NW Chief Clinical Officer for Informatics

January 2007: A Strategic Role

Ipsos MORI 2005A Baseline Study on the

NationalProgramme for ITSummary ReportResearch Study Conducted for

NHS Connecting for Health

June 2005

Connecting for Health and the National Programme: Enabling Healthcare &Engaging Clinicians

A N Coley 2005

The purpose of this document is to ask the question; can the products of CfH and the National Programme become embedded into everyday clinical situations and will we see this enhance the consultation between the patient and clinician?

Jan 2006

Connecting for Health and the National Programme: Enabling Healthcare & Engaging Clinicians 1

“The overriding problem with failed IT projects in general, and particularly in clinical culture, is

Department of Health. Delivering benefit from the National Programme for Information Technology (NPfIT): A strategy for engaging front line staff and patients

lack of attention to the human elements of changing behaviour among professionals”

Success with clinical computing depends on far more than automation and attention to hardware, software and networks.

It requires the simultaneous navigation of important socio-cultural pathways, each dependant on the other and all aimed at the transformation of the ways in which staff function as team-based professionals.

What is Clinical Engagement?

Does it become a tick box exercise in a project plan?Or is it a transformational path?

Engaging grass root clinicians?

H2O How often do they need more

encouragement to drink?

Advise to Establish the Culture and Beliefs to Deliver Clinical Engagement

Seven key beliefs

1. Genuine engagement occurs most effectively following debate at a local level

2. Place the patient at the centre of a cultural move towards a new pathway

3. Evidence & benefits realisation are compelling and need to be framed with relevance Rogers & Plsek

4. Local clinical leaders are essential, they often have legitimacy with their colleagues and are seen as “honest brokers”

5. When a new system has been applied successfully in a local context, this “strength of evidence” is very persuasive

6. Align roles and responsibilities between clinical leaders and managerial directors

7. The request for a clinician to change their

working process will produce dissonance

Disengagement

Engagement

Dissonance

Behavioural managementAnd transformational change

Clinical Advisors

GP’sNursesAHP’s

ConsultantsNursesAHP’s

Historical NHS Policy Implementation

The driverOf line

management

Clinical adviseClinical engagement

New Double HelixApproach

PatientsPathwayDriver

ValueBelief

Engagement

Clinical Leadership

Clinical engagement and developing clinical leadership are very much complementary to each other.

Without clinical leadership, there can be no effective leaders to clinically engage with.

Clinicians & Myers Briggs

• Clinical Experts• Quality and Governance• Change Leaders

Clinical Leaders Network

The Health Informatics Clinical Advisory Team

Dr. Amir HannanGeneral PractitionerHaughton Thornley Medical Centres, Hyde

Mr. Bibhas RoyConsultant Orthopaedic SurgeonTrafford Hospital

Dr. Asad SadiqConsultant Psychiatrist Pennine Care Mental Health Trust

Dr. Sydney Schneidman Consultant A & E Morecambe Bay Health Trust

Dr. Rhidian BramleyConsultant RadiologistChristie Hospital, Manchester

Dr. Andrew ColeyGeneral PractitionerSenior Medical AdvisorNHS North West

Health Informatics Clinical Advisory Team (HICAT)HICAT MISSION STATEMENT

The Health Informatics Clinical Advisory Team works across the complete healthcare spectrum ensuring that the people of the North West enjoy better care, better health and a better life, through the innovative and efficient use of Information Technology.

Chief Clinical Officer

Clinical AdvisorAcute Care

Clinical AdvisorMental Health

Clinical AdvisorPrimary/Community

Clinicians for Product Development Multidisciplinary clinical design advisors

Clinicians for Product Testing Multidisciplinary clinical governance advisorsMembers of Clinical Implementation

Support Team working with CSCA

The National Program enabling healthcarethrough enabling clinicians.

Chief Clinical Officer

Clinical AdvisorAcute Care

Clinical AdvisorMental Health

Clinical AdvisorPrimary/Community

Clinicians for Product Development Multidisciplinary clinical design advisors

Clinicians for Product Testing Multidisciplinary clinical governance advisors

Clinical Champions to bring aboutClinical Engagement and Imbedding

Multidisciplinary strategic clinicalleaders

Chief Clinical Officer

Clinical AdvisorAcute Care

Clinical AdvisorMental Health

Clinical AdvisorPrimary/Community

Clinicians for Product Development Multidisciplinary clinical design advisors

Clinicians for Product Testing Multidisciplinary clinical governance advisors

Multidisciplinary strategic clinicalleaders

Clinical Champion to bring aboutClinical Engagement and imbedding

Awareness-raising

Clinical volunteers

Early implementers

Dissemination

Acceptance and implementation

Embedding

Clinical Engagement Escalator

Clinicians for ProductTesting

Clinicians for Product Development

Andy's Stages of Engagement.doc

HICAT WorkstreamsName Occupation HICAT Lead

RoleMain Responsible

Strategic ProgrammeHICAT

Strategic ProgrammesDr Asad Sadiq Consultant Psychiatrist Mental Health Voice Recognition &

Digital DictationClinical engagement & Implementation strategies.Social Movement for valuing HI.Helping trusts/health communities’ dev HI Strategies.Use of knowledge tools ie MoM,CKS etc.Interoperability Capabilities.Local Health Care Records ie SCR, EMIS WebTeleheath/care/presenceSpread of IT InnovationFuture Solutions Evaluations ie Amalga, Care FX etcGPCC Informatics StrategiesLiaising with Undergraduate & Post Graduate education bodies Etc (many more)

Dr Amir Hannan General Practitioner Primary care Patient Access to Records/New Realtionship

Mr Bibhas Roy Consultant Orthopaedic Surgeon

Secondary care

PROMS 2.0 and patient empowerment

Dr Rhidian Bramley

Consultant Radiologist Diagnostics PACS

Dr Sydney Schneidman

Consultant in Accident and Emergency

Lorenzo Lorenzo

ClinicalHealthInformaticsLeads

CHIL

Delivering Improvementthrough Clinical Engagement

HICAT&

CHILEnabling Health

Informatics

NW GPConsortia

Clinical ExpertiseQuality, Design,

Governance

North West SHAHealthier Horizons

NHS(commissioning)

Board

National Leadership

Council QIPP

The Networks are part of the SHA clinical engagement strategy. It builds clinical leadership and engagement capability with a focus on leading change and delivering service improvement at a local level.

V1 Draft 091109

CLN

• Focussed Briefings

• Strategy-aligned

• ALS• Clinicians, AHPs, & Managers

An ethos of implementation at LHC

level

Leadership Academy

MedDirectors

CardiacNetwork

DoN’s

LPC

Cancer

Mental Health

Urgent Care

NW ClinicalNetworks

Ethos

AQuA

Health & Wellbeing

PECChairs

Stroke

AHP

BMA

2011Business Case

•Lack of user involvement (lack of clinical engagement) •Long or unrealistic timeframes •Poor or no requirements •Scope creep- the scope increases insidiously as the project progresses •No change control system- especially in consideration of changing requirements as the project progresses •Poor testing- testing is not done by those on the front-line, but by contract workers