P1249003582aBwtV

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Title of Presentation
Learning to support change Access to
informatics training supporting NPfIT in the
Avon Gloucestershire Wiltshire Health
Community Andrew Raynes AGW IM T Education
Training and Development lead (NPfIT)
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Prepared for success ?
Gold
Bronze
Silver
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AGW logo page on green
AGW logo page on green
NPfIT Objectives

• Infrastructure Project connect and N3
  (Broadband connectivity)
• NHS Care Record Service (NHS CRS)
  
• Choose and Book
• Electronic transfer of prescriptions (ETP)
• Picture Archiving Communication System (PACS)
• Quality Management and Analysis System (QMAS)
• Secondary uses Services (SUS)

• Imeliora dies, ut vina, poemata reddit, scire
  velim, chartis pretium quotus arroget annus.
  scriptor abhinc annos centum qui decidit, inter
  perfectos veteresque referri debet an inter vilis
  atque novos? Excludat iurgia finis, Quid, qui
  deperiit minor uno mense vel anno, inter quos
  referendus erit? Veteresne poetas, an quos et
  praesens et postera respuat aetas?

Imeliora dies, ut vina, poemata reddit, scire
velim, chartis pretium quotus arroget annus.
scriptor abhinc annos centum qui decidit, inter
perfectos veteresque referri debet an inter vilis
atque novos? Excludat iurgia finis, Quid, qui
deperiit minor uno mense vel anno, inter quos
referendus erit? Veteresne poetas, an quos et
praesens et postera respuat aetas?
4
AGW logo page on green
National context

• NHS Plan
• National Service Frameworks
• Planning framework for Health and Social Care
• Information for Health
• Caldicott Report
• National Programme for IT (NPfIT)
• Delivering 21st Century IT
• Wanless Report
• Agenda for Change

• Imeliora dies, ut vina, poemata reddit, scire
  velim, chartis pretium quotus arroget annus.
  scriptor abhinc annos centum qui decidit, inter
  perfectos veteresque referri debet an inter vilis
  atque novos? Excludat iurgia finis, Quid, qui
  deperiit minor uno mense vel anno, inter quos
  referendus erit? Veteresne poetas, an quos et
  praesens et postera respuat aetas?

5
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Greater patient choice, improved care and
faster, more efficient access to information for
NHS staff are at the heart of the National
Programme Aidan Halligan Joint Director General
of NHS IT Better learning and knowledge
management cut the time to find essential
information (notes, test results) and make
specialised expertise more accessible Delivering
21st Century IT for the NHS (DOH) 2003

• Imeliora dies, ut vina, poemata reddit, scire
  velim, chartis pretium quotus arroget annus.
  scriptor abhinc annos centum qui decidit, inter
  perfectos veteresque referri debet an inter vilis
  atque novos? Excludat iurgia finis, Quid, qui
  deperiit minor uno mense vel anno, inter quos
  referendus erit? Veteresne poetas, an quos et
  praesens et postera respuat aetas?

6
AGW logo page on green
AGW logo page on green
NPfIT Benefits realisation

• Imeliora dies, ut vina, poemata reddit, scire
  velim, chartis pretium quotus arroget annus.
  scriptor abhinc annos centum qui decidit, inter
  perfectos veteresque referri debet an inter vilis
  atque novos? Excludat iurgia finis, Quid, qui
  deperiit minor uno mense vel anno, inter quos
  referendus erit? Veteresne poetas, an quos et
  praesens et postera respuat aetas?

Imeliora dies, ut vina, poemata reddit, scire
velim, chartis pretium quotus arroget annus.
scriptor abhinc annos centum qui decidit, inter
perfectos veteresque referri debet an inter vilis
atque novos? Excludat iurgia finis, Quid, qui
deperiit minor uno mense vel anno, inter quos
referendus erit? Veteresne poetas, an quos et
praesens et postera respuat aetas?

