1. Building a Shared Service Focus on high-volume areas Focus on high-volume areas Need for scalable resilience Need for scalable resilience ‘A significant shift – not incremental journey’ (Transformational change) ‘A significant shift – not incremental journey’ (Transformational change) Data Quality and Standards need careful consideration Data Quality and Standards need careful consideration Benefits of sharing risk and opportunities Benefits of sharing risk and opportunities ’Shared Services doesn’t mean that everyone does everything the same way’ ’Shared Services doesn’t mean that everyone does everything the same way’

2. A SystmOne Paperless Service Identify ‘target’ patients – focussed effort Identify ‘target’ patients – focussed effort “My computer is my friend” – “it helps me do my job better” “My computer is my friend” – “it helps me do my job better” Shared information is the key to efficiency Shared information is the key to efficiency ‘Information’ is ‘knowledge’ ‘Information’ is ‘knowledge’ Decision Support is difficult to computerise, need to compliment ‘brain’ processes Decision Support is difficult to computerise, need to compliment ‘brain’ processes

3. Document Management Importance of Service-led change Importance of Service-led change Make it easy to use and ‘fit for purpose’ from a user perspective Make it easy to use and ‘fit for purpose’ from a user perspective DM – just a piece of the jigsaw DM – just a piece of the jigsaw

4. eHealth – an exciting future “An opportunity to transform the way we work”. “heed to redesign services” “An opportunity to transform the way we work”. “heed to redesign services” Need for effective stakeholder engagement Need for effective stakeholder engagement “The ability to share information/patient records is a very valuable tool” “The ability to share information/patient records is a very valuable tool” Should the patient be in charge of their care plan? Should the patient be in charge of their care plan? “We have new tools – we need to build a new car”; but how do we encourage workers to use the new tools “We have new tools – we need to build a new car”; but how do we encourage workers to use the new tools

5. Keynote “The economic climate is biting”, puts an emphasis on cost control “The economic climate is biting”, puts an emphasis on cost control The private sector are ‘alive’ to the need for transformation; is the NHS? The private sector are ‘alive’ to the need for transformation; is the NHS? Putting the customer at the heart of the business Putting the customer at the heart of the business Overcoming organisational barriers Overcoming organisational barriers

6. Drs, Managers and IT Need to serve different stakeholders starting from different places – sometimes at odds with each other Need to serve different stakeholders starting from different places – sometimes at odds with each other The ‘profession’ vs the NHS The ‘profession’ vs the NHS

7. Personalisation and Information ‘Integration’ not ‘alignment’ ‘Integration’ not ‘alignment’ There appears to be a case for ‘personalised’ funding There appears to be a case for ‘personalised’ funding ‘Total Place’ is the future – single economy budgets ‘Total Place’ is the future – single economy budgets Can IT deliver what is needed as quickly as it is needed? Can IT deliver what is needed as quickly as it is needed?

8. World Class Performance Need for ‘dramatic’ transformation Need for ‘dramatic’ transformation It is possible to change without the need to throw large ‘dollops’ of money at it It is possible to change without the need to throw large ‘dollops’ of money at it IM&T function embedded in organisational fabric. Leading transformational change and reporting to Medical Director IM&T function embedded in organisational fabric. Leading transformational change and reporting to Medical Director

9. The Challenge for us Seeing the slides from the top table Seeing the slides from the top table Deploying solutions that ‘allow clinicians to do their job better’ not give them more admin to do Deploying solutions that ‘allow clinicians to do their job better’ not give them more admin to do Supporting the ‘innovators’ Supporting the ‘innovators’ Using computers to do the right bits (need to coexist with ‘brain’ processes) Using computers to do the right bits (need to coexist with ‘brain’ processes) Establishing systems/services to support the ‘Total Place’ approach Establishing systems/services to support the ‘Total Place’ approach Computer Department needs to say “yes”! Computer Department needs to say “yes”!