NHS Digital

in partnership with techUK

Tuesday 21st March

14:00 – 15:45

Industry Briefing

WebEx

Welcome and Introductions

Rob Tysall-BlayChair, Health & Social Care Council, techUK

techUK Health & Social Care Council

• Over 300 member companies

• Priorities:

o Digital Citizens

o Safe and Effective Data Sharing

o Sustainability and Transformation

• Strategic Partnership and Launch

www.industrybriefings.co.uk

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Agenda

14.00 – 14.10Welcome & Introductions

Rob Tysall-Blay, Chair of the Health & Social Care Council, techUK

14.10 – 14.20Driving digital transformation

Tracey Watson, Director of Innovation & Partnerships, NHS Digital

14.20 – 14:40Data for Oversight and ResearchProf Daniel Ray, Director of Data Science, NHS Digital

14.40 – 15.00Self Care and Prevention David Corbett, Programme Head for NHS WiFi, NHS Digital

15:00 – 15:20 GPIT Futures: Get Involved

Ben Gregory, Commercial Lead, NHS Digital

15:20 – 15:40Integration & Social Care

Malcolm Senior, Programme Director, NHS Digital

15.40 – 15.45Closing Remarks

Rob Tysall-Blay, Chair of Health & Social Care Council, techUK

Driving digital transformation

Tracey Watson Director of Innovation & Partnerships,

NHS Digital

Responsive

Open

Supportive

Innovative

Launch our new way of working

Creating a healthy tension between

national and local delivery

Local

• Local Digital Roadmaps/STPs

• Exemplars

• Vanguards and test beds

• Start-ups, SMEs and industry

• Universities

National• Infrastructure and standards

• Setting the right commercial

conditions

• Driving digital maturity

• Protecting patient data

Contribute towards a digital ecosystem

t

• Strengthen our partnerships with academia

• Establish joint working initiatives with selected industry and

third sector innovators

• Work with NHS Digital Innovation Fellows to develop

strategy and identify critical interventions

• Help the the SME supply chain meet local needs through our

innovation fund

• Release internally and externally developed software on

open source licenses. Where this is not possible, explain

why.

• Encourage and shape professional services support for

open source capabilities

• Use our subject matter expertise to support Code4Health

communities

Encourage an open and innovative

ecosystem that creates digital tools and

services to support good, safe, efficient,

and compassionate health and care.

Industry wide approach

Patient

Engagement

& self-care

Urgent &

Emergency

Care

Transforming

General

Practice

Integrated

care and

social care

Digital

Medicines Elective Care

Paper Free

at the point

of care

Data access

for outcomes

for research

Infrastructure Public trust

and security

A B C D E F G H I J

Industry Bulletins Market Engagement New Digital Service

P2020 Agenda – 10 Domains - 33 programmes spanning health and social care

StrategicPARTNERSHIP

Strategic partnership

• Create a transparent and accessible operating environment for

industry

• Share and exploit market opportunities created by the P2020

portfolio ,consulting industry throughout the delivery life-cycle and

supporting the development of a vibrant digital health and care

marketplace.

• Develop a range of joint initiatives that will support the delivery of

an integrated paper-free health and care system.

• Develop a more intelligent delivery chain in which national and local

organisations and suppliers work effectively together to maximise

benefit and minimise cost and risk for all.

P2020 Market Research & Consultation

• Market reaction to P2020 strategy and requirements;

• The market appetite, capability and capacity to

provision;

• Test which risks are best managed in-house or managed

by the supply chain;

• Understand key business drivers for the suppliers, both

reputational and remunerative.

• Understand strategy impacts on the market, both short

and long term.

P2020 Market Consultation RoadmapQ Year Month Date Title of Event Location Type of Event Status

Q42016

October18 NHS Digital Industry Briefing London, Westminster Event Complete

21 NHS Digital Industry Briefing Leeds, The Leeds Club Event Complete

November

09 Health and Social Care Council Meeting London, techUK Event Complete

17 techUK Industry Award Annual Dinner London, techUK Event Complete

30 WiFi RFI Consultation N/A Consultation Complete

December

7 WiFi Standards Consultation N/A Consultation Complete

7 ISB Standard Patient Identifier Bands N/A Consultation Complete

13 Child Health Briefing London, techUK Event Complete

Q1

2017

January

12 Social Care Industry Briefing London, techUK Event Complete

17 Health and Social Care Council Meeting London, techUK Event Complete

26 GP IT Futures Session London, External venue Event Complete

February 2 Strategic Approach to Data Collection Thistle City Barbican, London Event Complete

