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Leeds - Local Digital RoadmapFirst Submission - 30 June 2016
Sect
ion
1
Intr
od
uct
ion
Leed
s as
pire
s to
be
the
best
city
to
grow
up
in, t
he b
est
city
to
grow
old
in, t
he b
est
city
fo
r he
alth
and
wel
lbei
ng a
nd h
as t
he o
vera
ll am
bitio
n to
impr
ove
the
heal
th o
f th
e po
ores
t fa
stes
t.
Leed
s is
mak
ing
stro
ng p
rogr
ess
tow
ards
be
com
ing
a ‘s
mar
t’ c
ity w
here
vol
unta
ry,
publ
ic a
nd p
rivat
e se
ctor
s co
oper
ate
to
achi
eve
sust
aina
ble
city
out
com
es a
nd in
crea
se
econ
omic
com
petit
iven
ess.
Thi
s in
clud
es t
he
abili
ty t
o sh
are
and
exch
ange
info
rmat
ion
acro
ss
a w
hole
city
sys
tem
.
Info
rmat
ics,
and
the
dig
ital t
echn
olog
y it
over
sees
, is
seen
as
cent
ral t
o th
e de
liver
y of
thi
s am
bitio
n.
Leed
s is
the
agr
eed
foot
prin
t fo
r th
e Lo
cal
Dig
ital R
oadm
ap (L
DR)
, cov
erin
g th
e th
ree
Leed
s N
HS
Clin
ical
Com
mis
sion
ing
Gro
ups
and
the
loca
l hea
lth a
nd c
are
prov
ider
s, in
clud
ing
all
GP
Prac
tices
.
The
Leed
s In
form
atic
s u
niq
ue
sellin
g p
oin
ts a
re:
Our
str
ong
and
long
sta
ndin
g co
llabo
rativ
e w
orki
ng a
rran
gem
ents
aro
und
Info
rmat
ics
acro
ss h
ealth
, car
e an
d ac
adem
ia
Our
rob
ust
info
rmat
ion
shar
ing
arra
ngem
ents
be
twee
n or
gani
satio
ns
Our
eng
agem
ent
with
citi
zens
abo
ut h
ow
thei
r in
form
atio
n is
and
mig
ht b
e us
ed t
o im
prov
e th
eir
heal
th a
nd c
are
Our
Lee
ds C
are
Reco
rd, a
n in
tegr
ated
vie
w o
f he
alth
and
car
e in
form
atio
n w
ith o
ver
2000
ac
tive
user
s
Our
use
of
join
ed u
p in
form
atio
n an
d an
alyt
ics
acro
ss t
he c
ity t
o pr
ovid
e kn
owle
dge
and
insi
ghts
into
how
eff
ectiv
e ou
r he
alth
and
car
e pr
oces
ses
are
The
pri
ori
ty In
form
atic
s o
pp
ort
un
itie
s d
escr
ibed
wit
hin
th
e
LDR
are
:To
use
tec
hnol
ogy
to s
uppo
rt p
eopl
e to
m
aint
ain
thei
r ow
n he
alth
and
wel
lbei
ng
To e
nsur
e a
robu
st IT
infr
astr
uctu
re p
rovi
sion
th
at s
uppo
rts
resp
onsi
ve a
nd r
esili
ent
24/7
w
orki
ng a
cros
s al
l hea
lth a
nd c
are
part
ners
To p
rovi
de w
orkfl
ow a
nd d
ecis
ion
supp
ort
tech
nolo
gy a
cros
s G
ener
al P
ract
ice,
N
eigh
bour
hood
Tea
ms,
Hos
pita
ls a
nd S
ocia
l C
are
To e
nsur
e a
chan
ge m
anag
emen
t ap
proa
ch
that
em
beds
the
use
of
any
new
tec
hnol
ogy
into
eve
ryda
y w
orki
ng p
ract
ices
The
LDR
has
been
pro
duce
d in
con
junc
tion
with
th
e Le
eds
and
Wes
t Yo
rksh
ire S
usta
inab
ility
and
Tr
ansf
orm
atio
n Pl
ans
(STP
) and
in c
olla
bora
tion
with
oth
er L
DRs
acr
oss
Wes
t Yo
rksh
ire.
The
LDR
is n
ot in
tend
ed t
o be
a r
epla
cem
ent
for
indi
vidu
al o
rgan
isat
iona
l inf
orm
atic
s st
rate
gies
bu
t pr
ovid
es a
con
solid
ated
vie
w o
f th
e pl
ans
requ
ired
to b
ecom
e as
clo
se a
s po
ssib
le t
o ‘p
aper
fre
e at
the
poi
nt o
f ca
re’ a
nd t
o su
ppor
t th
e de
liver
y of
inte
grat
ed h
ealth
and
car
e se
rvic
es.
The
Leed
s Lo
cal D
igita
l Roa
dmap
thu
s de
scrib
es
a 5-
year
dig
ital v
isio
n, a
3-y
ear
jour
ney
tow
ards
be
com
ing
pape
r-fr
ee-a
t-th
e-po
int-
of-c
are
and
2-ye
ar p
lans
for
pro
gres
sing
a n
umbe
r of
pr
edefi
ned
‘uni
vers
al c
apab
ilitie
s’.
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
Sect
ion
12
3
The
LDR
has
bee
n
dev
elo
ped
usi
ng
th
e
follo
win
g a
pp
roac
h:
End
ors
emen
t an
d
con
trib
uto
rs
Reso
urce
s, r
oles
and
res
pons
ibili
ties
to d
eliv
er t
he r
oadm
ap w
ere
iden
tified
and
sec
ured
at
an e
arly
st
age.
Sta
keho
lder
s w
ere
iden
tified
. Com
mun
icat
ion
and
enga
gem
ent
of t
he L
DR
plan
s in
volv
ed,
brie
fings
, mee
tings
and
bul
letin
s w
hich
wer
e m
anag
ed a
long
side
the
STP
com
mun
icat
ions
pla
ns.
The
rang
e of
act
iviti
es u
nder
take
n ha
s hi
ghlig
hted
the
exc
elle
nt w
ork
alre
ady
unde
rtak
en in
Lee
ds
alon
g w
ith c
apab
ility
gap
s, d
eliv
ery
cons
trai
nts
and
oppo
rtun
ities
to
shar
e ex
pert
ise,
min
imis
e du
plic
atio
n, s
tand
ardi
se a
nd in
tegr
ate
appr
oach
es w
here
pos
sibl
e.
Invo
lvem
ent
in t
he S
TP p
rogr
amm
e ha
s be
en a
n in
tegr
al p
art
of t
he p
roce
ss.
The
key
stak
eho
lder
gro
up
s in
clu
ded
:
It w
as a
gree
d at
an
early
poi
nt t
hat
the
Leed
s ST
P w
ould
be
the
driv
ing
initi
ativ
e, b
eing
co
mm
unic
ated
wid
ely
to a
ll st
akeh
olde
rs, i
nclu
ding
to
the
Leed
s Pa
rtne
rshi
p Ex
ecut
ive
Gro
up a
nd
the
Leed
s H
ealth
and
Wel
lbei
ng B
oard
. The
LD
R de
velo
pmen
t ha
s al
so h
ad w
ide
visi
bilit
y ei
ther
as
a co
mpl
emen
tary
asp
ect
of t
he S
TP o
r in
it’s
own
right
. The
agr
eed
sign
-off
pro
cess
for
the
LD
R is
via
th
e Le
eds
Info
rmat
ics
Boar
d to
the
Lee
ds P
artn
ersh
ip E
xecu
tive
Gro
up, w
ith v
isib
ility
pro
vide
d to
the
H
ealth
and
Wel
lbei
ng B
oard
.
The
mai
n c
on
trib
uti
ng
org
anis
atio
ns
hav
e b
een
as
follo
ws:
NH
S Le
eds
Nor
th C
linic
al C
omm
issi
onin
g G
roup
(lea
d C
CG
)
NH
S Le
eds
Wes
t C
linic
al C
omm
issi
onin
g G
roup
NH
S Le
eds
Sout
h an
d Ea
st C
linic
al C
omm
issi
onin
g G
roup
Leed
s C
ity C
ounc
il-
Adu
lt So
cial
Car
e-
Chi
ldre
n’s
Serv
ices
- Pu
blic
Hea
lth
Leed
s Te
achi
ng H
ospi
tals
NH
S Tr
ust
Leed
s Pa
rtne
rshi
p N
HS
Foun
datio
n Tr
ust
Leed
s C
omm
unity
Hea
lthca
re N
HS
Trus
t
Gen
eral
Pra
ctic
e
Info
rmat
ics
lead
s fr
om W
est
York
shire
Clin
ical
Com
mis
sion
ing
Gro
ups
Wes
t Yo
rksh
ire U
rgen
t an
d Em
erge
ncy
Car
e N
etw
ork/
Vang
uard
Leed
s Th
ird S
ecto
r or
gani
satio
ns
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
45
Sen
ior
Stak
eho
lder
s
Stak
eho
lder
s
Cit
y Ed
ito
rial
Del
iver
y
Gro
up
Leed
s Pa
rtne
rshi
p Ex
ecut
ive
STP
deliv
ery
grou
p
City
Chi
ef In
form
atio
n O
ffice
rs g
roup
Chi
ef In
form
atio
n O
ffice
rs
linke
d to
org
anis
atio
ns a
nd
thei
r te
ams
Ded
icat
ed r
esou
rces
Leed
s In
form
atic
s Bo
ard
CC
G P
lann
ers
grou
p
Spec
ialis
ts t
o co
ntrib
ute
to
tech
nica
l and
clin
ical
asp
ects
Lead
clin
icia
ns w
ithin
or
gani
satio
ns
Sect
ion
1Se
ctio
n 1
Loca
l del
iver
y:
Leed
sSu
stai
nab
ilit
y an
d
Tran
sfo
rmat
ion
Pla
n
The
deliv
ery
of d
igita
l sol
utio
ns a
nd t
he m
anag
emen
t of
info
rmat
ion
in L
eeds
is a
n en
ablin
g co
mpo
nent
with
in t
he S
TP. T
he L
ocal
Dig
ital R
oadm
ap is
as
muc
h ab
out
man
agin
g ch
ange
and
de
liver
ing
new
way
s of
wor
king
as
it is
abo
ut in
trod
ucin
g ne
w t
echn
olog
ies.
The
STP
stak
ehol
der
wor
ksho
ps h
ave
incl
uded
the
dig
ital l
eade
rs in
volv
ed in
the
ove
rsig
ht o
f th
e LD
R. C
linic
al le
ader
s ha
ve w
orke
d w
ith d
igita
l lea
ders
to
fully
exp
ose
the
tran
sfor
mat
iona
l op
port
uniti
es t
hrou
gh t
he d
igita
l ena
blem
ent
of in
form
atio
n pa
thw
ays
and
self
man
agem
ent
and
clin
ical
sup
port
too
ls.
The
follo
win
g ill
ustr
atio
n de
scrib
es t
he L
eeds
sus
tain
abili
ty a
nd t
rans
form
atio
n m
odel
whe
re
tech
nolo
gy w
ill s
uppo
rt ‘p
reve
ntio
n an
d pr
oact
ive
care
’, ‘r
apid
res
pons
e in
tim
e of
cris
is’ a
nd
‘effi
cien
t an
d ef
fect
ive
seco
ndar
y ca
re’:
The
STP
has
also
des
crib
ed t
he r
equi
red
tran
sfor
mat
ion
plan
s, a
ddre
ssin
g th
e ga
ps a
nd t
he e
nabl
ers
- on
e of
whi
ch is
Info
rmat
ics:
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
67
Visi
on:
Leed
s w
ill b
e a
heal
thy
and
carin
g ci
ty fo
r all
ages
whe
re p
eopl
e w
ho a
re th
e po
ores
t im
prov
e th
eir h
ealth
the
fast
est.
Tran
sfor
mat
ion
plan
s Pr
even
tion
and
proa
ctiv
e C
are
(Out
-of-H
ospi
tal S
ervi
ces)
, inc
ludi
ng:
1.In
crea
sing
inve
stm
ent i
nto
univ
ersa
l (p
ropo
rtion
ate
to n
eed)
and
com
mun
ity le
d se
rvic
es a
nd ta
rget
ed p
reve
ntio
n se
rvic
es w
ith b
espo
ke e
nhan
cem
ents
for t
hose
w
ith th
e gr
eate
st c
apac
ity to
ben
efit
( nee
d) .
2.E
mbe
ddin
g ev
iden
ced-
base
d ap
proa
ches
(HoC
, hea
lth c
oach
ing,
yea
r of c
are,
di
gita
l app
s) .
3.A
dvan
ced
care
pla
nnin
g
4.A
n in
term
edia
te ti
er fo
cuse
d on
reco
very
and
reab
lem
ent
5.R
educ
ing:
ou
tpat
ient
, W
IC a
nd A
&E
atte
ndan
ces
in L
THT,
LC
HT,
LP
FT
adm
issi
ons
to h
ospi
tal a
nd lo
ng te
rm c
are
XB
Ds
prim
ary
care
pre
scrib
ing
6.
Re-
com
mis
sion
ing
PP
C s
ervi
ces
R
apid
Res
pons
e in
Tim
e of
Cris
is, i
nclu
ding
: 7.
A si
mpl
e pa
thw
ay to
mak
e it
easy
for p
eopl
e to
get
tim
ely
help
qui
ckly
: 8.
A Fr
ail O
lder
Per
son’
s A
sses
smen
t fun
ctio
n at
the
front
end
of t
he h
ospi
tal p
rovi
ding
ra
pid
acce
ss to
a s
enio
r med
ical
opi
nion
and
dia
gnos
tics.
Ef
ficie
nt a
nd E
ffect
ive
Seco
ndar
y C
are,
incl
udin
g 9.
An
inte
grat
ed D
isch
arge
ser
vice
in 2
016
10
.R
educ
ing
capa
city
in
LTH
T
11.
Red
ucin
g M
H O
ATS
and
LO
S o
n D
emen
tia w
ards
12
.In
crea
sing
cap
acity
for s
tep-
up p
rovi
sion
Em
bedd
ing
the
Soci
al C
ontr
act:
13.
Sha
ring
resp
onsi
bilit
y fo
r hea
lth a
nd c
are
in L
eeds
, so
that
Lee
ds p
eopl
e un
ders
tand
how
ser
vice
s w
ork
with
them
at a
ll st
ages
of t
heir
lives
whe
n th
ey
expe
rienc
e di
fficu
lty a
nd h
ow th
is w
ill h
elp
them
live
hea
lthie
r, ha
ppie
r liv
es;
“cha
ngin
g th
e co
nver
satio
ns” l
eads
to c
hang
ing
patte
rns
whi
ch c
an le
ad to
bet
ter
outc
omes
and
redu
ced
cost
. N
ew M
odel
s of
Car
e 14
.W
ill d
eliv
er im
prov
ed h
ealth
and
wel
lbei
ng o
utco
mes
for p
opul
atio
ns re
gist
ered
with
gr
oups
of G
ener
al P
ract
ices
, pla
nned
and
pro
vide
d th
roug
h an
inte
grat
ed te
am o
f he
alth
and
soc
ial c
are
prof
essi
onal
s an
d vo
lunt
ary
sect
or c
ross
-cut
ting
curr
ent
prov
ider
org
anis
atio
nal b
ound
arie
s. W
ork
is o
ngoi
ng b
etw
een
com
mis
sion
ers
and
prov
ider
s to
sco
pe th
e m
erits
of d
iffer
ent f
unct
iona
l and
con
tract
mod
els.
Impa
ct o
n 3
gaps
H
ealth
and
Wel
lbei
ng: (
Solu
tions
1, 1
0, 1
1, 1
3, 1
4)
HW
1 -
Life
exp
ecta
ncy
for m
en a
nd w
omen
rem
ains
sig
nific
antly
wor
se in
Lee
ds
than
the
natio
nal a
vera
ge
HW
2 - C
ardi
ovas
cula
r dis
ease
(CV
D) m
orta
lity
is s
igni
fican
tly w
orse
than
for
Eng
land
H
W3
- Can
cer m
orta
lity
is s
igni
fican
tly w
orse
than
the
rest
of Y
orks
hire
and
the
Hum
ber
HW
4 - D
eath
s fro
m c
ance
r are
the
sing
le la
rges
t cau
se o
f avo
idab
le P
YLL
in th
e ci
ty, a
ccou
ntin
g fo
r 36.
3% o
f all
avoi
dabl
e P
YLL
H
W5
- PY
LL fr
om c
ance
r is
twic
e th
e le
vel i
n th
e de
priv
ed L
eeds
qui
ntile
than
in
Leed
s no
n-de
priv
ed
HW
6 - S
uici
des
have
incr
ease
d C
are
and
Qua
lity:
(Sol
utio
ns 2
, 3, 4
, 7, 8
, 9, 1
2, 1
3, 1
4)
NH
S C
onst
itutio
nal K
PIs
the
area
s w
here
sig
nific
ant g
aps
have
bee
n id
entif
ied
are:
C
Q1
- Men
tal H
ealth
(inc
ludi
ng IA
PT)
C
Q2
- Pat
ient
Sat
isfa
ctio
n C
Q3
- Qua
lity
of L
ife
CQ
4 - A
&E
and
Am
bula
nce
Res
pons
e Ti
mes
C
Q5
- Del
ayed
Tra
nsfe
rs o
f Car
e (D
TOC
) C
Q6
- Hos
pita
l adm
issi
on ra
tes
CQ
7 - C
apac
ity g
ap c
reat
ed b
y di
fficu
lties
in re
crui
ting
and
reta
inin
g G
P st
aff,
coup
led
with
a ri
sing
dem
and
CQ
8 - D
iffic
ultie
s in
pro
vidi
ng g
reat
er a
cces
s to
ser
vice
s in
and
out
of h
ours
Fi
nanc
e an
d Ef
ficie
ncy
(by
2020
/21)
: (So
lutio
ns 5
, 9, 1
0,11
, 13,
14)
To
tal:
£725
m, o
f whi
ch £
153.
7m i
s a
city
-wid
e, c
olla
bora
tive
targ
et.
Key
ena
bler
s:
Wor
kfor
ce
Info
rmat
ics
Esta
tes
Res
earc
h
Com
mun
icat
ion
Enga
gem
ent
Sect
ion
1Se
ctio
n 1
Info
rmat
ion
for
Citi
zens
‘Ope
n D
ata’
Info
rmat
ion
for
Prof
essi
onal
s
Sect
ion
2
Cit
y Te
chn
olo
gy
visi
on
an
d s
trat
egy
Vis
ion
an
d s
trat
egy:
Leed
s ha
s de
sign
ed a
sim
ple
info
rmat
ics
‘blu
eprin
t’ w
hich
des
crib
es o
ur v
isio
n fo
r th
e ci
ty.
Ther
e ar
e th
ree
stra
tegi
c bu
ildin
g bl
ocks
tha
t fo
rm o
ur in
form
atic
s vi
sion
to
supp
ort
impr
oved
he
alth
and
wel
lbei
ng a
nd im
prov
ed h
ealth
and
car
e pr
ovis
ion.
The
se a
re:
Info
rmat
ion
and
tech
nolo
gy t
hat
prov
ides
info
rmat
ion
for
prof
essi
onal
s;
Info
rmat
ion
for
citiz
ens;
‘Ope
n da
ta’ t
hat
desc
ribes
asp
ects
of
our
city
or
our
‘pla
ce’,
for
exam
ple
air
qual
ity a
nd t
rans
port
.
Info
rmat
ics
is t
hus
the
full
rang
e of
tec
hnol
ogy
and
info
rmat
ion
man
agem
ent
prov
isio
n r
equi
red
to d
eliv
er t
his
visi
on. T
his
incl
udes
tec
hnol
ogy
infr
astr
uctu
re s
uch
as d
ata
netw
orks
, inf
orm
atio
n sy
stem
s de
sign
ed t
o co
llect
and
pro
cess
info
rmat
ion,
the
ski
lls n
eces
sary
to
impl
emen
t an
d op
erat
e sy
stem
s an
d th
e us
e of
the
info
rmat
ion
prod
uced
.
Ou
r si
mp
le In
form
atic
s st
rate
gy
for
the
city
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
89
Sect
ion
2
Inte
grat
ion
Gov
erna
nce
Prof
essi
onal
and
Citi
zen
Enga
gem
ent
Tech
nolo
gy a
s a
‘util
ity’
Inte
grat
ion
Supp
ort
Tool
s
Busi
ness
Inte
llige
nce
Thes
e th
ree
area
s w
ill b
e in
tegr
ated
with
eac
h ot
her.
