Taking Forward Personalised Health and

Care 2020: Interoperability Strategy Indi Singh

Head of Enterprise Architecture, NHS England

inderjitsingh@nhs.net

@mr_indisingh

I Will Cover…

• Strategic context for commissioners

• Key clinical priorities

• National Information Board – Interoperability Strategy

• Work already progressing with local organisations

• Work in conjunction with Industry

• The “offers” to you and your organisations

• Examples of what’s been achieved at a local level

As a Clinician, Paper-Free Health and Care

will Mean I Can:

The Ambition Will be About Improving High

Priority Care Pathways

Delivering Integrated Digital Care

How do I get there? Interoperability Strategy

Where am I going? Where am I now?

Interoperability Strategy the development of an open environment for information sharing supporting emerging models of care based on open interfaces and open standards.

Transfers of Care

NHS Number

Key Priorities

Procurement Guide

Interoperability Handbook

Tools

Interoperability Programme –

Operating Principles • “Interoperability” wide and expansive term and overly technical

• Breaking down “interoperability” into meaningful parts

• Key priorities e.g. use of NHS Number, Transfers of Care

• Key blockers e.g. information governance guidance

• Future direction – new ways of information sharing

• Scope across health and care

• Co-creation of products to assist local organisations, developed in

conjunction with local organisations such as Integration pioneers

• Facilitating communities on information sharing

• Showing local best practice and direction of travel

Working Directly with Local Organisations

Wave 2 Wave 1

Complementing by Bringing Together

Cohorts on Information Sharing Driving priority standards for

information sharing

Collective guidance on

breaking down “myths”

Understanding common and

priority needs

Articulating direction of

travel

Business Justification - Build a business case for investment

in Integrated Digital Care Records

Information Governance and standard templates - Check I

am in line with Information Governance guidance

Citizen Engagement - Allow citizens an easy way of engaging

with their care records

Clinical Engagement - Provide clinicians with open-source

components to deliver integrated care records

Open interfaces - providing re-usable interfaces so that

systems and software can talk to each other

Interoperability handbook - Understand the interoperability

options you can take and how to procure using

interoperability tools and standards

Open Requirements - A de facto business case for use to support an Integrated Digital Care Record (IDCR)

Open Governance - endorsed templates with supporting guidance you can use for your IDCR initiative

Open Citizen- common information and tools to support citizen engagement for your IDCR initiative

Open Viewer - Web based IDCR application for both care professionals and citizens to use

Open Integration - re-usable interfaces and integration

engine to bring systems together into your IDCR

Open Architecture - Infrastructure and tools to support both structured and unstructured IDCR information

Interoperability – The Offers

Interoperability – The Offers

The Interoperability Handbook • Helps to define what we mean by interoperability

• Support you in your local decision-making

• Highlight areas to consider as part of your interoperability journey

• Outline the different options you can take

• Provide case studies of where integrated digital care records

support existing and emerging models of care

• Identify technical standards, policy and guidance to support your work

Common and Open APIs What are the key interfaces that we need our vendors all to be working to?

Working with Vendors –

Tech UK Interoperability Charter 5 principles of the Interoperability Charter: • We will make available to other suppliers, the NHS and Local Authorities, the technical

specifications of our interfaces without charge

• Where there is customer demand we agree to co-operate without charge with other suppliers in developing interfaces

• We will not reinvent the wheel and will use internationally recognised standards where relevant

• We will only charge reasonable and proportionate fees to the end user organisation for

Licencing, Implementation and Support services required for the interfaces.

• Where new interfaces and enhancement to existing enhancements to existing interfaces are required, we will not charge twice for the same software development

Key Takeaways

• Take into account the Interoperability Strategy to align your local direction of travel

• Use the guidance such as the Interoperability Handbook to help in your local decision-making

• Become part of the community to both contribute to the offers

– Launching the Code4Health interoperability community.

• Help us to highlight your key areas where we need to provide subsequent guidance and

support

• Get in touch to access resources and help - england.interoperability@nhs.net