1. NHS Connecting for Health is delivering the National Programme for Information Technology NPfIT presentation to SCATA 17 th November 2005 Ian H K Scott Medical Director Ipswich Hospital NHS Trust National Clinical Lead for secondary care

2. NHS Connecting for Health is delivering the National Programme for Information Technology Connecting for Health Aims To deliver a 21 st Century health service that is better for patients, citizens, clinicians and people working in the NHS through the efficient use of IT To improve the convenience, quality and safety of patient-centred care by ensuring that those who give and receive care have the right information at the right time

3. NHS Connecting for Health is delivering the National Programme for Information Technology Risk Mitigation Within the development of IM&T products Within the clinical assessment/treatment cycle Maintenance of Business as Usual

4. NHS Connecting for Health is delivering the National Programme for Information Technology Patient Safety NPSA have identified three principal areas for concern Right patient, right treatment Prescribing and dispensing medications Communication between health professionals

5. NHS Connecting for Health is delivering the National Programme for Information Technology Assessment/Treatment Cycle To ensure safety of process, demands precision in: Information Options appraisal/diagnosis Treatment plan Treatment delivery

6. NHS Connecting for Health is delivering the National Programme for Information Technology Information Management Connecting for Health aims to: Connect islands of digital information Improve data quality Provide knowledge for decision making and patient information

7. NHS Connecting for Health is delivering the National Programme for Information Technology Connecting Islands of Digital Data Use of the NHS number National Care Record Service Confidentiality

8. NHS Connecting for Health is delivering the National Programme for Information Technology Data Quality High Level: Information Standards Data definitions Data sets Transfer protocols Low Level Organisation and personal responsibility

9. NHS Connecting for Health is delivering the National Programme for Information Technology National Care Record Service CRDB tasked small group to define nature of NCRS: Sir Cyril Chantler chaired group of NCLs and technical office

10. NHS Connecting for Health is delivering the National Programme for Information Technology National Care Record Service Nineteen iterations to achieve present view: Demographics Diagnoses Current therapies Allergies

11. NHS Connecting for Health is delivering the National Programme for Information Technology Knowledge Management WHY? Medical and clinical knowledge expanding at a near exponential rate Patients want more involvement in decision about how they are treated Map of Medicine

12. NHS Connecting for Health is delivering the National Programme for Information Technology Diagnosis and Treatment Decision Support Care pathways NPSA believe that there are 65,000 significant prescribing/medicines management errors annually

13. NHS Connecting for Health is delivering the National Programme for Information Technology

14. Prescribing Solutions Electronic transfer of prescriptions Electronic prescribing Available towards end of programme NCLs are very keen to have this advanced Political commitment to deliver this in Oncology

15. NHS Connecting for Health is delivering the National Programme for Information Technology CfH Safety Principles Deliver IT systems that enhance clinical safety Provide Trusts with guidance on safe deployment and use of CfH products Test every product by end-to-end hazard assessment and, therefore, provide safety assurance prior to “sign off”

16. NHS Connecting for Health is delivering the National Programme for Information Technology CfH products should protect patients Right care for the right patient Mitigate risks of clinical hand over Ensure safe management of investigations and results Service wide information e.g. PACS

17. NHS Connecting for Health is delivering the National Programme for Information Technology CfH products should protect patients Clinicians must feed into the design of products as: Poor processes can harm patients Changes in working practice need to be delivered as results of clinical need not IT system design

18. NHS Connecting for Health is delivering the National Programme for Information Technology Risk Mitigation There are several risk management processes in CfH – most are concerned with technical issues 5 th December 2005 New Clinical Risk Mitigation Group to be assembled

19. NHS Connecting for Health is delivering the National Programme for Information Technology Management of existing systems In the context of today means: Theatre systems Critical Care systems

20. NHS Connecting for Health is delivering the National Programme for Information Technology Management of existing systems Combined approach: Assimilation of best practice Enabling Common User Interface to display information from several systems

21. NHS Connecting for Health is delivering the National Programme for Information Technology

23. Risks This is a huge programme – therefore Delays are inevitable Errors will occur Risk mitigation is essential