Info
rmat
ion
from
and
for
pro
fess
iona
ls
will
be
avai
labl
e to
our
citi
zens
. Inf
orm
atio
n us
ed b
y an
d co
llect
ed b
y ci
tizen
s w
ill b
e av
aila
ble
to p
rofe
ssio
nals
. ‘O
pen
data
’ will
in
form
citi
zens
abo
ut t
he c
omm
uniti
es t
hat
they
live
in. A
ll of
thi
s is
und
erpi
nned
by
a sh
ared
app
roac
h to
how
and
wha
t in
form
atio
n is
use
d, b
oth
in t
erm
s of
gov
erna
nce
and
the
conv
ersa
tions
tha
t ta
ke p
lace
bet
wee
n ea
ch
othe
r.
The
‘sm
art
city
’ pro
gram
me
for
Leed
s m
eans
th
at w
e ta
ke a
‘dig
ital fi
rst’
app
roac
h to
any
ne
w in
itiat
ives
. All
digi
tal a
sset
s ac
ross
the
city
w
ill in
tero
pera
te w
ith e
ach
othe
r an
d pr
ovid
e co
mbi
ned
info
rmat
ion
from
whi
ch w
e ca
n ga
in n
ew v
alue
and
insi
ght.
We
will
bui
ld t
his
incr
emen
tally
by
cons
ider
ing
and
inco
rpor
atin
g “D
igita
l by
Des
ign”
in a
ll ne
w p
roje
cts
that
we
carr
y ou
t ac
ross
the
city
.
We
will
tak
e a
‘util
ity’ b
ased
app
roac
h to
pr
ovid
ing
the
requ
ired
tech
nica
l inf
rast
ruct
ure
to a
chie
ve t
his
visi
on. T
his
mea
ns t
hat
we
will
re
duce
the
unn
eces
sary
var
iatio
n in
are
as s
uch
as m
obile
dev
ices
, wifi
and
des
ktop
s. T
his
will
al
so in
clud
e ho
w w
e de
liver
the
tec
hnol
ogy
prof
essi
onal
s re
quire
, for
exa
mpl
e th
e ab
ility
to
wor
k an
ywhe
re, a
ny t
ime,
any
pla
ce a
cros
s th
e ci
ty. I
t w
ill a
lso
dict
ate
the
appr
oach
we
take
to
impr
ove
digi
tal f
acili
ties
for
citiz
ens,
whe
ther
th
is w
ill b
e pu
blic
wifi
, dig
ital l
itera
cy o
r th
e w
ay
we
wor
k w
ith in
dust
ry t
o en
able
a m
arke
tpla
ce
for
tech
nolo
gy t
hat
supp
orts
citi
zen
heal
th a
nd
wel
lbei
ng.
Our
app
roac
h is
to
sim
plify
, sta
ndar
dise
and
sh
are,
and
mak
e av
aila
ble
for
natio
nal r
e-us
e w
here
app
licab
le.
The
city
Chi
ef In
form
atio
n O
ffice
rs (C
IOs)
and
C
hief
Clin
ical
Info
rmat
ion
Offi
cers
(CC
IOs)
ac
ross
Lee
ds h
ave
join
tly p
ropo
sed
a ci
ty-fi
rst
(or
plac
e-ba
sed)
str
ateg
y an
d an
inte
grat
ed a
nd
open
pla
tfor
m b
ased
app
roac
h to
ach
ievi
ng o
ur
visi
on. T
his
was
sig
ned
up t
o by
the
city
wid
e Pa
rtne
rshi
p Ex
ecut
ive
Gro
up in
May
201
6. A
ll pa
rtie
s ha
ve s
igne
d up
to
a se
t of
dig
ital d
esig
n pr
inci
ples
.
Stra
teg
ic a
pp
roac
h t
o d
eliv
ery
and
re
sou
rces
:W
e ha
ve d
esig
ned
a st
rate
gic
fram
ewor
k to
del
iver
y th
at d
istin
guis
hes
betw
een
our
appr
oach
to
deliv
erin
g:
1 Te
chni
cal i
nfra
stru
ctur
e;
2 Sy
stem
s th
at d
eliv
er d
irect
ly t
o th
e bu
sine
ss;
3 In
nova
tions
and
res
earc
h.
This
is il
lust
rate
d be
low
:
We
reco
gnis
e th
at r
esou
rces
, bot
h fin
anci
al a
nd
peop
le c
apac
ity a
nd c
apab
ility
, are
ess
entia
l to
deliv
erin
g th
is r
oadm
ap. H
owev
er, a
city
-firs
t ap
proa
ch s
eeks
to
erad
icat
e th
e m
ultip
le a
nd
dive
rse
initi
ativ
es w
hich
com
e fr
om d
iffer
ent
part
s of
the
hea
lth a
nd c
are
syst
em t
hat
use
up r
esou
rce
in a
n un
plan
ned
way
and
of
ten
conf
use.
It w
ill a
lso
ensu
re t
hat
digi
tal
prog
ram
mes
and
pro
ject
s ar
e al
igne
d fu
lly t
o an
ag
reed
who
le-s
yste
m o
utco
me
desc
ribed
in t
he
heal
th a
nd w
ellb
eing
str
ateg
y, S
TP a
nd L
DR.
Stra
teg
ic a
pp
roac
h t
o g
ove
rnan
ce:
We
have
des
igne
d an
d ag
reed
city
-wid
e go
vern
ance
arr
ange
men
ts r
equi
red
to p
rovi
de
assu
ranc
e on
the
del
iver
y of
dig
itally
ena
bled
he
alth
and
wel
lbei
ng o
utco
mes
in L
eeds
, in
line
with
the
agr
eed
desi
gn p
rinci
ples
.
Acc
ount
abili
ty f
or d
eliv
ery
of t
he L
DR
and
asso
ciat
ed d
igita
l cha
nge
prog
ram
mes
is
dele
gate
d to
the
Lee
ds In
form
atic
s Bo
ard
(LIB
). Th
is B
oard
con
sist
s of
a m
ix o
f se
nior
lead
ers,
cl
inic
ians
and
sen
ior
Info
rmat
icia
ns. I
t is
cha
ired
by a
sen
ior
clin
icia
n; a
GP
and
Clin
ical
Cha
ir of
Le
eds
Nor
th C
CG
.
Whi
lst
indi
vidu
al o
rgan
isat
ions
hav
e in
form
atio
n an
d te
chno
logy
str
ateg
ies,
at
a ci
ty-le
vel,
a ci
ty-b
ased
fun
ctio
n w
ill b
e cr
eate
d to
sup
port
th
e LI
B, C
IOs
and
CC
IOs
in t
he d
eliv
ery
of t
he
Loca
l Dig
ital R
oadm
ap. T
he f
unct
ion
will
pro
vide
su
ppor
t w
ith p
lann
ing,
str
ateg
ic c
ompl
ianc
e,
busi
ness
cas
e de
velo
pmen
t an
d de
liver
y.
A k
ey p
art
of o
ur s
trat
egy
is t
hat
ever
y di
gita
l or
info
rmat
ics
enab
led
busi
ness
/clin
ical
cha
nge
proj
ect
shou
ld o
nly
be p
rogr
esse
d if
ther
e is
cl
ear
clin
ical
/bus
ines
s sp
onso
rshi
p an
d re
sour
ce
to m
ake
the
chan
ge h
appe
n. C
apac
ity f
or
clin
icia
ns a
nd b
usin
ess
man
ager
s to
be
invo
lved
in
del
iver
ing
chan
ge is
a k
ey s
trat
egic
prin
cipl
e,
supp
orte
d by
clin
ical
lead
ersh
ip a
nd c
linic
al,
busi
ness
and
dig
ital c
ham
pion
s.
We
will
als
o en
sure
tha
t th
ere
is a
ppro
pria
te
finan
ce s
ervi
ce s
uppo
rt t
o w
ork
with
CIO
s an
d C
CIO
s to
ens
ure
that
the
re is
an
equi
tabl
e an
d su
stai
nabl
e ap
proa
ch t
o th
e fu
ndin
g of
a c
ity-
wid
e ap
proa
ch t
o in
form
atic
s as
we
deliv
er t
he
tran
sfor
mat
ion
requ
ired
as p
art
of t
he d
igita
l ro
adm
ap.
Sup
po
rtin
g t
he
Sust
ain
abilit
y an
d
Tran
sfo
rmat
ion
Pla
n:
The
Leed
s ST
P re
cogn
ises
tha
t ci
ty-w
ide
savi
ngs
will
be
deliv
ered
thr
ough
mor
e ef
fect
ive
colla
bora
tion
on in
fras
truc
ture
and
sup
port
se
rvic
es a
nd t
urni
ng t
he ‘d
eman
d cu
rve’
on
clin
ical
and
car
e pa
thw
ays.
The
wor
k of
the
ci
tyw
ide
info
rmat
ics
team
s w
ill m
ake
a ke
y co
ntrib
utio
n to
tur
ning
the
dem
and
curv
e. O
ur
stra
tegi
c pr
iorit
ies
with
in t
he S
TP in
clud
e:
The
use
of t
echn
olog
y to
max
imis
e th
e co
ntrib
utio
n th
at c
itize
ns c
an m
ake
to
mai
ntai
n th
eir
own
heal
th a
nd w
ellb
eing
;
The
prov
isio
n of
a r
obus
t IT
infr
astr
uctu
re t
hat
supp
orts
24/
7 w
orki
ng a
cros
s al
l hea
lth a
nd
care
par
tner
s;
The
prov
isio
n of
wor
kflow
and
dec
isio
n su
ppor
t te
chno
logy
acr
oss
Gen
eral
Pra
ctic
e,
Nei
ghbo
urho
od T
eam
s, H
ospi
tals
and
Soc
ial
Car
e;
The
adop
tion
of a
cha
nge
man
agem
ent
appr
oach
tha
t em
beds
the
use
of
any
new
te
chno
logy
into
eve
ryda
y w
orki
ng p
ract
ices
.
Info
rmat
ics
has
been
par
t of
a s
truc
ture
d ap
proa
ch t
o de
vel
opin
g th
e ST
P an
d ha
s de
sign
ed a
num
ber
of o
utlin
e ca
pabi
litie
s th
at
cont
ribut
e to
add
ress
ing:
The
heal
th in
equa
litie
s ga
p;
The
care
and
qua
lity
gap;
The
finan
ce g
ap.
We
have
iden
tified
a n
umbe
r of
fea
ture
s th
at
need
to
be d
eliv
ered
.
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
1011
Sect
ion
2Se
ctio
n 2
Lin
e o
f B
usi
nes
s Sy
stem
sSp
ecifi
c bu
sine
ss s
yste
ms
for
a se
rvic
e or
bus
ines
s un
it
Shar
ed S
yste
ms
Syst
ems
shar
ed a
cros
s or
gani
satio
ns
Co
llab
ora
tio
n a
nd
Pro
du
ctiv
ity
Des
ktop
sof
twar
e to
com
plet
e co
mm
on b
usin
ess
task
s (e
.g. g
roup
war
e, w
ord
proc
esso
r et
c)
Infa
stru
ctu
reSu
ppor
ting
syst
ems,
sof
twar
e an
d op
erat
ions
, com
pute
r an
d ne
twor
k ha
rdw
are,
net
wor
k co
nnec
tions
etc
Innovations E
nablin
g Citizen
s and Communitie
s
Giv
en t
hat
Leed
s ha
s al
read
y m
ade
cons
ider
able
pro
gres
s in
del
iver
ing
a nu
mbe
r of
far
-rea
chin
g di
gita
l sup
port
fac
ilitie
s fo
r th
e ci
ty, f
or e
xam
ple
the
Leed
s C
are
Reco
rd, w
e h
ave
rate
d t
he
follo
win
g f
eatu
res
bas
ed o
n t
he
‘pu
sh’ a
nd
inve
stm
ents
req
uir
ed t
o d
eliv
er o
ur
amb
itio
n
and
no
t o
ur
curr
ent
stat
e. T
his
is il
lust
rate
d di
agra
mm
atic
ally
as
follo
ws:
Hea
lth
ineq
ual
itie
s g
ap:
Hig
h-lev
el c
on
sid
erat
ion
s fo
r h
ow
Info
rmat
ics
will c
on
trib
ute
:
To im
prov
e di
gita
l lite
racy
ski
lls f
or c
itize
ns t
o en
sure
tha
t th
ey a
re n
ot e
xclu
ded
from
tec
hnol
ogy-
enab
led
heal
thca
re s
olut
ions
and
tec
hnol
ogy
enab
led
self-
care
opp
ortu
nitie
s;
Con
tinue
to ‘l
ink’
hea
lth a
nd c
are
data
acr
oss
sect
ors
in o
rder
to u
nder
take
mor
e so
phist
icat
ed
popu
latio
n an
d he
alth
nee
ds a
sses
smen
t;
Use
and
pub
lish
‘ope
n da
ta’ t
o as
sist
with
hea
lth a
war
enes
s an
d en
sure
our
loca
litie
s ar
e w
ell
info
rmed
, for
exa
mpl
e ai
r qu
ality
, tra
nspo
rt li
nks
and
usag
e;
Build
and
dev
elop
mor
e an
alyt
ical
ski
lls t
hat
span
sec
tors
, util
isin
g sk
ills
and
capa
city
acr
oss
orga
nisa
tions
whi
ch w
ill d
rive
unde
rsta
ndin
g of
the
issu
es in
the
hea
lth a
nd c
are
sect
or;
Wor
k w
ith c
itize
ns t
o in
crea
se t
heir
unde
rsta
ndin
g an
d co
nfide
nce
and
as t
o ho
w t
heir
data
/in
form
atio
n ca
n be
use
d to
impr
ove
heal
thca
re;
Prov
ide
tool
s to
sup
port
sel
f-ca
re/s
elf-
man
agem
ent,
for
exa
mpl
e te
le-h
ealth
and
tel
e-ca
re;
Wor
k w
ith t
he p
rivat
e se
ctor
to
deve
lop
new
con
sum
er-b
ased
pro
duct
s to
sup
port
sel
f-ca
re a
nd
self-
man
agem
ent;
Util
ise
and
impr
ove
popu
latio
n st
ratifi
catio
n te
chni
ques
and
our
abi
lity
to m
onito
r co
hort
s;
Enga
ge c
omm
uniti
es w
ith d
ata
that
is m
eani
ngfu
l to
them
;
Prov
ide
publ
ic w
ifi a
cces
s.
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
1213
Thes
e fe
atu
res
by
STP
‘gap
’ ar
e su
mm
aris
ed a
s fo
llo
ws:
Sect
ion
2Se
ctio
n 2
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
1415
Car
e an
d q
ual
ity
gap
: H
igh
-lev
el c
on
sid
erat
ion
s fo
r h
ow
Info
rmat
ics
will c
on
trib
ute
:
Impr
ove
tech
nolo
gy in
fras
truc
ture
with
in o
rgan
isat
ions
to
ensu
re r
elia
bilit
y an
d ad
equa
te s
ervi
ce
supp
ort
to c
over
ext
ende
d ho
urs
and
7-da
y w
orki
ng;
Prov
ide
heal
th a
nd c
are
prof
essi
onal
s w
ith in
tegr
ated
dec
isio
n su
ppor
t to
ols
to p
roac
tivel
y as
sist
w
ith t
he h
ealth
and
car
e pr
ovis
ion;
Prov
ide
faci
litie
s to
ena
ble
heal
th a
nd c
are
prof
essi
onal
s to
nav
igat
e pa
thw
ays
acro
ss s
ecto
rs;
Prov
ide
faci
litie
s to
man
age
heal
th a
nd c
are
wor
kflow
, esp
ecia
lly a
cros
s an
d be
twee
n or
gani
satio
ns a
nd e
nsur
e te
chno
logy
is a
vaila
ble
to s
uppo
rt s
ervi
ce ‘h
and-
offs
’ e.g
. ref
erra
l, di
scha
rge;
Ensu
re T
hird
Sec
tor
and
AQ
Ps e
tc. c
an a
cces
s th
e N
HS
num
ber,
as r
equi
red;
Prov
ide
faci
litie
s th
at a
llow
hea
lth a
nd c
are
prof
essi
onal
s to
col
labo
rate
. For
exa
mpl
e, I
nsta
nt
Mes
sagi
ng, V
oice
and
Vid
eo. T
his
will
incl
ude
the
capa
bilit
y to
pro
vide
clin
ical
adv
ice
and
guid
ance
and
fac
ilitie
s fo
r ef
fect
ive
Mul
ti D
isci
plin
ary
Team
mee
tings
;
Prov
ide
faci
litie
s to
allo
w p
rofe
ssio
nals
to
com
mun
icat
e w
ith p
atie
nts
inc.
pat
ient
onl
ine
and
vide
o;
Ensu
re h
ealth
and
car
e or
gani
satio
ns h
ave
the
rang
e an
d m
atur
ity o
f sp
ecia
list
busi
ness
and
cl
inic
al s
yste
ms
with
in t
heir
orga
nisa
tions
to
prov
ide
‘pap
er f
ree
at t
he p
oint
of
care
ser
vice
s an
d ca
n in
tero
pera
te w
ith o
ther
par
ts o
f th
e he
alth
and
car
e se
ctor
;
Des
ign
and
deve
lop
tech
nolo
gy s
uppo
rt f
or ‘n
ew m
odel
s of
car
e’ p
rovi
ders
;
Prov
ide
heal
th a
nd c
are
prof
essi
onal
s w
ith a
n in
tegr
ated
vie
w o
f he
alth
and
car
e in
form
atio
n ac
ross
sec
tors
, inc
ludi
ng v
ario
us a
lert
s to
sup
port
dire
ct c
are;
Exte
nd a
n in
tegr
ated
vie
w o
f he
alth
and
car
e fo
r ci
tizen
s ac
ross
a w
ider
foo
tprin
t e.
g. W
est
York
shire
urg
ent
and
emer
genc
y ca
re;
Expl
oit
natio
nally
pro
vide
d te
chno
logy
fac
ilitie
s to
pro
vide
spe
cific
clin
ical
ben
efits
– e
.g
elec
tron
ic p
resc
riptio
ns (E
PS2)
and
ele
ctro
nic
refe
rral
s (e
RS);
Impl
emen
t ‘t
ele’
tec
hnol
ogie
s: -
1) P
rovi
ded
to c
itize
ns a
s co
nsum
er b
ased
tec
hnol
ogie
s to
ena
ble
them
to
be s
elf
suffi
cien
t an
d re
-ab
led
2) P
roac
tive
“tel
ecar
e” p
rovi
ded
to c
itize
ns u
sed
to e
ffec
tivel
y m
onito
r an
d m
ake
sure
peo
ple
who
ar
e at
ris
k ar
e sa
fe a
nd w
ell;
Prov
ide
tech
nolo
gy t
o en
able
rea
l-tim
e fe
edba
ck f
or p
rovi
ders
on
the
serv
ices
the
citi
zen
is
curr
ently
acc
essi
ng in
the
city
;
Prov
ide
tech
nolo
gy t
o ca
ptur
e an
d sh
are
a si
ngle
car
e pl
an;
Prov
ide
spec
ialis
t, h
igh-
tech
sol
utio
ns e
.g. r
obot
ics
etc.
Fin
ance
an
d e
ffici
ency
gap
: H
igh
-lev
el c
on
sid
erat
ion
s fo
r h
ow
Info
rmat
ics
will c
on
trib
ute
:
Con
tinue
to
desi
gn a
nd d
eliv
er c
ity-
or p
lace
-bas
ed s
olut
ions
, exp
loiti
ng t
he c
ombi
ned
capa
bilit
ies
and
reso
urce
s ac
ross
hea
lth, c
are,
loca
l gov
ernm
ent
and
acad
emia
;
Wor
k to
mov
e to
one
infr
astr
uctu
re f
ootp
rint
and
serv
ice
for
the
city
– in
clud
ing
voic
e, d
ata,
em
ail,
colla
bora
tion
tool
s et
c;
Expl
oit
natio
nally
pro
vide
d te
chno
logy
fac
ilitie
s to
pro
vide
spe
cific
clin
ical
ben
efits
– e
.g
elec
tron
ic p
resc
riptio
ns (E
PS2)
and
ele
ctro
nic
refe
rral
s (e
RS);
Del
iver
‘util
ity’ t
echn
olog
y w
here
pos
sibl
e to
driv
e do
wn
cost
s an
d us
e es
tate
flex
ibly
etc
;
Util
ise
priv
ate
sect
or, i
ndep
ende
nts,
SM
Es e
tc. t
o co
ntrib
ute
to c
ity in
war
d in
vest
men
t;
Wor
k to
pro
gres
s an
Ope
n St
anda
rds
appr
oach
to
deve
lopi
ng a
Dig
ital P
latf
orm
for
the
city
.
