www.npfit.nhs.uk

IPPR: Front Line Delivery Challenges

Wednesday 15 December 2004 Gordon Hextall

Programme objectives

Not just an IT programme but a patient safetyand clinical governance programme …………

………..to deliver a 21st century health service through efficient use of information technology

• Modernisation of the NHS - 10 year programme initiated July 2000

- Enables improved Access & Choice

- Enables care pathways and patient focus

- Should improve accuracy in treatment

- Opportunities for Improved efficiency

- Front line challenges: patients and staff

IT is the underpinning enabler of NHS modernisationIT is the underpinning enabler of NHS modernisation

Delivery challenges: context

Trusts- Most systems do not

support the movement of information between buildings and departments

- Several records often created for the same patient

Delivery challenges: context

Primary Care- Most individual practices now

have their own IT applications and databases

- Patient records are not easily transferred to other practices or care providers

- Development and effective implementation of care pathways is inhibited

- Paper-based records delay modernisation and the delivery of National Service Frameworks

Delivery challenges: context

Choose and Book

BMSBMS

EBS

EBS

EBS

EBS

BMSBMS

BMSBMS

Internet

Internet

Patient via Internet

& Unique Booking Ref No

Booker (via New NHS Network: N3)

Referrer or Booker

(via Primary

Care System)

• Patient confidence

• Confidentiality issues

• Access controls: new processes

• GP acceptance: changes working practice

• Availability of hospital specialties

• Availability of consultant’s slots

• Compliant and reliable IT systems

Delivery challenges: e-booking

Electronic Transfer of Prescriptions

Delivery challenges: e- prescriptions

• Three tier computerisation (Prescriber; dispenser; re-imburser)

• Compliant and reliable GP and pharmacy IT systems

• Electronic authorisation signatures

• Culture change: - nomination of pharmacies - detailed prescribing history - drug costs

• Counter fraud paperchase

Picture Archiving

Delivery opportunities: PACS

• Clearer digital images (x-rays, scans etc)

• Reduced diagnostic waiting times (images instantly available)

• Patient convenience

• Enables remote diagnosis – incl. paramedics

• Quicker and more accurate archive retrieval

• Reduced film, chemical and storage costs

NHS.uk & Healthspace

Delivery opportunities: NHS e- portal

• Single NHS web portal: NHS.uk

• Personal records web access: Healthspace

• Access to treatment: NHS.direct

• Access to appointment booking: chooseandbook

• Access to information on all NHS services

• Access to NHS Care Records Service

• Telemedicine

• Self diagnosis, monitoring and treatment

• Knowledge, information & decision support

www.npfit.nhs.uk

IPPR: Front Line Delivery Challenges

Wednesday 15 December 2004 Gordon Hextall