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NHS Connecting for Health is delivering the National Programme for Information Technology
NPfIT presentation to SCATA 17th November 2005
Ian H K ScottMedical Director
Ipswich Hospital NHS TrustNational Clinical Lead for secondary care
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NHS Connecting for Health is delivering the National Programme for Information Technology
Connecting for Health Aims
To deliver a 21st Century health service that is better for patients, citizens, clinicians and people working in the NHS through the efficient use of IT
To improve the convenience, quality and safety of patient-centred care by ensuring that those who give and receive care have the right information at the right time
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NHS Connecting for Health is delivering the National Programme for Information Technology
Risk Mitigation
Within the development of IM&T products
Within the clinical assessment/treatment cycle
Maintenance of Business as Usual
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NHS Connecting for Health is delivering the National Programme for Information Technology
Patient Safety
NPSA have identified three principal areas for concern
Right patient, right treatment
Prescribing and dispensing medications
Communication between health professionals
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NHS Connecting for Health is delivering the National Programme for Information Technology
Assessment/Treatment Cycle
To ensure safety of process, demands precision in:
Information
Options appraisal/diagnosis
Treatment plan
Treatment delivery
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NHS Connecting for Health is delivering the National Programme for Information Technology
Information Management
Connecting for Health aims to:
Connect islands of digital information
Improve data quality
Provide knowledge for decision making and patient information
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NHS Connecting for Health is delivering the National Programme for Information Technology
Connecting Islands of Digital Data
Use of the NHS number
National Care Record Service
Confidentiality
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NHS Connecting for Health is delivering the National Programme for Information Technology
Data Quality
High Level:
Information StandardsData definitions
Data sets
Transfer protocols
Low LevelOrganisation and personal
responsibility
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NHS Connecting for Health is delivering the National Programme for Information Technology
National Care Record Service
CRDB tasked small group to define nature of NCRS:
Sir Cyril Chantler chaired group of NCLs and technical office
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NHS Connecting for Health is delivering the National Programme for Information Technology
National Care Record Service
Nineteen iterations to achieve present view:
Demographics
Diagnoses
Current therapies
Allergies
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NHS Connecting for Health is delivering the National Programme for Information Technology
Knowledge Management
WHY?
Medical and clinical knowledge expanding at a near exponential rate
Patients want more involvement in decision about how they are treated
Map of Medicine
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NHS Connecting for Health is delivering the National Programme for Information Technology
Diagnosis and Treatment
Decision Support
Care pathways
NPSA believe that there are 65,000 significant prescribing/medicines
management errors annually
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NHS Connecting for Health is delivering the National Programme for Information Technology
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NHS Connecting for Health is delivering the National Programme for Information Technology
Prescribing Solutions
Electronic transfer of prescriptions
Electronic prescribing
Available towards end of programme
NCLs are very keen to have this advanced
Political commitment to deliver this in Oncology
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NHS Connecting for Health is delivering the National Programme for Information Technology
CfH Safety Principles
Deliver IT systems that enhance clinical safety
Provide Trusts with guidance on safe deployment and use of CfH products
Test every product by end-to-end hazard assessment and, therefore, provide safety assurance prior to “sign off”
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NHS Connecting for Health is delivering the National Programme for Information Technology
CfH products should protect patients
Right care for the right patient
Mitigate risks of clinical hand over
Ensure safe management of investigations and results
Service wide information e.g.
PACS
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NHS Connecting for Health is delivering the National Programme for Information Technology
CfH products should protect patients
Clinicians must feed into the design of products as:
Poor processes can harm patients
Changes in working practice need to be delivered as results of clinical need not IT system design
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NHS Connecting for Health is delivering the National Programme for Information Technology
Risk Mitigation
There are several risk management processes in CfH – most are concerned with technical issues
5th December 2005
New Clinical Risk Mitigation Group to be assembled
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NHS Connecting for Health is delivering the National Programme for Information Technology
Management of existing systems
In the context of today means:
Theatre systems
Critical Care systems
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NHS Connecting for Health is delivering the National Programme for Information Technology
Management of existing systems
Combined approach:
Assimilation of best practice
Enabling Common User Interface to display information from several systems
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NHS Connecting for Health is delivering the National Programme for Information Technology
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NHS Connecting for Health is delivering the National Programme for Information Technology
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NHS Connecting for Health is delivering the National Programme for Information Technology
RisksThis is a huge programme – therefore
Delays are inevitable
Errors will occur
Risk mitigation is essential