SLIDE 1
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
A Digital NHS Ewan Davis Consultant to NHS England 34 Years in NHS - - PowerPoint PPT Presentation
A Digital NHS Ewan Davis Consultant to NHS England 34 Years in NHS - - PowerPoint PPT Presentation
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
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NHS
- Large and complex organisation
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Has to deal with massive rise in demand driven by ageing population - “The Grey Tsunami”
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Devolved to 4 home countries
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Biggest employer in Europe
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Over 900 legal entities + NHS GPs, Pharmacists, Dentists and Opticians
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Ranks #1 in the World (Switzerland #2 USA #11)
- http://www.commonwealthfund.org/publications/press-releases/2014/jun/us-health-system-ranks-last
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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
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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
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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
- rchestration 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
- wnership of IPR
– Facilitating collaborative working
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Open digital ecosystem (simplified)
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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
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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
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OPENep
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Open-eObs
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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
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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
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