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 • Information to support interventions programme and clinical outcomes • Transformational change in • Creating common standards organisations and culture • Aligning new technologies to drive • Mapping and enhancing workflow innovation aligned to pathways of care

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 Select Participants OJEU NOTICE & PQQ {long listing) ST ART March 2013 eptember 2013 Shortlist Detailed 15FT/Final Tenders .. . E valuation _.., , Suppliers Dialogue F ebruary September 2014 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2014 March --------- .,. 2014 SELECT PREFERRED BIDDER November 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 Analytics \ National Self Business data AI service Reporting Repository Intelligence Dashboards Welsh Patient Record \ Master Structured Terminology & Images Users Patient Diagnostics Documents Data Reference Data (WIAS) (NADEX/ESR) Index (MPI) (WRRS) (WCRS) (WCDR) (WRDS) Rules • Standards (SOAP, REST, HL7, FHIR etc) • Transformation • Process Orchestration “M ESSAGING FABRIC ” Workflow • Monitoring and performance • Security Clinical Decision Welsh Welsh Support Patient Welsh Patient Apps WCCIS Clinical Apps PAS Portal Portal Patient Facing Clinical Applications & Services Administrative Applications & Applications & Services Services

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:m 4 organisations i r Y I I O ived w h the case. Wrthout a sha:red single record Spr-ead o11er 11wooong . sites, additional e< se conference including the clien home. were required to share i nform ation and plan caPe The aim was to reduce unnecessary . stress to the client Risks identified by ana ensure care was some groups within c.oo.rdinated meeting the mental healtlh, the eam could not physical and social be shared automatically care needs. Very rnallenging to There was no achieve t he aim due to: ov,erall 'pictur· e' accesst"bfe to all - No single client rele1 1 ant staff. record - lnfo.-m atinn was t:e o.r not out of dlat shared due tio existing paper - t e r n s Llywcxlraeth C ymru W els h Government

Achieving Real Benefits The majority of staff Having a shared system delivering, coordinating Safeguarding ensures risks are shared and Lead Adult Nursing Care and managing care will all Social Care Designated Agency (PCC) Social Worker (Independent (PCC) communicated. Contractor) have access to the same General Social Services Practitioner Team Manager (Independent (PCC) Contractor) system . The client can experience care On Call Social Services which is better coordinated. Managers general (PTHB) Manager (PCC) The client does not have to Mental Emergency Capacity Service (PCC) Advisor (PTHB) unnecessarily repeat Mr information. Tester Mental Health Crisis District Nurse Response (PTHB) Team (PTHB) All staff have access to the information quickly which Community Occupational Mental Health Therapist Team reduces decision time (PTHB) (PTHB/PCC) Complex Care Clinical Nurse Psychologist Specialist (PTHB) (PTHB) Locality Integrated General Clinical Team Manager Head of Manager (PTHB) Nursing, (PTHB) General (PTHB)

From the frontline

Key challenges and learning • Winning hearts & minds – 22 sovereign bodies (LAs) and seven health boards • First ‘ Once for W ales’ 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 W ales’ 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: But there are challenges: ➢ Enable the flow of shared information ➢ Connect with service users to ➢ Cultural Change better meet their needs ➢ Empower clinical teams to self ➢ Finance and Resource manage and provide quality service ➢ Multi-Agency Info Sharing Agreements Never forget the value of data ➢ Lack of Inter-operability of Systems In GGC, we’ve only scratched the surface; let’s allow the Digital World ➢ National Identity Number? to really transform us

Sc Scott Wils ilson Seni enior or 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