March

21 NHS Digital Industry Briefing WebEx Event Planned

29 GP IT Futures Webinar: Technical Discovery on Access to Data WebEx Event Planned

Q2

April

mid GP IT Futures Webinar: Requirements, Standards and Assurance WebEx Event Planned

25 International Digital Health Opportunities London, Asia House Joint Initiative Planned

May

15 Digital Child Health & Maternity Programme Briefing London, techUK Event Planned

16 Target Architecture Workshop London, techUK Joint Initiative Planned

June

21 NHS Digital Industry Briefing Leeds-Hilton City Event Planned

26 NHS Digital Industry Briefing London, techUK Event Planned

Q3

July

13 GPIT Futures Briefing London, techUK Event Planned

14 Social Care Event London, techUK Event Planned

August

September

Q4

October

17 NHS Digital Industry Briefing London, techUK Event Planned

23 GPIT Futures Briefing London, techUK Event Planned

25 NHS Digital Industry Briefing Leeds, Crowne Plaza Event Planned

November

December

Q1 2018 January 25 GPIT Futures Briefing London, techUK Event Planned

Supplier Information Exchange

• New digital service specifically designed to

transform the way in which suppliers consume

and interact with our services;

• User Driven - working with techUK to develop a

“clickable alpha”;

• New platform to be delivered Q4 2017;

• Interim solution that can support ongoing

P2020 engagement with suppliers.

Data for Oversight and Research

Professor Daniel RayDirector of Data Science,

NHS Digital

Data Outcomes for Research and Oversight:Programme Coherence

• Data Content and Collection– What we collect and how we collect it

– Increase timeliness of data and ensure it meets the needs of health and social care planners, providers and policy makers

– Reduce burden significantly

• Data Services Platform– Enable best use of technology to reflect needs of new data collection approach

– Land data and enable better contextual analysis

– De-identification service

• Innovative uses of data– Leading edge techniques

– Faster availability of intelligence to enable better decision making

Data Services Platform (DSP)

• Project to create a scalable, standardised and accessible data services platform with a supporting governance framework and operating model

• To ensure that the NHS Digital provides efficient and secure hosting of its key data services and improve the way we collect, analyse, disseminate and publish data

• Delivers central data processing capacity and capability to allow the landing, storage, processing and analysis of data

Data Services Platform Stakeholders

Data Content and Collection

• Multiple central organisations collect data – several hundred collections

• Duplication = burden on providers and system suppliers

• Discovery work in January-March 2017

• Strong support from suppliers/providers for single national data architecture to drive provision of data

• 100+ techUK members and other suppliers involved in initial workshop

• Ongoing engagement required, please

• Webinars and individual meetings welcome– Share your data schema?

– Help shape key design principles?

– Help test alpha version?

– Register interest at datacontent.pmo@nhs.uk

• Alpha version to be developed by July 2017

Common National Data Model

What:

A single, nationally defined data model that brings together and unifies the disparate

data items (attributes) and standards (nomenclature) from existing collections and

supports the overall data and technical architecture for health and social care

Why:

• Standardisation – across the data that is being collected

• Extendibility – is flexible and can be extended to include new data

• Rationalisation – reduces duplication and burden

• Ease of use – reference for technology implementation

Modular Architecture

What:

A component driven data model where data is grouped into standardised ‘modules’ that represent a

defined area of data (data domain boundaries)

• Some modules could be mandatory (e.g. identity/demographics)

• Modules could contain mandatory data OR additional ‘specific data sets’ based on individual

speciality (e.g. Pathology, 111, Activities of daily living, etc.)

• Data flow ideally by Data Packets - Modules could be grouped together into flexible and cohesive

data packets – with ‘specific sets’ submitted linked to mandatory sets – flowing on an event basis,

near real-time

Why:

• Patient/Service User Centric – whilst maintaining organisation centric features for commissioning

• Longitudinal - allows enhanced patient/service user pathway analysis & reporting

• Flexibility – to both need and to changes over time

• Processing – lowers the complexity and effort to submit and analyse. Enables near real time

submission of data in conformed modules

Now Rationalise Transform

Silos of data that overlap

and are not flexible and

are hard to link (top-

down).

