EHI-CCIO Open Source Conference Richard Jefferson Head of Business Systems NHS England 16th May 2014 Moorfields Hospital

What is Open Source?

A paradigm shift:

• Based on software improvement via collaborative open innovation

• Driven by those with desire to use and / or improve the product

• Successful new business models (e.g. RedHat)

• Scale of openness to suit the needs

Based on 4 Software Freedoms:

• Free to use software however you wish

• Free to redistribute copies

• Free to understand how it works and adapt it

• Free to make and share improvements with anyone

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How can it be used in the

NHS?

• Large scale clinical or administrative applications

• Speciality based products

• Apps and services focused on mobility, safety, efficiency etc

• Patient facing services

• Integration and interoperability

• Not only code but configuration

• Supporting software that underpins

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Objectives – Why Open

Source?

• Removes vendor Lock-In

• Increases responsiveness to fixes and changes in requirements

• Increases the number of vendors who can support the solutions

• Decreases Total Cost of Ownership

• Removes up-front licence fees and capital outlays

• More competitive pricing for support & maintenance

• Stimulates wider participation in improving and innovating products

• Greater control in delivering open interface between systems

• As easy to support and manage source control as proprietary

solutions

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Why Open Source in the

NHS?

• Increases the range of digital solutions available to NHS

organisations, at the level appropriate to them

• Organisations do not need a team of developers to use them

• Supports progression along the CDMI

• Supports greater and more direct clinical engagement in product

development, making products more useful, usable and used

• Facilitates sharing of investment and innovation across the NHS

• Encourages sharing of best-practice in using the technology

• As safe to use as proprietary software

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What will NHS England do?

• Champion the deployment of Open Source Solutions with the NHS

and support them in procuring associated services

• Promote the engagement of Clinicians and front line users through

the Code for Health initiative

• Generate Communities of Interest around solutions and areas of

interest

• Support the use of IDC Technology Fund and Nurse Technology

Fund for Open Source initiatives

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What will NHS England do?

• Run engagement events to support the market and encourage

partnerships within and between NHS and Supplier organisations

• Share knowledge, innovation and best-practice examples

• Support the creation and operation of product custodians which

provide services similar to normal commercial vendors of software

• Work with the supplier community and NHS organisations to

generate more potential open source products

• We will look to extend across all care settings over time

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Trust Intelligence

Supplier Intelligence

Community of Practice

FAQs Q: Is this to be matched funded? A: Yes via Integrated Digital Care Tech Fund 2. Q: What are the rules for matched funding i.e. can it be revenue as well as capital? A: Public dividend capital, implementation costs can also be capitalised. Q: How can this be done without going through procurement? A: No product license to purchase therefore just implementation and support services to procure. If the value is below OJEU then simple tender/quote process.

FAQs cont. Q: Are Trusts with Tech Fund 1 money able to apply for more? A: A clear business case for additional funding would be required. Q: Will this be funded adequately? A: Yes, applications will be required to accurately address the necessary implementation costs.

For more information:

Email: england.opensource@nhs.net Tel: 0845 8677697 Web: www.technologystrategy.england.nhs.uk Twitter: @NHSOpenSource #NHSOpenSource