Sect
ion
2Se
ctio
n 2
Sect
ion
3
Dig
ital
mat
uri
ty a
nd
C
ore
Cap
abilit
ies
Sum
mar
y o
f cu
rren
t d
igit
al m
atu
rity
The
follo
win
g se
ctio
n su
mm
aris
es a
nat
iona
l exe
rcis
e th
at w
as u
nder
take
n in
ear
ly 2
016
to a
sses
s th
e di
gita
l mat
urity
of
the
heal
th a
nd c
are
prov
ider
s in
Lee
ds. T
he t
erm
inol
ogy
used
is t
hat
used
w
ithin
thi
s pa
rtic
ular
met
hodo
logy
.
Rea
din
ess:
Stra
tegi
c al
ignm
ent,
lead
ersh
ip, g
over
nanc
e an
d re
sour
ces
are
mat
ure
with
in a
cute
and
men
tal
heal
th s
ecto
r. A
lthou
gh t
he in
form
atic
s st
rate
gy is
doc
umen
ted
with
in c
omm
unity
hea
lth t
here
is
less
mat
urity
in t
erm
s of
ded
icat
ed in
tern
al in
form
atic
s le
ader
ship
, gov
erna
nce
and
reso
urci
ng.
Ther
e is
a m
atur
e an
d w
ell e
stab
lishe
d Le
eds
city
info
rmat
ics
stra
tegy
, city
-wid
e go
vern
ance
and
se
t of
pro
ject
initi
ativ
es w
hich
are
join
tly f
unde
d. T
he in
form
atic
s pr
ogra
mm
e is
an
enab
ling
com
pone
nt o
f th
e ci
ty t
rans
form
atio
n pr
ogra
mm
e (in
the
pro
cess
of
tran
sitio
ning
to
the
STP)
. The
m
embe
rshi
p of
the
Lee
ds In
form
atic
s Bo
ard
com
pris
es o
f se
nior
lead
ers,
clin
icia
ns, C
CIO
s an
d C
IOs
from
acr
oss
the
city
.
Cap
abilit
ies:
Dig
ital r
ecor
ds, a
sses
smen
ts a
nd p
lans
hav
e ad
vanc
ed in
all
heal
th a
nd c
are
sett
ings
. The
re h
as b
een
sign
ifica
nt g
row
th in
the
use
of
digi
tal r
ecor
ds a
nd t
he u
se o
f pa
per
reco
rds
is d
eclin
ing.
Rec
ords
ar
e up
to
date
, hel
d in
a s
truc
ture
d fo
rmat
and
can
be
acce
ssed
qui
ckly
and
eas
ily.
Tran
sfer
s of
car
e fr
om a
cute
hea
lth t
o pr
imar
y an
d so
cial
car
e se
ttin
gs is
hig
her
than
the
nat
iona
l av
erag
e, h
owev
er t
he t
rans
fer
of c
are
from
com
mun
ity h
ealth
and
men
tal h
ealth
is le
ss m
atur
e,
alth
ough
the
use
of
Syst
mO
ne a
cros
s C
omm
unity
and
70%
of
Prim
ary
Car
e su
ppor
ts t
he t
rans
fer
of p
atie
nt c
are
thro
ugh
the
shar
ed r
ecor
d fu
nctio
nalit
y. T
he d
evel
opm
ent
of e
-ref
erra
ls a
nd in
tern
al
wor
kflow
is c
omm
on t
o al
l org
anis
atio
ns.
Ord
ers
and
resu
lts m
anag
emen
t is
mat
ure
with
in a
cute
car
e an
d co
mm
unity
car
e.
Dig
ital m
edic
ine
man
agem
ent
and
optim
isat
ion
is r
elat
ivel
y lo
w in
mat
urity
whi
ch is
refl
ecte
d at
a
natio
nal l
evel
, how
ever
the
leve
l of
mat
urity
with
in a
cute
car
e ex
ceed
s th
e na
tiona
l ave
rage
Dec
isio
n su
ppor
t ca
pabi
litie
s ex
ceed
the
nat
iona
l ave
rage
acr
oss
all h
ealth
set
tings
; the
leve
l of
mat
urity
with
in a
cute
car
e is
str
ong.
The
nee
d fo
r un
iver
sal a
nd s
tand
ard
deci
sion
sup
port
too
ls
acro
ss t
he c
ity h
as b
een
iden
tified
as
a ke
y pr
iorit
y. B
usin
ess
requ
irem
ents
hav
e be
en id
entifi
ed in
so
me
heal
th a
nd c
are
sett
ings
. A
dvan
cem
ent
has
been
slo
w d
ue t
o fin
anci
al r
esou
rce
limita
tions
.
Rem
ote
and
assi
stiv
e ca
re t
echn
olog
ies
in a
hea
lth s
ettin
g ar
e ge
nera
lly lo
w in
mat
urity
whi
ch is
re
flect
ed a
t a
natio
nal l
evel
Ass
et a
nd r
esou
rce
optim
isat
ion
is m
atur
e an
d ex
ceed
s th
e na
tiona
l ave
rage
in b
oth
acut
e ca
re a
nd
men
tal h
ealth
. Com
mun
ity h
ealth
is r
elat
ivel
y im
mat
ure.
The
posi
tion
on ‘s
tand
ards
’ is
gene
rally
less
mat
ure
than
the
nat
iona
l ave
rage
.
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
1617
Sect
ion
3
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
1819
Busi
ness
Inte
llige
nce
acro
ss t
he c
ity is
a p
riorit
y. T
he r
equi
rem
ents
for
info
rmat
ion
and
data
sha
ring
are
wel
l for
med
and
the
pro
duct
ion
of li
nked
inte
llige
nce
is s
yste
mat
ic. T
he f
urth
er a
dvan
cem
ent
of
this
initi
ativ
e is
als
o co
nstr
aine
d by
fina
ncia
l re
sour
ce is
sues
.
Enab
lin
g In
fras
tru
ctu
re:
A s
trat
egy
has
been
agr
eed
acro
ss t
he c
ity t
o st
anda
rdis
e th
e te
chni
cal i
nfra
stru
ctur
e w
ithin
the
ac
ute
sect
or t
o im
prov
e re
silie
nce,
per
form
ance
, 24x
7 an
d ex
tend
ed h
ours
wor
king
acr
oss
the
city
.
Leed
s Te
achi
ng H
ospi
tals
NH
S Tr
ust
has
the
mos
t pr
essi
ng in
fras
truc
ture
upg
rade
nee
ds. T
heir
requ
irem
ents
incl
ude
resi
lient
dat
a ce
ntre
cap
abili
ty, n
etw
ork
impr
ovem
ents
, sin
gle
sign
-on
and
impr
oved
per
form
ance
for
clin
ical
use
rs. T
he T
rust
has
uns
ucce
ssfu
lly b
id f
or c
apita
l fun
ds f
rom
the
TD
A/M
onito
r an
d w
ork
is u
nder
way
to
refr
esh
a bu
sine
ss c
ase
in t
he s
umm
er/a
utum
n 20
16.
Leed
s C
ity C
ounc
il ut
ilise
s th
e PS
N n
etw
ork
and
has
succ
essf
ully
pio
neer
ed a
PSN
to
N3
conn
ectio
n.
GP
Prac
tices
all
utili
se t
he N
3 ne
twor
k. T
his
prov
ides
pra
ctic
e-to
-N3
conn
ectiv
ity b
ut n
ot p
ract
ice-
to-
prac
tice
conn
ectiv
ity t
hat
will
be
requ
ired
for
incr
ease
d fe
dera
tion
and
new
mod
els
of c
are.
As
per
our
stra
tegi
c ap
proa
ch, t
he c
ity is
look
ing
to d
eliv
er ‘p
lace
-bas
ed’,
‘util
ity’ s
olut
ions
in t
he
futu
re, e
nabl
ing
heal
th a
nd c
are
user
s to
wor
k an
y-tim
e an
d an
y-pl
ace
with
in t
he c
ity.
Sum
mar
y p
osi
tio
n a
cro
ss t
he
7 C
ore
C
apab
ilit
ies
Each
hea
lth a
nd c
are
econ
omy
is r
equi
red
to m
ake
digi
tal p
rogr
ess
agai
nst
7 ‘c
ore’
cap
abili
ties
to
enab
le ‘p
aper
fre
e at
the
poi
nt o
f ca
re’ o
pera
tion
by 2
020.
Tho
se d
igita
l cap
abili
ties
are:
Dig
ital r
ecor
ds, a
sses
smen
ts a
nd p
lans
Tran
sfer
s of
car
e
Ord
er a
nd r
esul
ts m
anag
emen
t
Dig
ital m
edic
ines
man
agem
ent
and
optim
isat
ion
Dec
isio
n su
ppor
t
Rem
ote
care
and
ass
istiv
e te
chno
logi
es
Ass
et a
nd r
esou
rce
optim
isat
ion
The
follo
win
g as
sess
men
t ac
ross
the
7 c
ore
capa
bilit
y ar
eas
refe
renc
es b
oth
the
prov
ider
vie
w -
as
cap
ture
d by
the
dig
ital m
atur
ity a
sses
smen
ts -
and
the
city
-vie
w t
o en
able
tra
nsfo
rmat
ion,
as
desc
ribed
in t
he S
usta
inab
ility
and
Tra
nsfo
rmat
ion
Plan
(STP
).
As
esse
nti
al s
up
po
rtin
g in
form
atio
n t
o t
he
7 co
re c
apab
ilit
ies
req
uir
ed t
o
be
pro
gre
ssed
, th
e fo
llo
win
g t
emp
late
s h
ave
bee
n c
om
ple
ted
:C
apab
ility
tra
ject
ory,
sho
win
g th
e an
ticip
ated
cap
abili
ty im
prov
emen
t fr
om t
he b
asel
ine
posi
tion
over
3 y
ears
, and
sub
ject
to
the
requ
ired
reso
urce
cap
acity
and
cap
abili
ty.
Cap
abili
ty d
eplo
ymen
t sc
hedu
le o
ver
3 ye
ars,
and
sub
ject
to
the
requ
ired
reso
urce
cap
acity
and
ca
pabi
lity.
The
follo
win
g d
iag
ram
is a
n il
lust
rati
on
th
at c
om
bin
es b
oth
asp
ects
an
d
rep
rese
nts
ou
r st
rate
gic
way
fo
rwar
d:
Sect
ion
3Se
ctio
n 3
We
hav
e ra
ted
th
e ab
ove
fea
ture
s b
ased
on
th
e ‘p
ush
’ an
d in
vest
men
ts r
equ
ired
to
d
eliv
er o
ur
amb
itio
n a
nd
no
t o
ur
curr
ent
stat
e.
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
2021
Cap
abilit
y:
Dig
ital
rec
ord
s, a
sses
smen
ts a
nd
pla
ns
Inte
grat
ed c
ity p
ersp
ectiv
e:
Pro
vid
er B
asel
ine:
The
leve
l of
mat
urity
of
form
atte
d di
gita
l rec
ords
for
clin
ical
not
es, o
bser
vatio
ns a
nd p
lans
in a
cute
ca
re a
nd c
omm
unity
hea
lth is
low
er t
han
the
natio
nal a
vera
ge; h
owev
er t
hese
org
anis
atio
ns h
ave
prog
ram
mes
of
wor
k to
rev
iew
and
dev
elop
sys
tem
s an
d pr
oces
ses
to e
nabl
e re
plac
emen
t pa
per
reco
rds
with
dig
ital r
ecor
ds in
crea
sing
the
use
of
e-fo
rm c
apab
ility
and
usa
ge w
hich
is c
aptu
red
in
the
capa
bilit
y de
ploy
men
t sc
hedu
le.
Men
tal h
ealth
is v
ery
mat
ure
on t
hese
rec
ords
bei
ng d
igita
l, in
par
ticul
ar c
ase
note
s ar
e in
put
dire
ctly
into
the
pat
ient
man
agem
ent
syst
em.
It is
wor
th n
otin
g ho
wev
er t
hat
the
curr
ent
syst
em in
m
enta
l hea
lth h
as li
mita
tions
to
deliv
er in
tero
pera
bilit
y so
the
re a
re p
lans
to
proc
ure
an a
ltern
ativ
e th
at c
an d
eliv
er t
o th
e re
quire
men
t fo
r an
inte
grat
ed c
ity-w
ide
capa
bilit
y. S
ocia
l car
e ha
ve s
emi-
stru
ctur
ed d
igita
l rec
ords
.
The
abili
ty t
o ac
cess
dig
ital r
ecor
ds f
rom
whe
reve
r th
ey a
re n
eede
d is
str
ong
with
in a
cute
car
e,
how
ever
the
re is
ack
now
ledg
emen
t th
at t
he r
equi
rem
ent
to h
ave
a fit
for
pur
pose
dev
ice
at t
he
poin
t of
car
e t
o en
able
vie
win
g an
d up
datin
g of
dig
ital r
ecor
ds is
a c
halle
nge.
Impr
ovin
g th
is
posi
tion
is a
cle
ar c
apab
ility
req
uire
men
t in
the
dep
loym
ent
sche
dule
. The
upd
atin
g of
dig
ital
reco
rds
is r
ecog
nise
d as
str
ong
but
this
can
hap
pen
afte
r th
e ev
ent
whi
ch is
not
alw
ays
supp
ortiv
e of
res
ourc
e op
timis
atio
n.
Acc
ess
to a
nd u
pdat
ing
digi
tal r
ecor
ds f
rom
whe
reve
r th
ey a
re n
eede
d in
com
mun
ity h
ealth
an
d so
cial
car
e is
less
mat
ure
with
cle
ar d
epen
denc
ies
on d
igita
l net
wor
k ac
cess
and
acc
ess
to
inte
grat
ed in
form
atio
n sy
stem
s.
The
abili
ty t
o ac
cess
a s
ingl
e so
urce
of
digi
tal i
nfor
mat
ion
at t
he p
oint
of
care
, and
inpu
t on
ce t
o a
sing
le s
yste
m a
t th
e po
int
of c
are,
is le
ss m
atur
e an
d lo
wer
tha
n th
e na
tiona
l ave
rage
with
in a
ll ca
re s
ettin
gs.
The
key
requ
irem
ent
acro
ss a
ll pr
ovid
ers
to s
uppo
rt d
eliv
ery
of a
n in
tegr
ated
pat
ient
re
cord
is a
com
mon
thr
ead
thro
ugh
the
capa
bilit
ies
in t
he d
eplo
ymen
t sc
hedu
le.
Hea
lth p
rofe
ssio
nals
hav
e ac
cess
to
info
rmat
ion
from
oth
er h
ealth
car
e pr
ovid
ers.
Acc
ess
to a
co
nsol
idat
ed v
iew
of
patie
nt in
form
atio
n is
mat
ure
and
high
er t
han
the
natio
nal a
vera
ge. S
ocia
l C
are
has
acce
ss t
o he
alth
info
rmat
ion
and
heal
th h
as a
cces
s to
soc
ial c
are
info
rmat
ion.
Alth
ough
th
e le
vel o
f in
form
atio
n be
ing
shar
ed a
nd a
cces
sed
is h
ighe
r th
an t
he n
atio
nal a
vera
ge (w
hich
is
low
) the
re is
a p
rogr
amm
e of
wor
k th
roug
h th
e Le
eds
Car
e Re
cord
to
adva
nce
the
data
con
tent
an
d th
e nu
mbe
r of
pro
fess
iona
ls a
cces
sing
the
sha
red
info
rmat
ion
syst
em w
hich
is r
eflec
ted
stro
ngly
in t
he c
apab
ility
dep
loym
ent
sche
dule
.
Patie
nts
are
curr
ently
una
ble
to a
cces
s he
alth
and
car
e da
ta v
ia s
econ
dary
car
e bu
t go
od p
rogr
ess
has
been
mad
e on
pat
ient
acc
ess
to P
atie
ntO
nlin
e w
ith a
ppro
xim
atel
y 15
% o
f pa
tient
s re
gist
ered
to
use
onl
ine
serv
ices
cur
rent
ly w
hich
is o
ver
the
natio
nal t
arge
t of
10%
.
The
deliv
ery
plan
for
uni
vers
al c
apab
ility
sho
ws
clea
r am
bitio
n an
d ac
tiviti
es t
o im
prov
e th
is
posi
tion.
This
pos
ition
has
sig
nific
antly
impr
oved
in P
rimar
y C
are
in L
eeds
ove
r th
e la
st d
ecad
e as
a r
esul
t of
eve
ry G
P Pr
actic
e m
ovin
g to
one
of
two
stra
tegi
c sy
stem
s; E
MIS
Web
or
TPP
Syst
mO
ne.
Reco
rd s
harin
g is
rel
ativ
ely
mat
ure
espe
cial
ly u
sing
ED
SM w
ithin
Sys
tmO
ne a
s th
is is
als
o us
ed b
y C
omm
unity
and
the
tw
o ho
spic
es in
Lee
ds.
Exam
ple
sh
ow
case
init
iati
ves:
An
inte
grat
ed h
ealth
and
soc
ial c
are
reco
rd c
alle
d Le
eds
Car
e R
eco
rd (c
urre
ntly
vie
w-o
nly)
has
be
en d
evel
oped
and
dep
loye
d in
all
heal
th a
nd c
are
sett
ings
. The
sha
red
care
rec
ord
is c
ontin
ually
be
ing
impr
oved
in t
erm
s of
dat
a co
nten
t an
d us
age.
The
re a
re o
ver
2000
act
ive
user
s in
5 c
ore
orga
nisa
tions
and
all
GP
Prac
tices
. Thi
s al
low
s im
prov
ed d
ecis
ions
to
care
for
peo
ple
in t
he
appr
opria
te s
ettin
gs a
nd k
eeps
pat
ient
s ou
t of
hos
pita
l. Fo
r th
ose
patie
nts
in h
ospi
tal L
eeds
Car
e Re
cord
allo
ws
heal
th a
nd c
are
prof
essi
onal
s to
vie
w t
he in
hos
pita
l inf
orm
atio
n an
d as
sist
in
patie
nts
bein
g di
scha
rged
.
Leed
s C
om
mu
nit
y H
ealt
hca
re is
re-
engi
neer
ing
the
use
of t
heir
core
sys
tem
to
chan
ge f
rom
ad
min
istr
ativ
e us
e to
clin
ical
use
as
an e
lect
ron
ic p
atie
nt
reco
rd.
Leed
s Te
achi
ng H
ospi
tal N
HS
Trus
t ha
ve c
on
solid
ated
the
ir le
tter
pro
du
ctio
n, s
tora
ge a
nd s
earc
h fa
cilit
ies
usin
g a
prod
uct
calle
d eP
RO.
Ad
ult
So
cial
Car
e ha
s im
plem
ente
d a
new
cas
e m
anag
emen
t sy
stem
. Ch
ildre
n’s
So
cial
Car
e ha
s im
plem
ente
d a
new
cas
e m
anag
emen
t sy
stem
. The
impr
ovem
ent
in f
unct
iona
lity
for
prof
essi
onal
s ha
s le
d to
bet
ter
care
and
incr
ease
d ef
ficie
ncy.
Stra
teg
ic v
iew
: H
ealth
and
car
e pr
ovid
ers
in L
eeds
will
ope
rate
pap
er-f
ree-
at-t
he-p
oint
-of-
care
. Inf
orm
atio
n sy
stem
s w
ill u
se t
he N
HS
num
ber
as t
he c
omm
on id
entifi
er. I
nfor
mat
ion
syst
ems
will
use
API
s an
d ge
nera
te
and
rece
ive
mes
sage
s fr
om o
ther
sys
tem
s. A
n in
tegr
ated
car
e re
cord
( Le
eds
Car
e Re
cord
) will
pr
ovid
e a
cros
s-or
gani
satio
nal v
iew
of
patie
nt a
nd c
lient
car
e.
Sect
ion
3Se
ctio
n 3
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
2223
Cap
abilit
y:
Tran
sfer
s o
f ca
reIn
tegr
ated
city
per
spec
tive:
Pro
vid
er B
asel
ine:
The
prod
uctio
n of
dig
ital c
are
sum
mar
ies
at p
atie
nt d
ischa
rge
to G
Ps is
mat
ure
with
96%
of s
econ
dary
ca
re p
rovi
ders
sen
ding
GPs
ele
ctro
nic
disc
harg
e su
mm
arie
s, o
f whi
ch 8
4% a
re re
ceiv
ed w
ithin
24
hour
s.
