1. BCS STG/HIF/BISG Feb 7 th 2008 The way forward for NHS Health Informatics Dr Jean Roberts Policy Lead, BCS HI Forum

2. BCS STG/HIF/BISG Key themes Way Forward Ongoing developments Future developments Professionals and super-users Challenges Organisational Requirements Professionals, super-users and citizens

3. BCS STG/HIF/BISG Our role for HI Expert contributors Critical friend Consultation Respondents Expert witnesses Learned Professional Society Informed Citizens www.bcshif.org

4. BCS STG/HIF/BISG Ongoing developments National solutions implemented at local level Each home country taking different paths on staggered timeframes Capability and capacity re-versioned Enhanced solutions, more interfaces Market turbulence jeopardises partnerships

5. BCS STG/HIF/BISG Patient data may come from anywhere V isits the dentist / therapist... Has home visit from GP, nurse, care worker, midwife … Visits a Walk-in Centre / Treatment Centre Calls OOH service Uses a Home Healthcare Guide Calls NHS Direct or NHS Direct Online Visits OP Attends A&E Visits GP / Practice nurse Goes to pharmacy / self-medicates Goes private / abroad Attends as IP and has interventions ….

6. BCS STG/HIF/BISG Organisational challenges Politics and politics : consider effects of wider initiatives Coordinate agencies involved Resolve concerns about sharing Migrate : interoperability not ‘ruthless’ standardisation Invest in standards design, development and deployment OPPORTUNITIES (risks) Engagement Information strategy Capacity & capability Patient-centredness Contract refits – vendor capacity Devolution (NLOP) Two-way communication Information governance

7. BCS STG/HIF/BISG BCSHIF recommended actions Implement EPRs locally Sort out the concerns about sharing content (SCR / DCR confusion) Invest in data quality and standards for inter-working Share experiences and make programmes transparent Embrace communication with stakeholders

8. BCS STG/HIF/BISG Sharing with care Data transfers are secure Data sharing : sensitive and safe Professionals carry out authorised tasks Audit trails are robust Data changes cascade Vulnerable individuals are protected Dilemma : opt in – opt out

9. BCS STG/HIF/BISG Ongoing objectives Seeing business improvements from informatics deployment Diagnosis, care & treatment Efficiency and effectiveness Financial VFM Improvements in quality of life Life to years Years to life

10. BCS STG/HIF/BISG Professionals and super-users Understand solutions, information governance, tools & techniques Rapidly extend training requirement Accredit continuing fitness to practice Meet citizens’ expectations Sustain transparency of communication Learn from history and document experiences

11. BCS STG/HIF/BISG Touching on the Future Robust decision support – for and about individual care, health planning and organisational effectiveness Comprehensive welfare records Safer, more appropriate and viable NHS Increased HI professionalism Lifestyle input and interrogation Assistive and ambient technologies

12. BCS STG/HIF/BISG New Dawn ? Safer, more appropriate and viable NHS Increased HI professionalism Enhanced decision support – for and about individuals and organisations

13. BCS STG/HIF/BISG Working together; prepared for choppy seas but heading for calmer waters

14. BCS STG/HIF/BISG Further Information www.bcshif.org www.connectingforhealth.nhs.uk www.hscni.net www.show.scot.nhs.uk www.ihc.wales.nhs.uk www.equalitec.org.uk/equalitec_main/research.cfm HC2008 – www.healthcare-computing.co.uk