NPFIT UPDATE

• New Perspectives• Stocktake• Planning Guidance

– Information Governance– Capability and Capacity– SCR

• Clinical dashboards• Summary Care Record• Leadership/professionalisation/staff development

Clinical Dashboards - Commitments

NSR• ‘The next stage in achieving high quality care, requires us to unlock local innovation

and improvement of quality through information – information which shows clinical teams where they most need to improve, and which enables them to track the effect of changes they implement.’

• Within organisations, we know that a defining characteristic of high performing teams is their willingness to measure their performance and use the information to make continuous improvements...We will develop ‘Clinical Dashboards’ which will present selected national and locally developed measures in a simple graphical format as a tool to inform the daily decisions that drive quality improvement.’

HIR• NHS clinicians are dependent upon good quality information and data to make sure

they are providing the right services to patients. They must have appropriate access to data whenever they need it, in a usable format. The provision of a clinical dashboard will improve the clinical team’s ability to focus on improving the quality of care locally. It will provide NHS clinicians with good quality information that will help them make sure that they are providing the right services to patients. It will give them appropriate access to data, whenever needed, in a usable format and will present them with meaningful clinical indicators, defined by local teams, in an immediate and impactful way. We are developing a prototype which will be evaluated prior to further development.

2

Prototype site Clinical Dashboards 1

The Homerton Accident & Emergency Depart - Clinical Dashboard

The Nottingham Urology Depart - Clinical Dashboard

Prototype site Clinical Dashboards 2

The Bolton PCT- Clinical Dashboard

Prototype site Clinical Dashboards 3

Fast FollowersLondon

Enthusing Next Sites

•Equitable access IT schedule (5) now includes SCR. •Operating framework includes SCR reference. •Readiness Assessment Tool now “significantly” completed. •Planning and reporting tool live for Fast Follower PCTs to use.•Integrated Adastra solution available in January.•Promotion of SCR as a tool for accessing End of Life care plans. •Availability of resource from CFH team.•Clarity on benefits and linkages to NSR.

•

Sources:

TG - OGC - HMT - HRIT Profession - Security

Services - Other Professions

Cross Cutting Tool Kits:

Embedding Skills FrameworksRecruitment

Performance ManagementReward

Learning & Development

Function Specific Tool Kits:

Policies (Gov & Local) - Standards (Gov, Local & Industry)Methods (Local & Industry) - Guidance (Gov & Local

Exemplars (Gov, Local & Industry)Learning & Development Opportunities

LeadershipPeople

ManagementStrategicThinking

PPM

FinancialManagement

Comms &Marketing Analysis &

Use ofEvidence

DeployingCapability

RelationshipManagement

DevelopingCapability

`

Foundation Programme Core (timed for Fast Stream)

Business of Govt

Bus. Change Mgmt

Service Delivery

Govt IT Landscape

P’gmme & Project Mgt

Practitioner

Practitioners & Senior Practitioners

Lead Practitioner

Executive Managers Workshop

Accredited existing learning

electives by competency

Core

Senior Manager

Delivery Through Suppliers

IT Enabled Policy

Delivery

CIOCIO Leadership Development Programme Core

Senior Managers’ Core Programme

Managing Business Change Reliable Project Delivery Accredited existing learning

electives by competency

Key Current Academy provision Next focus for development Future development Existing market offerings

Supplier Mgt

Sol’n Architecture

Academy Conceptual Model - Training

Tech specific

Sol’n Dev & Impln’tion

Info Mgt &Security

SHOULD WE BE CERTIFIED…

NYHDIF Time out

13/14th November 2008

NEXT STEPS REVIEW

• Improving health and healthcare requires a better understanding of:– Needs– Expectations– Choices for patients– Outcomes– Performance

• Change

HEALTHY AMBITIONS

• Information for patients on treatments/outcomes• Reduced nos trips to hospitals• Faster and better treatments• Improved VFM• Support for organisations to work together• Greater access to patient information for clinicians• Better access to prescribing information and risk scoring

