Future Informatics Vision

Update for Yorkshire and the Humber

Trevor WrightDeputy CIO, NHS Yorkshire and the Humber

22nd September 2011

Agenda

• Design Principles• What does this imply for the future?• What does the future look like?• Challenges• Designing the ‘Future State’ – the approach• What does it mean for Local Informatics

Break

ing N

ews!

Breaking News

A Briefing from Katie Davis, MD (1)

• What should we be thinking? – No one want to throw away good work to date– Recognise the need to change – and work in a very different way– Need to learn from previous experience; develop what is working and

stop what isn’t– 5 thoughts for the future:

• NPfIT brand isn’t helping us and needs to be dropped– Failures masking our successes; Programme Bd scrapped

• Value for Money needs to be a core value• supported by clear accountability and SROs• Need to deliver benefits. This will need us to develop strong,

strategic partnerships and relationships with suppliers and customers

• Need to be radical and innovative ; need to use our experience to do things differently – need to challenge ourselves. “need to take ownership, if we don’t do it, someone will do it to us”

A Briefing from Katie Davis, MD (2)

• Need to remember the NHS is what it is!• “We all need to look for opportunities to improve the system

and service”• “We are all patients, and we should be expecting change

leading to a more effective NHS”• SLT seeking views and ideas from big suppliers as well as

other key stakeholders• Recognition that early focus will be to support new

Commissioning system, but very cognisant of the need to develop effective relationships with Provider sector

• KD conscious the old terminology will have to be with us for a while, but not in a position to announce ‘future state’ until Nov/Dec

Design Principles

1. Patients, the public and health and social care organisations will have access to innovative, ‘best in class’ IT systems and services that meet their needs at the lowest possible cost.

2. There will be a clear policy owner (in the DH or the NHS CB) for all IT systems and services which we deliver.

3. Value for money will underpin decision making and we will be open and transparent about costs and benefits.

4. Decisions will only be taken centrally where there is a single, clear need across the NHS. Where this is not the case, decisions will be taken locally.

5. There will be a wide, varied and dynamic market of capable and engaged suppliers of healthcare systems and services.

6. The NHS will be an excellent customer of IT systems and services.

7. Standards will ensure consistency across business, technical and service boundaries and support clinical safety.

8. Non-IT professionals and clinicians will recognise the value of having a strong IT capability at an individual and organisational level.

9. There will be an active community of IT specialists across health and care.

We will not create a separate national informatics organisation unless there is a compelling need and business case.

What does this imply for the future?

All providers have a choice of systems

There is a vibrant marketplace in accredited IT solutions

Local Systems(GP, Acute etc)

NHS Wide Systems Delivered once where there is a single, clear requirement

Opportunities to make information widely available

Information is made available and others provide the solutions (apps or systems)

What does the future look like?

NHS Informatics Strategy

Health & Social Care Policy

DH & NHS CB

NHS CB

Information Centre for Health & Social

Care

Programme Delivery

Service Delivery/

Operations

Assurance & Accreditation

Finance & Commercial

Systems Delivery

NHS Intelligent Customers

CCGs Providers

Local Authorities

Strategic delivery modelStandardsStrategic supplier managementEnterprise ArchitectureCapability & skillsBest practice & innovationIG strategyInformatics delivery strategy

Delivery

Challenges

We need to:

• present the vision for informatics as our own – not driven by PAC or MPA recommendations

• improve control of our financial and commercial baseline and ensure that our future delivery model provides best value for money

• develop a radically different approach to the way in which we engage with suppliers in future, particularly in terms of the delivery of local services

• work through how we will help commissioners and providers in the modern NHS to be customers of informatics services in the future

Approach: SLT accountabilities

• Alan Perkins: Overall implementation and transition plan. How we get from A to B, including the processes that will support us (e.g. HR)

• Paul Jones: Overall strategy and vision – design of the future ‘system’

• Tim Donohoe: Design of the ‘delivery system’ – how we will deliver systems in future – ownership of the portfolio of programmes and projects

• Camilla Taylor: Finance and commercial – establishing a clear and open baseline and processes for the future

A small core team led by Katie Davis will drive the work:

Stakeholder Engagement: Objectives

• To shape the development of the future strategy

• To make it clear that there is a need for change (“do nothing” is not an option)

• To generate support for the change from stakeholders

• To be transparent and open with stakeholders about the challenges o be addressed

• To engender positive thinking amongst stakeholders

The outputs will be one of the key building blocks to the future strategy

Engagement: Subject Areas

IM&T Profession, Leadership & Best

Practice

National Infrastructure &

Applications

Finance & Commercial

Design of ‘System’ Lever s

and Incentives

Strategy & Policy Engagement

Standards

Information Governance

Local IT ProvisionSupplier & Market

Management

Innovation

Portfolio Management

Assurance & Accreditation

Service Delivery/ Operations

Local Informatics - High-Level Project Objectives

• To effectively engage with stakeholders to ensure that new arrangements meet expectations are consistent with other reforms and are ‘fit for purpose’

• To help ensure the local organisations have effective Informatics capability and capacity to support NHS reforms and the vision set out in the Information Revolution and supporting strategies

• To support and advise local organisations relevant to the design and establishment of effective Informatics Service delivery models

• To assist the SHA and PCT Transition teams in ensuring that (new) accountable organisations have effective, efficient and capable Informatics provision

• To help enhance the capability of Informatics to enable local organisations to exploit technology enabled change through the sharing of best practice

• To help ensure that local Informatics has the opportunity to contribute effectively to the QIPP programme through enable efficiency savings and the delivery of effective service that offers value for money whilst improving safety and quality standards

Project Workstreams

• Workstream 1 - Baseline Assessment: This workstream will have a short life span and will focus on engaging with the (current) NHS Informatics service providers to establish a more comprehensive understanding of how services are currently being delivered

• Workstream 2 - LSSO Organisational Development: This workstream will support (new) local organisations to develop effective local Informatics Shared Services.

• Workstream 3 - Development of Local Organisation Capability: This workstream will support (new) local organisations to develop effective local ‘Intelligent Customer’ capabilities

• Workstream 4 - Benchmarking and Accreditation of Informatics Services: This workstream will review, develop and deploy a range of national tools to support local organisations to assess the suitability and value of their Informatics provision locally

Stakeholder Engagement

• DIs Reference Group• CIOs/DCIOs Forum(s)• Intelligent Commissioner Programme Leads• Future State Programme Subject Area Leads• SHA Cluster Executive Team Representatives• CCG/PCT Commissioner Cluster Leads• Business Intelligence and Programme• Commissioning Support Unit Development Programme• Quality Observatories ( via existing national forum)• Suppliers and the Market Place

Local Informatics – Key Issues

Principles:• Deliver service in an efficient and effective way to meet the

requirements and expectations of the ‘customer’• Value added contribution to local QIPP Programmes• Need to support integrated services and service redesign –

supported by standards• Working with strategic partners to energise the marketplace

Operational Models?• Responsive to ‘Intelligent Customer’ requirements• Cooperation and collaboration• Shared Services• Joint Ventures

Questions

Trevor Wright, Programme Lead (Local Informatics)

Informatics Transition Programme

trevorwright@nhs.net