Home Countries Digital Transformation Welcome and Introduction - - PowerPoint PPT Presentation

Home Countries Digital Transformation

Welcome and Introduction Vanessa Young Director Welsh NHS Confederation

Welsh Community Care System Carol Shillabeer Chief Executive Powys Teaching Health Board

Welsh Community Care Information System (WCCIS)

WCCIS

Vision:

Connecting professionals to provide better joined up care

• Practitioner and service led

programme

• Transformational change in
• rganisations and culture
• Mapping and enhancing workflow

aligned to pathways of care

• Information to support interventions

and clinical outcomes

• Creating common standards
• Aligning new technologies to drive

innovation

The Welsh Context

• National policy directive
• Seven Integrated Health Boards & 22 Local Authorities
• Ambition of integrated care driven

via seven Regional Partnership Boards

• Sharing information effectively difficult – recognition of joint

implementation opportunity

Our footprint in Wales

Why a new system/What helped

Informed Health and Care – the digital health and social care strategy for Wales (Welsh Government) – once for Wales approach Social Services and Well-being Act – a new law in Wales for improving the well-being of people who need care and support, and carers who need support

Absence of Integrated Information systems

– Lack of investment in community health systems – Social care systems approaching end of contract

What we did

• Joint Board (2011)
• Joint procurement (December 2012)
• Joint Funding (August 2016)

Procurement Timeline

ST ART

OJEU NOTICE & PQQ March 2013 Select Participants

{long listing)

E valuation

15FT/Final Tenders

.. .

_..,

Detailed Dialogue March

September 2014

• 2014

SELECT PREFERRED BIDDER November 2014

• -------- .,.

eptember 2013

Shortlist , Suppliers F ebruary

2014

Llywcxlraeth C ymru WelshGovernment

The Single Record

Systems and Data The

Single Record

• - -
• Views into the

Record

Identify the Clinician: NADEX ID (NADEX, ESR...) Identify the Patient: NHS NO (EMPI, WDS, Indexes) Audit Access to Confidential Information (Audit Logs, NIIAS)

Llywcxlraeth C ymru WelshGovernment

NHS Wales EHR Architecture

Clinical Decision Support

Workflow

Rules

“MESSAGING FABRIC”

• Standards (SOAP, REST, HL7, FHIR etc)
• Transformation
• Process Orchestration
• Monitoring and performance
• Security

\

Images (WIAS) Documents (WCRS) Structured Data (WCDR) Master Patient Index (MPI) Diagnostics (WRRS) Terminology & Reference Data (WRDS) Users (NADEX/ESR)

Welsh Patient Record

Welsh Patient Portal Patient Apps

Patient Facing Applications & Services

Welsh Clinical Portal

Apps

Clinical Applications & Services

Welsh PAS WCCIS

Administrative Applications & Services

\

Analytics

AI Self service

Reporting

Business

Intelligence Dashboards

National data Repository

Careworks: enhanced caredirector

Integrated Working and Mobile Working

Benefits realisation

• 1. Safe, timely, comprehensive access to citizen information

a) Real time access b) Reduced duplication from citizen c) Improved information for service planning d) Improved safety & security of citizen record

• 2. Better joined up care

a) Improved MDT working with shared information b) Reduced time/effort of professional seeking info c) Improved care coordination

• 3. Well-equipped professionals

a) ‘Mobile’ records enable flexible & remote working b) Professionals well supported to use new system for benefit of citizens and themselves

Case study

18 Teams/ managers from 6 areas fr o:m4 organisations i r Y I I O ived w h the case. Spr-ead o11er 11wooong . sites, including the clien home. The aim was to reduce unnecessary . stress to the client ana ensure care was c.oo.rdinated meeting the mental healtlh, physical and social care needs. Very rnallenging to achieve t he aim due to:

• No single client

record

• lnfo.-m

atinn was

• ut of dlat

t:e o.rnot shared due tio existing paper

• t e r n s

Wrthout a sha:red single record additional e< se conference were required to share i nform ation and plan caPe

Risks identified by

some groups within the eam could not

be shared automatically There was no

• v,erall 'pictur·

e' accesst"bfe to all rele1 1 ant staff.

Llywcxlraeth C ymru W els h Government

Achieving Real Benefits

Mr Tester

The majority of staff delivering, coordinating and managing care will all have access to the same system.

Having a shared system ensures risks are shared and communicated. The client can experience care which is better coordinated. The client does not have to unnecessarily repeat information. All staff have access to the information quickly which reduces decision time

From the frontline

Key challenges and learning

• Winning hearts & minds – 22 sovereign bodies (LAs) and

seven health boards

• First ‘Once for Wales’ system for health and social care
• Differing expectations based on different starting points
• Strong appetite to integrate the system with other systems
• Business/service change and not just a new IT system!

The way forward

• Welsh Government new strategy ‘

A Healthier Wales’ announces commitment to seamless health and care system

• WCCIS fundamental to providing effective information,

hence support for full roll out – approx. 35,000 users

• 10,000 users already achieved – looking to double within

the next 18 months

WCCIS

Thank you Any questions?

Glasgow Digitalisation Scott Wilson Senior Information Analyst Greater Glasgow and Clyde Health Board

Gla lasgow Digitalisation

Scott Wilson

Senior Information Analyst, NHSGGC

NHS Greater Glasgow and Clyde

Population – 1.1m Under 18s – 220,000 Workforce – 39,000 Community Childrens – 2,000 Community Children's Services:

• Universal Services (Health Visitors, School Nursing, Parenting)
• Child and Adolescent Mental Health Services
• Specialist Community Paediatrics

Let’s use Digital to: ➢ Enable the flow of shared information ➢ Connect with service users to better meet their needs ➢ Empower clinical teams to self manage and provide quality service Never forget the value of data In GGC, we’ve only scratched the surface; let’s allow the Digital World to really transform us But there are challenges: ➢ Cultural Change ➢ Finance and Resource ➢ Multi-Agency Info Sharing Agreements ➢ Lack of Inter-operability of Systems ➢ National Identity Number?

Sc Scott Wils ilson

Seni enior

• r In

Information Ana nalyst NHS Grea eater Glas lasgow an and Cly lyde de

sc scott.wils ilson3@gg ggc.scot.nhs.uk @nhsgg ggcscs

Single System-Wide Platform Chris Holt Deputy Chief Executive Rotherham NHS Foundation Trust

Northern Ireland Encompass System Gary Loughran Director of Encompass HCNI Digital Transformation Programme

Questions?

Closing Remarks Vanessa Young Director Welsh NHS Confederation