delivering transformation - nhs england...benefits • increasing our ability to deliver the most...

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www.england.nhs.uk/expo@ExpoNHS#Expo18NHS Delivering Transformation The new ambulance Global Digital Exemplars share their leading edge work for urgent and emergency care West Midlands Ambulance Service NHS Foundation Trust North East Ambulance Service NHS Foundation Trust

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Page 1: Delivering Transformation - NHS England...Benefits • Increasing our ability to deliver the most Appropriate Care Pathways and resource through greater access to Shared Records •

www.england.nhs.uk/expo│@ExpoNHS│#Expo18NHS

Delivering Transformation

The new ambulance Global Digital Exemplars

share their leading edge work for urgent and

emergency care

West Midlands Ambulance Service NHS Foundation Trust

North East Ambulance Service NHS Foundation Trust

Page 2: Delivering Transformation - NHS England...Benefits • Increasing our ability to deliver the most Appropriate Care Pathways and resource through greater access to Shared Records •

• WMAS / NEAS - background

• Where we’ve come from (Digital Maturity)

• Where we want to get to (GDE opportunity)

• GDE – progress to date

• Joining it all up

• Questions

Agenda

Page 3: Delivering Transformation - NHS England...Benefits • Increasing our ability to deliver the most Appropriate Care Pathways and resource through greater access to Shared Records •

WMAS Background Information

• Regionally provide 999, HCP Urgent and

Patient Transport Services

• 19 Acute Hospitals (3 MTCs)

• Population of 5.6 million

over 5,000 sq miles

• 1 million 999/urgent incidents

• Additional 1 million scheduled patient

transports (PTS)

Page 4: Delivering Transformation - NHS England...Benefits • Increasing our ability to deliver the most Appropriate Care Pathways and resource through greater access to Shared Records •

• Regionally Provide 999, HCP Urgent, 111

and Patient Transport Services

• 9 Acute Hospitals (2 MTCs)

• Population of ~2.6 million

over 3,200 miles

• ~1.5 Million calls p.a.

• ~400,000 999/urgent incidents

• Additional 1 million scheduled patient

transports (PTS)

NEAS Background Information

Page 5: Delivering Transformation - NHS England...Benefits • Increasing our ability to deliver the most Appropriate Care Pathways and resource through greater access to Shared Records •

Where we’ve come fromAmbulance History

• 28 years: paper free 999 call

• 25 years: mobile data for dispatch

– Integrated communications

– Merger and transformation

– System upgrades and

replacement

• 5 years (or less): paper free at

patient side

Page 6: Delivering Transformation - NHS England...Benefits • Increasing our ability to deliver the most Appropriate Care Pathways and resource through greater access to Shared Records •

Where we’ve come fromOrganisational Challenges

• Multiple LDRs

• A mix of solutions across each region

• Ambulance trusts working on different

schemes at local pace

• Funding to STP has local, not regional, focus

• Constantly changing service requirements

• Limited Funding streams

Page 7: Delivering Transformation - NHS England...Benefits • Increasing our ability to deliver the most Appropriate Care Pathways and resource through greater access to Shared Records •

Where we want to get to

WS1 - Electronic Health Record

WS3 - Interoperability

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Page 8: Delivering Transformation - NHS England...Benefits • Increasing our ability to deliver the most Appropriate Care Pathways and resource through greater access to Shared Records •

Benefits

• Increasing our ability to deliver the most Appropriate Care Pathways and

resource through greater access to Shared Records

• Reducing Variation by Analysing and Simulating the full ambulance,

patient and outcome variables.

• Improved efficiency through smarter use of Stock and Medicines

management technology.

• Improving the security, confidentiality and accuracy of our information at

the point of handover to other care providers through digital Transfers of

Care

• Reducing Duplication of effort by producing solution Blueprints for our

sector.

Page 9: Delivering Transformation - NHS England...Benefits • Increasing our ability to deliver the most Appropriate Care Pathways and resource through greater access to Shared Records •

Progress to date – early days!

• WMAS• Extending EPR to new users

• Understanding and acting on outcomes

• Pilot for CP-IS in ambulance

• NEAS• Pilot for NRLS in ambulance

• Integration to Medical Interoperability Gateway information

• Development of Simulation modelling and analysis software.

• Evaluating Trust Integration Engines (for Ambulance Services)

Page 10: Delivering Transformation - NHS England...Benefits • Increasing our ability to deliver the most Appropriate Care Pathways and resource through greater access to Shared Records •

Joining it all up (with the wider NHS)

Sharing Information• Standards development and adoption

• Trust Integration Engine (TIE)

Sharing Knowledge• Understanding factors affecting performance

and delivery

• Blueprints

• Fast Followers?

Page 11: Delivering Transformation - NHS England...Benefits • Increasing our ability to deliver the most Appropriate Care Pathways and resource through greater access to Shared Records •

www.england.nhs.uk/expo│@ExpoNHS│#Expo18NHS

Phil Collins

Head of IM&T - WMAS

[email protected]

Paul Nicholson

Assistant Director IM&T - NEAS

[email protected]

Questions &

Thank You