1. Phil Mason, who made £1million in the timber industry by the age of 25

2. Phil Mason Programme Manager, DH Informatics Directorate 8 November 2012 Health Informatics Services Accreditation Overview of the proposed national scheme

3. Why was HIS Benchmarking & Accreditation project initiated? No agreed Service-wide measures to indicate an effective & efficient service Support improvements in service delivery Professional demand (providers & customers)/ASSIST paper

4. Approach Establish Benchmarking first: Develop Standards On-line Benchmarking Information Pack (BIP) National Club (www.hibc.nhs.uk) 200+ member organisations Shared projects/benchmark development Move to self-funding 2012

5. Next step: Accreditation Accreditation = independent confirmation of a service’s performance against standards Analogy driving test: Pass/Fail

6. Rationale Support local decision making in respect of commissioning and delivering informatics services Provide assurance to local commissioners that minimum standards are being met Support continuous improvement, focussing informatics services on their key performance areas Acknowledgement of an informatics service’s performance

7. Standards Development & Testing Foundation was Benchmarking standards Subject matter expert input (eg, clinical safety, training, infrastructure) Testing with informatics services (and certification processes & assessment) Boost key areas (eg, Information Mgt) *** Voluntary***

8. Relevance Applicable to all types of service:  In-house Service  Managed Service  Shared Service  Outsourced Service Used in CSU Assurance process

9. 1: Service Description (9)Contextual information: not assessed 2: Governance & Planning (9) 3: Corporate & Commercial (7) 4: Workforce (11) 5: Service Delivery (40)SLA and KPI Performance Green IT Service Desk Infrastructure Where provided as a service: -Telecommunications -Training -Applications -IG -Project Management -IM & DQ -Clinical Coding 6: Assurance (7) Standards: Scope

10. Standard - Structure “2.3 The Service works with customers to identify key performance indicators.” Guidance and examples of evidence to support assessment against the standard Levels against which an informatics service is assessed (eg, A=5, D=4, C=3, D=2, E=1) Weighting (1-3): “Mandatory” = 3

11. Standard Guidance and examples of evidence to support assessment against the standard Levels against which an informatics service is assessed Score by assessment level Mandatory?Weighting (3, 2, 1) 4.1 The Service manages its workforce planning in a systematic and proactive fashion Effective workforce planning ensures a workforce of the right size, with the right skills, organised in the right way within an affordable budget, delivering services to provide the best possible care. This requires a planned approach to workforce planning. Examples of evidence include workforce plan, skills audit, documented areas of risk, change management projects. Use of a recognised approach; eg, NHS Employers tools & resources Skills for Health Six Steps. or Centre for Workforce Intelligence Note that workforce planning for the informatics service could be part of a wider plan and related activity owned by the host organisation. A - A Board-approved workforce plan is in place that is a pro-active and current, with processes to help the organisation manage changes in demand for workforce skills, capability and capacity. It identifies key areas of risk and proposes strategies to minimise risk and deal with change. It is systematically reviewed and is cited regionally or nationally as best practice. B - A Board-approved workforce plan is in place, with evidence of implementation within the informatics service, and which is systematically reviewed. C- A workforce plan is in place, approved by director/head of the informatics services, with evidence of implementation and systematic review. D – There is no formal, approved workforce plan but there is evidence of workforce planning within the informatics service. E – There is no workforce plan and limited or no evidence of workforce planning activity within the informatics service. A=5 B=4 C=3 D=2 E=1 No2

12. Typical Accreditation Process Self assessment against standards Provide evidence to support SA Self assessment against standards Provide evidence to support SA Survey team reviews SA & evidence Identify Key Lines of Enquiry Survey team reviews SA & evidence Identify Key Lines of Enquiry Site visit to explore Key Lines of Enquiry Survey team: survey manager & peer reviewers Site visit to explore Key Lines of Enquiry Survey team: survey manager & peer reviewers Draft report & initial feedback Report & recommendation to Accreditation Board Draft report & initial feedback Report & recommendation to Accreditation Board Accreditation awarded/not awarded

13. Second to None! “None” Self Assessment…?

14. Agreed Option An organisation (or more than one) delivers a national scheme under its own name using HISA standards Develop & advertise a list of “preferred suppliers” An informatics service deals direct with a preferred supplier, which charges for assessment leading to accreditation DH/NHS owns & maintains the standards Scheme would be voluntary

15. Preferred Supplier List Formal expressions of interest invited Issued specification/questionnaire to those formally registering interest in delivering a national scheme Evaluation Panel currently reviewing submissions (leading to recommendation to CB) Ongoing IN/OUT process (ie, aim is that new suppliers can apply to join preferred supplier list at periodic intervals)

16. Questions: What factors would affect informatics services’ demand for accreditation? Should accreditation be mandatory?

17. Contact Details Phil Mason Programme Manager DH Informatics Directorate cfh.hiaccreditation@nhs.net