Retaining the national goal

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Retaining the national goal

• Angela Mitchell
• eHealth Programmes

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Contents

• eHealth Programme
• Current policy context
• Enablers
• Key challenges
• How the team is addressing the challenges
• Strategy
• Architecture and design
• Change, benefits and communications
• Programmes

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eHealth is about enabling better care through the
use of information
NHS Scotland should be known for continuous
improvement and its relentless pursuit of
quality..In our discussions we need to look
at..developing a new strategy for eHealth by
Spring 2008, exploiting new technologies to
everyones benefit. Nicola Sturgeon (Sept 07)

• Better health better care is an evolution of
  Delivering for Health
• eHealth was a recognised enabler for Delivering
  for Health
• eHealth helps deliver key areas of the BHBC
  vision
• As information follows the patient, the eHealth
  vision is to deliver better quality, quicker care

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There has already been progress towards the goal
Concept
Early implementation
In use
CHI
ECS
ECS 2
PACS
Improve patient experience
SCI Gateway
Sexual health
SCI Store
PMS
IPACC
Secure best value
AE (EDIS)
Single sign-on
GCS applications
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There are several challenges which need to be
addressed in order to deliver the vision

• Strategic
• Technical
• People related
• Operational

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These challenges are in a context of increasing
demand for revenue budget
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The eHealth governance structure will support NHS
Scotland to deliver
Minister
Chief Executives Group
SGHD Departmental Board

• Improved governance
• Clinical leadership
• Local/ national balance

NHS Board
eHealth Strategy Board
National eHealth Programme Board
eHealth Leads (NHS Boards)
Clinical Change Leadership Group
Local eHealth Implementation Board
National Clinical Reference Group
National Project Board
National programme board
Local Project Board
National Project Board
Local Project Board
Local Project Board
National Project Board
National Project Board
National project board
NSS
National Project Team
National Project Team
National Project Team
National Project Team
Local
National
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This overall structure will be supported by the
eHealth Directorate

• Strategy
• Architecture and design
• Change, benefits and communications
• Programmes

Paul Rhodes
Strategy
Programmes
Change, benefits comms
Architecture and design
Alan Hyslop
Jonathan Meddes
Elaine Heslop
Angela Mitchell
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The updated eHealth strategy will provide a clear
direction for all eHealth initiatives

• Aiming for a practical, deliverable strategy
  building on existing work
• Currently engaging with stakeholders to ensure
  strategy delivers for Boards
• Some early consensus but different groups have
  different priorities
• Lots of calls on funding
• Updated strategy in Spring 2008

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Providing a clear way of integrating clinical,
business and technical decisions will reduce risk

• Information governance
• Architecture
• Design authority
• Standards and specialist working groups

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The architecture will evolve from this
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To this..

• Coherent
• Integrated
• Secure

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Focusing on people and processes will maximise
the chance of benefits being realised

• Identifying the opportunities for improved care
  using existing systems
• Developing and rolling out a benefits management
  approach to all eHealth projects
• Recognising the people aspect of the change,
  initially focusing on establishing two-way
  communications

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We are taking a structured approach to
identifying opportunities from existing systems
Take a specific pathway on one Board and identify
opportunities
Identify specific opportunities from existing key
systems
Map generic pathways to applications and targets/
standards
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Co-ordinating eHealth initiatives across
Scotland will maximise chance of delivery

• Programme management office for eHealth provides
  a consistent view of the portfolio
• Supporting new projects through lifecycle
• Providing a delivery blueprint
• eHealth financial strategy
• Professionalising IT

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This is the beginning of a journey, not the end

• To deliver the national goal of integrated
  healthcare provision we need
• A recognition that eHealth is relevant to
  everyone
• A clear strategy which can be delivered in
  practice
• An architecture which supports national
  parameters with local flexibility
• Prioritisation which focuses on benefits
• Co-ordination, integration and aggregation of
  existing eHealth initiatives to deliver value
• Open dialogue with stakeholders
• People who are passionate about achieving the
  vision

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But we will move forward
That it will ever come into general use,
notwithstanding its value, is extremely doubtful
because its beneficial application requires much
time and gives a good bit of trouble, both to the
patient and to the practitioner because its hue
and character are foreign and opposed to all our
habits and associations.
London Times in 1834, describing the stethoscope