An Overview of NPfIT

Professor Mike PringleJoint National Clinical Lead for GP in

NHS Connecting for HealthESRC Seminar 20th July 2005

The vision for NHS IT• To develop a system for moving and

sharing health information that is:– Patient focused– Improves patient outcomes– Improves choice and control for patients– Helps clinicians to make better decisions– Reduces errors– Is practicable/usable/effective

The vision for NHS IT• All sites linked

– GP2GP– Electronic prescribing– Choose and book– Electronic communications

• Patient care linked through the Care Record– Summary available 24/7– Confidentiality and security

NHS Care RecordNHS Care Record

Visit to Hospital 1-2 days

Visit to Practice Nurse

Diabetes diagnosed (1979)

Broken leg treated (1993)

National

Local

Local

Hernia repair (1980)

Tetanus jab (1987)

Visit to GP Grazed knee requires bandage (1983)

Visit to nurse

2nd visit to Hospital1 day

• For example:– diabetic retinopathy

• GPs

• Endocrinology OPD

• Ophthalmology

• Local opticians

Thinking Bigger

The benefits for patient care• Safety

– Records always available – Decision support and warnings– Increased confidentiality

• Consistency– Support for guidelines, NSFs, pathways of

care etc

• Choice

The challenges in primary care• System choice

• Getting improvement while the rest catches up

• The content of the Care Record

• Implementing GP2GP and ETP

• Ensuring we and our patients are confident about confidentiality and security

Nurses

GeneralPractitioners

Allied HealthProfessionals

Hospital Doctors

The National Clinical LeadsWho and why

Dr Simon EcclesMr Ian ScottJan Dowsett

Dr Gillian BraunoldProf Mike PringleHeather Tierney-

MooreBarbara Shuttle

The National Clinical LeadsLinkages with the programme

ContractingAnd

Programme management

Service ImplementationAnd

Clinical Engagement

The National Clinical LeadsLinkages with the programme

PACSChoose and Book

Electronic PrescribingElect. Transmission of Precriptions

N3 – national networkThe National Spine

Secondary Uses ServiceNHS Contact

Benefits realisationClinicalManagerialFinancial

Knowledge serviceNat Library for HealthDecision support‘Busy Clinician’

‘Do Once and Share’

The 5 Local service providersNHS Care Records Service

Reflections on large NHS projects• Need to know the aspirations of those who

work in the service: alignment with policy is ideal

• Recognise the cultural changes required

• Manage the change through information, education, support and acceptance of the pain

• Reward and recognise success; help with failure, but don’t punish

An Overview of NPfIT

Professor Mike PringleJoint National Clinical Lead for GP in

NHS Connecting for HealthESRC Seminar 20th July 2005