The
stat
us o
f ot
her
stru
ctur
ed e
lect
roni
c re
ferr
als
for
tran
sfer
s of
car
e is
less
mat
ure,
how
ever
, in
term
s of
Soc
ial C
are
com
plia
nt A
sses
smen
t, D
isch
arge
and
ass
ocia
ted
With
draw
al n
otic
es 8
3% o
f re
ferr
als
are
bein
g se
nt f
rom
the
acu
te p
rovi
der
elec
tron
ical
ly t
o So
cial
car
e.
The
pro
duct
ion
of d
igita
l car
e su
mm
arie
s th
at a
re c
reat
ed in
a s
truc
ture
d fo
rmat
in s
econ
dary
he
alth
and
are
sha
red
with
oth
er h
ealth
care
pro
vide
rs in
rea
l tim
e is
mor
e m
atur
e th
an t
he n
atio
nal
leve
l. Th
ese
are
also
clo
sely
alig
ned
to t
he A
oMRC
hea
ding
s w
here
app
ropr
iate
.
The
prod
uctio
n of
str
uctu
red
digi
tal r
efer
rals
for
all
cate
gorie
s of
car
e w
hich
are
aut
omat
ical
ly
inte
grat
ed in
to d
igita
l clin
ical
wor
kflow
s is
low
er in
mat
urity
acr
oss
all c
are
sett
ings
tha
n th
e na
tiona
l lev
el. W
ithin
sec
onda
ry c
are
ther
e is
als
o so
me
pre-
popu
latio
n of
dat
a to
oth
er s
yste
ms.
With
in c
omm
unity
hea
lth t
he u
se o
f st
ruct
ured
for
mat
ted
refe
rral
s an
d ca
re s
umm
arie
s is
rel
ativ
ely
imm
atur
e al
thou
gh G
Ps w
ho u
se S
ystm
One
ben
efit
from
the
abi
lity
to “
task
” co
mm
unity
ser
vice
s w
ith r
efer
rals
and
hav
e ac
cess
to
the
deta
iled
elec
tron
ic r
ecor
d th
roug
h th
e sh
arin
g fu
nctio
nalit
y.
With
in t
he s
ocia
l car
e di
gita
l sys
tem
the
re is
a c
ase
sum
mar
y vi
ew.
In p
rimar
y ca
re, L
eeds
GPs
rec
eive
a r
ange
of
elec
tron
ic m
essa
ges,
the
se in
clud
e e-
Dis
char
ge A
dvic
e N
otes
, Pat
holo
gy a
nd R
adio
logy
res
ults
and
e-A
&E
disc
harg
e no
tes.
Exam
ple
sh
ow
case
init
iati
ves:
The
esta
blish
men
t of a
cit
y-w
ide
info
rmat
ion
gove
rnan
ce s
teer
ing
grou
p ov
erse
eing
the
IG n
eeds
of
the
city
to e
nsur
e se
curit
y, c
onsis
tenc
y an
d im
prov
e be
st p
ract
ice.
The
gro
up h
as le
d th
e pr
oduc
tion
of
clas
s le
adin
g In
form
atio
n Sh
arin
g an
d D
ata
Proc
essin
g A
gree
men
ts fo
r the
inte
grat
ed c
are
reco
rd.
Inte
gra
ted
nei
gh
bo
urh
oo
d t
eam
s ha
ve b
een
esta
blis
hed
in s
hare
d ac
com
mod
atio
n an
d ha
ve
been
equ
ippe
d w
ith t
echn
olog
y w
hich
sup
port
s th
e jo
int
care
man
agem
ent
of p
atie
nts
and
serv
ice
user
s. T
actic
al s
hare
d in
fras
truc
ture
has
bee
n im
plem
ente
d an
d st
rong
info
rmat
ion
gove
rnan
ce h
as
enab
led
impr
ovem
ents
in t
he t
rans
fer
of c
are
from
one
set
ting
to a
noth
er.
Col
leag
ues
with
in h
ealth
can
acc
ess
the
emai
l add
ress
es o
f ap
prop
riate
sta
ff in
adu
lts a
nd c
hild
ren’
s ca
re s
ervi
ces
and
visa
ver
sa. S
ecu
re e
mai
l has
bee
n im
plem
ente
d in
all
heal
th o
rgan
isat
ions
and
in
the
loca
l aut
horit
y. T
his
has
impr
oved
the
tra
nsfe
r of
car
e an
d in
form
atio
n se
curit
y.
Stra
teg
ic v
iew
:Th
ere
will
be
a co
nsol
idat
ed v
iew
of
care
pla
ns a
cros
s th
e ci
ty. P
athw
ay m
anag
emen
t an
d de
cisi
on
supp
ort
tool
s w
ill a
ssis
t cl
inic
al d
ecis
ion
mak
ing
and
tran
sfer
s of
car
e. A
dvic
e an
d gu
idan
ce f
acili
ties
will
be
avai
labl
e to
ens
ure
that
all
refe
rral
s ar
e ne
cess
ary.
Pro
fess
iona
ls w
ill b
e ab
le t
o se
e th
e ‘p
rese
nce’
of
othe
r pr
ofes
sion
als,
and
con
vert
thi
s in
to a
n in
stan
t m
essa
ge, t
elep
hone
or
vide
o ca
ll.
Uni
vers
al b
ooki
ng f
acili
ties
will
be
avai
labl
e. In
form
atio
n an
d da
ta w
ill f
ollo
w a
ny t
rans
fers
of
care
, us
ing
open
API
s be
twee
n in
form
atio
n sy
stem
s.
Sect
ion
3Se
ctio
n 3
Cap
abilit
y:
Rem
ote
car
e an
d a
ssis
tive
tec
hn
olo
gie
sIn
tegr
ated
city
per
spec
tive:
Pro
vid
er B
asel
ine:
The
mat
urity
leve
l of
prof
essi
onal
s an
d pa
tient
s us
e of
col
labo
ratio
n to
ols
to s
uppo
rt c
linic
al
cons
ulta
tions
and
adv
ice
is lo
w in
mos
t ar
eas
exce
pt m
enta
l hea
lth w
hich
refl
ects
the
nat
iona
l lev
el
of 5
0%.
Mat
urity
leve
ls f
or r
emot
e m
onito
ring
of p
atie
nts
at r
isk
of r
eadm
issi
on a
re s
imila
rly lo
w h
owev
er
ther
e is
a h
ighe
r le
vel o
f m
atur
ity in
soc
ial c
are
to s
uppo
rt s
ervi
ce u
sers
at
risk.
The
use
of P
atie
nt O
nlin
e as
a m
eans
by
whi
ch p
atie
nts
can
man
age
thei
r ca
re t
hrou
gh e
lect
roni
c bo
okin
g of
app
oint
men
ts, o
rder
ing
repe
at p
resc
riptio
ns a
nd a
cces
s to
the
ir G
P re
cord
is in
crea
sing
an
d U
nive
rsal
‘Cap
abili
ty J
’ del
iver
y pl
an e
vide
nces
act
iviti
es t
o im
prov
e on
the
cur
rent
pos
ition
. Thi
s w
ill in
clud
e en
gagi
ng w
ith t
he G
P C
onne
ct p
rogr
amm
e an
d G
P sy
stem
sup
plie
rs w
ho a
re r
evie
win
g op
tions
to
impr
ove
thei
r se
rvic
e of
ferin
g.
The
‘Tec
hnol
ogy
Fund
2’ i
nitia
tive,
‘Rip
ple’
, will
pilo
t a
pers
on-h
eld
reco
rd in
201
6.
Exam
ple
sh
ow
case
init
iati
ves:
We
have
tes
ted
a nu
mbe
r of
tec
hnol
ogie
s fo
r us
e w
ith c
itize
ns. T
hese
hav
e in
clud
ed t
echn
olog
y to
en
hanc
e ci
tizen
sel
f-m
anag
emen
t of
hea
lth a
nd c
are,
app
s th
at in
tera
ct w
ith a
pat
ient
’s G
P (e
.g.
man
agin
g ac
ute
pain
) and
tho
se e
nabl
ing
peop
le t
o liv
e in
depe
nden
tly a
nd t
ackl
e so
cial
isol
atio
n.
The
acut
e pa
in m
anag
emen
t ap
p is
als
o liv
e bu
t m
any
test
s an
d tr
ials
hav
e ye
t to
dem
onst
rate
the
ec
onom
ic c
ase
for
impl
emen
ting
at s
cale
. Ass
iste
d L
ivin
g L
eed
s is
the
mos
t su
cces
sful
exa
mpl
e of
re
mot
e ca
re t
echn
olog
y. T
his
is n
ow a
larg
e op
erat
iona
l ser
vice
pro
vidi
ng a
ssis
tive
tech
nolo
gy a
ids
such
as
falls
and
floo
d in
dica
tors
.
Stra
teg
ic v
iew
:W
e ai
m t
o cr
eate
the
env
ironm
ent
and
enco
urag
e th
e te
chno
logy
mar
ket
to r
espo
nd t
o as
pect
s of
the
citi
zen
heal
th a
nd w
ellb
eing
req
uire
men
t, f
or e
xam
ple,
thi
s co
uld
be t
he u
se o
f in
tern
et
‘hom
e hu
bs’ i
nteg
rate
d to
nea
r-ci
tizen
dig
ital d
evic
es. W
e ai
m t
o do
thi
s vi
a th
e es
tabl
ishm
ent
of a
ci
ty t
echn
olog
y ‘t
est
bed’
to
enab
le s
uppl
iers
to
wor
k in
a c
lose
-to-
real
env
ironm
ent.
We
will
als
o en
cour
age
open
sta
ndar
ds f
or t
he s
harin
g of
citi
zen
colle
cted
info
rmat
ion
with
pro
fess
iona
ls a
nd
vice
-ver
sa. W
e w
ill in
tegr
ate
near
-pat
ient
tes
ting
devi
ces
with
our
Lee
ds C
are
Reco
rd. W
e w
ill u
se
soci
al p
resc
ribin
g to
incr
ease
the
upt
ake
of in
nova
tive
appr
oach
es t
o he
alth
and
wel
lbei
ng.
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
2425
Cap
abilit
y:
Ord
ers
and
res
ult
s m
anag
emen
tIn
tegr
ated
city
per
spec
tive:
Pro
vid
er B
asel
ine:
The
digi
tal o
rder
ing
of t
ests
and
con
sulta
tions
in a
str
uctu
red
form
at a
cros
s al
l hea
lth s
ettin
gs is
st
rong
and
hig
her
than
the
nat
iona
l mat
urity
leve
l. M
ore
deve
lopm
ent
is n
eede
d in
the
are
as o
f pr
e-po
pula
tion
of e
xist
ing
data
and
ass
imila
tion
of a
ssoc
iate
d da
ta.
Com
mun
ity h
ealth
can
pos
itive
ly id
entif
y pa
tient
s th
roug
h us
ing
barc
odin
g te
chno
logy
prio
r to
al
l dia
gnos
tic t
ests
bei
ng p
erfo
rmed
. Req
uest
s re
ceiv
ed b
y di
agno
stic
ser
vice
s ar
e in
tegr
ated
into
di
gita
l wor
kflow
s. T
he r
esul
ts o
f te
sts
and
imag
es f
or p
atie
nts
are
avai
labl
e to
city
hea
lth a
nd c
are
prof
essi
onal
s at
the
poi
nt o
f ca
re.
Thes
e m
atur
ity le
vels
are
hig
her
than
the
nat
iona
l lev
els.
The
capa
bilit
y to
cre
ate
an a
lert
for
res
ults
tha
t re
quire
ack
now
ledg
emen
t is
less
mat
ure.
With
in P
rimar
y C
are
univ
ersa
l tec
hnol
ogy
feat
ures
hav
e be
en im
plem
ente
d th
at h
ave
enab
led
sign
ifica
nt e
ffici
enci
es; O
rder
ing
of t
ests
and
ser
vice
s us
ing
Sunq
uest
ICE,
ele
ctro
nic
resu
lts
repo
rtin
g.
Exam
ple
sh
ow
case
init
iati
ves:
A
dig
ital f
acili
ty f
or o
rder
s an
d r
esu
lts
man
agem
ent
has
been
in p
lace
for
sev
eral
yea
rs a
cros
s th
e Le
eds
Teac
hing
Hos
pita
l and
all
GPs
in p
rimar
y ca
re in
Lee
ds. M
akin
g pr
oces
ses
mor
e ef
ficie
nt,
impr
oved
clin
ical
dec
isio
n m
akin
g an
d pa
tient
exp
erie
nce.
The
ord
er c
omm
unic
atio
ns s
yste
ms
is
inte
grat
ed w
ithin
GP
clin
ical
sys
tem
s.
Stra
teg
ic v
iew
:Th
e br
eadt
h of
ser
vice
s co
vere
d by
an
oper
atio
nal o
rder
com
mun
icat
ions
fac
ility
will
be
expa
nded
. Th
e pr
otoc
ols
for
orde
ring
(dec
isio
n su
ppor
t) w
ill b
e co
ntin
ually
refi
ned.
Res
ults
, as
wel
l as
othe
r ou
tput
s su
ch a
s im
ages
, will
be
avai
labl
e vi
a Le
eds
Car
e Re
cord
.
Sect
ion
3Se
ctio
n 3
Enab
ler:
St
and
ard
sIn
tegr
ated
city
per
spec
tive:
Pro
vid
er B
asel
ine:
Publ
icat
ion
of t
he N
HS
Num
ber
on c
orre
spon
denc
e to
sup
port
info
rmat
ion
shar
ing
acro
ss t
he
heal
th s
ettin
g is
not
est
ablis
hed
in a
ll se
ttin
gs.
The
use
of S
NO
MED
CT
is n
ot e
stab
lishe
d an
d na
tiona
l lev
els
are
low
.
Dic
tiona
ry o
f m
edic
ines
and
dev
ices
is lo
w in
mat
urity
and
low
er t
han
the
natio
nal l
evel
s.
The
Aca
dem
y of
Med
ical
Roy
al C
olle
ges
Stan
dard
s fo
r cl
inic
al s
truc
ture
of
patie
nt r
ecor
ds is
str
ong
and
stro
nger
tha
n th
e na
tiona
l lev
els.
The
reco
rdin
g of
pat
ient
end
of
life
pref
eren
ces
with
ref
eren
ce t
o th
e na
tiona
l sta
ndar
ds in
the
co
mm
unity
are
hig
her
than
the
nat
iona
l lev
el o
f 14
%.
Exam
ple
sh
ow
case
init
iati
ves:
NH
S N
umbe
r: E
xcel
lent
pro
gres
s ha
s be
en m
ade
on o
btai
ning
the
NH
S nu
mbe
r in
Lee
ds. A
du
lt
Soci
al C
are
unde
rtoo
k th
e In
form
atio
n G
ove
rnan
ce T
oo
lkit
wid
e as
sess
men
t se
vera
l yea
rs a
go
(now
com
plet
ed c
ounc
il w
ide)
and
beg
an t
raci
ng N
HS
num
bers
. The
nex
t st
ep is
to
capt
ure
the
NH
S nu
mbe
r in
car
e re
cord
s fo
r bo
th a
dults
and
chi
ldre
n in
rea
l tim
e fr
om t
he P
DS.
Thi
s w
ill r
epla
ce
the
curr
ent
use
of t
he D
BS. W
e w
ill a
lso
ensu
re t
he p
ublic
atio
n of
the
NH
S nu
mbe
r on
to
adul
ts
and
child
ren’
s co
rres
pond
ence
. Thi
s su
ppor
ts jo
ined
up
care
, spe
eds
up a
cces
s to
info
rmat
ion
and
impr
oved
rec
ords
man
agem
ent
and
data
qua
lity.
Ripp
le: L
eeds
has
led
the
way
on
a ‘T
echn
olog
y Fu
nd 2
’ pro
gram
me
to e
stab
lish
and
prom
ote
the
the
use
of o
pen
sta
nd
ard
s an
d o
pen
req
uir
emen
ts t
o su
ppor
t or
gani
satio
ns o
utsi
de L
eeds
un
dert
akin
g di
gita
l car
e re
cord
initi
ativ
es. T
his
prog
ram
me,
kno
wn
as ‘R
ippl
e’ h
as d
evel
oped
a
dem
onst
rato
r O
pen
Sour
ce In
tegr
ated
Dig
ital C
are
Reco
rd P
latf
orm
.
Stra
teg
ic v
iew
:To
ens
ure
heal
th a
nd c
are
orga
nisa
tions
hav
e th
e ra
nge
and
mat
urity
of
spec
ialis
t bu
sine
ss a
nd
clin
ical
sys
tem
s w
ithin
the
ir or
gani
satio
ns t
o pr
ovid
e co
re c
apab
ilitie
s w
hich
hav
e be
en im
plem
ente
d in
suc
h a
way
so
as t
o in
tero
pera
te w
ith o
ther
par
ts o
f th
e he
alth
and
car
e se
ctor
and
del
iver
pap
er-
free
at
the
poin
t of
car
e.
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
2627
Cap
abilit
y:
Dig
ital
med
icin
e m
anag
emen
t
and
op
tim
isat
ion
Inte
grat
ed c
ity p
ersp
ectiv
e:
Pro
vid
er B
asel
ine:
Cur
rent
ly t
he a
bilit
y of
hea
lthca
re p
rofe
ssio
nals
to
see
a co
mpl
ete
digi
tal v
iew
of
med
icat
ions
an
d pr
escr
iptio
ns is
low
er t
han
the
natio
nal a
vera
ge.
In a
dditi
on t
he a
bilit
y to
dig
itally
pre
scrib
e m
edic
atio
n is
low
and
is n
ot r
outin
ely
perf
orm
ed e
xcep
t fo
r ch
emot
hera
py.
That
sai
d, t
he s
econ
dary
car
e ho
spita
l and
the
men
tal h
ealth
pro
vide
r ar
e bo
th e
ngag
ed in
a
stru
ctur
ed r
ollo
ut o
f th
e sa
me
e-Pr
escr
ibin
g an
d A
dmin
istr
atio
n el
ectr
onic
sol
utio
n w
hich
util
ises
th
e sa
me
base
for
mul
ary
for
pres
crib
ing,
allo
win
g fo
r m
edic
ine
optim
isat
ion
and
the
esta
blis
hmen
t of
pre
scrib
ing
prot
ocol
s. T
his
will
see
the
bas
elin
e sc
ores
of
both
pro
vide
rs in
crea
se o
ver
the
3 ye
ar
LDR
perio
d as
inpa
tient
war
ds a
nd o
utpa
tient
ser
vice
s ar
e br
ough
t on
line
and
dig
itally
ena
bled
pr
oces
ses
are
embe
dded
. In
add
ition
thi
s w
ill d
eliv
er b
enefi
ts t
o as
set
optim
isat
ion
as t
he r
elia
nce
on p
resc
ribin
g cl
inic
ians
bei
ng in
the
sam
e lo
catio
n as
the
phy
sica
l dru
g ch
art
is r
emov
ed.
Com
mun
ity H
ealth
do
not
curr
ently
hav
e an
ele
ctro
nic
pres
crib
ing
and
adm
inis
trat
ion
syst
em
as t
heir
clin
icia
n pr
escr
ibin
g nu
mbe
rs a
re lo
w, h
owev
er it
has
bee
n re
cogn
ised
tha
t th
ere
are
econ
omie
s of
sca
le b
enefi
ts t
o ex
plor
e by
rev
iew
ing
the
abov
e so
lutio
n to
und
erst
and
if C
omm
unity
re
quire
men
ts c
an b
e en
com
pass
ed t
o de
liver
com
mon
ality
city
wid
e.
Com
mun
ity H
ealth
and
Soc
ial C
are
do h
ave
som
e vi
sibi
lity
of m
edic
atio
n or
der
sets
via
Sum
mar
y C
are
Reco
rd, w
here
Rol
e Ba
sed
Acc
ess
Con
trol
(RBA
C) p
erm
issi
ons
are
in p
lace
, thi
s is
enh
ance
d th
roug
h Le
eds
Car
e Re
cord
whi
ch p
rovi
des
acce
ss t
o G
P pr
escr
ibed
med
icat
ion.
Med
icat
ion
pres
crib
ed b
y ot
her
prov
ider
s w
ill b
e in
crea
sing
ly v
isib
le a
s th
e ep
resc
ribin
g / a
dmin
istr
atio
n sy
stem
us
e be
com
es w
ides
prea
d an
d av
aila
ble
thro
ugh
the
Leed
s C
are
Reco
rd in
a ‘m
elde
d’ v
iew
of
the
patie
nt’s
med
icat
ion
from
all
heal
th p
rovi
ders
.
