A Digital NHS Ewan Davis – Consultant to NHS England 34 Years in NHS IT SME > Corporate Founder of HANDI Past Chair TechUK Healthcare Group Past Chair BCS Primary Health Care Group ewan.davis@nhs.net
A Digital NHS - Agenda ● Some background to the the NHS ● IT in the NHS ● A new open collaborative approach to digitisation ● Role of open source in the NHS ● NHS experience with odoo ● Some lesson and conclusions
NHS ● Large and complex organisation Has to deal with massive rise in demand driven by ageing population - – “The Grey Tsunami” Devolved to 4 home countries – Biggest employer in Europe – Over 900 legal entities + NHS GPs, Pharmacists, Dentists and Opticians – Ranks #1 in the World (Switzerland #2 USA #11) – http://www.commonwealthfund.org/publications/press-releases/2014/jun/us-health-system-ranks-last ● Current priority to move to integrated care with much greater patient – participation e.g. Devo-Manch http://www.theguardian.com/healthcare-network/2015/mar/24/devo-manc-five-early-lessons-for-the-nhs ●
NHS IT ● Primary Care (GP) IT leads the world – 99% computerised > 15 years, majority paperlite ● Other sectors lag behind with full electronic records still rare ● In all sectors focus has been on enterprise wide systems ● The $12.bn 10 year+ NHS National Programme for IT now acknowledged as mainly a failure ● Emergence of apps creating new challenges and opportunities
A new approach ● To facilitate the creation of an open digital ecosystem – A mixed economy of proprietary and open source components based on open standards, open APIs (interfaces) and open data – Providing a platform to facilitate interoperability and orchestration on which systems can “plug and play” – Making data and knowledge shareable and computable, seperate from the application that create and consume it – Eliminating vendor lock-in, so vendors compete on value not ownership of IPR – Facilitating collaborative working
Open digital ecosystem (simplified)
The role of open source in the NHS ● To provide an alternative to proprietary solutions – To drive value – To facilitate “clinical” engagement – To facilitate cooperation – To promote openness – To encourage proprietary vendors to “play nicely” – To enable sharing and re-use
Some Examples ● NHS Spine – The NHS master index and ESB ● NHS eRefferals – NHS enterprise wide scheduling (replaces Choose & Book ● Open-eObs ● OpenEyes ● Open-eP ● OpenMaxims
OPENep
Open-eObs
NHS and odoo ● Many NHS processes are generic business process ● Many clinical processes can be treated as business processes ● But ERP has been little used in the NHS because of cost and complexity of proprietary ERP solutions ● oddo looks like a promising tool to bring the power of ERP to the NHS compatible with our open strategy ● oddo already used to successfully replatform Open- eobs and is likely to be used as a part of other open source projects ●
Lesson and Conclusions ● The use of open source components and collaborative approaches – Massively reduces development time and cost – Encourages end user engagement and adoption – Creates opportunities for innovation
A Digital NHS Ewan Davis – Consultant to NHS England ewan.davis@nhs.net @nhsopensource @WoodcoteEwan @handihealth www.code-4-health.org www.handihealth.org www.woodcote-consulting.com/blog
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