• Electronic Patient Record (NHS CRS)
• Improve services for patients
• Clinical Governance
• Support patients access to knowledge

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The Southern Cluster

• Imeliora dies, ut vina, poemata reddit, scire
  velim, chartis pretium quotus arroget annus.
  scriptor abhinc annos centum qui decidit, inter
  perfectos veteresque referri debet an inter vilis
  atque novos? Excludat iurgia finis, Quid, qui
  deperiit minor uno mense vel anno, inter quos
  referendus erit? Veteresne poetas, an quos et
  praesens et postera respuat aetas?

8
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Cluster - training and change

• High Level Training Plan
• Deploy Training Policy documents
• TP1 TP6 (End user and trainer competencies)
  
• TP2 Resource calculator (staff, trainers and
  resources)
• TP3 Consultation and Review process for training
  materials
  
• TP4 Training materials
  
• TP5 Use of the training system
  
• TP7 Evaluation of training impact
  
• TP8 Learning management

• Imeliora dies, ut vina, poemata reddit, scire
  velim, chartis pretium quotus arroget annus.
  scriptor abhinc annos centum qui decidit, inter
  perfectos veteresque referri debet an inter vilis
  atque novos? Excludat iurgia finis, Quid, qui
  deperiit minor uno mense vel anno, inter quos
  referendus erit? Veteresne poetas, an quos et
  praesens et postera respuat aetas?

9
AGW logo page on green
FJA training provision

• Imeliora dies, ut vina, poemata reddit, scire
  velim, chartis pretium quotus arroget annus.
  scriptor abhinc annos centum qui decidit, inter
  perfectos veteresque referri debet an inter vilis
  atque novos? Excludat iurgia finis, Quid, qui
  deperiit minor uno mense vel anno, inter quos
  referendus erit? Veteresne poetas, an quos et
  praesens et postera respuat aetas?

• Train the trainer (4 months prior to go-live)
• Training materials (available from a central
  repository)
• Evaluation

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Top 10 challenges for training
Several unknowns however

• Imeliora dies, ut vina, poemata reddit, scire
  velim, chartis pretium quotus arroget annus.
  scriptor abhinc annos centum qui decidit, inter
  perfectos veteresque referri debet an inter vilis
  atque novos? Excludat iurgia finis, Quid, qui
  deperiit minor uno mense vel anno, inter quos
  referendus erit? Veteresne poetas, an quos et
  praesens et postera respuat aetas?

Time 2. Collaboration Deliver change Funding 5. Resources Train the trainer and end user programme 7. RA and Card-reader 8. Learning management Choose and Book Agenda for Change
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Experiences of early implementors

• Training needs analysis - Better Information for
  better care
• Findings revealed
• Staff need to understand what NPfIT actually is
  and what it will deliver
• Evidence of working together and sharing of
  resources
• Increase in Basic skills in local communities
  through essential skills
• training (Windows, Email and Internet/ECDL)
• Further Information Governance training required
• Due to work commitments staff preferred training
  to last no longer
• than 2 hours

• Imeliora dies, ut vina, poemata reddit, scire
  velim, chartis pretium quotus arroget annus.
  scriptor abhinc annos centum qui decidit, inter
  perfectos veteresque referri debet an inter vilis
  atque novos? Excludat iurgia finis, Quid, qui
  deperiit minor uno mense vel anno, inter quos
  referendus erit? Veteresne poetas, an quos et
  praesens et postera respuat aetas?

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AGW logo page on green
Training and change in AGW

• IM T ETD Framework strategy (nww.agw-wdc.nhs.uk
  )
• Shared and collaborative approach to training
• Support/access to training through funding and
  learning accounts
• Increase Information Governance support across
  AGW
• Care Information Systems NVQ style programme
  (CIS1)
• AGW wide ECDL and Basic computer skills
  contract
• Enhance joined up working and partnerships
• Training providers/Health and Social
• Services/schools/Colleges/Universities
• Mainstreaming activities
• HR must be involved linking with A4C

• Imeliora dies, ut vina, poemata reddit, scire
  velim, chartis pretium quotus arroget annus.
  scriptor abhinc annos centum qui decidit, inter
  perfectos veteresque referri debet an inter vilis
  atque novos? Excludat iurgia finis, Quid, qui
  deperiit minor uno mense vel anno, inter quos
  referendus erit? Veteresne poetas, an quos et
  praesens et postera respuat aetas?