THE CHALLENGE

• “good informatics services are vital to delivering the health and social services we hope for, and the only way of knowing how well we have delivered……… (they)………….will improve patient experience and enable …………………improve(ments) in the quality of care”

(Health Informatics Review)

THE RESPONSE

• Leadership• Professionalisation• ETD/CPD• Developing future leaders• Creating careers• Developing people• Raising standards• Developing capability

Employer

NHS CfH

The IC

IM HINOSGSS etc

KSF General

KSF Core

IT HINOSSFIA etc

NHS Institute

Universities21st century context

NHS, patients, etc

Leadership

development

The individual

In ITIn IM

Master classes

E-learning

Foundation degrees

HI qualifications

Other NHS

Other training providers

Modular courses

W ork shops

Use of ICT

Sources and

uses of data

Accreditation

Career pathways

SfH

NHS Employers

Education Providers

BCS content

Agenda for ChangeNHS pay system

Job evaluations using 16 factors weighted together to set grades and

pay and create job profiles

Knowledge & Skills FrameworkLearning part of pay modernisation

6 core dimensions8 general dimensions

3 groups of specific dimensions

Health Informatics National Occupational Standards (HINOS)

contains further detail

20 Health Informatics11 Information & Library services6 Records, 31 IT Professionals

job design,recruitment,

performance management,identifying team skills &

knowledge gapsNHS employers

identifying skills and knowledge gaps, improving performance and pay

through individual learning and development

NHS employees

identifying learning needs anddefining learning outcomes

and using these to design qualifications

Education providers

UKCHIP

IHRIM, GSS, PACC, CILIP, Govt ITP, others

Accreditation/regulation

ASSIST

IRHIM, RSS, PACC, CILIP, BCS, others

Professional associations

BCS HI Forum, HI PDB, NHS Faculty

for HI

Other support

to create and maintain a profession that contributes to improved health outcomes

by ensuring that members have the right professional competence and comply with ethics and behavioural standards

are developed and used by

Tertiary and HE institutions,

NHS Institute, others

Education providers

for the purposes of

Skills Frameworks

NHS CfH, The IC, NHS Healthcare workforce, NHS Employers, NHS

Careers

NHS service providers

BCS HIF/CFH content

ACCREDITATION and CERTIFICATION

• Certification– 3rd party attestation of products/processes/systems– Lifetime or time limited

• Accreditation– 3rd party attestation of assessment process

How an accreditation scheme might work

Independent Scheme Owner

Support

Standards

Certification

The United Kingdom Accreditation Service (UKAS) is the sole national accreditation body recognised by government to assess, against

internationally agreed standards, organisations that provide certification, testing, inspection and

calibration services.

Standards used to define the scheme –

Subject to ongoing refinement and national

agreement

Visit www.dh.gov.uk/accreditation for more information.

The Process of testing the

standards, and validating

organisational status/position.

Certification Organisation(s)

[Based on DH Information Accreditation Scheme]

Getting people up to standard, and

supporting movement from

one level to another

THREATS

• Failing processes leading to replacement• Being compared to unreasonably high standards• Costs of assessment and of adherence to standards• Diversion of resources to meet process requirements• Falling reputation and morale

BENEFITS TO PROVIDER

• Increased professional reputation• More attractive to commissioners• Greater freedom to operate• Marketing tool• Attractive to new high calibre staff• Reduction in staff turnover• Increase in morale

BENEFITS TO COMMISSIONER

• Third party assurance• Increased public confidence• Greater likelihood of legislative compliance eg H&S• Implications for CNST• High quality service delivery at low cost• Confidence in levels and consistency of standards of

work• Increased assurances for Boards

RAISING STANDARDS

• Focus on services• Identify core services (for initial assessments)• Set standards• Assess against standards

– Self– Peer

• Publish results• Establish validity/reliability/reputation of results• Determine improvement plan• Secure additional resources• Use results to raise individual standards

So are you up for it ……………………..