Soci
al C
are
are
low
in m
atur
ity in
the
adm
inis
trat
ion
med
icin
e m
anag
emen
t, h
owev
er t
heir
focu
s is
on
ens
urin
g th
ey h
ave
info
rmat
ion
on p
resc
ribed
med
icat
ion
incl
udin
g do
sage
and
fre
quen
cy w
hich
w
ill b
e su
ppor
ted
by t
he d
eliv
ery
of in
form
atio
n w
ithin
the
Lee
ds C
are
Reco
rd w
hich
is a
cces
sed
by
Soci
al C
are
prof
essi
onal
s w
ith t
he r
equi
red
perm
issi
ons
With
in P
rimar
y C
are
exce
llent
pro
gres
s ha
s be
en m
ade
on e
pres
crib
ing
2 (E
PS2)
. Of
the
105
GP
Prac
tices
with
in t
he L
eeds
foo
tprin
t, 9
5 ar
e Re
leas
e 2
com
plia
nt, t
his
is 9
0% a
gain
st t
he n
atio
nal
aver
age
whi
ch is
81%
. In
addi
tion,
all
but
one
of t
he c
omm
unity
pha
rmac
ists
in L
eeds
is R
elea
se
2 co
mpl
iant
. Thi
s is
evi
denc
ed w
ithin
the
uni
vers
al ‘c
apab
ility
I’ d
eliv
ery
plan
with
str
uctu
red
ambi
tions
and
del
iver
y ac
tiviti
es id
entifi
ed t
o pr
ogre
ss in
par
ticul
ar r
epea
t di
spen
sing
with
in t
he
natio
nal E
PS P
hase
4 p
ilot.
Exam
ple
sh
ow
case
init
iati
ves:
Exce
llent
pro
gres
s ha
s be
en m
ade
in im
plem
entin
g eP
resc
ribin
g 2
in P
rimar
y C
are.
Pra
ctic
es h
ave
expe
rienc
ed c
onsi
dera
ble
effic
ienc
ies
whi
ch is
evi
denc
ed b
y th
e av
erag
e pe
rcen
tage
of
elec
tron
ic t
o pa
per
scrip
ts a
cros
s th
e 3
CC
Gs
curr
ently
at
50%
aga
inst
a t
arge
t of
40%
. The
re a
re c
lear
pla
ns in
pl
ace
to im
prov
e th
is b
asel
ine
with
in G
P an
d C
omm
unity
Pha
rmac
ists
evi
denc
ed in
the
del
iver
y pl
an
for
univ
ersa
l cap
abili
ty I.
Stra
teg
ic v
iew
:Se
cond
ary
Car
e ho
spita
ls a
nd t
he m
enta
l hea
lth p
rovi
der
will
be
usin
g el
ectr
onic
fac
ilitie
s fo
r ne
ar
patie
nt p
resc
ribin
g. ‘T
o ta
ke h
ome’
ele
ctro
nic
mes
sage
s w
ill b
e se
nt t
o G
Ps. B
oth
seco
ndar
y an
d pr
imar
y ca
re p
resc
ribin
g w
ill b
e re
flect
ed in
the
Lee
ds in
tegr
ated
car
e re
cord
. Var
ious
med
icin
e re
gim
es w
ill b
e re
conc
iled.
The
acc
essi
bilit
y of
thi
s in
form
atio
n by
the
app
ropr
iate
pro
fess
iona
ls
impr
oves
the
man
agem
ent
of c
are,
the
util
isat
ion
of p
rofe
ssio
nal c
linic
al t
ime
by e
nabl
ing
rem
ote
acce
ss t
o el
ectr
onic
pre
scrib
ing
and
adm
inis
trat
ion
reco
rds,
red
uces
med
icin
e co
sts
thro
ugh
iden
tified
for
mul
ary
use
and
redu
ces
med
icat
ion
erro
r im
prov
ing
clin
ical
and
pat
ient
saf
ety.
Sect
ion
3Se
ctio
n 3
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
2829
Cap
abilit
y:
Dec
isio
n S
up
po
rtIn
tegr
ated
city
per
spec
tive:
Pro
vid
er B
asel
ine:
The
mat
urity
of
capa
bilit
y fo
r he
alth
and
car
e pr
ofes
sion
als
to r
ecei
ve a
lert
s to
the
exi
sten
ce
of p
atie
nt p
refe
renc
es, s
peci
fic p
atie
nt r
isks
and
whe
re t
here
has
bee
n a
dete
riora
tion
of t
heir
cond
ition
is s
tron
g an
d m
uch
high
er t
han
the
natio
nal l
evel
s.
Rem
inde
rs a
bout
ove
rdue
car
e ac
tions
and
cha
se u
ps f
or m
issi
ng in
form
atio
n ex
ist
in p
art
and
at a
hi
gher
leve
l of
mat
urity
tha
n th
e na
tiona
l lev
el.
The
deliv
ery
of a
n el
ectr
onic
epr
escr
ibin
g an
d ad
min
istr
atio
n sy
stem
in s
econ
dary
and
men
tal
heal
th w
ill e
nhan
ce t
he d
eliv
ery
of a
utom
ated
ale
rts
whi
ch w
ill h
ighl
ight
pat
ient
spe
cific
ale
rts
and
alle
rgie
s in
pat
ient
con
text
and
will
ref
eren
ce p
oten
tial c
ontr
a in
dica
tions
with
exi
stin
g m
edic
atio
ns.
The
solu
tion
also
pro
vide
s fo
r el
ectr
onic
acc
ess
to d
ecis
ion
supp
ort
tool
s fo
r pr
escr
ibin
g w
ithin
the
ap
plic
atio
n w
ithou
t ad
ditio
nal n
avig
atio
n.
Dec
isio
n su
ppor
t cu
rren
tly p
rovi
des
supp
ort
to t
he d
isch
arge
pro
cess
and
mat
urity
leve
ls a
re h
ighe
r th
an t
he n
atio
nal l
evel
. The
LD
R ca
pabi
lity
depl
oym
ent
sche
dule
sho
ws
a cl
ear
capa
bilit
y de
liver
y pr
iorit
y as
enc
oura
ging
and
incr
easi
ng a
cces
s an
d m
anag
emen
t of
a s
hare
d pa
tient
sum
mar
y re
cord
th
roug
h en
hanc
ed u
sage
and
ric
hnes
s of
dat
a in
the
Lee
ds C
are
Reco
rd, w
hich
will
ena
ble
effe
ctiv
e an
d pr
oact
ive
join
t de
cisi
on m
akin
g th
roug
h co
llect
ive
prov
isio
n of
dec
isio
n su
ppor
t in
form
atio
n.
This
will
sup
port
del
iver
y of
enh
ance
d pa
tient
flow
thr
ough
car
e se
ttin
gs.
GP
core
clin
ical
sys
tem
s ha
ve a
spec
ts o
f de
cisi
on s
uppo
rt a
nd s
tron
g w
orkfl
ow f
eatu
res.
Thi
s in
clud
es im
plem
enta
tion
of t
he E
PaC
Cs
tem
plat
e to
ens
ure
that
pat
ient
s on
a p
allia
tive
care
pa
thw
ay c
an e
xpre
ss a
nd c
hang
e th
eir
end
of li
fe p
refe
renc
es. U
nive
rsal
‘cap
abili
ty H
’ del
iver
y pl
an
confi
rms
the
exce
llent
pro
gres
s th
at h
as b
een
mad
e an
d th
e ac
tiviti
es t
o in
clud
e th
is in
form
atio
n in
th
e Le
eds
Car
e Re
cord
to
mak
e th
is a
vaila
ble
for
all c
are
prof
essi
onal
s.
Chi
ld S
ocia
l Car
e is
impl
emen
ting
Chi
ld P
rote
ctio
n In
form
atio
n Se
rvic
es (C
P-IS
) as
part
of
the
natio
nal r
oll o
ut. U
nive
rsal
cap
abili
ty G
del
iver
y pl
an e
vide
nces
the
am
bitio
n an
d ac
tivity
to
ensu
re
this
info
rmat
ion
is a
vaila
ble
thro
ugh
both
CP-
IS a
nd L
eeds
Car
e Re
cord
to
care
pro
fess
iona
ls in
pa
rtic
ular
in u
rgen
t ca
re s
ettin
gs.
Exam
ple
sh
ow
case
init
iati
ves:
Le
eds
Car
e R
eco
rd (
LCR
) ha
s cl
ear
plan
s in
pla
ce in
201
6/17
to
deliv
er a
dditi
onal
pat
ient
ale
rts
incl
udin
g an
indi
cato
r th
at a
pat
ient
is in
the
top
2%
of
patie
nts
with
a c
are
plan
in p
lace
and
al
erts
to
lear
ning
dis
abili
ties.
Thi
s is
evi
denc
ed w
ithin
the
LD
R de
ploy
men
t sc
hedu
le c
apab
ility
de
liver
able
s.
Leed
s G
Ps c
an s
ee li
ve w
ard
elec
tro
nic
wh
iteb
oar
d d
etai
ls o
f th
eir
patie
nts
in h
ospi
tal o
r lis
ts o
f pa
tient
s re
cent
ly d
isch
arge
d th
roug
h th
e LC
R. E
lect
roni
c m
essa
ges
from
Lee
ds T
each
ing
Hos
pita
l au
tom
atic
ally
app
ear
in G
P cl
inic
al s
yste
m w
orkfl
ows.
Gen
eral
pra
ctic
e us
e fa
cilit
ies
such
as
the
‘fra
ilty
inde
x’ a
nd m
ake
use
of p
roac
tive
clin
ical
tem
plat
es.
GPs
and
sec
onda
ry c
are
use
pat
hw
ay g
uid
elin
es w
hich
are
ava
ilabl
e th
roug
h th
e Le
eds
Hea
lth
Path
way
s fr
om a
ded
icat
ed w
ebsi
te a
t ht
tp://
nww
.lhp.
leed
sth.
nhs.
uk/
Leed
s In
telli
gen
ce H
ub
: Sep
arat
e fr
om c
linic
al
deci
sion
sup
port
Lee
ds h
as m
ade
exce
llent
pro
gres
s w
ith c
omm
issi
onin
g de
cisi
on s
uppo
rt. U
sing
ps
eudo
nym
ised
link
ed d
ata
Leed
s ha
s so
me
pow
erfu
l ex
ampl
es o
f im
prov
ed c
omm
issi
onin
g de
cisi
ons
and
eval
uatio
ns. S
igni
fican
t an
alys
is h
as b
een
deliv
ered
sup
port
ing
tran
sfor
mat
ion
initi
ativ
es a
nd
city
prio
ritie
s. T
his
has
enab
led
the
heal
th a
nd c
are
syst
em t
o ev
alua
te t
he im
pact
of
chan
ges
and
iden
tify
oppo
rtun
ities
for
cha
nge
and
driv
ing
effic
ienc
ies.
Th
e Le
eds
Inte
llige
nce
Hub
com
pare
s va
riatio
n in
ca
re a
cros
s th
e ci
ty’s
neig
hbou
rhoo
ds a
nd b
egin
s to
un
ders
tand
why
and
how
to
addr
ess
unw
arra
nted
va
riatio
n. T
he in
sigh
ts g
ener
ated
hav
e pr
ovid
ed a
tot
ally
new
leve
l of
dial
ogue
and
dis
cuss
ion
acro
ss
the
city
fro
m c
ity-w
ide
lead
ersh
ip g
roup
s, t
he H
ealth
and
Wel
lbei
ng B
oard
, urg
ent
care
boa
rds
and
mos
t or
gani
satio
n’s
seni
or m
anag
emen
t te
ams.
Stra
teg
ic v
iew
:Fa
cilit
ies
that
are
cur
rent
ly p
assi
ve w
ill b
ecom
e pr
oact
ive.
Clin
ical
dec
isio
n su
ppor
t fa
cilit
ies
will
m
ove
from
with
in o
rgan
isat
ions
to
a ci
ty-w
ide
colle
ctiv
e pr
ovis
ion
with
acc
ess
avai
labl
e to
all
orga
nisa
tions
and
with
all
orga
nisa
tions
pro
vidi
ng in
put.
We
will
des
ign
our
Leed
s C
are
Reco
rd t
o us
e re
al-t
ime
feed
s fr
om ‘t
ele’
fac
ilitie
s su
ch a
s ne
ar p
atie
nt t
estin
g de
vice
s. C
apab
ilitie
s su
ch a
s bo
okin
g w
ill m
ove
from
poi
nt-t
o-po
int
to ‘o
pen’
fac
ilitie
s to
sup
port
a w
ide
rang
e of
boo
king
.
Sect
ion
3Se
ctio
n 3
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
3031
Cap
abilit
y:
Ass
et a
nd
res
ou
rce
op
tim
isat
ion
Inte
grat
ed c
ity p
ersp
ectiv
e:
Pro
vid
er B
asel
ine:
Dig
ital s
yste
ms
are
used
in a
ll se
cond
ary
care
set
tings
to
mon
itor
bed
utili
satio
n; m
atur
ity le
vels
are
co
nsis
tent
ly h
ighe
r th
an t
he n
atio
nal l
evel
s.
Dig
ital s
yste
ms
are
used
to
trac
k pa
tient
flow
in a
cute
and
men
tal h
ealth
; the
re is
less
mat
urity
in
com
mun
ity h
ealth
and
soc
ial c
are.
The
Acu
te p
rovi
der
is d
eplo
ying
GS1
to
allo
w a
sset
s to
be
trac
ked
robu
stly
thr
ough
the
sec
onda
ry c
are
orga
nisa
tion
to o
ptim
ise
thei
r us
e an
d en
sure
the
y ar
e av
aila
ble
at t
he r
ight
pla
ce a
t th
e rig
ht t
ime
for
deliv
ery
of c
are.
The
abi
lity
to t
rack
pat
ient
s ro
bust
ly t
hrou
gh t
heir
jour
ney
thro
ugh
the
Trus
t w
ill a
lso
be m
anag
ed m
ore
effe
ctiv
ely
to s
ignp
ost
to r
elev
ant
depa
rtm
ents
and
to
impr
ove
patie
nt fl
ow.
Staf
f ro
ster
ing
is d
igita
lly m
anag
ed in
acu
te, m
enta
l hea
lth a
nd s
ocia
l car
e al
thou
gh w
eake
r th
an t
he n
atio
nal l
evel
in c
omm
unity
hea
lth. H
owev
er, w
ithin
the
dep
loym
ent
sche
dule
the
re a
re
capa
bilit
ies
with
pla
nned
del
iver
y of
e-r
oste
ring
solu
tions
in b
oth
the
men
tal h
ealth
pro
vide
r an
d C
omm
unity
whi
ch w
ill s
uppo
rt t
he a
ppro
pria
te h
ealth
and
car
e pr
ofes
sion
al b
eing
in t
he r
ight
lo
catio
n at
the
rig
ht t
ime
to m
ake
best
use
of
prof
essi
onal
res
ourc
e.
The
uplo
adin
g of
dat
a fr
om d
evic
es is
mat
ure
in a
cute
but
wea
k in
oth
er s
ettin
gs. T
his
is d
epen
dant
on
dev
ices
bei
ng fi
t fo
r pu
rpos
e, m
anag
ed a
nd s
uppo
rted
eff
ectiv
ely.
Exam
ple
sh
ow
case
init
iati
ves:
As
desc
ribed
in S
ectio
n 1
Leed
s ha
s ga
ined
app
rova
l to
take
a c
ity-
bas
ed a
pp
roac
h t
o t
he
del
iver
y o
f in
form
atic
s in
ter
ms
of in
tegr
ated
infr
astr
uctu
re, p
lann
ing
and
deliv
erin
g in
tegr
ated
bu
sine
ss/c
linic
al s
yste
ms
and
inno
vatio
ns. T
his
will
era
dica
te t
he m
ultip
le a
nd d
iver
se in
itiat
ives
w
hich
com
e fr
om d
iffer
ent
part
s of
the
hea
lth a
nd c
are
syst
em t
hat
use
up r
esou
rce
in a
n un
plan
ned
way
and
oft
en c
onfu
se. I
t w
ill a
lso
ensu
re t
hat
digi
tal p
rogr
amm
es a
nd p
roje
cts
are
alig
ned
fully
to
an a
gree
d w
hole
-sys
tem
out
com
e de
scrib
ed in
the
hea
lth a
nd w
ellb
eing
str
ateg
y,
STP
and
LDR.
The
Leed
s C
are
Rec
ord
is p
rovi
ng v
alua
ble
in t
erm
s of
avo
idin
g ph
one
calls
bet
wee
n se
ctor
s to
ac
cess
add
ition
al c
linic
al in
form
atio
n.
Mo
bile
wo
rkin
g in
itiat
ives
hav
e de
liver
ed e
ffici
enci
es in
the
use
of
acco
mm
odat
ion
and
offic
e sp
ace.
Des
k ut
ilisa
tion
has
redu
ced
to 6
0% in
are
as o
f th
e sy
stem
whe
re t
he im
plem
enta
tion
of
mob
ile w
orki
ng h
as b
een
fully
em
bedd
ed.
Stra
teg
ic v
iew
:W
e w
ill d
eliv
er a
city
(or
plac
e)-b
ased
app
roac
h to
tec
hnol
ogy
infr
astr
uctu
re e
nabl
ing
an a
ny-t
ime,
an
y w
here
, any
-pla
ce c
apab
ility
for
pro
fess
iona
ls. W
e w
ill u
se in
form
atic
s re
sour
ces
as e
ffec
tivel
y as
po
ssib
le. W
e w
ill im
prov
e th
e te
chno
logy
infr
astr
uctu
re w
ithin
org
anis
atio
ns t
o en
sure
rel
iabi
lity
and
serv
ice
supp
ort
to c
over
ext
ende
d ho
urs
and
7 da
y-w
orki
ng. T
here
will
be
a fu
ll re
view
of
esta
te
asse
ts a
cros
s th
e ci
ty. T
his
will
und
erpi
n th
e pl
ace-
base
d ap
proa
ch f
rom
a t
echn
olog
y pe
rspe
ctiv
e,
com
bini
ng t
he in
fras
truc
ture
off
er f
or e
ffici
ent
serv
ice
deliv
ery.
We
will
del
iver
‘util
ity’ t
echn
olog
y w
here
pos
sibl
e to
driv
e do
wn
cost
s an
d us
e es
tate
s fle
xibl
y. W
e w
ill u
tilis
e th
e pr
ivat
e se
ctor
, in
depe
nden
ts a
nd S
ME’
s et
c to
con
trib
ute
to c
ity in
war
d in
vest
men
t.
Sect
ion
3Se
ctio
n 3
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
3233
Enab
ler:
In
fras
tru
ctu
reTh
e ci
ty h
as v
arie
d le
vels
of
infr
astr
uctu
re m
atur
ity.
Leed
s Te
achi
ng H
ospi
tals
NH
S Tr
ust
has
the
mos
t pr
essi
ng in
fras
truc
ture
upg
rade
nee
ds. T
heir
requ
irem
ents
incl
ude
resi
lient
dat
a ce
ntre
ca
pabi
lity,
net
wor
k im
prov
emen
ts, s
ingl
e si
gn-o
n an
d im
prov
ed p
erfo
rman
ce f
or c
linic
al u
sers
.
Publ
ic w
ifi a
cces
s is
rel
ativ
ely
stro
ng b
ut w
eake
r in
the
acu
te s
ecto
r. Th
e us
e of
mob
ile d
evic
es is
es
tabl
ishi
ng it
self
in c
omm
unity
hea
lth w
ith a
con
cert
ed p
rogr
amm
e of
wor
k to
dep
loy
port
able
de
vice
s to
mob
ile s
taff
, bu
t m
ore
mat
ure
than
the
nat
iona
l lev
el in
acu
te a
nd m
enta
l hea
lth.
Sing
le s
ign-
on is
low
in a
cute
and
com
mun
ity b
ut h
ighe
r m
enta
l hea
lth. T
he t
ime
it ta
kes
to lo
g on
his
rel
ativ
ely
high
acr
oss
the
heal
th s
ettin
gs, a
nd t
he m
atur
ity in
thi
s ar
ea is
low
er t
han
the
natio
nal l
evel
s.
Soft
war
e ap
prov
al a
nd m
anag
emen
t is
mat
ure.
IT S
ervi
ce D
esk
stan
dard
s an
d m
anag
emen
t pr
oces
ses
are
wea
ker
in a
cute
and
com
mun
ity h
ealth
, bu
t ve
ry s
tron
g in
men
tal h
ealth
.
Dis
aste
r re
cove
ry p
roce
sses
are
wea
ker
than
the
nat
iona
l mat
urity
leve
ls.
