1. Open Source Programme Update Health Insights Andy Williams Open Source Programme Team Achieving an Integrated Digital Care Record Open Source Programme

2. Current challenges & issues Lack of satisfaction for clinicians with current system Issues of usability Speed and cost of modification and integrations

3. The Vision 3

4. How this will be achieved 1.Create a market of viable Open Source solutions, for them to be considered equally with proprietary options 2.Provide evidence of the value of Open Source to the wider Health and Social Care Community 3.Ensure by default all code created in the NHS is shared as part of a Library of assets for re-use 4.Ensure a level playing field for Open Source commodity & infrastructure services

5. What is Open Source? Based on 4 Software Freedoms: Freedom to useFreedom to redistribute copies Freedom to understand how it works and adapt it Freedom to make and share improvements with anyone

8. Custodian Model

9. NHS England Open Source Commissioning & Delivery Model

10. Recent highlights IDC Fund applications received – 67/224 Open Source All OS IDC Fund application assessments attended OpenEyes live at Salisbury Kick off for Code 4 Health (powered by HANDI-HOPD) & ePrescribing Proof of Concept Community Development structure OpenMaxims code published – Taunton implementation commenced 1 st May June July August September

11. Integrated Digital Care Record 67 Open Source Applications Total number of applications received 224 30% 70% IDC Fund Applications

12. NHS England Open Source Community Development & Market Opportunities Model Implementation & Support Services Procurement Technical Custodian Procurement Product Selection Community Formation Collaborative Planning Product Roadmap Development Community DevelopmentSME Entrepreneur Opportunities Solution Delivery Trust Requirements

13. Open Source Communities Andy Williams andy.williams@nhs.net 07920 535350 Code 4 Health Open Interoperability Open Dental Open Commodities Open Maxims Open Eyes Open PACS Open Minds Alan Fish alan.fish@nhs.net 07900 715296

14. Open Source Communities Open Maternity Open Patient Held Record National Cross-Government Liaison International Collaboration Open ePrescribing Open eObs Open EDM Open Patient Admin List David Jobling d.jobling@nhs.net 07818 522951 Peter Coates petercoates@nhs.net 07798 725131

15. OpenMaxims 11 Trusts applied to IDCF for an Open EPR IMS Maxims Secure funding Community Interest Company Formation Further development of functionality and integration using HOPD Oct-14Nov-14Dec-14 Jan-15 Feb-15Mar-15 CIC Formation started with Anchor Trust Open Source Open Day Community Stream CIC Formal Launch 1 st CIC Board Meeting Taunton Go-Live IDCF Awards Community Development Meeting

16. OpenEyes 9 Trusts applied to IDCF for an OpenEyes Moorfields/ Neova Health Potential for additional vendors to learn code and be accredited / procured for implementation / support services Oct-14 Nov-14Dec-14 Jan-15 Feb-15Mar-15 Procurement and Re- platforming plans confirmed Open Source Open Day Community Stream Implementation Plans confirmed OE Launch @ House of Lords Implementations Begin IDCF Award Funding Milestone IDCF Awards Community Development Group Meeting

17. OpenPACS 46 Trusts: -Group A – 11 ‘independents’ ready to re procure within the next 18 months -Group B – 6 (NEEEM) trusts ready to re procure within next 18-24 months -Group C – 18 trusts from 3 separate consortia ready to re procure probably at consortia level within next 18 months -Group D – 11 NHS SC Agg deal trusts exited July 14 on 3 year short term extension Engage with existing suppliers & O3 To engage HSCIC to leverage intelligence and experience in this sector Nov-14Dec-14 Jan-15 Feb-15Mar-15 Meet with HSCIC Open Source Open Day Community Stream Link to Code4Health platform Begin Proof of Concept Delivery Proof of Concept Initial Trust Implementations Meet with Key Trusts & Suppliers Community Group Formed

18. OpenMinds -Northumberland, Tyne and Wear NHS Foundation Trust -NELFT -Chairman Chief Clinical Information Officers Leaders Network -MH National Network Steering Group No existing OpenSource solutions known Potential to develop bespoke module from either OpenEyes or OpenMaxims code base using HANDI HOPD platform Oct-14Nov-14Dec-14 Jan-15 Feb-15Mar-15 Initial Trust Stakeholder Meetings Open Source Open Day Community Stream Link to Code4Health platform? Begin Proof of Concept Deliver Proof of Concept BCS MH Special Interest Group Initial supplier meetings MH Clinical Network

19. Code 4 Health - Powered by HANDI HOPD Building a strategy to utilise the HANDI HOPD platform to develop healthcare applications Establishing the Code4Health brand to bring together franchised user groups Make training available to run pilot initiatives to explore the art of the possible Creation of pilots starting with a number of universities Oct-14 Nov-14 Dec-14 Jan-15 Feb-15Mar-15 Platform available Open Source Day Challenge Training made available Franchise opportunities available X Franchises established Y Users trained X Pilots completed Strategy confirmed Pilot groups formed & validated