13
AGW logo page on green
Economies of scale

• Imeliora dies, ut vina, poemata reddit, scire
  velim, chartis pretium quotus arroget annus.
  scriptor abhinc annos centum qui decidit, inter
  perfectos veteresque referri debet an inter vilis
  atque novos? Excludat iurgia finis, Quid, qui
  deperiit minor uno mense vel anno, inter quos
  referendus erit? Veteresne poetas, an quos et
  praesens et postera respuat aetas?

• Explore options for training delivery
• Collaborate and share resources
• Promote and share good practice
• Reflect and evaluate
• Commission training at SHA level
• Support local initiatives

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Early implementors

• Example Bath and Wiltshire Health
• Community
• 4000 trained in 2 months
• 20 training rooms
• 75 champions
• 30 trainers

• Imeliora dies, ut vina, poemata reddit, scire
  velim, chartis pretium quotus arroget annus.
  scriptor abhinc annos centum qui decidit, inter
  perfectos veteresque referri debet an inter vilis
  atque novos? Excludat iurgia finis, Quid, qui
  deperiit minor uno mense vel anno, inter quos
  referendus erit? Veteresne poetas, an quos et
  praesens et postera respuat aetas?

15
AGW logo page on green
AGW logo page on green
Identify resources

• Imeliora dies, ut vina, poemata reddit, scire
  velim, chartis pretium quotus arroget annus.
  scriptor abhinc annos centum qui decidit, inter
  perfectos veteresque referri debet an inter vilis
  atque novos? Excludat iurgia finis, Quid, qui
  deperiit minor uno mense vel anno, inter quos
  referendus erit? Veteresne poetas, an quos et
  praesens et postera respuat aetas?

Imeliora dies, ut vina, poemata reddit, scire
velim, chartis pretium quotus arroget annus.
scriptor abhinc annos centum qui decidit, inter
perfectos veteresque referri debet an inter vilis
atque novos? Excludat iurgia finis, Quid, qui
deperiit minor uno mense vel anno, inter quos
referendus erit? Veteresne poetas, an quos et
praesens et postera respuat aetas?

• Training leads and lead trainers
• Trainers
• (ECDL, basic skills, librarians, Systems, other)
• Champion Super users
• (ward clerks, health professionals, AHPs
  Consultants, Administrators)

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AGW logo page on green
local learning needs.

• Information Governance
• Basic essential computer skills
• Knowledge/research
• Care System training
• Appropriate modules on systems (Carecast etc)
• Teaching/Coaching/training skills
• Local security and implications of swipe access
• - PRINCE Project management

• Imeliora dies, ut vina, poemata reddit, scire
  velim, chartis pretium quotus arroget annus.
  scriptor abhinc annos centum qui decidit, inter
  perfectos veteresque referri debet an inter vilis
  atque novos? Excludat iurgia finis, Quid, qui
  deperiit minor uno mense vel anno, inter quos
  referendus erit? Veteresne poetas, an quos et
  praesens et postera respuat aetas?

Imeliora dies, ut vina, poemata reddit, scire
velim, chartis pretium quotus arroget annus.
scriptor abhinc annos centum qui decidit, inter
perfectos veteresque referri debet an inter vilis
atque novos? Excludat iurgia finis, Quid, qui
deperiit minor uno mense vel anno, inter quos
referendus erit? Veteresne poetas, an quos et
praesens et postera respuat aetas?