Rec
om
men
dat
ion
s m
ade
by
the
city
Sh
ared
Str
ateg
y, A
rch
itec
ture
an
d
Co
mm
issi
on
ing
gro
up
incl
ud
e:D
evel
op a
bus
ines
s ca
se f
or s
hare
d da
ta c
entr
e fa
cilit
ies
Dev
elop
‘pla
tfor
m a
s a
serv
ice’
for
infr
astr
uctu
re a
nd d
eskt
op s
ervi
ces
that
can
be
del
iver
ed t
o cu
rren
t an
d an
y fu
ture
org
anis
atio
ns
Revi
ew s
kills
and
res
ourc
es a
cros
s th
e pa
rtne
r or
gani
satio
ns t
hat
can
be s
hare
d
Build
on
the
com
mun
ity a
sset
s w
hich
are
a s
tren
gth
in t
he c
ity
Prov
ide
a m
oder
n, u
p to
dat
e, s
ecur
e an
d re
silie
nt p
rovi
sion
for
all
part
ners
Prov
ide
exte
nded
hou
rs, e
veni
ng a
nd w
eeke
nds
for
inci
dent
man
agem
ent
Prov
ide
supp
ort
to p
rofe
ssio
nals
nee
ding
sec
ure
acce
ss t
o di
gita
l sys
tem
s fr
om a
ny r
equi
red
loca
tion
on t
he a
ppro
pria
te d
evic
e
Util
ise
colle
ctiv
e bu
ying
pow
er a
cros
s th
e ci
ty p
artn
ers
to a
chie
ve b
est
valu
e fo
r m
oney
Exam
ple
sh
ow
case
init
iati
ves:
The
shar
ing
and
linki
ng o
f da
ta n
etw
orks
has
allo
wed
inte
gra
ted
nei
gh
bo
urh
oo
d t
eam
s to
op
erat
e ac
ross
hea
lth a
nd c
are
in n
ew o
r re
vam
ped
loca
tions
; thi
s ha
s re
duce
d th
e co
st o
f in
stal
ling
sepa
rate
dat
a lin
es. I
nteg
rate
d te
ams
are
able
to
occu
py h
ealth
pre
mis
es a
nd v
isa-
vers
a, w
hich
im
prov
es m
ulti-
disc
iplin
ary
team
wor
king
and
car
e m
anag
emen
t.
The
deliv
ery
of im
prov
ed w
ifi f
or
flex
ible
an
d m
ob
ile s
taff
wo
rkin
g. I
mpr
oved
pub
lic a
cces
s to
w
ifi in
pub
lic b
uild
ings
.
Ther
e is
an
ongo
ing
revi
ew o
f th
e cu
rren
t in
fras
truc
ture
sup
port
ing
inte
grat
ed t
eam
s w
hich
will
be
follo
wed
by
the
prov
isio
n of
join
t so
lutio
ns s
uch
as s
cann
ing,
prin
ting
and
wifi
. Im
prov
emen
ts in
ho
spita
l soc
ial w
ork
acce
ss t
o in
form
atio
n an
d te
chno
logy
. The
pro
visi
on o
f ac
cess
to
adul
t so
cial
ca
re s
yste
ms
on h
ealth
dev
ices
.
Impl
emen
tatio
n of
the
pu
blic
sec
tor
net
wo
rk (P
SN) i
n he
alth
and
car
e ha
s of
fere
d ve
rsat
ility
an
d ac
hiev
ed e
ffici
enci
es. L
eeds
led
the
natio
nal p
ilot
to c
onne
ct t
he d
edic
ated
NH
S ne
twor
k (N
3)
to t
he p
ublic
sec
tor
netw
ork
(PSN
). Th
is li
nk p
rovi
des
acce
ss t
o he
alth
sys
tem
s an
d in
form
atio
n fo
r Pu
blic
Hea
lth s
taff
, acc
ess
to t
he c
hild
pro
tect
ion
info
rmat
ion
and
acce
ss t
o th
e N
HS
Num
ber.
Thes
e in
itiat
ives
hav
e in
crea
sed
inte
grat
ion
oppo
rtun
ities
and
incr
ease
d ef
ficie
ncie
s th
roug
h fle
xibl
e w
orki
ng.
Impl
emen
tatio
n of
sec
ure
em
ail f
or a
ll he
alth
org
anis
atio
ns a
nd t
he lo
cal a
utho
rity.
In a
dditi
on,
colle
ague
s w
ithin
hea
lth c
an n
ow a
cces
s th
e em
ail a
ddre
sses
of
appr
opria
te s
taff
in a
dults
and
ch
ildre
n’s
care
ser
vice
s an
d vi
sa-v
ersa
. Thi
s ha
s im
prov
ed t
he s
peed
of
com
mun
icat
ions
, im
prov
ed
info
rmat
ion
secu
rity
and
redu
ced
data
sec
urity
bre
ache
s.
Leed
s is
a 4
G c
ity a
nd t
he U
nive
rsity
has
del
iver
ed a
n in
tern
atio
nal f
acili
ty c
alle
d ‘e
duro
am’ w
hich
ha
s th
e ca
pabi
lity
to b
e fe
dera
ted
with
pub
lic s
ecto
r w
-fi.
The
univ
ersi
ty a
nd t
he h
ospi
tal t
rust
hav
e se
cure
dat
a an
d te
leph
ony
gate
way
s be
twee
n th
e ac
adem
ics
and
the
acut
e tr
ust.
Stra
teg
ic v
iew
: H
ealth
and
car
e pr
ofes
sion
als
will
be
able
to
acce
ss t
heir
requ
ired
syst
ems
any
time
and
any
plac
e w
ithin
the
city
, inc
ludi
ng v
ia m
obile
dev
ices
. The
infr
astr
uctu
re u
nder
pinn
ing
the
city
info
rmat
ics
stra
tegy
will
be
secu
re, r
elia
ble
and
resp
onsi
ve. C
itize
ns w
ill h
ave
acce
ss t
o un
iver
sal f
acili
ties
such
as
wifi
in k
ey a
reas
suc
h as
som
e ci
ty-c
entr
e op
en s
pace
s, p
ublic
bui
ldin
gs a
nd G
P su
rger
ies.
Peo
ple
will
incr
ease
the
ir le
vel o
f di
gita
l ski
lls t
o ac
cess
suc
h se
rvic
es.
Sect
ion
3Se
ctio
n 3
Sect
ion
4
Un
iver
sal C
apab
ilit
ies
Sum
mar
y p
osi
tio
n a
cro
ss t
he
10 U
niv
ersa
l Cap
abilit
ies
Ever
y lo
cal h
ealth
and
car
e sy
stem
is e
xpec
ted
to m
ake
early
pro
gres
s on
10
univ
ersa
l cap
abili
ties,
de
mon
stra
ting
clea
r m
omen
tum
bet
wee
n no
w a
nd t
he e
nd o
f M
arch
201
7 an
d su
bsta
ntiv
e de
liver
y by
end
-Mar
ch 2
018.
A s
epar
ate
tem
plat
e sh
eet
has
been
com
plet
ed f
or e
ach
of t
he 1
0 un
iver
sal c
apab
ilitie
s. E
ach
is
desc
ribed
as
a ‘c
apab
ility
del
iver
y pl
an’ a
nd h
as s
igni
fican
t de
tail
in t
erm
s of
bas
elin
e, a
mbi
tion,
key
ac
tiviti
es a
nd e
vide
ncin
g pr
ogre
ss, t
here
fore
we
have
not
und
erta
ken
a po
int
by p
oint
rev
iew
as
per
the
7 co
re c
apab
ilitie
s in
thi
s na
rrat
ive.
How
ever
as
Leed
s is
in a
goo
d po
sitio
n to
mak
e th
e re
quire
d pr
ogre
ss w
e ha
ve p
rovi
ded
exam
ples
of
som
e ar
eas
whe
re w
e ha
ve m
ade
nota
ble
prog
ress
, as
wel
l as
som
e ar
eas
whe
re m
ore
wor
k is
req
uire
d.
Wh
y Le
eds
is w
ell p
lace
d t
o s
ucc
eed
in im
ple
men
tin
g t
he
10 u
niv
ersa
l ca
pab
ilit
ies:
Lead
ersh
ip: F
or m
any
heal
th e
cono
mie
s th
ere
may
hav
e be
en s
ome
brea
k in
con
tinui
ty b
etw
een
the
Info
rmat
ics
lead
ersh
ip t
hat
exis
ted
with
in a
Prim
ary
Car
e Tr
ust
and
the
new
arr
ange
men
ts p
ut
in p
lace
at
the
esta
blis
hmen
t of
Clin
ical
Com
mis
sion
ing
Gro
ups.
For
tuna
tely
Lee
ds h
ad t
he f
ores
ight
to
est
ablis
h a
seni
or In
form
atic
s le
ader
ship
arr
ange
men
t at
the
out
set
on b
ehal
f of
the
3 L
eeds
C
CG
s. T
his
incl
uded
the
uni
fied
over
sigh
t of
the
IT p
rovi
sion
for
GP
Prac
tices
. Thi
s C
CG
/Gen
eral
Pr
actic
e le
ader
ship
arr
ange
men
t ha
s no
w b
een
supp
lem
ente
d w
ith c
larit
y on
lead
ersh
ip a
nd a
st
ruct
ured
way
of
wor
king
acr
oss
the
city
.
Tech
no
log
y ca
pab
ility
: Lee
ds h
as s
igni
fican
t de
velo
pmen
t ex
perie
nce
and
capa
bilit
y in
te
chno
logi
es t
hat
supp
ort
inte
grat
ion.
Thi
s ha
s en
able
d th
e Le
eds
Car
e Re
cord
to
go b
eyon
d so
me
natio
nal f
acili
ties
such
as
the
Sum
mar
y C
are
Reco
rd. T
his
deve
lopm
ent,
whi
ch u
tilis
es in
tegr
atio
n an
d m
essa
ging
cap
abili
ty, a
llow
s m
essa
ges
to fl
ow in
exc
ess
of t
hose
rec
omm
ende
d na
tiona
lly
whi
ch c
an b
e vi
ewed
acr
oss
heal
th a
nd c
are
sett
ings
city
wid
e.
Cit
y-w
ide
wo
rkin
g: E
xcel
lent
arr
ange
men
ts h
ave
been
in p
lace
for
sev
eral
yea
rs t
o en
sure
tha
t th
e st
rate
gic
info
rmat
ics
agen
das
of h
ealth
and
car
e or
gani
satio
ns in
Lee
ds a
re a
ligne
d, a
nd a
ligne
d w
ith t
he b
usin
ess/
clin
ical
age
nda.
Thi
s ha
s m
eant
tha
t fa
cilit
ies
such
as
an e
-Dis
char
ge In
itiat
ion
Doc
umen
t be
twee
n he
alth
and
adu
lt so
cial
car
e is
in p
lace
bec
ause
of
the
busi
ness
nee
d th
at
beca
me
appa
rent
sev
eral
yea
rs a
go.
Eng
agem
ent
wit
h G
ener
al P
ract
ice:
Thr
ough
eff
ort
and
good
rel
atio
nshi
ps w
e ha
ve m
any
GP
Prac
tices
in L
eeds
tha
t co
ntin
ue t
o be
will
ing
to t
rial a
nd t
hen
cham
pion
nat
iona
l tec
hnol
ogy
faci
litie
s su
ch a
s Pa
tient
Onl
ine
and
Elec
tron
ic P
resc
ribin
g.
All
of t
he a
bove
has
mea
nt t
hat
good
mom
entu
m h
as b
een
mai
ntai
ned
in m
ost
of t
hose
are
as t
hat
fall
unde
r th
e, n
ow id
entifi
ed, 1
0 un
iver
sal c
apab
ilitie
s. B
elow
are
2 e
xam
ples
of
good
pra
ctic
e an
d an
exa
mpl
e of
whe
re m
ore
atte
ntio
n is
req
uire
d.
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
3435
Sect
ion
4
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
3637
Exam
ple
1:
Uni
vers
al C
apab
ility
- ‘P
rofe
ssio
nals
acr
oss
care
se
ttin
gs c
an a
cces
s G
P-he
ld in
form
atio
n on
G
P-pr
escr
ibed
med
icat
ions
, pat
ient
alle
rgie
s an
d ad
vers
e re
actio
ns’.
Mat
uri
ty v
iew
:Le
eds
led
the
way
in e
nabl
ing
all G
P Pr
actic
es
to u
se t
he S
umm
ary
Car
e Re
cord
[SC
R] (1
00%
co
ntrib
utio
n). T
his
faci
lity
was
use
d in
tens
ivel
y in
sec
onda
ry c
are,
with
Lee
ds T
each
ing
Hos
pita
ls
bein
g on
e of
the
top
SC
R co
nsum
ers
in t
he
coun
try.
SC
R w
as v
ery
muc
h se
en a
s a
prec
urso
r to
the
Lee
ds C
are
Reco
rd, a
sec
ure,
mul
ti-or
gani
satio
nal v
iew
of
mul
ti-or
gani
satio
nal
heal
th a
nd c
are
data
. Lee
ds C
are
Reco
rd is
in
its 4
th P
hase
of
deve
lopm
ent
with
ove
r 20
00
activ
e us
ers.
As
a ba
sic
this
vie
w in
clud
es G
P-pr
escr
ibed
med
icat
ions
, pat
ient
alle
rgie
s an
d ad
vers
e re
actio
ns.
Exam
ple
sh
ow
case
init
iati
ves:
Leed
s C
are
Reco
rd, i
nclu
ding
an
agre
ed p
ilot
with
111
nur
ses
spec
ialis
ing
in p
allia
tive
care
an
d m
enta
l hea
lth t
o al
low
acc
ess
to t
he L
eeds
C
are
Reco
rd. T
his
will
info
rm d
esig
n w
ork
acro
ss W
est
York
shire
to
supp
ort
Urg
ent
and
Emer
genc
y C
are.
Stra
teg
ic v
iew
:Th
e Le
eds
Car
e Re
cord
con
tinue
s to
be
an
esse
ntia
l par
t of
the
Lee
ds In
form
atic
s pl
an,
alth
ough
the
re a
re a
num
ber
of c
halle
nges
in
term
s of
str
ateg
ic n
ext
step
s. T
hese
incl
ude:
Del
iver
ing
capa
bilit
ies
to m
ove
from
a p
assi
ve
view
rec
ord
to a
pro
activ
e to
ol f
or d
ecis
ion
supp
ort
Con
side
ratio
n to
‘writ
e fa
cilit
ies’
to
the
LCR
To d
eliv
er a
fut
ure
proo
f so
lutio
n, a
str
ateg
ic
appr
oach
to
deve
lopm
ent
is r
equi
red
i.e. i
n-ho
use,
a p
artn
ersh
ip o
r a
city
-dev
elop
ed a
sset
Cap
abilit
y d
eplo
ymen
t:Se
e ‘u
nive
rsal
cap
abili
ty d
eliv
ery
plan
’.
Exam
ple
2:
Uni
vers
al c
apab
ility
- ‘S
ocia
l car
e re
ceiv
e tim
ely
elec
tron
ic A
sses
smen
t, D
isch
arge
and
W
ithdr
awal
Not
ices
fro
m a
cute
car
e’.
Mat
uri
ty v
iew
:A
cute
Car
e fo
r Le
eds
Adu
lt So
cial
Car
e re
ceiv
es
on a
vera
ge 7
50 re
ferr
als
per
mon
th.
ASC
’s en
gage
men
t w
ith p
artn
ers
to w
ork
effe
ctiv
ely
to
ensu
re s
ocia
l car
e re
ceiv
e tim
ely
elec
tron
ic n
otic
es
has
been
suc
cess
ful t
o da
te a
nd h
as re
sulte
d in
83%
of
refe
rral
s cu
rren
tly b
eing
rece
ived
el
ectr
onic
ally
fro
m t
he s
econ
dary
car
e ho
spita
l to
a si
ngle
poi
nt o
f ur
gent
refe
rral
(SPU
R).
The
SPU
R is
a m
ulti-
disc
iplin
ary
team
who
ha
ve a
cces
s to
Hea
lth a
nd S
ocia
l car
e sy
stem
s in
clud
ing
a sy
stem
to
supp
ort
polic
e cu
stod
y re
late
d ca
lls. T
his
mea
ns t
hat
SPU
R ca
n ef
fect
ivel
y re
ceiv
e an
d de
al w
ith in
exc
ess
of
2,50
0 re
ferr
als
on a
mon
thly
bas
is t
o en
sure
a
join
ed u
p re
spon
se t
o ur
gent
req
uire
men
ts.
Exam
ple
sh
ow
case
init
iati
ves:
The
achi
evem
ent
of 8
3% o
f tim
ely
elec
tron
ic
tran
smis
sion
of
notic
es f
rom
the
acu
te h
ospi
tal
prov
ider
to
soci
al c
are.
Esta
blis
hmen
t of
SPU
R w
hich
is a
mul
ti-di
scip
linar
y te
am m
ade
up o
f bo
th r
egis
tere
d an
d un
regi
ster
ed w
orke
rs f
rom
Joi
nt C
are
Man
agem
ent
and
Inte
rmed
iate
Car
e Te
ams
to
deliv
er a
Sin
gle
Poin
t of
Urg
ent
refe
rral
. Thi
s ap
proa
ch s
uppo
rts
the
STP
initi
ativ
es o
f ra
pid
resp
onse
in t
imes
of
cris
is t
o op
timis
e re
spon
se
and
use
of r
esou
rces
eff
ectiv
ely.
Stra
teg
ic v
iew
:A
ll 10
0% o
f C
are
Act
201
4 co
mpl
iant
A
sses
smen
t, D
isch
arge
and
ass
ocia
ted
With
draw
al N
otic
es w
ill b
e se
nt e
lect
roni
cally
fr
om t
he a
cute
pro
vide
r to
loca
l aut
horit
y so
cial
ca
re w
ithin
the
tim
esca
les
spec
ified
in t
he A
ct
thro
ugh
coor
dina
ted
activ
ities
to
enga
ge w
ith
out-
of-a
rea
hosp
itals
and
con
vert
the
rem
aini
ng
non-
elec
tron
ic f
ax t
rans
mis
sion
s to
the
ele
ctro
nic
solu
tion
to s
uppo
rt S
PUR
coor
dina
tion.
Cap
abilit
y d
eplo
ymen
t:Se
e ‘u
nive
rsal
cap
abili
ty d
eliv
ery
plan
’.
Furt
her
pro
gre
ss r
equ
ired
:Si
gn
ifica
nt
pro
gre
ss:
Exam
ple
:U
nive
rsal
cap
abili
ty -
‘GPs
can
ref
er e
lect
roni
cally
to
seco
ndar
y ca
re’.
Mat
uri
ty v
iew
:W
hils
t Le
eds
has
man
aged
to
mai
ntai
n a
reas
onab
le p
ositi
on w
ith r
egar
ds t
o e-
Refe
rral
s it
is f
air
to s
ay t
hat
city
-wid
e co
ordi
natio
n is
less
rob
ust
than
say
3 y
ears
ago
. Our
boo
king
rat
es a
re lo
wer
th
an t
hey
wer
e 3
or 4
yea
rs a
go. M
uch
of t
his
is d
ue t
o a
prob
lem
with
slo
ts n
ot b
eing
ava
ilabl
e in
som
e sp
ecia
lties
at
the
time
of b
ooki
ng, l
eadi
ng t
o w
hat
is k
now
n as
‘app
oint
men
t sl
ot is
sues
’. Le
eds
Com
mun
ity H
ealth
care
has
mad
e so
me
good
pro
gres
s w
ith b
ecom
ing
dire
ctly
boo
kabl
e fo
r no
n-co
nsul
tant
led
serv
ices
, but
res
ourc
e ga
ps h
as le
d to
thi
s w
ork
slow
ing
dow
n. A
ll G
Ps u
se t
he
new
eRS
sys
tem
to
som
e de
gree
but
we
have
to
addr
ess
aspe
cts
such
as
advi
ce a
nd g
uida
nce
and
a pr
essu
re t
o sh
ortc
ut p
roce
sses
.
Stra
teg
ic v
iew
:W
e w
ill c
onfir
m t
he c
urre
nt p
lace
of
eRS
in t
he c
ity. I
n th
e lo
nger
ter
m w
e w
ill lo
ok a
t op
en A
PIs
for
book
ing
to c
reat
e a
mor
e ge
neric
and
‘ope
n’ b
ooki
ng f
acili
ty. W
e w
ill r
e-es
tabl
ish
impr
ovem
ent
coor
dina
tion
of e
Refe
rral
s ac
ross
the
city
and
exp
lore
the
fac
ilitie
s fo
r ad
vice
and
gui
danc
e an
d ho
w
this
and
eRe
ferr
als
can
beco
me
clos
er t
o pa
thw
ays
guid
elin
es.
Cap
abilit
y d
eplo
ymen
t:Se
e ‘u
nive
rsal
cap
abili
ty d
eliv
ery
plan
’.
