“Working Together - Working Professionally” “Health Informatics – One Wales, One Profession” Wednesday 14 th May 2008 Gwyn Thomas CEO, IHC Hi-ProFILE 2nd Annual Conference (HI-ProFILE 08)

Game Plan Organised Team work Played to their strengths That was a really professional performance!

Professionalism – The Self Interest Model Scarce/Complex skill that is in demand Form a club Make it difficult to join Introduce restrictive practices Self regulate Exercise power through vested interest Improve bargaining position Increases wages Net Result - Die rich!

Professionalism – The Common Interest Model Strong desire to serve the public good Failure will let people down Form a Society Social Insurance – back scratching Encourage people to join Share knowledge and information freely Help each other Aspire to be the best Seek the Truth Net Result- Die Happy!

“Secondly, the end of the internal market in health is part of the wider Welsh Assembly Government determination to make co-operation, rather than competition, the bedrock of public service delivery in Wales. A re-invigorated public service ethos of partnership will be encouraged.” WELSH ASSEMBLY GOVERNMENT PROPOSALS TO CHANGE THE STRUCTURE OF THE NHS IN WALES CONSULTATION PAPER April 2008 Which way is the wind blowing??

TRUST RELIANCE LowHigh “My Word is My Bond” “Write everything down - and double check” “Write everything down for the judge” “Write the important things down and check” What makes a professional partnership work? High Low

Game Plan Organised Team work Play to our strengths Health Informatics – One Wales, One Profession That was a really professional performance! – IHC Implementation Plan – ITIL (IT Infrastructure Library) – Defined roles, national & local In Common by Design In Common by Agreement Local by Agreement – ‘Centres of Expertise’

Delivery Plan by Community and Trust

Best Practice in Service Management developed by the Office of Government Commerce Using ITIL to Get Organised Common Sense Written down! Covers the full service cycle from Systematic way of managing Deployment & Release Incidents & Problems Capacity Service Level Availability Service Continuity Change Control Design Build DeployOperateImprove

Information Systems – the P45 Questions of the Future? Will it work? Is it secure? Is it safe? How do you know? Why Bother ?? But also because it serves the common interest Better Patient Care Saves Time Saves Money Safer Practices Happy Staff It is the Professional thing to do …..

Velindre I Soft/ PIMS PMS Myrddin I Soft/ ‘Green screen’ PIMS CWS/ I Soft Pembs PAS WASBSC Team work – Defined roles, national & local

Welsh Trusts….2007 Pop (000s)

The Informatics Communities…..

Pop (000s) Welsh Trusts and LHBS 2009…….?

Play to our strengths – ‘Centres of Expertise’ NHS Wales Test Requesting & Results Reporting Welsh Clinical Portal Order Comms Patient Demographics Myrddin PAS Data Migration Service Delivery Testing etc……………… etc………………. TRUST RELIANCE LowHigh “My Word is My Bond” “Write everything down - and double check” “Write everything down for the judge” “Write the important things down and check” High Low Professional Partnership Private Sector Integration Software Development Implementation Service Delivery Testing etc……. etc……

The Challenges We Face …..

The Aeroplane is not going to land…… Feels like there’s too much to be done … Feels like there aren’t enough of us …. We have to get it right – or else ….. What we do is very important but unappreciated ……

Working Together - Working Professionally Game Plan – IHC Implementation Plan Organised – ITIL (IT Infrastructure Library) Team work – Defined roles, national & local Play to our strengths – ‘Centres of Expertise’

That was a really professional performance!