1. Healthcare smart cards - at last? LifeHouse Mike McCurry Smart Cards Project Manager SCNF 5 November 2002

2. LifeHouse 2 My Background 1984 - 1989: Rhydfellin and Exmouth projects 1990 - 1995: ‘Eurocards’ EC Concerted Action 1996: EC’s PHARE project in Poland 2000 - 2001: Business Development, USA smart card software company

3. LifeHouse 3 1983 - 1995: UK Department of Health representative on issues involving smart cards Former chair of the Smart Card Club’s Healthcare Cards Forum

4. LifeHouse 4 What is LifeHouse? A London-wide database of clinical information taken from operational systems –primary care –secondary care –NHS Direct –London Ambulance Service

5. LifeHouse 5 Server PMI London Hospitals CMDS IOS London Pilot GPs Pilot Hospitals FDA Anonymous Ethics Governance Anonymous Data NHS Clinical Policy Statistical Policy Budgetary Epidemiology Site Management Clinical Research Biotech Companies Pharmaceuticals National Strategy Alignment PMIICRSNPRAS National Registration System NHS Wide Clearing Service Secure Cards email Govt Gateway Consent Template Informed consent Doctors

6. LifeHouse 6 Design Anonymised Database CID/HRI NSTS/Extr Clearing Service Hospitals - CMDS GP - Item of Service IA PMI Data Quality Management Team Key Current Next stage Future LH Future LH & IA Possible CDR NHS Trust GP NHS Trust GP

7. LifeHouse 7 Pilots 1. PMI, CMDS and IOS (March 2003) -- Goldfish Bowl Studies 2. Clinically rich: C&W (March 2003) 3. Mayday & Croydon (March 2003) 4. Community/Primary (July 2003) NHS LifeHouse Design Authority Data Quality London Amb Service Access Card Readers NHS Direct Access Gateway SecureCards

8. LifeHouse 8 Why a smart card Authentication token for secure access to clinical records PKI Biometric Visible NHS number Emergency medical information No clinical data on the card

9. LifeHouse 9 Card Overview Multi-application smart chip Open systems Using existing standards Card management system Robust registration procedures Creating an opportunity for shared cards

10. LifeHouse 10 SecureCards Objective - 200,000 cards issued to healthcare professionals and patients Procurement process - OJEC advert Uses and users, public, staff, etc Implementation routes

11. LifeHouse 11 Not re-inventing flat tyres Seeking advice from and working with: NHS Information Authority eEnvoys Office CEN TC 251 ISO TC 215 LondonConnects

12. LifeHouse 12 Card holders Patients Voluntary (no charge for the card, proposed) By application Healthcare professionals All who are involved in the process of healthcare delivery

13. LifeHouse 13

14. 14 Pilots sites Users awareness programme and publicity –the citizen –GPs –hospitals –ambulance service staff

15. LifeHouse 15 Pilot sites Suppliers ‘total solution’ –probably not registration –everything else from the white card to issuance Card life cycle management –outsourced

16. LifeHouse 16 Hurdles Public acceptance Healthcare Professions Costs Perceived benefits and many others I’ve probably not thought of yet!

17. LifeHouse 17 Thank you mikemccatehto@msn.com