17
AGW logo page on green
Priorities for the local level

• Establish joint training and change committee
  (FJA and NHS)
• Ramp up need for essential computer skills
• Scope/calculate specific training requirements
• Target training needs with a blended approach to
  delivery
• Role based access for smart card preparation
• Identification of training resources/trainers,
  champions and suites
• Identify learning needs, and deliver training to
  meet pre-erquisites
• (i.e basic computer skills and Information
  Governance)

• Imeliora dies, ut vina, poemata reddit, scire
  velim, chartis pretium quotus arroget annus.
  scriptor abhinc annos centum qui decidit, inter
  perfectos veteresque referri debet an inter vilis
  atque novos? Excludat iurgia finis, Quid, qui
  deperiit minor uno mense vel anno, inter quos
  referendus erit? Veteresne poetas, an quos et
  praesens et postera respuat aetas?

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Addressing pre-requisties

• Information Governance
• Care Information Systems Competencies (CIS1)
• (nww.avonweb.nhs.uk/cis)
• CIS Training Coordinator
• Trainer post
• Community wide screensaver
• Essential Basic computer skills
• AGW ECDL and Basic IT skills contract
• Choose from 5 training providers

• Imeliora dies, ut vina, poemata reddit, scire
  velim, chartis pretium quotus arroget annus.
  scriptor abhinc annos centum qui decidit, inter
  perfectos veteresque referri debet an inter vilis
  atque novos? Excludat iurgia finis, Quid, qui
  deperiit minor uno mense vel anno, inter quos
  referendus erit? Veteresne poetas, an quos et
  praesens et postera respuat aetas?

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A time for reflection

• Focus on outcomes and benefits realisation
• Collaboration and cooperation
• Communication
• Act on findings of TNA/early implementors
• Share best practices /resources (avoid wheel
  reinvention)
• Ensure IM T ETD is within holistic
  organisational objectives/A4C
• Challenge existing practices where
  appropriate/not meeting needs of NPfIT
• Provide targeted/blended approach to training
• Creativity

• Imeliora dies, ut vina, poemata reddit, scire
  velim, chartis pretium quotus arroget annus.
  scriptor abhinc annos centum qui decidit, inter
  perfectos veteresque referri debet an inter vilis
  atque novos? Excludat iurgia finis, Quid, qui
  deperiit minor uno mense vel anno, inter quos
  referendus erit? Veteresne poetas, an quos et
  praesens et postera respuat aetas?

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Training furnishes learners with the opportunity
to acquire knowledge, skills and attitudes which
in turn give them the potential to perform
better.. Implementing training (Reay 1994)
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Thank you for your listening - your questions
please

• Imeliora dies, ut vina, poemata reddit, scire
  velim, chartis pretium quotus arroget annus.
  scriptor abhinc annos centum qui decidit, inter
  perfectos veteresque referri debet an inter vilis
  atque novos? Excludat iurgia finis, Quid, qui
  deperiit minor uno mense vel anno, inter quos
  referendus erit? Veteresne poetas, an quos et
  praesens et postera respuat aetas?

Andrew Raynes AGW IM T ETD Lead (NPfIT) mailto
andrew.raynes_at_agwsha.nhs.uk Mobile Tel 0787
9493084 Tel [phone] Fax [phone]
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References/source information

• Information for Health (DOH 1998)
• National Programme for IT (nww.npfit.nhs.uk)
• The Caldicott Report (Dame Fiona Caldicott
  1997)
• Delivering 21st Century IT (DOH 2002)
• Working together with Health Information
  (DOH 1999)
• Planning framework for Health and Social
  Care 2005 - 2008 (DOH
• 2004)
• Implementing Training (Reay 1994)

• Imeliora dies, ut vina, poemata reddit, scire
  velim, chartis pretium quotus arroget annus.
  scriptor abhinc annos centum qui decidit, inter
  perfectos veteresque referri debet an inter vilis
  atque novos? Excludat iurgia finis, Quid, qui
  deperiit minor uno mense vel anno, inter quos
  referendus erit? Veteresne poetas, an quos et
  praesens et postera respuat aetas?