1. Regional e-Health & Care Strategy – Nursing & Midwifery Engagement NIPEC Annual Conference Sean Donaghy Director e - Health & External Collaboration Linen Suite, Mossley Mill 9 th October 2013

2. Linen Suite, Mossley Mill

3. 9 th October 2013 Linen Suite, Mossley Mill What are the big issues? 1.We’re doing better than 4 years ago, investment and attention in last few years 2.Necessary ambition to drive care & wellbeing improvement likely outstrips current capacity. 3.Integration agenda requires development – TYC! 4.Like public sector more generally, low relative investment in IT 5.High expectations:- staff and citizens, but see 3 above 6.Rapidly growing ‘analytics’ agenda, significant health improvement driver.

4. 9 th October 2013 Linen Suite, Mossley Mill Good Practice Sharing? InitiativeImpact Available Radiology ‘Picture Archiving’ (& Sharing) HighY Health & Care Index (1 person – 1 ‘i.d.’) HighY Emergency Care SummaryHighY Electronic Care RecordHighY Bar Codes for patient i.d. (error reduction) ?Y - partial Single sign-on, ‘follow-me’ desktopHighY - partial Paper ‘light’ General PracticeHighComplete

5. 9 th October 2013 Linen Suite, Mossley Mill Good Practice Sharing? InitiativeImpact Available Electronic ReferralsHighY – partial Electronic Discharge InformationHighY - partial Electronic Patient Tracking ‘Whiteboard’ HighEmerging Ambulance Web BookingHighY Electronic Clinical NotingHighEmerging Remote Teleheath & TelecareHighY Diabetic Care systemsHigh Children’s Diabetic CareHighPartial Social media support for Long Term Conditions ?Y

6. 9 th October 2013 Linen Suite, Mossley Mill Good Practice Sharing? InitiativeAvailableImpact Mobile Working – CommunityY - partialHigh Mobile Working - HospitalY – partialHigh Child HealthYhigh Oncology & HaematologyYHigh Renal CareYHigh Outpatient Electronic sign-inYHigh Virtual ClinicsYHigh Theatre ManagementCompleteHigh Anti-microbial SurveillanceemergingHigh? Hospital e prescribingNHigh Community Pharmacy support?High

7. 9 th October 2013 Linen Suite, Mossley Mill What’s the Diagnosis? Improving over recent years Many excellent initiatives from committed staff Not enough focus on delivering the benefits through changed practice Fragmentation – no consistent view of priorities Strong appetite for change that supports practice

8. 9 th October 2013 Linen Suite, Mossley Mill Meeting the challenges Regional agreement that N Ireland requires a single overarching strategy for e-Health & Care to ensure the best possible alignment of resources to support. – e-Health & Care to support citizens – e-Health & Care to support care improvement – Infrastructure that delivers – Leadership and Governance Resourcing Strategy

9. 9 th October 2013 Linen Suite, Mossley Mill Timeline Engagement as part of Strategy Development October - December 2013 Vision for N Ireland January 2014 Agreed action plan and monitoring process by April 2014

10. 9 th October 2013 Linen Suite, Mossley Mill Q & A