eCare Programme Conference 2005 Chief Executive Perspective Professor Tony Wells Chief Executive NHS Tayside + Chair IM&T Infrastructure Board

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Vision - eCare “eCare will deliver better care, protection, advice and assistance to the people of Scotland through the use of computers and communication technology with the individuals consent, eCare enables secure information sharing between professionals – such as doctors, nurses, social workers, teachers and the Criminal Justice System – in public and voluntary sector agencies”.

4 ASPECTS OF INTELLIGENCE Computers Humans + = Emotion ******* ? Instinct ****** ? Intuition and insight ****** ? Creativity ***** ? Judgement ***** ? Understanding ***** * Abstraction and Generalisation **** * Recognition **** * Learning **** ** Organisation *** ** Sensing *** ** Communication *** *** Analysis *** *** Control ** *** Co-ordination ** **** Logic * **** Memory * ***** Calculation * ***** Future NHS Tayside teams

5 National Framework for Service Change (“Kerr Review”) – May 2005

Kerr Report “In all the work we have done, one issue came up again and again. It was high on the priorities of clinicians, managers and members of the public. A common information technology system that will provide the “glue” for an integrated NHS seems to be a universally accepted requirement”.

7 * Approximately 1:7 hospital admissions occur because care providers do not have access to previous medical records. * 20% of laboratory tests are requested because previous investigations are not accessible. * 15% of hospitalisations are complicated by drug error. (U.S. research – UK/Scotland is likely to be higher).

8 21 st Century Healthcare “Better, Quicker, Closer, Safer”

9 The evolution of man NHSComputing NHS Tayside Computing

10 NHS 2005 Principle method of communication?

What the Chief Executive is looking for * Better outcomes for patients * More effective use of professional time * More efficient use of resources (diagnosis and treatment) * Safer and more effective service

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Opportunity I Community Health Number Date of Birth Sex Sex Check

15 Clinical information everywhere But not accessible Purpose Built PatientSafety Hospital SMR PAMS Lab Data Pharmacy Eye van Investigations Screening

16 Linking clinical information Vital for Patient Safety Patient Safety Hospital Eye Van Pharmacy Lab Data Purpose Built Investigations Screening PAMS

17 The Clinical Landscape is Changing

18 The rise and rise of chronic diseases Coronary heart disease and stroke Cancer Mental illness Diabetes mellitus Degenerative diseases of the nervous and musculo-skeletal system

19 How are we responding to this challenge?

20 Managed Clinical Networks Citizens/Self Help Locality/Natural Community National District/Local Authority Regional/Supra Regional

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25 Clinical Care requiring eHealth solutions G-Pass/VAMP /SCI-DC/ ………. Mental Health Cardiovascular Social Care CancerStroke/Hypertension/VascularRheumatology Parenteral Nutrition Respiratory and more………………!

26 Our Current Priorities Visible Electronic Patient Record Amalgamation of GPASS data into Central Vision (80-85% practices) Electronic Discharge Documentation Prescribing linkages Within Hospital and Community Pharmacies

27 Challenges Developing systems that are patient – based: NOT disease based Generic Clinical System Rapid delivery on priorities Training agenda Clinical “buy-in” National e-Health integration

“Better an imperfect tool than no tool at all” WAYNE BOBBITT