Transcript Slide 1

NPfIT presentation to SCATA 17th
November 2005
Ian H K Scott
Medical Director
Ipswich Hospital NHS Trust
National Clinical Lead for secondary care
NHS Connecting for Health is delivering the National Programme for Information Technology
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
NHS Connecting for Health is delivering the National Programme for Information Technology
Risk Mitigation
Within the development of IM&T products
Within the clinical assessment/treatment
cycle
Maintenance of Business as Usual
NHS Connecting for Health is delivering the National Programme for Information Technology
Patient Safety
NPSA have identified three principal areas for
concern
Right patient, right treatment
Prescribing and dispensing medications
Communication between health professionals
NHS Connecting for Health is delivering the National Programme for Information Technology
Assessment/Treatment Cycle
To ensure safety of process, demands
precision in:
Information
Options appraisal/diagnosis
Treatment plan
Treatment delivery
NHS Connecting for Health is delivering the National Programme for Information Technology
Information Management
Connecting for Health aims to:
Connect islands of digital information
Improve data quality
Provide knowledge for decision making
and patient information
NHS Connecting for Health is delivering the National Programme for Information Technology
Connecting Islands of Digital Data
Use of the NHS number
National Care Record Service
Confidentiality
NHS Connecting for Health is delivering the National Programme for Information Technology
Data Quality
High Level:
Information Standards
Data definitions
Data sets
Transfer protocols
Low Level
Organisation and personal responsibility
NHS Connecting for Health is delivering the National Programme for Information Technology
National Care Record Service
CRDB tasked small group to define
nature of NCRS:
Sir Cyril Chantler chaired group of
NCLs and technical office
NHS Connecting for Health is delivering the National Programme for Information Technology
National Care Record Service
Nineteen iterations to achieve present
view:
Demographics
Diagnoses
Current therapies
Allergies
NHS Connecting for Health is delivering the National Programme for Information Technology
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
NHS Connecting for Health is delivering the National Programme for Information Technology
Diagnosis and Treatment
Decision Support
Care pathways
NPSA believe that there are 65,000
significant prescribing/medicines
management errors annually
NHS Connecting for Health is delivering the National Programme for Information Technology
NHS Connecting for Health is delivering the National Programme for Information Technology
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
NHS Connecting for Health is delivering the National Programme for Information Technology
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”
NHS Connecting for Health is delivering the National Programme for Information Technology
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
NHS Connecting for Health is delivering the National Programme for Information Technology
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
NHS Connecting for Health is delivering the National Programme for Information Technology
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
NHS Connecting for Health is delivering the National Programme for Information Technology
Management of existing systems
In the context of today means:
Theatre systems
Critical Care systems
NHS Connecting for Health is delivering the National Programme for Information Technology
Management of existing systems
Combined approach:
Assimilation of best practice
Enabling Common User Interface to
display information from several systems
NHS Connecting for Health is delivering the National Programme for Information Technology
NHS Connecting for Health is delivering the National Programme for Information Technology
NHS Connecting for Health is delivering the National Programme for Information Technology
Risks
This is a huge programme – therefore
Delays are inevitable
Errors will occur
Risk mitigation is essential
NHS Connecting for Health is delivering the National Programme for Information Technology