1. Secondary Use of EHR: UK Experience 11 October 2007
Dr Louise Wood
Head of Innovation and Industry R&D Relations

2. NPfIT: new Government commitment
“To develop the capability within the NHS National IT system to facilitate, strictly within the bounds of patient confidentiality, the recruitment of patients to clinical trials and the gathering of data to support ground breaking work on the health of the population and the effectiveness of health interventions”.
Pre-budget statement December 2005.
Budget: March 2004

3. Develop research specs for:
Interventional clinical trials
Surveillance (focus on pharmacovigilance)
Observational epidemiology
Prospective cohort tracking
(June 2006)

4. UKCRC R&D Advisory Group to Connecting for Health
Key recommendations:
Mandate a common patient identifier
Action to improve data quality
Make best use of what is already available
Federation of databases
Communicate the relevance of research to healthcare
Engage key stakeholders, inc public
Organisation to manage specification and deliver infrastructure
UK-wide strategy

5. NHS CfH Research Capability Programme
Established September 2007
External Reference Group for Stakeholder input
Enabling phase activities:
Technical architecture
Functional scope
Standards
Data linkage
Information governance
Comms & Stakeholder engagement
Infrastructure (safe haven)

6. Framing for success
Top level political support for use of EHR data for research .
Research community speaking with ‘one voice’
Detailed specification of user requirements informed by all relevant expertise
Incremental approach
Build on what is working now
Address confidentiality / access issues in parallel with technical issues