1. Achieving a Digital Integrated Care Record Lois Lere Head of Strategic Systems and Technology (South) Health Insights May 2014

2. What do we mean by paperless?  Safe, digital record keeping  Nine stages of Clinical Digital Maturity Index (CDMI)  Held in a structured way for retrieval  Workflows within and across organisation boundaries  Transactions/workflows to and from patients (appointments, prescriptions, test results, correspondence reminders) We owe patients a seamless, paperless NHS, but if they want a letter - fine NHS | Health Insights | 30 April 20142

3. What are the benefits of paperless to the NHS? Clinical diagnosis Patient & staff experience Safety Reduce burden & improve efficiency 3NHS | Health Insights | 30 April 2014

4. 2018 and beyond  Must have clinical ownership  Must have Board level drive & leadership  We need to build capability - IT professionals, vibrant supplier base  Must have delivery/change capability  Centre needs to drive standards for interoperability  Communities of Practice & spread of innovation  Mixed economy, best of breed, single solution & open source But it is not OK to do nothing 4NHS | Health Insights | 30 April 2014

5. Technology Funds Safer Hospitals, Safer Wards Tech Fund 1Nursing Tech FundProcess for Tech Fund 2Benefits & VFM ratios to inform future Tech Funds Economic analysis to underpin case for investment – revenue as well as capital for ongoing sustainable operations 5NHS | Health Insights | 30 April 2014

6. Clinical Digital Maturity Index 6  Engage with it  It needs developing  Enterprise wide  Mental Health & Community  Next iteration May 2014  6 monthly plans audit of accuracy NHS | Health Insights | 30 April 2014

7. Clinical Digital Maturity Index-Primary Care 7  Early stages of design  Starting with GP’s, ‘Securing excellence in GP IT services’  Inform and build strategic direction for ‘creating the modern general practice’  Insight reporting for commissioners to target investment  Assess costs as well as maturity  Collaboration tool to share, develop and exploit best practice, innovation to other sectors Excellent core IT Services National systems rollout Digital integration with care settings locally High user mobility Digital integration with any care setting nationally NHS | Health Insights | 30 April 2014

8. How might the NHS tackle it? Apply for Tech Fund and then deliver Open standards – insist on them Recruit IT professionals from across NHS on delivery & support/operation/upgrade Robust delivery plans Clinical ownership & buy-in Board level responsibility 8NHS | Health Insights | 30 April 2014

9. Procurement & Commercial Support The NHS England Open Source Programme is about increasing the range of digital solutions available for the care community. NHS England will launch a “Commercial Toolkit” to allow Trusts easy access to best practice guidance and support 9NHS | Health Insights | 30 April 2014

10. Leadership & Professionalism for Change  People and culture are the greatest barriers to success  Organisational leaders need to “get it”; informatics leaders need to lead it  CIOs need to demonstrate professional standards and act as professional leaders  All JDs/person specifications should include reference to professional accreditation  All informatics staff should be members of a professional body  It’s time to walk the talk! NHS | Health Insights | 30 April 201410