Health Insights 2015Regional Event

Bristol

Health & Social Care Informatics “Re-Energising the Profession”

Gwyn ThomasChair UKCHIP

NATIONAL INFORMATION BOARDPersonalised Health and Care 2020

Workstream 6 “Supporting care professionals to make the best use of data

and technology”

“On a national scale developing a professional culture with informatics skills as a core

professional requirement must be a major priority”.

“The pace at which information technology is rolling over society does not allow the NHS to wait

for the arrival of ready-made informatics/IT literate professionals some time in the future”.

“NHS and senior members of professional bodies will have to show leadership and

commitment.”

“There are formidable educational, cultural and management challenges to overcome. But they

are more than matched by the scale of the benefits the success of this strategy will bring for

patients, professionals and the public”

.

Information for Health

An Information Strategy for the Modern NHS 1998–2005

“A national strategy for local implementation”

Informatics Professionalism

2015 – The Informatics EnvironmentProfessional and Organisational Leadership

The Chief Information Officer (CIO) as Head of Profession

The first CIO…

• USA , 1990s - One of the ‘Chiefs’ (CEO,CFO, COO,CMO)

• UK Government CIO • Created 2004 – CIO Council• Axed 2013• Replaced, 2015 with CDO

Meanwhile in the NHS and Local Government the Professional Head could be

• CIO/CCIO• Director of Informatics/IM&T/ICT• Head of Informatics/ IM&T/ICT

And • Report to the CEO? - Very Rare• Seat on the Board? - Very Rare• Leadership Role? - Very Rare• Strategic Role? - Sometimes• Supporting Role? - Always• Operational Role? - Always

2015 – The Informatics EnvironmentProfessional and Organisational Leadership

The Chief Information Officer (CIO) as Head of Profession

TOP 100 CIOs

1 in 2 Report to the CEO. 1 in 3 Seat on the Board.

The Industry Benchmark

CIO vs CDO: There can be only one

The Role of the CIO: Evolving or Evaporating?

The CIO and the T-Rex: Adapt or Die

From CIO to CEO: Why it's time to give up on the impossible dream

Why CIOs should become chief integration officers in 2015

CIOs Struggle With Relevance of Role to Business

CIOs face identity crisis as the'one-size-fits-all’ job description no longer fits

What’s a CIO for …And Who Cares??

The CIO Identity Crisis A few Private Sector headlines ….

Health &

Social Care

Services

CIO RECRUITMENT

RATIO50:1

Capacity & CapabilityThe Informatics Talent Pool

IMPROVE THE MEAN

REDUCE THE SPREAD

• Very Intelligent

• Masters in their own environment

• Struggle to succeed outside it

• Find it difficult to communicate with Humans

The Dolphin Effect

2015 - The Perceptions of CEOs(A Quantum of SOLACE)

“In the mean time, if you have to go to hospital and if your name is Smith, Jones, Patel or Mohammed, be afraid, be very afraid”.

Dr Joe McDonald Chair, UK CCIO Network 2014

NHS IT Strategies

1992 - 2015

In 23 years the Informatics Profession has failed provide the collective leadership

• To do what clinicians see as absolutely necessary and• To do what patients see as blindingly obvious.

Professional Leadership The Track Record

Aneurin Bevan Health Board fined

£70,000 for data breach

A Welsh health board has become the first NHS body to be fined for breaching the Data

Protection Act after it released sensitive data about a patient to

the wrong person.

Aneurin Bevan Health Board (ABHB) will have to pay a £70,000 penalty.

A doctor misspelt a name and did not give enough detail about a patient to

his secretary,

meaning a report was sent to

someone with a similar name.

Isle of Scill

y Council o

rdered to rev

iew

procedures

following data

incidents

News re

lease: 9

September 2

014

The Inform

ation Commissioner’s

Office (ICO) h

as ordered th

e Council of th

e I sle of S

cilly to

implement new data protectio

n policies and tra

ining after two data breaches in

volving the

disclosure of p

ersonal data.

Care.data: How did it go so wrong?

Professional Reputation

• No clear policy for Professional Registration – The Public Good• Government• Employers• Regulators

• No requirement for Professional Membership • The Benefits Proposition?

• Amongst all organisations representing Informatics Professionals there are: • duplication of functions• overlapping roles and responsibilities• organizational rivalries• fragmented leadership

• Estimated 60,000 Informatics staff working in health and social care, but less than 10% actively registered / members of a professional body and most of those are not active

The Informatics EnvironmentUK Professional Landscape

What is Health & Social Care Informatics?

REGULATED

NOT REGULATED

Why is Professionalism important for Health & Social Care Informatics?

Health & Social Care Informatics is fundamental:

• To the safe delivery of patient and service user care, and

• For the maintenance of public trust in the secure handling of personal health and care information

Professional Reputation & Public Trust

“Who can I trust with my data – and how do I know?”

What is Professionalism?

• Practice

• Standards

• Behaviours

• Ethics

• Development

Registration

Developing Skills

Recording Skills

Proving Skills

Validation & Regulation

“You are personally accountable for your professional practice and must always be prepared to justify your decisions and actions.”

“Doing the Right Thing… When No-one is Looking”

Health & Social Care Informatics “Re-Energising the Profession”

• Provides Leadership• Acts Independently• Representation• Reputation• Knowledge Base• Professional Standards• Personal Development• Code of Ethics• Publicly Open Register• Regulates Bad Practice

What’s important to you?

• Independent Voice for Policy & Professionalism

• Skills Framework and CPD

• Professional Recognition

• Recognition that informatics is integral to the delivery of better, safer care

2014 Consultation - What Informatics Staff told us

Health & Social Care Informatics “Re-Energising the Profession”

Independence• Standards • One voice • Objective assurance • Public trust

Inclusivity• NHS, Social Care, Academia and the Private Sector• Collaboration is the only credible approach • Professional standing and reputation

Sustainability• Active and involved membership • Developing and exploiting the knowledge base• Serving individual members • Professional registration• Promote the value of informatics

Federation for Informatics Professionals (Fed-IP) – Our Aims

Health & Social Informatics “Re-Energising the Profession”

More information:

“Fed-IP Prospectus”

(www.ukchip.org)

“EHI Health CIO Network –

CIO Handbook Ch.2

“Informatics Professionalism”

1. Priority policy drivers for requiring registration of Informatics staff are: • Cyber-security• Health & Care Records• False or Misleading Information• Professional leadership (CIO & SIRO)

2. NIB Workstream 6 – Fed-IP Outline Delivery Plan• Define the relevant roles requiring registration under each of the

above 3 functions.• Develop the relevant professional standards (core plus specialist)

to cover the above roles as well as the CIO and SIRO• Build a credible registration and regulation process, taking into

account other experience such as the Academy for Healthcare Science, • Personal qualifications – via the registration & regulation process• Independent assessment of service capacity and capability• Provision of CPD opportunities/courses• Accreditation of other CPD course providers

Fed-IP Action Plan supporting Workstream 6

“Your professional reputation is determined by the lowest standards that you tolerate not the highest

you have achieved”

Health & Social Care Informatics “Re-Energising the Profession”

“Time to raise the bar”