NPFIT UPDATE
• New Perspectives• Stocktake• Planning Guidance
– Information Governance– Capability and Capacity– SCR
• Clinical dashboards• Summary Care Record• Leadership/professionalisation/staff development
Clinical Dashboards - Commitments
NSR• ‘The next stage in achieving high quality care, requires us to unlock local innovation
and improvement of quality through information – information which shows clinical teams where they most need to improve, and which enables them to track the effect of changes they implement.’
• Within organisations, we know that a defining characteristic of high performing teams is their willingness to measure their performance and use the information to make continuous improvements...We will develop ‘Clinical Dashboards’ which will present selected national and locally developed measures in a simple graphical format as a tool to inform the daily decisions that drive quality improvement.’
HIR• NHS clinicians are dependent upon good quality information and data to make sure
they are providing the right services to patients. They must have appropriate access to data whenever they need it, in a usable format. The provision of a clinical dashboard will improve the clinical team’s ability to focus on improving the quality of care locally. It will provide NHS clinicians with good quality information that will help them make sure that they are providing the right services to patients. It will give them appropriate access to data, whenever needed, in a usable format and will present them with meaningful clinical indicators, defined by local teams, in an immediate and impactful way. We are developing a prototype which will be evaluated prior to further development.
2
Prototype site Clinical Dashboards 1
The Homerton Accident & Emergency Depart - Clinical Dashboard
The Nottingham Urology Depart - Clinical Dashboard
Prototype site Clinical Dashboards 2
The Bolton PCT- Clinical Dashboard
Prototype site Clinical Dashboards 3
Fast FollowersLondon
Enthusing Next Sites
•Equitable access IT schedule (5) now includes SCR. •Operating framework includes SCR reference. •Readiness Assessment Tool now “significantly” completed. •Planning and reporting tool live for Fast Follower PCTs to use.•Integrated Adastra solution available in January.•Promotion of SCR as a tool for accessing End of Life care plans. •Availability of resource from CFH team.•Clarity on benefits and linkages to NSR.
•
Sources:
TG - OGC - HMT - HRIT Profession - Security
Services - Other Professions
Cross Cutting Tool Kits:
Embedding Skills FrameworksRecruitment
Performance ManagementReward
Learning & Development
Function Specific Tool Kits:
Policies (Gov & Local) - Standards (Gov, Local & Industry)Methods (Local & Industry) - Guidance (Gov & Local
Exemplars (Gov, Local & Industry)Learning & Development Opportunities
LeadershipPeople
ManagementStrategicThinking
PPM
FinancialManagement
Comms &Marketing Analysis &
Use ofEvidence
DeployingCapability
RelationshipManagement
DevelopingCapability
`
Foundation Programme Core (timed for Fast Stream)
Business of Govt
Bus. Change Mgmt
Service Delivery
Govt IT Landscape
P’gmme & Project Mgt
Practitioner
Practitioners & Senior Practitioners
Lead Practitioner
Executive Managers Workshop
Accredited existing learning
electives by competency
Core
Senior Manager
Delivery Through Suppliers
IT Enabled Policy
Delivery
CIOCIO Leadership Development Programme Core
Senior Managers’ Core Programme
Managing Business Change Reliable Project Delivery Accredited existing learning
electives by competency
Key Current Academy provision Next focus for development Future development Existing market offerings
Supplier Mgt
Sol’n Architecture
Academy Conceptual Model - Training
Tech specific
Sol’n Dev & Impln’tion
Info Mgt &Security
SHOULD WE BE CERTIFIED…
NYHDIF Time out
13/14th November 2008
NEXT STEPS REVIEW
• Improving health and healthcare requires a better understanding of:– Needs– Expectations– Choices for patients– Outcomes– Performance
• Change
HEALTHY AMBITIONS
• Information for patients on treatments/outcomes• Reduced nos trips to hospitals• Faster and better treatments• Improved VFM• Support for organisations to work together• Greater access to patient information for clinicians• Better access to prescribing information and risk scoring