20. Open Dental X Pilots completed -1 x IDCF Bid Birmingham Community Healthcare Trust -Strong interest from Newcastle Dental Hospital (Newcastle Foundation Trust) and Northumbria Healthcare Foundation Trust -Number of proprietary solutions from Salud, Carestream R4 and Cerner Millennium -Development of OS solution proof of concept via engagement with community -Backing from Prof Jimmy Steele -Community growing fast, input via Twitter and Google+ Oct-14 Nov-14 Dec-14 Jan-15 Feb-15Mar-15 Engagement Begins Open Source Presentation and discussion Proof of concept delivered IDCF Awards Proof of concept development begins IDCF Award Funding Milestone

21. Open Interoperability -78 of the IDCF Bids indicated a requirement for interoperability -31 bids expressed a desire to use an open source solution, 3 of which were deemed to have strategic significance -15 pioneer trusts engaged via Tony Shannon (Leeds) -Answer consulting (significant work with Kings College) -Viper360 -Coordinate approach with wider Interoperability strategy -Joined up approach to communication via workshops sharing the benefits of a collaborative approach Oct-14 Nov-14 Dec-14 Jan-15 Feb-15Mar-15 Continued bid analysis Open Source Presentation and discussion Workshops begin IDCF Awards IDCF Award Funding Milestone Coordinate workshop output Workshops planning

22. Open Commodities -Feedback from CIO Summer School indicates strong demand for alternatives to proprietary solutions -Listed in the OpenSource Communities of Practice opportunities and suggestion list OpenOffice, Libre Office, Apache, Linux, Firefox and many others! -Bringing a community together to discuss the use of proprietary systems and potential open source alternatives. Oct-14 Nov-14 Dec-14 Jan-15 Feb-15Mar-15 Continued bid analysis Open Source Presentation and discussion IDCF Awards IDCF Award Funding Milestone Continued watching brief with this community to assess changes in demand and supply Create CoP site

23. Open ePrescribing 23 Oct-14 Nov-14 Dec-14 Jan-15 Feb-15Mar-15 Begin Proof of Concept Open Source Presentation and discussion Initiate formal CIC development CIC Formal Launch Initial Trust Implementations X Pilots completed IDCF Awards Community Development Meeting -The Christie NHS Foundation Trust -The Royal Orthopaedic Hospital NHS Foundation Trust -Development of OS solution proof of concept -Engagement with community to support development of Open eP solution -Engagement with clinicians to support the development of Open eP proof of concept on C4H platform using existing solutions -Development of community Delivery Proof of Concept IDCF Award Funding Milestone

24. Open eObs 24 Oct-14 Nov-14 Dec-14 Jan-15 Feb-15Mar-15 L&D Begin Implementation Open Source Presentation and discussion Initiate Formal CIC development CIC Formal launch IDCF Award Funding Milestone IDCF Awards Community Development Meeting -Luton and Dunstable Hospital -The Lister Hospital -St James Hospital Leeds -Basildon & Thurrock University Hospital -Around 3+ potential trusts -Open eObs Platform Engagement with community to develop existing solution

25. OpenEDRMS 25 Oct-14 Nov-14 Dec-14 Jan-15 Feb-15Mar-15 Open Source Presentation and discussion Initiate formal CIC development Initial trust implementations IDCF Award Funding Milestone IDCF Awards Community Development Meeting -University Hospital Southampton NHS Foundation Trust -The Shrewsbury and Telford Hospital NHS Trust -Dorset Healthcare University NHS Foundation Trust -Sussex Partnership NHS Foundation Trust -Around 7+ other potential trusts -Alfresco -Analysis of Open EDM market to develop community -Potential to develop CIC based on Community Link to C4H platform CIC formal launch

26. Open Patient Admin List (OPAL) Work with suppliers to analyse demand -University Hospital of Leicester NHS Trust -University College Hospital - Open Patient Administration List (OPAL), Open Health Care UK - Potential to develop CIC based on community Next Steps

27. Literature Review –October / November 2014 Case Studies –From SHSW –Ongoing through IDCF implementations Total Cost Of Ownership –Analysis over time of cost v benefit of Open Source Solutions in health and social care Benefits Realisation

28. Open Clinical Decision Support Innovation Prizes National competitions AHSN’s / Universities International Collaboration Continued Community Development & Support Further Innovation

29. Joining the product Communities of Interest Attend a Hack Day Register on the Community of Practice site Attending the Open Source Open Day 26 th November Newcastle Racecourse Call to Arms

30. england.opensource@nhs.net 0845 8677697 www.technologystrategy.england.nhs.uk @NHSOpenSource For more information: