“working together - working professionally” “health informatics – one wales, one...
TRANSCRIPT
“Working Together - Working Professionally”
“Health Informatics – One Wales, One Profession”
Wednesday 14th May 2008
Gwyn ThomasCEO, IHC
Hi-ProFILE 2nd Annual Conference (HI-ProFILE 08)
Game Plan
Organised
Team work
Played to their strengths
That was a really professional performance!
Professionalism – The Self Interest Model
• Scarce/Complex skill that is in demand• Form a club• Make it difficult to join• Introduce restrictive practices• Self regulate• Exercise power through vested interest• Improve bargaining position• Increases wages
Net Result - Die rich!
Professionalism – The Common Interest Model
• Strong desire to serve the public good• Failure will let people down• Form a Society • Social Insurance – back scratching• Encourage people to join• Share knowledge and information freely• Help each other• Aspire to be the best• Seek the Truth
Net Result - Die Happy!
“Secondly, the end of the internal market in health is part of the wider Welsh Assembly Government determination to make co-operation, rather than competition, the bedrock of public service delivery in Wales. A re-invigorated public service ethos of partnership will be encouraged.”
WELSH ASSEMBLY GOVERNMENT
PROPOSALS TO CHANGE THE STRUCTURE OF THE NHS IN WALESCONSULTATION PAPER April 2008
Which way is the wind blowing??
TRUST
RELIANCELow High
“My Word is My Bond”
“Write everything down- and double check”
“Write everything downfor the judge”
“Write the important things down and check”
What makes a professional partnership work?
High
Low
Game Plan
Organised
Team work
Play to our strengths
Health Informatics – One Wales, One Profession
That was a really professional performance!
– IHC Implementation Plan
– ITIL (IT Infrastructure Library)
– Defined roles, national & localIn Common by Design In Common by AgreementLocal by Agreement
– ‘Centres of Expertise’
Delivery Plan by Community and Trust
Best Practice in Service Management developed by the Office of Government Commerce
Using ITIL to Get Organised
Common Sense Written down!
Covers the full service cycle from
Systematic way of managing
• Deployment & Release• Incidents & Problems• Capacity • Service Level• Availability• Service Continuity• Change Control
Design Build Deploy Operate Improve
Information Systems – the P45 Questions of the Future?
Will it work?Is it secure?Is it safe?How do you know?
Why Bother ??
But also because it serves the common interest
Better Patient CareSaves TimeSaves MoneySafer PracticesHappy Staff
It is the Professional thing to do …..
Velindre
I Soft/PIMS
PMS
MyrddinI Soft/‘Green screen’
PIMS
CWS/I Soft
PembsPAS
WAS BSC
Team work – Defined roles, national & local
Welsh Trusts….2007
Pop(000s)
279
206
186
77
116
176
129
225
265
171
115
436
555
The Informatics Communities…..
Pop(000s)
485
186
2
370
0
129
490
287
436
555
Welsh Trusts and LHBS 2009…….?
Play to our strengths – ‘Centres of Expertise’
NHS Wales
Test Requesting & Results Reporting Welsh Clinical PortalOrder CommsPatient DemographicsMyrddin PASData MigrationService DeliveryTestingetc………………etc……………….
TRUST
RELIANCELow High
“My Word is My Bond”
“Write everything down- and double check”
“Write everything downfor the judge”
“Write the important things down and check”
High
Low
Professional Partnership
Private Sector
IntegrationSoftware DevelopmentImplementationService DeliveryTestingetc…….etc……
The Challenges We Face …..
The Challenges We Face …..
The Aeroplane is not going to land……
Feels like there’s too much to be done …
Feels like there aren’t enough of us ….
We have to get it right – or else …..
What we do is very important but unappreciated ……
Working Together - Working Professionally
Game Plan – IHC Implementation Plan
Organised – ITIL (IT Infrastructure Library)
Team work – Defined roles, national & local
Play to our strengths – ‘Centres of Expertise’
That was a really professional performance!