Data is described and

organised in a consistent

way. Duplication is

reduced.

Data architecture is

transformed. Datasets

are built from modules

(bottom-up).

What the journey ‘could’ look like…

Vision

“We will empower the health and care system by visualising, analysing,

interpreting and displaying useful, powerful information in a way that enables

users to interact with it using modern technological analytical methods and

tools, to harness the power of information to drive up efficiency, equity, quality

and outcomes of health and care delivery.”

The Programme will create remote and use existing environments to enable

innovative use by appropriate others of health & care data and do / deliver

analytics directly that cover the baseline for the NHS along with specific

innovation projects in collaboration.

Which translates into:

Problem Statements

• There is very little information available on outcomes

– For clinicians & the health system

– For International comparisons

• The NHS buys the analytics baseline, rather than

buying value, for benchmarking and national analysis

• Multiple sources of data and not timely enough data

are used

• Relatively high level of skills are required to access

baseline information

• Many health data assets are not utilised currently for

secondary use

Problem Statements

What are the issues and opportunities?

• Ensure that the deliverables are completed on architecture and tools that fit with the strategic direction of the DSP

• Need to understand and engage the market impact on what the programme does / delivers

• Huge opportunity to use the health system data even on the architecture we have to add value Innovation and new data use:

– AI, Cognitive

– Newly Generated EPR Data

– NHS 111

– Apps and Wearables data

– International Data

What have we done and are going to do? Top Priorities

1. Providing a baseline set of Business Intelligence • Reporting for the health system, initially focusing STP evaluation

• Long term Outcomes analysis for cancer and dementia

• Standard set of timely data

• Subscription services

• Meeting the requirement from NIB2.2 around ensuring the health system has the intelligence it needs for comparisons, benchmarking and planning

2. Innovation and Virtual Data Science Centre• Coherent strategy for Data Science across ALBs, Cabinet, DWP, ONS, etc.

• Urgent and Emergency care - Structured and unstructured data for Cognitive AI work

• Engagement with the NHS 111 team to identify the utility and analysis of this data for secondary use

3. Empowered outcomes intelligence for clinicians • Consultant level reporting, the construction of a baseline set of information for all doctors to

enable them to understand their level of efficiency and quality of care delivery, in association with GIRFT and Model Hospital

(Innovative) Uses of DataDescription The aim of this programme is to create improved access and appropriate ability to further unlock and exploit national health and care datasets, by

individuals and organisations who should have access, through the application of new data science, analytics technology and skills. The programme has 2

aspects to it, creating tools and environments enabling others to create innovative deliverables that have a real world impact on patients with data and

analytics. The second is actually producing data and analytics that have direct real world impact in their own right (ie AE demand models).

Outcomes for

Patients,

Clinicians and

System Leaders

• Improved access to data and analytics, with guaranteed response times for fast innovative health intelligence.

• Break down barrier to access data, analytics and information

• Be informed pro-actively by technology, of the data and information you need, at the right time, about the information and data you need to know.

• Improved patient outcomes by empowering system leaders and clinicians to understand disease outcome inequality and inefficiency.

• Data assets across a health system ‘Linkage by default’ to enable health system outcome tracking to underpin vanguard and STP evaluation.

Objectives This programmes objective is to drive new uses of data and create the environment for more effective exploitation and impact of data (including for research

and HSCIC I&A transformation).

Our outcome objective is improved quality of care, improved care outcomes, better treatment and prevention and improved health and care service

planning, provision and performance.

• To empower patients, and the health system with targeted powerful health data, intelligence and enable them to interact with analytics that they can use

and understand.

• To create a secure remote data access environment facilitating improved access to data, but reduced amounts of data dissemination outside of NHS

Digital..

Current Portfolio

of Systems and

Services

• Bundle 4 or lot 2 ‘Data Exploitation vendor / collaboration partner’ is the ‘analytics’ component within the DSP which will act as the delivery vehicle for

many of the strategic aspects of the ‘uses of data’ programme 27

• I & A and new Data Science skills resourcing, consisting of upskilling and recruitment

Interdependencies The procurement of the DSP, I&A Transformation and agreement across the health system around deliverables.