THE CHALLENGE
• “good informatics services are vital to delivering the health and social services we hope for, and the only way of knowing how well we have delivered……… (they)………….will improve patient experience and enable …………………improve(ments) in the quality of care”
(Health Informatics Review)
THE RESPONSE
• Leadership• Professionalisation• ETD/CPD• Developing future leaders• Creating careers• Developing people• Raising standards• Developing capability
Employer
NHS CfH
The IC
IM HINOSGSS etc
KSF General
KSF Core
IT HINOSSFIA etc
NHS Institute
Universities21st century context
NHS, patients, etc
Leadership
development
The individual
In ITIn IM
Master classes
E-learning
Foundation degrees
HI qualifications
Other NHS
Other training providers
Modular courses
W ork shops
Use of ICT
Sources and
uses of data
Accreditation
Career pathways
SfH
NHS Employers
Education Providers
BCS content
Agenda for ChangeNHS pay system
Job evaluations using 16 factors weighted together to set grades and
pay and create job profiles
Knowledge & Skills FrameworkLearning part of pay modernisation
6 core dimensions8 general dimensions
3 groups of specific dimensions
Health Informatics National Occupational Standards (HINOS)
contains further detail
20 Health Informatics11 Information & Library services6 Records, 31 IT Professionals
job design,recruitment,
performance management,identifying team skills &
knowledge gapsNHS employers
identifying skills and knowledge gaps, improving performance and pay
through individual learning and development
NHS employees
identifying learning needs anddefining learning outcomes
and using these to design qualifications
Education providers
UKCHIP
IHRIM, GSS, PACC, CILIP, Govt ITP, others
Accreditation/regulation
ASSIST
IRHIM, RSS, PACC, CILIP, BCS, others
Professional associations
BCS HI Forum, HI PDB, NHS Faculty
for HI
Other support
to create and maintain a profession that contributes to improved health outcomes
by ensuring that members have the right professional competence and comply with ethics and behavioural standards
are developed and used by
Tertiary and HE institutions,
NHS Institute, others
Education providers
for the purposes of
Skills Frameworks
NHS CfH, The IC, NHS Healthcare workforce, NHS Employers, NHS
Careers
NHS service providers
BCS HIF/CFH content
ACCREDITATION and CERTIFICATION
• Certification– 3rd party attestation of products/processes/systems– Lifetime or time limited
• Accreditation– 3rd party attestation of assessment process
How an accreditation scheme might work
Independent Scheme Owner
Support
Standards
Certification
The United Kingdom Accreditation Service (UKAS) is the sole national accreditation body recognised by government to assess, against
internationally agreed standards, organisations that provide certification, testing, inspection and
calibration services.
Standards used to define the scheme –
Subject to ongoing refinement and national
agreement
Visit www.dh.gov.uk/accreditation for more information.
The Process of testing the
standards, and validating
organisational status/position.
Certification Organisation(s)
[Based on DH Information Accreditation Scheme]
Getting people up to standard, and
supporting movement from
one level to another
THREATS
• Failing processes leading to replacement• Being compared to unreasonably high standards• Costs of assessment and of adherence to standards• Diversion of resources to meet process requirements• Falling reputation and morale
BENEFITS TO PROVIDER
• Increased professional reputation• More attractive to commissioners• Greater freedom to operate• Marketing tool• Attractive to new high calibre staff• Reduction in staff turnover• Increase in morale
BENEFITS TO COMMISSIONER
• Third party assurance• Increased public confidence• Greater likelihood of legislative compliance eg H&S• Implications for CNST• High quality service delivery at low cost• Confidence in levels and consistency of standards of
work• Increased assurances for Boards
RAISING STANDARDS
• Focus on services• Identify core services (for initial assessments)• Set standards• Assess against standards
– Self– Peer
• Publish results• Establish validity/reliability/reputation of results• Determine improvement plan• Secure additional resources• Use results to raise individual standards
So are you up for it ……………………..