1. Achieving a Digital Integrated Care Record Beverley Bryant Director of Strategic Systems and Technology NHS England #healthdata 30 th April 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. 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 7NHS | Health Insights | 30 April 2014

8. 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 8NHS | Health Insights | 30 April 2014

9. What will NHS England do Re Open Source ? NHS | Health Insights | 30 April 2014 9  Spread awareness of the deployment of Open Source Solutions with the NHS and support them in procuring associated services  Promote the engagement of Clinicians and front line users through the Code for Health initiative  Generate Communities of Interest around solutions and areas of interest  Support the use of IDC Technology Fund and Nurse Technology Fund for Open Source initiatives

10. Leadership and Professionalism for Change Strong organisational leadership Strong leadership of the informatics function Professional standards and accreditation (individuals, teams and organisations) Invest in professional development Apply same standards to suppliers 10 NHS | Health Insights | 30 April 2014