Project Group –Expertise, interest, skills, knowledge –Shared vision and work programme - strategy –Setting up working groups

6 SPECIFICATION, DESIGN AND IMPLEMENTATION OF COMPUTERISED INFORMATION SYSTEM Negotiation with stakeholders Specification and design phase Staff Participation at all levels - input from working groups Prototyping Piloting Implementation

7 EVALUATION Implementation within time frame and cost Were objectives achieved - the researcher’s vision Staff and user feedback Stakeholder satisfaction National

8 Leadership –Clear vision and focus –Enthusiasm and commitment –Empowerment of staff at all levels –Environment of trust Management –Commitment and responsibility –Resources –Political overview –Inclusive style - team working KEY SUCCESS FACTORS (1)

9 Participation Leading to Ownership Good Communication –Timely –Frequent –Open –Check feedback Knowledge and Expertise Training and Support KEY SUCCESS FACTORS (2)

10 Understanding the Context (current situation) Clear Vision of Desired Situation Importance of People Participative Management Style Understanding Constraints and Barriers Infrastructure and Organisational Support KEY LEARNING POINTS

11 “EVERYTHING FLOWS, NOTHING STAYS” (Heraclitus - 513BC)

12

13