Sect
ion
4Se
ctio
n 4
Sect
ion
5
Oth
er e
nab
lin
g f
acto
rs
Sou
rces
of
fun
din
gTh
e Su
stai
nabi
lity
and
Tran
sfor
mat
ion
Plan
s de
scrib
es t
he u
nder
lyin
g fin
anci
al p
ositi
on a
nd p
lan
for
the
city
and
the
nee
d fo
r si
gnifi
cant
rec
urre
nt s
avin
gs t
o be
del
iver
ed. H
owev
er, i
t al
so r
ecog
nise
s th
e ro
le o
f In
form
atic
s in
ena
blin
g sm
arte
r w
orki
ng a
nd s
ervi
ce t
rans
form
atio
n. T
here
will
the
refo
re
need
to
be f
urth
er in
vest
men
t in
dig
ital o
ver
the
next
5 y
ears
as
a m
eans
of
deliv
erin
g sa
ving
s,
effic
ienc
ies
and
impr
oved
qua
lity
else
whe
re in
the
hea
lth a
nd c
are
syst
em. A
t th
e sa
me
time
ther
e is
an
expe
ctat
ion
that
the
effi
cien
cy o
f in
form
atic
s op
erat
iona
l ser
vice
s w
ill a
lso
impr
ove,
del
iver
ing
inte
rnal
and
col
labo
rativ
e sa
ving
s ac
ross
tec
hnol
ogy
depa
rtm
ents
with
in t
he c
ity. W
e ex
pect
any
ne
w in
vest
men
t to
be
mul
ti-so
urce
d ov
er a
mul
ti-ye
ar t
imef
ram
e. L
eeds
has
a g
ood
trac
k re
cord
of
secu
ring
exte
rnal
fun
ding
and
has
the
exp
ertis
e to
con
tinue
to
do s
o.
An
tici
pat
ed s
ou
rces
of
fun
din
g:
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
3839
Pro
vid
ers
Cit
y
Exis
ting
inte
rnal
rev
enue
bud
gets
Effic
ienc
ies
on in
tern
al r
even
ue b
udge
ts
Acc
ess
to in
tern
al c
apita
l
Acc
ess
to e
xter
nal c
apita
l
Col
labo
ratio
n w
ith t
he p
rivat
e se
ctor
Prov
ider
dire
ct a
cces
s to
NH
S N
atio
nal I
nfor
mat
ion
Boar
d fu
ndin
g
City
acc
ess
to N
HS
Nat
iona
l Inf
orm
atio
n Bo
ard
fund
ing
e.
g. L
ocal
Dig
ital R
oadm
ap
Acc
ess
to o
ther
NH
S fu
ndin
g e.
g. V
angu
ard,
Est
ates
and
Te
chno
logy
Tra
nsfo
rmat
ion
Fund
, Int
egra
tion,
Pio
neer
fun
ding
Bett
er C
are
Fund
Col
labo
ratio
n ac
ross
pro
vide
rs
Col
labo
ratio
n w
ith t
he p
rivat
e se
ctor
e.g
. via
an
Inno
vatio
n
Test
Bed
Acc
ess
to in
tern
atio
nal f
undi
ng s
ourc
es
Sect
ion
5
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
4041
Go
vern
ance
Stra
tegi
c C
ity-w
ide
gove
rnan
ce a
rran
gem
ents
are
est
ablis
hed
and
prov
ide
assu
ranc
e on
the
del
iver
y of
dig
itally
-ena
bled
hea
lth a
nd w
ellb
eing
out
com
es in
Lee
ds.
Acc
ount
abili
ty f
or d
eliv
ery
of t
he L
ocal
Dig
ital R
oadm
ap a
nd t
he a
ssoc
iate
d di
gita
l cha
nge
prog
ram
me
is d
eleg
ated
to
the
Leed
s In
form
atic
s Bo
ard
(LIB
). Th
is B
oard
con
sist
s of
a m
ix o
f se
nior
le
ader
s, c
linic
ians
and
sen
ior
info
rmat
icia
ns. I
t is
cha
ired
by a
sen
ior
clin
icia
n; a
GP
and
Clin
ical
C
hair
of N
orth
Lee
ds C
CG
:
We
are
curr
ently
des
igni
ng t
he a
ntic
ipat
ed c
ity c
apac
ity a
nd c
apab
ility
str
uctu
re t
o su
ppor
t th
e de
liver
y of
the
Loc
al D
igita
l Roa
dmap
. Par
t of
thi
s re
sour
ce p
lan
may
be
a ch
ange
d fo
cus
of s
ome
exis
ting
staf
f:
Por
tfolio
pla
n fo
r del
iver
y of
info
rmat
ics
– S
TP /
LDR
Sect
ion
5Se
ctio
n 5
Solu
tion
Arc
hite
ct(s
)
Serv
ice
Arc
hite
ctLe
adSe
rvic
e M
anag
emen
t
Dig
ital O
ffice
Pr
ojec
t M
anag
emen
tRo
adm
ap /
busi
ness
cas
e de
velo
pmen
t
Del
iver
y Pr
ogra
mm
e an
d Pr
ojec
t m
anag
ers
Busi
ness
cas
e fu
nded
Dig
ital O
ffice
M
anag
er
Dig
ital O
ffice
Su
ppor
t
Hea
d of
C
ity D
igita
l Po
rtfo
lio
Hea
d of
IM&
T H
ealth
and
C
are
bus
ines
s st
rate
gy
Hea
d of
City
Stra
tegy
, A
rchi
tect
ure
&
Com
miss
ioni
ng
Leed
s In
form
atic
s Bo
ard
City
CIO
G
roup
Fina
ncia
l M
anag
emen
t
Busi
ness
an
alys
t /
busi
ness
cas
e de
velo
pmen
t
Cha
nge
Man
agem
ent
Lead
Com
mun
icatio
ns
/ PR
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
4243
Ch
ang
e an
d b
enefi
ts m
anag
emen
t ap
pro
ach
As
a ci
ty, w
e ar
e co
mm
itted
to
cont
inuo
us le
arni
ng a
nd im
prov
emen
t ac
ross
our
hea
lth a
nd c
are
serv
ices
. As
such
, Lee
ds u
ses
the
appr
opria
te c
hang
e m
anag
emen
t m
odel
s an
d ap
proa
ches
to
deliv
er r
eal b
usin
ess
tran
sfor
mat
ion
to w
orki
ng p
ract
ices
and
to
brin
g ab
out
impr
oved
out
com
es f
or
the
peop
le o
f Le
eds.
Diff
eren
t m
etho
dolo
gies
are
use
d de
pend
ing
on t
he s
cale
and
the
sco
pe o
f th
e ch
ange
req
uire
d,
from
a “
light
tou
ch”
in-h
ouse
app
roac
h, f
or e
xam
ple
Leed
s C
ity C
ounc
il’s
PMlit
e m
etho
dolo
gy,
to m
ore
radi
cal a
nd n
atio
nally
rec
ogni
sed
mod
els
such
as
the
Sust
aina
ble
Impr
ovem
ent
Team
’s 8
elem
ent
Cha
nge
Mod
el.
Ther
e is
an
inte
grat
ed P
rogr
amm
e M
anag
emen
t O
ffice
for
Info
rmat
ics
in t
he c
ity. A
dditi
onal
ly, in
divi
dual
org
anis
atio
ns in
Lee
ds h
ave
in-h
ouse
pro
ject
man
agem
ent
offic
es a
nd u
se r
ecog
nise
d ap
proa
ches
to
proj
ect
man
agem
ent
such
as
PRIN
CE
and
the
Life
Cyc
le /
Gat
eway
pro
cess
. We
will
look
to
appo
int
a ch
ange
and
ben
efits
man
agem
ent
expe
rt d
edic
ated
to
the
deliv
ery
of o
ur L
ocal
Dig
ital R
oadm
ap.
With
reg
ard
to b
usin
ess
chan
ge, w
e re
cogn
ise
the
impo
rtan
ce o
f ta
king
the
clin
icia
ns w
ith u
s on
th
e jo
urne
y. S
taff
eng
agem
ent
is c
ritic
al t
o ou
r ch
ange
man
agem
ent
wor
k. F
or e
xam
ple,
Lee
ds is
le
adin
g on
a d
igita
l lite
racy
pro
ject
for
the
hea
lth a
nd c
are
wor
kfor
ce, t
o en
able
the
m t
o m
ake
the
mos
t of
the
new
tec
hnol
ogie
s av
aila
ble
and
shar
e th
e be
nefit
s of
thi
s w
ith p
atie
nts
and
serv
ice
user
s.
We
are
uniq
uely
pla
ced
thro
ugh
our
part
ners
hip
wor
king
and
‘one
city
’ Inf
orm
atic
s le
ader
ship
ap
proa
ch t
o ac
cess
nat
iona
l and
inte
rnat
iona
l sup
port
to
brin
g ab
out
the
chan
ges
requ
ired.
Fo
r ex
ampl
e, L
eeds
Tea
chin
g H
ospi
tals
Tru
st, i
s w
orki
ng w
ith t
he V
irgin
ia M
ason
Inst
itute
. Thi
s ap
proa
ch s
uppo
rts
them
to
appl
y ‘le
an’ p
rinci
ples
to
incr
ease
pat
ient
saf
ety,
qua
lity
of c
are,
val
ue
and
effic
ienc
y.
Leed
s id
entifi
es a
nd d
eplo
ys a
ppro
ache
s to
ben
efits
man
agem
ent
and
mea
sure
men
t at
the
out
set
of a
ny p
roje
ct, b
enefi
ts a
nd r
esou
rces
are
pla
nned
usi
ng t
he a
ppro
pria
te t
ool t
o th
e sc
ale
of t
he
proj
ect.
Prog
ress
is t
rack
ed c
ontin
uous
ly t
o en
sure
ong
oing
ser
vice
impr
ovem
ent
and
valu
e fo
r m
oney
. In
ter
ms
of m
easu
ring
heal
th a
nd c
are
effe
ctiv
enes
s of
ser
vice
cha
nges
, Lee
ds h
as a
n in
tegr
ated
in
telli
genc
e hu
b th
at w
orks
on
beha
lf of
the
city
and
use
s to
ols
such
as
Car
eTra
k to
est
ablis
h ba
selin
e da
ta, p
redi
ct a
nd m
odel
cha
nge
and
mea
sure
pro
gres
s. A
cade
mic
eva
luat
ion
is a
lso
built
in
to t
he c
ore
of m
ajor
pro
ject
s. L
iste
ning
to
the
view
s of
sta
ff, p
atie
nts
and
serv
ice
user
s to
gat
her
qual
itativ
e ev
iden
ce o
f be
nefit
s is
als
o cr
ucia
l to
mea
surin
g ch
ange
and
iden
tifyi
ng b
arrie
rs t
o re
alis
ing
bene
fits
in t
he In
form
atic
s ar
ena.
Ris
ks a
nd
issu
esW
e re
cogn
ise
that
the
re a
re m
any
rate
lim
iting
fac
tors
aro
und
peop
le, p
roce
sses
and
tec
hnol
ogy.
The
pac
e o
f d
eliv
ery
of
the
dig
ital
ro
adm
ap is
dep
end
ent
on
:Fu
ndin
g
Suffi
cien
t st
aff
with
kno
wle
dge
and
expe
rtis
e in
the
req
uire
d po
rtfo
lio r
oles
Cap
acity
for
cha
nge
acro
ss t
he s
yste
m
Sign
ed-o
ff d
igita
l req
uire
men
ts
A v
arie
ty o
f ex
tern
al d
epen
denc
ies
Acc
ess
to s
take
hold
ers
and
stak
ehol
der
lead
ersh
ip
Clin
ical
cha
mpi
ons
Tech
nolo
gy
We
have
cov
ered
an
elem
ent
of r
isk
and
rate
lim
iting
fac
tors
with
in t
he lo
cally
defi
ned
attr
ibut
es
of t
he ‘c
apab
ility
dep
loym
ent
sche
dule
s’ h
eade
d ‘C
onfid
ence
; hig
h, m
ediu
m o
r lo
w’,
agai
nst
each
ca
pabi
lity.
In a
dditi
on, t
he im
pact
on
the
deliv
ery
of t
he c
apab
ilitie
s w
ithin
the
Cap
abili
ty D
eplo
ymen
t sc
hedu
le, h
as b
een
used
to
info
rm t
he C
apab
ility
Tra
ject
ory
scor
ing
tem
plat
e. T
his
traj
ecto
ry
assu
mes
tha
t fu
ndin
g ca
n be
sec
ured
. If
this
is n
ot t
he c
ase
then
cle
arly
tho
se m
atur
ity s
core
s w
ill
not
be a
chie
vabl
e, e
ither
in t
otal
ity o
r at
the
req
uire
d ra
te.
The
deliv
ery
of in
fras
truc
ture
at
pace
, whi
ch is
rob
ust
and
resi
lient
, is
a ke
y de
pend
ency
on
deliv
erin
g th
e Ro
adm
ap .
The
Leed
s Te
achi
ng H
ospi
tals
NH
S Tr
ust
(LTH
T) h
as t
he m
ost
pres
sing
in
fras
truc
ture
upg
rade
nee
ds. T
heir
requ
irem
ents
incl
ude
resi
lient
dat
a ce
ntre
cap
abili
ty, n
etw
ork
impr
ovem
ents
, sin
gle
sign
-on
and
impr
oved
per
form
ance
for
clin
ical
use
rs.
The
chan
ge in
clud
es a
st
ep c
hang
e in
bot
h te
chno
logy
and
the
ser
vice
man
agem
ent
polic
ies
and
proc
edur
es t
o su
ppor
t th
e se
rvic
e de
liver
y.
The
step
ch
ang
es t
o d
eliv
er r
esilie
nt
infr
astr
uct
ure
fo
r th
e ci
ty in
clu
des
:Th
e es
tabl
ishm
ent
of s
trat
egic
city
-wid
e go
vern
ance
A f
ull r
evie
w o
f th
e cu
rren
t in
fras
truc
ture
and
sup
port
mod
els
Iden
tifica
tion
of t
he g
aps
and
reco
mm
enda
tions
for
uni
fied
solu
tions
.
Leed
s ha
s ad
vanc
ed o
n th
ese
activ
ities
, the
opt
ions
and
rec
omm
enda
tions
on
the
tech
nica
l sol
utio
n an
d bu
sine
ss s
uppo
rt m
odel
s ar
e un
der
cons
ider
atio
n. T
he p
rodu
ctio
n of
the
del
iver
y pl
ans
has
com
men
ced.
Ther
e is
a r
isk
to t
he p
ace
of d
eliv
ery
of e
ffec
tive
colla
bora
tion
tech
nolo
gy. L
ocal
Aut
horit
y ac
cess
to
NH
S em
ail f
unct
iona
lity
wou
ld r
esol
ve t
he c
urre
nt c
ity-w
ide
com
mun
icat
ion
and
colla
bora
tion
limita
tions
. With
out
this
the
re w
ill b
e a
dela
y in
the
dev
elop
men
t of
alte
rnat
ive
optio
ns w
hich
w
ill b
e co
stly.
The
abi
lity
to f
eder
ate
acro
ss a
ll or
gani
satio
ns in
clud
ing
the
Loca
l Aut
horit
y is
als
o es
sent
ial.
Sect
ion
5Se
ctio
n 5
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
4445
Furt
her
rat
e lim
itin
g f
acto
rs in
clu
de:
Acc
ess
to t
he c
hild
-pro
tect
ion
info
rmat
ion
syst
em t
hrou
gh t
he p
ublic
sec
tor
netw
ork,
with
a
bi-d
irect
iona
l flow
to
be in
vest
igat
ed.
PSN
to
be a
cces
sibl
e by
the
acu
te t
rust
to
supp
ort
a m
ulti
agen
cy a
ppro
ach
N3
circ
uit
redu
ctio
n
PSN
Alp
ha re
plac
emen
t and
Lee
ds a
cces
s to
the
Dem
ogra
phic
Bat
ch S
ervi
ce (D
BS)
thro
ugh
this
rout
e
Agr
eem
ent
and
impl
emen
tatio
n of
a n
ew g
ener
atio
n na
tiona
l IG
too
lkit
Add
ress
ing
the
cybe
rsec
urity
age
nda
A k
ey e
lem
ent
of o
ur a
ppro
ach
to m
inim
isin
g ris
ks t
he a
risin
g fr
om t
echn
olog
y is
the
foc
us w
e ar
e pl
acin
g on
goo
d go
vern
ance
and
the
est
ablis
hmen
t of
a c
omm
on S
trat
egy,
Arc
hite
ctur
e an
d C
omm
issi
onin
g fu
nctio
n fo
r th
e ci
ty. O
ur a
im is
for
the
ado
ptio
n an
d us
age
of o
pen
and
com
mon
st
anda
rds
as r
eflec
ted
else
whe
re w
ithin
thi
s Ro
adm
ap. W
e se
e th
is a
s a
fund
amen
tal c
onst
ruct
in
our
wid
er a
ppro
ach
to m
itiga
ting
risks
fro
m t
echn
olog
y in
ter
ms
of ‘f
utur
e pr
oofin
g’ t
he c
ity. A
s su
ch, w
e w
ill e
nsur
e th
at, a
s fa
r as
s po
ssib
le, G
S1 s
tand
ards
are
writ
ten
in a
ppro
pria
tely
to
our
stat
ed r
equi
rem
ents
as
deem
ed n
eces
sary
.
Res
ou
rces
We
reco
gnis
e th
at r
esou
rces
, bot
h fin
anci
al a
nd p
eopl
e ca
paci
ty a
nd c
apab
ility
, are
ess
entia
l to
deliv
erin
g th
is R
oadm
ap. A
city
-firs
t ap
proa
ch t
o In
form
atic
s de
liver
y se
eks
to e
radi
cate
the
mul
tiple
an
d di
vers
e in
itiat
ives
whi
ch c
ome
from
diff
eren
t pa
rts
of t
he h
ealth
and
car
e sy
stem
tha
t us
e up
re
sour
ce in
an
unpl
anne
d w
ay a
nd o
ften
con
fuse
. It
will
als
o en
sure
tha
t di
gita
l pro
gram
mes
and
pr
ojec
ts a
re a
ligne
d fu
lly t
o an
agr
eed
who
le-s
yste
m o
utco
me
desc
ribed
in t
he h
ealth
and
wel
lbei
ng
stra
tegy
, STP
and
LD
R.
Such
an
appr
oach
will
als
o he
lp t
o de
velo
p an
d al
ign
our
Chi
ef In
form
atio
n O
ffice
rs a
nd C
linic
al
Chi
ef In
form
atio
n O
ffice
rs.
We
will
als
o fo
cus
on b
uild
ing
and
secu
ring
mor
e ho
listic
ana
lytic
al s
kills
and
fac
ilitie
s th
at s
pan
sect
ors,
util
isin
g sk
ills
and
capa
city
acr
oss
orga
nisa
tions
.
The
prop
osal
for
the
est
ablis
hmen
t of
a n
ew D
igita
l Por
tfol
io O
ffice
is o
utlin
ed in
thi
s do
cum
ent.
Th
e be
nefit
s in
clud
e th
e ec
onom
ies
of s
cale
ach
ieve
d th
roug
h th
e sh
arin
g of
exp
ertis
e,
stan
dard
isin
g te
chno
logi
es a
nd w
ays
of w
orki
ng. T
he s
uppo
rt f
unct
ions
will
be
stre
amlin
ed t
o re
flect
sha
red
infr
astr
uctu
re a
nd t
echn
olog
ies.
The
proc
ess
of d
evel
opin
g th
e di
gita
l roa
dmap
has
exp
osed
the
City
-wid
e pl
ans
to a
chie
ve p
aper
-fr
ee a
t th
e po
int
of c
onta
ct. C
ross
cut
ting
initi
ativ
es h
ave
been
cla
rified
and
the
str
ateg
ic v
isio
n fo
r in
tegr
ated
wor
king
has
set
the
dire
ctio
n of
tra
vel.
The
desi
gn a
nd d
evel
opm
ent
of t
he S
TP s
ets
the
focu
s fo
r fu
ture
dig
ital e
nabl
emen
t. T
he a
lignm
ent
of t
hese
act
iviti
es p
rovi
des
grea
ter
cont
rol i
n te
rms
of t
he e
ffec
tive
use
of r
esou
rces
.
Dig
ital
Lit
erac
y Pr
og
ram
me:
Lee
ds h
as c
omm
ence
d a
digi
tal l
itera
cy p
rogr
amm
e, t
he v
isio
n be
ing
to h
elp
heal
th a
nd c
are
prac
titio
ners
dev
elop
dig
ital s
kills
and
con
fiden
ce s
o th
ey c
an m
ake
thin
gs
bett
er f
or p
eopl
e w
ho a
cces
s th
eir
serv
ices
. We
will
als
o ha
ve a
str
uctu
red
appr
oach
to
impr
ove
digi
tal l
itera
cy f
or o
ur c
itize
ns.