Risks and Issues Agreement of the underpinning business models, recruitment and retention of the right skilled individuals, and coherent delivery of new services in

association with I&A transformation.

Key Milestones 2016/17 2017/18 2018/19 2019/20 2020/21

Tactical BI deployment

Workforce skills review and

improvements

Data Science Centre

Foundations

Strategic solution (DSP)

procurement

Secure remote data access

environment

Strategic analytics solution

ASK NHS Digital service

User subscription to information

they want and need

Real time data flows from providers

Analytics on new data sources including

wearables

Data linked by default for analysis

Natural language data and information

interrogation

International collaborations and data

flows

App access to a range of intelligence

services

“Personalised Empowerment”

Remote user defined subscription via

any device to a range of health and

care data and information

Data for Oversight and

Research – Q&A

Self Care & Prevention

David CorbettProgramme Head for NHS WiFi,

NHS Digital

Patient power Reduce pressure on services

Widerparticipation

Patient engagement: Self-care and prevention

Help patients to take control of their own health and care and reduce pressure on frontline services.

Key contacts: Juliet Bauer and Rachel Murphy

Patient Power Programmes of Work

1. Citizen Identity

2. NHS.UK

3. Health Apps Assessment and Uptake

4. Widening Digital Participation

5. NHS Wi-Fi

6. Personal Health Records

Self Care and Prevention Programme update

Apps & Wearables

Focused on the introduction of healthcare apps which can be used by patients and citizens to self-care, and link into their personal health records

• Soft-launch of a digital tools library on NHS.UK by end March 2017

• Partnership working (w/NICE, PHE, NHS England) to assure a small number of Apps for the library

• Working with App Developers to create ‘demonstrators’ that access national infrastructure and services as part of their solution to patients

• Enhance ‘developer.nhs.uk’ (which is already live) to create a space where developers can find information about being involved, access design standards and understand the assurance process

Self Care and Prevention Programme update

Citizen ID

Delivering an online national mechanism for citizen identity in the health and care system

• Development of digital identity solutions for health, targeting September 2017 for first live beta

• Research and prototyping to understand the identity assurance needs for apps and third-party

providers

Personal health records

The vision for PHRs is to provide citizen access to online health services, so that they are able to access and contribute to their health information, and to interact and transact with those that care for them

• Patients will be able to come to NHS.UK and navigate to local demonstrators of care specific enabled apps and local services that are available by September 2017

• Transforming the experience for patients, by allowing them to access and download their GP record without leaving NHS.UK by September 2017

Self Care and Prevention Programme update

NHS.UK

Focused on the transformation of NHS Choices to NHS.UK from a service providing information on health conditions into a focused user journey supporting customers through their primary health care information needs

The NHS.UK beta site is live and has published a number of transformed, action oriented user centric new symptoms, conditions and medicines pages

GP appointments and information pages are now better presented to help users make the right action for their symptom or condition

In Spring 2017, NHS.UK will start piloting the GP registration service with a small number of practices

Self Care and Prevention Programme update

NHS Wifi

Enabling people who are receiving care to be better connected, by providing free wireless access across the NHS, and progressively supporting health and care professionals to have access to services, tools and technologies to deliver better care.

Two projects – primary care (GP practices) and secondary care. First stage of delivery (primary care) commenced in January with 20 CCG early adopters rolling out to approx. 1,000 surgeries by 31 March 2017, ahead of wider rollout and start of secondary care delivery

Widening Digital Participation

Focused on reaching the digitally excluded and giving them access to the health and care information they need

Reaching the 6 million who are not online and the 12 million with low digital literacy to provide skills

that help them benefit from digital NHS services - working with our partner Good Things Foundation

(formerly Tinder Foundation)

Primary Care (PC)

• First stage commenced in Jan 17 with 20 CCGs participating as WiFi Early adopters

• 2 CCGs are live, with the remainder on target to complete by 31 Mar 2017

• This represents approximately 1,000 practices and c. 5 million patients

• Business Case in approvals process. Informed by EA stage and Primary Care census

• Remaining CCGs (approx. 190) expected to implement by 31 Dec 2017 (1Supported by GP IT Operating Model and GP Forward View commitment)

Secondary Care (SC)

• Business Case in development. Informed by outputs from secondary care survey

• Secondary care delivery expected to commence spring/summer 2017

• Current expectation all secondary care providers will implement by Dec 2018

1 From April 2017, commissioning responsibility for provision of Wi-Fi services for General Practice will be devolved to CCGs

as a ‘core and mandated’ requirement outlined within an addendum to the GP IT Operating Model, Securing Excellence in

GP IT Services.

