HEAL HSYSTEMSSOLUTIONS

UK health service update

Agenda

• Review of UK healthcare reforms

• Review of UK National healthcare IT projects– England– Scotland– Wales– Northern Ireland

• Progress with Prorec UK

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UK healthcare reforms• Government modernisation agenda

• Need to reduce medical errors

• IT recognised as key enabler

• Increasing use of private sector providers

• Constant revisions to the reforms– Payment by Results– GP commissioning– Patient choice – Move to Community care – need for EHR

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NHS Connecting for Health

Delivering IT for a modern, efficient NHS

Vision for the future

• More choice and control for patients over their own health and care

• A health service “designed around the patient”• Secure access to up-to-date, accurate information

for diagnosis, treatment and care for all those involved in the care of a patient

• Easier access for patients to their own health and care information

• A more modern, efficient NHS

Every day in the NHS…

• Source: Chief Executive’s report to the NHS Dec 2005

836,000 people consult their GP or practice nurse

389,000 people receive care in the community

There are 50,000 visits to A&E

124,000 people attend outpatient clinics

There are 114,000 emergency admissions

There are 44,000 elective (planned) admissions

There are 19,000 calls to NHS Direct

There are 7,000 visits to walk-in centres

73,000 adults receive NHS dental treatment

Keeping patient information secure

• Access will be on a ‘need-to-know’ basis according to job role

• State of the art authentication processes are being used

• All registered staff will access systems using a smartcard and PIN

• Patient information will only be shared in the interests of their care

• Audit trail of when, where and by whom patient records were accessed

UK National health IT• England, Scotland, Wales and Northern

Ireland all different

• England – NPfIT in NHS– £6.2 billion over ten years (potentially £20 billion)– Network and PACS (Imaging) successful– The rest is at least two years late– Replace rather than build on– Many lessons for others

• Wales – project just started

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UK National health IT

• Scotland– Centralised strategy– No use of global service companies– Focus on clinical added to existing legacy

administration systems– GP systems to be replaced

• Northern Ireland– Limited budgets– Build on rather than replace

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Progress with Prorec UK

• English NPfIT seen as ‘the standard’ and so no need for Prorec Centre

• Now with NPfIT being questioned– 25 professors of IT asked for review– Politicians of all parties demanding change– BCS recommending review

• Prorec UK now becoming a reality– Focus on EHR, standards and lessons– Academic, BCS and Industry involvement

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