Leed
s H
ealt
h a
nd
Car
e A
cad
emy:
Lee
ds w
ill s
uppo
rt t
he e
stab
lishm
ent
of o
ne w
orkf
orce
for
the
ci
ty t
hrou
gh c
olla
bora
tion
betw
een
our
univ
ersi
ties
and
heal
th a
nd c
are
empl
oyer
s, a
nd e
stab
lishi
ng
a w
orkf
orce
Aca
dem
y fo
r Le
eds.
Thi
s w
ill:
Uni
fy t
he t
rain
ing
for
a ca
re w
orkf
orce
whi
ch h
as t
he r
equi
red
leve
ls o
f di
gita
l lite
racy
Prov
ide
effic
ienc
ies
and
a sh
ared
app
roac
h to
del
iver
ing
heal
th c
are
acro
ss v
ario
us b
odie
s in
clud
ing
incr
ease
d us
e of
virt
ual f
acili
ties
Enab
le t
rain
ing
futu
re h
ealth
car
e pr
ovid
ers
e.g.
new
mod
els
of c
are
incl
udin
g di
gita
lly e
nabl
ed
self
care
Ass
ist
with
und
erst
and
the
fund
ing
land
scap
e fo
r tr
aini
ng f
utur
e pr
ofes
sion
als
Prov
ide
a ra
pid
resp
onse
to
wor
kfor
ce t
rain
ing
need
s in
clud
ing
trai
ning
in d
igita
l tec
hnol
ogie
s
Inn
ova
tio
n f
or
Leed
sTh
e de
liver
y of
the
city
’s am
bitio
ns t
o be
the
bes
t fo
r he
alth
and
soc
ial c
are
requ
ires
the
deve
lopm
ent
of b
oth
syst
ems
and
cultu
re w
hich
em
bed
inno
vatio
n. It
is r
ecog
nise
d th
at s
uppo
rtin
g in
fras
truc
ture
will
be
requ
ired
to e
nsur
e th
ese
prio
ritie
s ar
e re
alis
ed a
nd w
ill in
clud
e de
ploy
men
t of
the
city
’s U
nive
rsiti
es a
s in
tegr
al t
o m
ains
trea
min
g of
inno
vatio
n in
to s
ervi
ce d
eliv
ery.
The
Lee
ds
Aca
dem
ic H
ealth
Par
tner
ship
has
bee
n es
tabl
ishe
d t
o cr
eate
an
envi
ronm
ent
for
solu
tions
to
be
crea
ted
and
acce
lera
ted
thro
ugh
colla
bora
tion
and
part
ners
hip
acro
ss a
cade
mia
, str
ateg
y an
d pr
actic
e. It
will
ens
ure
curr
ent
‘ass
ets’
are
dep
loye
d to
acc
eler
ate
prec
isio
n m
edic
ine
incl
udin
g sy
stem
flow
cap
abili
ties,
dia
gnos
tic c
apab
ilitie
s an
d pe
rson
alis
ed a
nd p
atie
nt c
entr
ed c
are.
The
inno
vatio
n pr
ogra
mm
e se
eks
to d
evel
op a
dee
p un
ders
tand
ing
of t
he c
halle
nges
pat
ient
s an
d cl
inic
ians
are
exp
erie
ncin
g, in
clud
ing
thei
r us
e of
tec
hnol
ogy,
and
the
n re
desi
gn p
athw
ays
to
iden
tify
how
tec
hnol
ogy
can
be a
n en
able
r. Th
e pr
ogra
mm
e w
ill u
se t
his
unde
rsta
ndin
g to
pro
vide
a
fram
ewor
k to
the
n ‘t
est’
inno
vativ
e pr
oduc
ts a
nd s
ervi
ces
deve
lope
d by
col
labo
rativ
e pa
rtne
rs
whi
ch h
ave
been
des
igne
d to
impr
ove
popu
latio
n he
alth
and
wel
lbei
ng. T
his
prog
ram
me
prov
ides
th
e su
ppor
ting
infr
astr
uctu
re a
nd a
cces
s po
ints
for
col
labo
rativ
e pa
rtne
rs t
o de
velo
p in
nova
tions
, pr
omot
ing
prod
uct
and
serv
ice
deve
lopm
ent
for
the
Hea
lth a
nd S
ocia
l Car
e m
arke
t
The
pro
gra
mm
e w
ill o
per
ate
the
follo
win
g w
ork
str
eam
s:Th
e ac
cele
ratio
n of
the
del
iver
y of
the
Lee
ds C
ity R
egio
n di
gita
l pla
tfor
m w
hich
is a
n in
tegr
ated
se
t of
tec
hnol
ogie
s th
at p
rovi
de t
he s
truc
ture
to
deliv
er jo
ined
up
heal
th a
nd s
ocia
l car
e da
ta
that
con
nect
s se
rvic
es, c
hann
els,
sys
tem
s an
d pr
ovid
es t
he f
ound
atio
n fo
r sh
arin
g in
form
atio
n to
pr
ovid
e be
tter
car
e.
The
gath
erin
g of
info
rmat
ion
to d
evel
op a
dee
p un
ders
tand
ing
the
chal
leng
es t
hat
patie
nts,
se
rvic
e us
ers
and
clin
icia
ns a
re e
xper
ienc
ing
in t
he N
HS
and
Adu
lt So
cial
Car
e w
ith a
n in
itial
fo
cus
on d
iabe
tes
and
frai
l eld
erly.
The
info
rmat
ion
will
allo
w u
s to
und
erst
and
thei
r us
e of
te
chno
logy
, and
the
n ca
rry
out
path
way
red
esig
n, id
entif
ying
how
tec
hnol
ogy
can
be a
n en
able
r. Th
is in
form
atio
n ca
n th
en b
e us
ed t
o cr
eate
a c
all t
o m
arke
t fo
r pr
oduc
ts, i
nnov
atio
ns a
nd
serv
ices
tha
t sp
ecifi
cally
tar
get
the
issu
es id
entifi
ed a
nd a
re s
uppl
ied
by S
MEs
fro
m a
cros
s th
e U
K.
This
wor
k w
ill a
lso
help
to
acce
lera
te t
he c
ities
dig
ital l
itera
cy p
riorit
ies.
The
com
mis
sion
ing
of in
nova
tion
proj
ects
. The
firs
t st
age
of t
his
will
invo
lve
a ca
ll to
mar
ket
base
d ar
ound
the
nee
ds id
entifi
ed a
bove
. NH
S an
d So
cial
Car
e w
ill a
ct a
s in
nova
tion
host
s w
ho w
ill m
eet
inno
vato
rs a
t a
serie
s of
net
wor
king
eve
nts
. Thi
s pr
oces
s ai
ms
to b
ring
toge
ther
in
nova
tors
who
can
off
er t
he g
reat
est
pote
ntia
l to
impr
ove
heal
th o
utco
mes
. Whe
re t
here
is
scop
e fo
r a
colla
bora
tion
the
host
and
the
inno
vato
r w
ill b
e in
vite
d to
sub
mit
a pr
opos
al t
o th
e co
mm
issi
oner
fun
d, w
hich
will
pro
vide
fina
nce
for
impl
emen
tatio
n an
d tr
aini
ng.
Qua
lity
assu
ranc
e an
d ev
alua
tion.
Sect
ion
5Se
ctio
n 5
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
Leed
s -
Loca
l Dig
ital R
oadm
ap 2
016
4647
Wo
rkin
g w
ith
ou
r ci
tize
ns
In L
eeds
, eng
agin
g an
d co
mm
unic
atin
g w
ith c
itize
ns is
cru
cial
to
ensu
re t
hat
thei
r vi
ews
are
at t
he
hear
t of
the
wor
k to
hel
p m
ake
the
city
a b
ette
r, he
alth
ier
plac
e in
the
fut
ure.
Usi
ng a
nd s
harin
g in
form
atio
n ab
out
citiz
ens
unde
rpin
s th
is a
mbi
tion
yet
ther
e is
oft
en h
esita
ncy
arou
nd s
harin
g in
form
atio
n, e
ven
whe
n th
is m
ay le
ad t
o im
prov
ed h
ealth
out
com
es a
nd r
educ
ed
heal
th in
equa
litie
s. In
volv
ing
citiz
ens
in t
he d
iscu
ssio
n ha
s be
en p
art
of t
he w
ork
from
the
be
ginn
ing
and
ther
e is
a c
omm
itmen
t to
con
tinua
lly e
ngag
e us
ing
a va
riety
of
met
hods
whi
ch
incl
udes
reg
ular
upd
ates
to
Clin
ical
Com
mis
sion
ing
Gro
up P
atie
nt A
ssur
ance
Gro
ups.
In S
prin
g 20
15, ‘
Join
ed U
p Le
eds’
was
dev
elop
ed a
s a
two
wee
k pe
riod
of c
onve
rsat
ions
tak
ing
plac
e ac
ross
the
city
. Citi
zens
dis
cuss
ed h
ow t
heir
heal
th a
nd w
ellb
eing
dat
a co
uld
and
shou
ld b
e sh
ared
, the
ben
efits
of
shar
ing,
the
con
cern
s th
ey h
ave,
and
how
info
rmat
ion
coul
d be
use
d fo
r th
e be
nefit
of
peop
le in
Lee
ds.
The
reco
mm
enda
tions
fro
m t
he r
epor
t re
sulte
d in
cre
atin
g a
leafl
et
calle
d “S
harin
g H
ealth
care
Rec
ords
” th
at w
as c
o-pr
oduc
ed w
ith p
atie
nts
and
dist
ribut
ed a
cros
s th
e ci
ty v
ia G
P Pr
actic
es.
Follo
win
g on
fro
m t
he s
ucce
ss o
f Jo
ined
Up
Leed
s, ‘J
oine
d U
p Le
eds
2’ g
athe
red
the
view
s of
loca
l pe
ople
to
find
out
whe
ther
citi
zens
of
Leed
s w
ant
a Pe
rson
al H
ealth
Rec
ord,
how
the
y w
ould
use
it
and
how
it m
ight
aff
ect
thei
r he
alth
and
the
rel
atio
nshi
p th
ey h
ave
with
the
ir he
alth
care
pro
vide
rs.
The
resu
lts o
f th
e en
gage
men
t ha
ve b
een
publ
ishe
d w
idel
y si
nce
the
repo
rt w
as fi
nalis
ed in
Spr
ing
2016
.
From
the
out
set,
Lee
ds C
are
Reco
rd h
as e
ngag
ed w
ith p
atie
nts,
sta
keho
lder
s an
d se
rvic
e us
ers.
Re
gula
r m
eetin
gs a
re h
eld
with
a d
edic
ated
pat
ient
gro
up w
ho h
ave
help
ed t
o de
velo
p th
e co
mm
unic
atio
ns m
ater
ial,
wid
er r
each
ing
pat
ient
eng
agem
ent
and
the
com
mun
icat
ion
plan
. Th
e pr
ojec
t te
am a
lso
mee
t m
any
of t
he p
atie
nt r
epre
sent
ativ
e gr
oups
for
GP
Prac
tices
to
info
rm t
hem
of
the
pro
ject
. F
or s
peci
fic a
reas
of
deve
lopm
ent,
the
tea
m h
ave
com
mis
sion
ed a
thi
rd s
ecto
r or
gani
satio
n to
eng
age
with
pat
ient
s an
d se
rvic
e us
ers
to h
elp
info
rm t
he p
roje
ct.
A n
umbe
r of
met
hods
hav
e be
en u
sed:
sur
veys
, fac
e to
fac
e in
terv
iew
s, f
ocus
gro
ups
and
pigg
ybac
king
ne
twor
k ev
ents
. A
n ex
tens
ive
enga
gem
ent
exer
cise
was
del
iver
ed t
o en
sure
we
unde
rsto
od t
he
requ
irem
ents
of
peop
le r
egar
ding
wha
t as
pect
s of
the
ir m
enta
l hea
lth in
form
atio
n sh
ould
be
shar
ed
by a
skin
g th
e vi
ews
of s
ervi
ces
user
s fir
st.
The
resu
lts w
ere
then
use
d by
clin
icia
ns t
o id
entif
y th
e da
ta t
hat
was
rel
evan
t to
sha
re.
Furt
her
com
mun
icat
ion
with
citi
zens
is a
lso
cond
ucte
d us
ing
a m
ulti-
plat
form
app
roac
h of
onl
ine
pres
ence
, soc
ial m
edia
, loc
al p
ress
, pos
ters
and
leafl
ets
to p
rom
ote
the
wor
k to
a w
ide
audi
ence
in
the
city
by
usin
g a
com
bina
tion
of c
hann
els.
Leed
s ha
s al
so r
un a
num
ber
of e
ngag
emen
t se
ssio
ns w
ith p
atie
nts
and
the
volu
ntar
y se
ctor
as
its
role
as
a pa
thfin
der
for
the
care
.dat
a pr
ogra
mm
e an
d th
e N
atio
nal D
ata
Gua
rdia
n re
view
and
will
co
ntin
ue t
o do
so.
Info
rmat
ion
sh
arin
g
Info
rmat
ion
gove
rnan
ce is
ver
y st
rong
with
in a
cute
car
e, m
enta
l hea
lth a
nd s
ocia
l car
e ex
ceed
ing
the
natio
nal a
vera
ge. C
omm
unity
Hea
lth is
less
mat
ure
at a
str
ateg
ic le
vel,
how
ever
goo
d tr
aini
ng is
pr
ovid
ed t
o pr
ofes
sion
als
on d
ay t
o da
y in
form
atio
n m
anag
emen
t.
Abo
ve o
rgan
isat
ion
leve
l Lee
ds h
as a
city
-wid
e In
form
atio
n G
over
nanc
e C
omm
ittee
, joi
ntly
cha
ired
by s
enio
r of
ficer
s in
hea
lth a
nd s
ocia
l car
e.
A c
omm
on In
form
atio
n Sh
arin
g A
gree
men
t w
ith a
ll th
e m
ajor
pro
vide
rs w
ithin
Lee
ds H
ealth
and
So
cial
Car
e w
as a
gree
d in
201
4 an
d re
view
ed a
gain
in 2
015
to a
ccou
nt f
or c
hang
es in
legi
slat
ion
with
the
intr
oduc
tion
of t
he H
ealth
and
Soc
ial C
are
(Saf
ety
and
Qua
lity
Act
201
5).
All
heal
th o
rgan
isat
ions
and
the
Loc
al A
utho
rity
in L
eeds
are
com
plia
nt w
ith t
he IG
Too
lkit
to
Leve
l 2 a
nd a
bove
ver
ified
by
an a
nnua
l rol
ling
prog
ram
of
inte
rnal
aud
it as
sura
nce.
The
IG T
oolk
it ad
dres
ses
area
s su
ch a
s bu
sine
ss c
ontin
uity
pla
ns. A
s in
divi
dual
Dat
a C
ontr
olle
rs e
ach
orga
nisa
tion
take
s re
spon
sibi
lity
for
thei
r po
licie
s, p
lans
and
pro
cedu
res.
Lee
ds L
ocal
Aut
horit
y an
d he
alth
pr
ovid
ers
have
thu
s ha
ve r
obus
t po
licie
s an
d pr
oced
ures
in p
lace
for
all
the
area
s id
entifi
ed.
All
NH
S or
gani
satio
ns u
se t
he N
HS
num
ber
as t
he p
rimar
y id
entifi
er f
or a
pat
ient
. Pat
ient
A
dmin
istr
atio
n Sy
stem
s an
d El
ectr
onic
Pat
ient
Rec
ord
syst
ems
that
man
age
the
Patie
nt M
aste
r In
dex
(PM
I) ei
ther
use
or
mov
ing
tow
ards
PD
S to
mat
ch N
HS
num
bers
dyn
amic
ally.
In t
erm
s of
new
reg
ulat
ions
, all
orga
nisa
tions
will
be
impl
emen
ting
the
Acc
essi
ble
Info
rmat
ion
Stan
dard
s an
d ar
e w
orki
ng w
ith t
heir
supp
liers
to
adap
t in
form
atio
ns s
yste
ms
acco
rdin
gly.
Mos
t or
gani
satio
ns h
ave
adeq
uate
arr
ange
men
ts in
pla
ce f
or a
sses
sing
the
clin
ical
saf
ety
aspe
cts
of
impl
emen
ting
new
or
adap
ting
info
rmat
ion
syst
ems.
Dat
a qu
ality
is r
ecog
nise
d as
ess
entia
l and
und
erpi
nnin
g to
the
use
of
digi
tal s
yste
ms
to r
epla
ce
pape
r. O
rgan
isat
ions
hav
e ar
rang
emen
ts in
pla
ce t
o im
prov
e da
ta q
ualit
y.
Oth
er s
trat
egic
sta
keh
old
ers
Hea
lth
y Fu
ture
s: A
Wes
t Yo
rksh
ire S
usta
inab
ility
and
Tra
nsfo
rmat
ion
plan
is b
eing
dev
elop
ed t
o co
ver
11 C
CG
s an
d th
e he
alth
and
car
e pr
ovid
ers
ther
ein.
The
appr
oach
is t
o br
ing
toge
ther
loca
l pla
ce b
ased
pla
ns a
nd c
olla
bora
tive
Wes
t Yo
rksh
ire p
lans
to
del
iver
the
req
uire
d cu
mul
ativ
e im
pact
and
the
rig
ht in
terv
entio
ns a
nd s
ervi
ces
at a
pop
ulat
ion
leve
l to
mee
t th
e id
entifi
ed g
aps.
Whi
lst
loca
l pla
ns r
etai
n pr
imac
y as
muc
h of
the
tra
nsfo
rmat
ion
will
be
deliv
ered
at
this
loca
l lev
el, t
here
are
som
e ga
ps a
nd c
halle
nges
whe
re t
he w
ork
need
s to
be
unde
rtak
en a
t a
Wes
t Yo
rksh
ire le
vel.
Thre
e ke
y qu
estio
ns w
ill b
e us
ed t
o de
term
ine
whe
re v
alue
ca
n be
add
ed a
t a
Wes
t Yo
rksh
ire le
vel u
sing
the
‘Wes
t Yo
rksh
ire L
ens’
. Ba
sed
on t
his
appr
oach
, si
x pr
iorit
y ar
eas
have
bee
n id
entifi
ed w
hich
will
for
m W
est
York
shire
wor
kstr
eam
s to
del
iver
the
ch
ange
req
uire
d. T
hese
are
:
Can
cer
Urg
ent
and
Emer
genc
y C
are
(incl
udin
g th
e U
rgen
t an
d Em
erge
ncy
Car
e Va
ngua
rd)
Spec
ialis
ed C
omm
issi
onin
g
Men
tal H
ealth
Prev
entio
n at
Sca
le
Hyp
er-a
cute
str
oke
Thes
e w
orks
trea
ms
and
loca
l pla
ns a
re s
uppo
rted
by
a nu
mbe
r of
ena
blin
g w
orks
trea
ms
incl
udin
g di
gita
l and
inte
rope
rabi
lity,
wor
kfor
ce a
nd O
D, c
omm
unic
atio
ns a
nd e
ngag
emen
t. L
eeds
is t
akin
g a
lead
tec
hnol
ogy
role
in t
he d
igita
l ena
blin
g w
ork
and
part
icul
arly
the
Urg
ent
and
Emer
genc
y C
are
Vang
uard
.
Sect
ion
5Se
ctio
n 5
For further information please contact:Alastair Cartwright Director of Informaticsc/o NHS Leeds North CCGLeafield House107 -109 King LaneLeedsLS17 5BP
Tel: 0113 843 2900
The main contributing organisations have been as follows:
NHS Leeds North Clinical Commissioning Group
NHS Leeds West Clinical Commissioning Group
NHS Leeds South and East Clinical Commissioning Group
Leeds City Council- Adult Social Care- Children’s Services- Public Health
Leeds Teaching Hospitals NHS Trust
Leeds Partnership NHS Foundation Trust
Leeds Community Healthcare NHS Trust
General Practice
Informatics leads from West Yorkshire Clinical Commissioning Groups
West Yorkshire Urgent and Emergency Care Network/Vanguard
Leeds Third Sector organisations
The Leeds Local Digital Roadmap has the following supporting documents:
Universal Capability Delivery Plan
Capability Deployment Schedule
Capability Trajectory (Secondary Care)
Information Sharing Approach
Artwork and design by Lindy Dark, Designer at Leeds City Council and Martin Daniels at Design Daniels Ltd.
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