npfit presentation to scata 17 th november 2005

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


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


Risk Mitigation

Within the development of IM&T products

Within the clinical assessment/treatment cycle

Maintenance of Business as Usual


Patient Safety

NPSA have identified three principal areas for concern

Right patient, right treatment

Prescribing and dispensing medications

Communication between health professionals


Assessment/Treatment Cycle

To ensure safety of process, demands precision in:

Information

Options appraisal/diagnosis

Treatment plan

Treatment delivery


Information Management

Connecting for Health aims to:

Connect islands of digital information

Improve data quality

Provide knowledge for decision making and patient information


Connecting Islands of Digital Data

Use of the NHS number

National Care Record Service

Confidentiality


Data Quality

High Level:

Information StandardsData definitions

Data sets

Transfer protocols

Low LevelOrganisation and personal

responsibility



CRDB tasked small group to define nature of NCRS:

Sir Cyril Chantler chaired group of NCLs and technical office



Nineteen iterations to achieve present view:

Demographics

Diagnoses

Current therapies

Allergies


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


Diagnosis and Treatment

Decision Support

Care pathways

NPSA believe that there are 65,000 significant prescribing/medicines

management errors annually


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


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”


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


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


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


Management of existing systems

In the context of today means:

Theatre systems

Critical Care systems


Management of existing systems

Combined approach:

Assimilation of best practice

Enabling Common User Interface to display information from several systems


RisksThis is a huge programme – therefore

Delays are inevitable

Errors will occur

Risk mitigation is essential

npfit presentation to scata 17 th november 2005

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