NPFIT UPDATE New Perspectives Stocktake Planning Guidance –Information Governance –Capability and Capacity –SCR Clinical dashboards Summary Care Record Leadership/professionalisation/staff development

Clinical Dashboards - Commitments NSR ‘The next stage in achieving high quality care, requires us to unlock local innovation and improvement of quality through information – information which shows clinical teams where they most need to improve, and which enables them to track the effect of changes they implement.’ Within organisations, we know that a defining characteristic of high performing teams is their willingness to measure their performance and use the information to make continuous improvements...We will develop ‘Clinical Dashboards’ which will present selected national and locally developed measures in a simple graphical format as a tool to inform the daily decisions that drive quality improvement.’ HIR NHS clinicians are dependent upon good quality information and data to make sure they are providing the right services to patients. They must have appropriate access to data whenever they need it, in a usable format. The provision of a clinical dashboard will improve the clinical team’s ability to focus on improving the quality of care locally. It will provide NHS clinicians with good quality information that will help them make sure that they are providing the right services to patients. It will give them appropriate access to data, whenever needed, in a usable format and will present them with meaningful clinical indicators, defined by local teams, in an immediate and impactful way. We are developing a prototype which will be evaluated prior to further development. 2

Prototype site Clinical Dashboards 1 The Homerton Accident & Emergency Depart - Clinical Dashboard

The Nottingham Urology Depart - Clinical Dashboard Prototype site Clinical Dashboards 2

The Bolton PCT- Clinical Dashboard Prototype site Clinical Dashboards 3

Fast Followers London

Enthusing Next Sites Equitable access IT schedule (5) now includes SCR. Operating framework includes SCR reference. Readiness Assessment Tool now “significantly” completed. Planning and reporting tool live for Fast Follower PCTs to use. Integrated Adastra solution available in January. Promotion of SCR as a tool for accessing End of Life care plans. Availability of resource from CFH team. Clarity on benefits and linkages to NSR.

Sources: TG - OGC - HMT - HR IT Profession - Security Services - Other Professions Cross Cutting Tool Kits: Embedding Skills Frameworks Recruitment Performance Management Reward Learning & Development Function Specific Tool Kits: Policies (Gov & Local) - Standards (Gov, Local & Industry) Methods (Local & Industry) - Guidance (Gov & Local Exemplars (Gov, Local & Industry) Learning & Development Opportunities Leadership People Management Strategic Thinking PPM Financial Management Comms & Marketing Analysis & Use of Evidence Deploying Capability Relationship Management Developing Capability

` Foundation Programme Core (timed for Fast Stream) Business of Govt Bus. Change Mgmt Service Delivery Govt IT Landscape P’gmme & Project Mgt Practitioner Practitioners & Senior Practitioners Lead Practitioner Executive Managers Workshop Accredited existing learning electives by competency Core Senior Manager Delivery Through Suppliers IT Enabled Policy Delivery CIO CIO Leadership Development Programme Core Senior Managers’ Core Programme Managing Business Change Reliable Project Delivery Accredited existing learning electives by competency Key Current Academy provisionNext focus for developmentFuture developmentExisting market offerings Supplier Mgt Sol’n Architecture Academy Conceptual Model - Training Tech specific Sol’n Dev & Impln’tion Info Mgt &Security

SHOULD WE BE CERTIFIED… NYHDIF Time out 13/14 th November 2008

NEXT STEPS REVIEW Improving health and healthcare requires a better understanding of: –Needs –Expectations –Choices for patients –Outcomes –Performance Change

HEALTHY AMBITIONS Information for patients on treatments/outcomes Reduced nos trips to hospitals Faster and better treatments Improved VFM Support for organisations to work together Greater access to patient information for clinicians Better access to prescribing information and risk scoring

THE CHALLENGE “good informatics services are vital to delivering the health and social services we hope for, and the only way of knowing how well we have delivered……… (they)………….will improve patient experience and enable …………………improve(ments) in the quality of care” ( Health Informatics Review)

THE RESPONSE Leadership Professionalisation ETD/CPD Developing future leaders Creating careers Developing people Raising standards Developing capability

BCS content

BCS HIF/CFH content

ACCREDITATION and CERTIFICATION Certification –3 rd party attestation of products/processes/systems –Lifetime or time limited Accreditation –3 rd party attestation of assessment process

How an accreditation scheme might work Independent Scheme Owner Support Standards Certification The United Kingdom Accreditation Service (UKAS) is the sole national accreditation body recognised by government to assess, against internationally agreed standards, organisations that provide certification, testing, inspection and calibration services. Standards used to define the scheme – Subject to ongoing refinement and national agreement Visit for more information. The Process of testing the standards, and validating organisational status/position. Certification Organisation(s) [Based on DH Information Accreditation Scheme] Getting people up to standard, and supporting movement from one level to another

THREATS Failing processes leading to replacement Being compared to unreasonably high standards Costs of assessment and of adherence to standards Diversion of resources to meet process requirements Falling reputation and morale

BENEFITS TO PROVIDER Increased professional reputation More attractive to commissioners Greater freedom to operate Marketing tool Attractive to new high calibre staff Reduction in staff turnover Increase in morale

BENEFITS TO COMMISSIONER Third party assurance Increased public confidence Greater likelihood of legislative compliance eg H&S Implications for CNST High quality service delivery at low cost Confidence in levels and consistency of standards of work Increased assurances for Boards

RAISING STANDARDS Focus on services Identify core services (for initial assessments) Set standards Assess against standards –Self –Peer Publish results Establish validity/reliability/reputation of results Determine improvement plan Secure additional resources Use results to raise individual standards

So are you up for it ……………………..