1. HEAL HSYSTEMS SOLUTIONS UK health service update

2. Agenda Review of UK healthcare reforms Review of UK National healthcare IT projects –England –Scotland –Wales –Northern Ireland Progress with Prorec UK HEAL H SYS

3. UK healthcare reforms Government modernisation agenda Need to reduce medical errors IT recognised as key enabler Increasing use of private sector providers Constant revisions to the reforms –Payment by Results –GP commissioning –Patient choice –Move to Community care – need for EHR HEAL H SYS

4. NHS Connecting for Health Delivering IT for a modern, efficient NHS

5. Vision for the future More choice and control for patients over their own health and care A health service “designed around the patient” Secure access to up-to-date, accurate information for diagnosis, treatment and care for all those involved in the care of a patient Easier access for patients to their own health and care information A more modern, efficient NHS

6. Every day in the NHS… Source: Chief Executive’s report to the NHS Dec 2005 836,000 people consult their GP or practice nurse 389,000 people receive care in the community There are 50,000 visits to A&E 124,000 people attend outpatient clinics There are 114,000 emergency admissions There are 44,000 elective (planned) admissions There are 19,000 calls to NHS Direct There are 7,000 visits to walk-in centres 73,000 adults receive NHS dental treatment

7. Keeping patient information secure Access will be on a ‘need-to-know’ basis according to job role State of the art authentication processes are being used All registered staff will access systems using a smartcard and PIN Patient information will only be shared in the interests of their care Audit trail of when, where and by whom patient records were accessed

8. UK National health IT England, Scotland, Wales and Northern Ireland all different England – NPfIT in NHS –£6.2 billion over ten years (potentially £20 billion) –Network and PACS (Imaging) successful –The rest is at least two years late –Replace rather than build on –Many lessons for others Wales – project just started HEAL H SYS

9. UK National health IT Scotland –Centralised strategy –No use of global service companies –Focus on clinical added to existing legacy administration systems –GP systems to be replaced Northern Ireland –Limited budgets –Build on rather than replace HEAL H SYS

10. Progress with Prorec UK English NPfIT seen as ‘the standard’ and so no need for Prorec Centre Now with NPfIT being questioned –25 professors of IT asked for review –Politicians of all parties demanding change –BCS recommending review Prorec UK now becoming a reality –Focus on EHR, standards and lessons –Academic, BCS and Industry involvement HEAL H SYS