1. An Overview of NPfIT Professor Mike Pringle Joint National Clinical Lead for GP in NHS Connecting for Health ESRC Seminar 20 th July 2005

2. The vision for NHS IT To develop a system for moving and sharing health information that is: –Patient focused –Improves patient outcomes –Improves choice and control for patients –Helps clinicians to make better decisions –Reduces errors –Is practicable/usable/effective

3. The vision for NHS IT All sites linked –GP2GP –Electronic prescribing –Choose and book –Electronic communications Patient care linked through the Care Record –Summary available 24/7 –Confidentiality and security

4. NHS Care Record Visit to Hospital 1-2 days Visit to Practice Nurse Diabetes diagnosed (1979) Broken leg treated (1993) National Local Hernia repair (1980) Tetanus jab (1987) Visit to GP Grazed knee requires bandage (1983) Visit to nurse 2 nd visit to Hospital 1 day

5. For example: –diabetic retinopathy GPs Endocrinology OPD Ophthalmology Local opticians Thinking Bigger

6. The benefits for patient care Safety –Records always available –Decision support and warnings –Increased confidentiality Consistency –Support for guidelines, NSFs, pathways of care etc Choice

7. The challenges in primary care System choice Getting improvement while the rest catches up The content of the Care Record Implementing GP2GP and ETP Ensuring we and our patients are confident about confidentiality and security

8. Nurses General Practitioners Allied Health Professionals Hospital Doctors The National Clinical Leads Who and why Dr Simon Eccles Mr Ian Scott Jan Dowsett Dr Gillian Braunold Prof Mike Pringle Heather Tierney- Moore Barbara Shuttle

9. The National Clinical Leads Linkages with the programme Contracting And Programme management Service Implementation And Clinical Engagement

10. The National Clinical Leads Linkages with the programme PACS Choose and Book Electronic Prescribing Elect. Transmission of Precriptions N3 – national network The National Spine Secondary Uses Service NHS Contact Benefits realisation Clinical Managerial Financial Knowledge service Nat Library for Health Decision support Busy Clinician Do Once and Share The 5 Local service providers NHS Care Records Service

11. Reflections on large NHS projects Need to know the aspirations of those who work in the service: alignment with policy is ideal Recognise the cultural changes required Manage the change through information, education, support and acceptance of the pain Reward and recognise success; help with failure, but dont punish

12. An Overview of NPfIT Professor Mike Pringle Joint National Clinical Lead for GP in NHS Connecting for Health ESRC Seminar 20 th July 2005