a digital nhs
DESCRIPTION
What might a digital NHS look like and what is the role of open source in achieving the vision.TRANSCRIPT
A Digital NHSEwan Davis Consultant to NHS England
34 Years in NHS ITSME > CorporateFounder of HANDIPast Chair TechUK Healthcare GroupPast Chair BCS Primary Health Care [email protected] A Digital NHS - AgendaSome background to the the NHSIT in the NHSA new open collaborative approach to digitisationRole of open source in the NHSNHS experience with odooSome lesson and conclusionsNHSLarge and complex organisationHas to deal with massive rise in demand driven by ageing population - The Grey TsunamiDevolved to 4 home countriesBiggest employer in EuropeOver 900 legal entities + NHS GPs, Pharmacists, Dentists and OpticiansRanks #1 in the World (Switzerland #2 USA #11)http://www.commonwealthfund.org/publications/press-releases/2014/jun/us-health-system-ranks-last Current priority to move to integrated care with much greater patient participation e.g. Devo-Manchhttp://www.theguardian.com/healthcare-network/2015/mar/24/devo-manc-five-early-lessons-for-the-nhs NHS ITPrimary Care (GP) IT leads the world 99% computerised > 15 years, majority paperliteOther sectors lag behind with full electronic records still rareIn all sectors focus has been on enterprise wide systemsThe $12.bn 10 year+ NHS National Programme for IT now acknowledged as mainly a failureEmergence of apps creating new challenges and opportunitiesA new approachTo facilitate the creation of an open digital ecosystemA mixed economy of proprietary and open source components based on open standards, open APIs (interfaces) and open dataProviding a platform to facilitate interoperability and orchestration on which systems can plug and playMaking data and knowledge shareable and computable, seperate from the application that create and consume itEliminating vendor lock-in, so vendors compete on value not ownership of IPRFacilitating collaborative working Open digital ecosystem (simplified)
The role of open source in the NHSTo provide an alternative to proprietary solutionsTo drive valueTo facilitate clinical engagementTo facilitate cooperationTo promote opennessTo encourage proprietary vendors to play nicely To enable sharing and re-useSome ExamplesNHS Spine The NHS master index and ESBNHS eRefferals NHS enterprise wide scheduling (replaces Choose & BookOpen-eObsOpenEyesOpen-ePOpenMaximsOPENep
Open-eObs
NHS and odooMany NHS processes are generic business processMany clinical processes can be treated as business processesBut ERP has been little used in the NHS because of cost and complexity of proprietary ERP solutionsoddo looks like a promising tool to bring the power of ERP to the NHS compatible with our open strategyoddo already used to successfully replatform Open-eobs and is likely to be used as a part of other open source projects Lesson and ConclusionsThe use of open source components and collaborative approachesMassively reduces development time and costEncourages end user engagement and adoptionCreates opportunities for innovationA Digital NHSEwan Davis Consultant to NHS England
@nhsopensource @WoodcoteEwan @handihealth
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