1. Open Source for the NHS A new relationship with software Malcolm Newbury Consultant Director Guildfoss Date: 23 rd November 2011 Serving Open Enterprise

2. About me Guildfoss - last 2 years ▬ Open Source Business Development Consulting Previously ▬ Sun Micro : HC Open Source infrastructure ▬ SeeBeyond : NHS integration platforms and Spine ▬ PA Consulting : NHS/public sector data sharing projects Also, IHE-UK supplier co-chair Using Elgg as a business tool for healthcare projects

3. Current Healthcare Projects HIEOS – IHE Cross enterprise document sharing for US NHIN Sintero research informatics project BRISSKit research informatics service OpenEyes – Opthamology EMR Moorfields Various Skunkworks projects Huggle – healthcare social media platform demonstrator

4. Key requirements for healthcare software INTEGRATED CARE RECORDS INTEROPERABILITY SECONDARY USES DATA OK - So how do I acquire it?

5. Skunkworks Express a real CLINICAL challenge Select most appropriate OPEN SOURCE software Develop a LEARNING process around the interaction of developer and clinician Review, revise and repeat, remove RISK & uncertainty Provide/Procure SUPPORT in LIVE production “a term widely used in business, engineering, and technical fields to describe a group tasked with working on advanced innovative projects, with a high degree of autonomy and unhampered by bureaucracy”

6. Huggle Refactoring of Elgg User = Patient/Clinician/Researcher/family member Friend = Fellow sufferer/patient with same condition – not clinician not family member! Closed Group = CareRecord Group members: invited users only Group managed by patient or by other group member Group Album = DICOM CT scans, Optometry pics Group Blog = Patient and Clinical Notes Group Event = Consultant Appointments Bookmarks = Bookmarks Wire = Microblog? Activity = Activity Group Activity = Care Record activity

7. THANK YOU Malcolm Newbury Consultant Director Guildfoss Date: 23 rd November 2011 Serving Open Enterprise