WiFi progress and next steps

• Start small and grow the library, refine the assurances and gatekeeping processes – March 17 onwards

• Make the existing (and develop new) capability with NHS Digital’s infrastructure and services to allow the healthcare App market to innovate against it – up to September 2017 and beyond

• Develop the required information standards, testing capability and on-boarding/assurance processes for publication on a developer focused portal –continuously and with the help of industry

• Continue to communicate with the market, patients/citizens and healthcare professionals to support this exciting direction of healthcare engagement and provision

Health Apps and Wearables

Self Care & Prevention–

Q&A

GP IT Futures: Get Involved

Ben GregoryCommercial Lead, GP IT Futures

NHS Digital

Where We Are…. Right Now

• Research, feasibility & fact checking, discovery, engagement & initiation

• Transitioning to design & test

• Programme Business Case about to enter the system (in old money)

• Current focus on User Research (challenging, as it is a resource stretched professional

and commissioning environment preparing for major operation change)

• You are our users too (yes you are)

We Need

Request For Information

RFI Published: By 31st March 2017

Download and register to respond at:

www.industrybriefings.co.uk/consultations

Responses : By 21st April 2017

Based on responses, we will invite a cross

section of suppliers to form one of our informal

working groups.

In these we will conceptually test things like

assurance and compliance process design,

standards model and articulation, technical

opportunities, procurement design.

Structured User Centred Design

Recruitment

[Hand to Hand testing…]

We are seeking willing volunteers to take

part in user centred design sessions in

support of ’the Catalogue’, this is likely to

include deploying and maintaining an

example product listing and dataset as an

early stage test area.

If you are interested please contact us to

discuss further at:

gpitfutures@nhs.net

Commercial Timeline

‘Alpha’ design

cycles

2017 2018

Procurement (replace GPSoC)

Sept-17Jan-17 Feb-18 Dec-18

‘Beta’ tests

Service construction

Framework ends

March 2018Call Offs

expire Dec-18

Publish RFI

End March

Discovery

phase

Market Intelligence Report

v1 End April

Tech UK update event

July 2017

Supplier engagement (regular Show & Tell webinar sessions, events)

Tech discovery Show & Tell

3rd April 2017

POC Show & Tell

End April

Market Intelligence Report

Final End August

GP IT Futures: Get Involved

Q&A

Integration & Social Care

Malcolm Senior Programme Director, Integration and Social Care

NHS Digital

Programme Vision:

Better inform clinical decision making across all

health and care settings, by allowing information

generated in one care setting to be seen and

acted upon in another, irrespective of

geographical or organisational boundaries.

Our expectation of you:

To sign up to techUK’s Health and Social Care

Interoperability Charter.

Changing the Conversation

• Strategic partnerships

• More collaborative developments

• Joint agreement over the direction of travel

Standards not Systems

Internationally recognised standards, driven by business needs, implemented in partnership with suppliers.

Enabling better data flows to improve patient care.

Key work programmes

• GP Connect and Care Connect

• National Record Locator Service (NRLS)

• Authentication and Authorisation Service

• Common standards for Information Exchange; transfers of care, alerts and flags, Open APIs

• Implementing integrated care solutions for social care

Integration & Social Care

Q&A

Closing Remarks

Rob Tysall-BlayChair, Health & Social Care Council, techUK

What’s next? – Future events

Date Event title Location

3 April GP IT Futures Webinar: Technical Discovery on Access to Data WebEx

Late

AprilGP IT Futures Webinar: Requirements, Standards and Assurance WebEx

25 April International Digital Health Opportunities London

15 May Digital Child Health & Maternity Programme Briefing London, techUK

16 May Target Architecture Workshop London, techUK

21 June NHS Digital Industry Briefing Leeds , Hilton City

28 June NHS Digital Industry Briefing London, techUK

What’s next? Share your views

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WebEx

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