A Digital 20:20 Vision
Justine Westwood, NHS 24 and SCTT
BACKGROUND• NHS 24 took on responsibility for SCT
in April 2010• SCT Strategic Framework 2010-2012• NHS 24 took on responsibility for
National Telecare Programme in April 2011
• Telecare Action Plan 2011-2012• NHS 24 Strategy Development 2012
CONTEXT• SGHD 2020 Vision• Quality Strategy• Digital World (SG Digital Strategy; NHS 24 Horizon
Scanning)• Public Sector Finances• Scotland and Health and Demography of Scotland• Christie Commission• SGHD e-Health Strategy (and emerging Citizens e-
Health Strategy)• Health and Social Care Integration• Manifesto commitments (cancer; health inequalities;
early years)• National Telehealth and Telecare Strategy
NHS 24 STRATEGY – RECENT PROGRESS IN PAST 3 YEARS
• Strong performance and delivery• Creativity and innovation• Expansion of and accelerating development
of channels and services• Unscheduled care OOHs now only one of a
wide range of services• Recognised as contributing more to NHS
Scotland and NHS Boards• Reputation of organisation positive
• Telestroke Networks – covering 11 Health Boards• Paediatrics – Unscheduled Care / Decision Support;
Maternity Telehealth• Long Term Conditions – Pulmonary Rehabilitation; Home
Monitoring• Mental Health – Forensic Psychiatry; Dementia Support for
Care Homes• National Infrastructure• Education and Training• DALLAS• Europe – Regional Telemedicine Forum; Momentum; CASA;
pipeline projects
SCTT – RECENT PROGRESS IN PAST 2 YEARS
1. Continue to improve, expand and develop services – expect continued growth in services and channels
2. “Multichannel NHS Services” – bigger than just NHS 24
3. Role of NHS 24
NHS 24 STRATEGY – KEY MESSAGES FOR NEXT 3 YEARS
KEY MESSAGE (1) – IMPROVE, EXPAND, DEVELOP INCLUDING…
NHS inform Care Information Scotland
CBT Living Life Computerised CBT
Taking Measures MSK
Patient Reminder Service Perinatal Advisory Service
Web cam Web chat
Life Begins @ 40 STV Health Centre
Digital TV SMS text
Facebook Twitter
• NHS in Scotland ‘going multichannel’
• More collective approach across NHS in Scotland (and Health and Social Care; and Public Services)
• More joined up, more focussed, collective effort and ownership
• NHS 24 vital player
• Supporting SGHD
KEY MESSAGE (2) – MULTICHANNEL NHS
SERVICES
internetTV
Telecare
Face2
FaceSMS
video
mobile
phone
• National Asset• Delivery of services• Leading• Facilitating• Resource supporting NHS Scotland• Horizon Scanning discipline• Research and Development• Academia and Industry links and partnership• Across Health and Social Care• Across Public Services• Europe• Enterprise• Innovation
KEY MESSAGE (3) – ROLE OF NHS 24
NATIONAL TELEHEALTH AND TELECARE STRATEGY
• Reflect Scottish Government’s 2020 vision• Identify vision for Telehealth and Telecare in Scotland• Proposed priorities of
– Health and Wellbeing– Empowering People– Improving Value
• Identify what success will look like
SCTT Action Plan will ….
• respond to the National Strategy clarifying the contribution SCTT can make;
• respond to the recommendations made by Audit Scotland;
• respond to the requests made by Health Boards and Local Authorities;
• progress well defined opportunities;
Scottish Centre for Telehealth and Telecare
Strategy 2012-2015
NHS LANARKSHIRE CLINICAL PORTAL
Sean Brennan, NHS Lanarkshire
LTC Info Hub and Clinical Portal Programme Manager
The world of Tannochbrae
VisitsGP/practice
nurse
Visits OutPatientsAttends A&E
Is visited at homeNurse or care worker
midwife etc
In-Patient
The world has changed
Visits OutPatients
VisitsGP/practice
nurse
Calls NHS24
Uses theHome HealthCare Guide
Calls OOHservice
Is visited at homeby GP, nurse, social
/ care worker,midwife etc
Visits thedentist
Attends as an Inpatient
Attends A&E
Calls 999
NHS 24online
Visits awalk-incentre
Goes to the Pharmacy
Business Drivers
Why the Clinical Portal ?
Poly-Record !
Illustration kindly provided by NHS Redbridge
Falling through the cracks
• Victoria Climbie – 12 chances to save her life in 10 months not taken
• Previous tragedies – the common threads are– Late intervention– Lack of information sharing– No one person with accountability– Over stressed front line workers
• Lord Laming re Victoria Climbie– (Recommendation 78) Within a given location, health professionals should
work from a single set of records for each child. (paragraph 11.39)– (Recommendation 90) Liaison between hospitals and
community health services plays an important part in protecting children from deliberate harm.
• Baby Peter Inquiry– “The Inspection found that record keeping is inconsistent
and sometimes of poor quality. This means that vital information which might help to form a complete picture of a child’s safety and welfare is not available.
Separate Applications with islands of clinical information
Presentation layer (Clinical Portal)
PAS
Diary
OCS
Plans
HEPMA LABS PACS MiDiS Cancer Diabetes
PAS
or
PMS
A Clinical Portal will pull together documents and data to create a complete record – regardless of where that information was a) created or b) stored. It will also enable seamless links to other clinical systems.
NHS Lanarkshire: Clinical Portal
• What is a clinical portal ?• What do clinicians want to see in their portal?• How will this be delivered and when?• How is clinical data captured in an increasingly paperless or
paperlight NHS?– Digital Pens– Tablets/Direct computer input– Other
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