1. Digital transformation = Total system transformation
Dr Michael Quinn - Electronic Health and Care, Clinical Director
Dr Dermot O’Riordan - Chief Clinical Information Officer, West Suffolk NHS Foundation Trust
Scott Adams - Director of Integrated Health and Social Care, BT Global Services

2. Nephrologist CD Electronic Health and Care Record Encompass
Michael Quinn
Nephrologist
CD Electronic Health and Care Record
Encompass

4. What’s missing ?
An ability to see all care – everywhere – safe handovers / prescribing
Understanding how patients really use our services / population health
Baseline health data – for instance : how many people have Chronic Kidney Disease in NI ? (2 yr’s of my life)
Missing opportunities to avoid admission, allowing elderly to remain at home, keeping population healthy and managing ill patients safely at home
Enabling new ways of caring and managing disease

5. Patients expect us to join up their care –
They expect Healthcare to be even more connected than other aspects of their life
Digital
Transformation

8. Where now ?
Encompass is a vehicle for delivery of transformational change –but to achieve maximum benefit it requires whole system change
We need to deliver better outcomes
Outcomes for people - Outcomes we can measure
We need patients involved in everything we do / portal
We need to starting acting – life in HSCNI 2021 will be different
Business case delivered to DoH next week!

9. Whole System Transformation
Scott Adams 19th May 2017

10. Whole System Transformation – What and Why now?x y
£30 Billion funding gap by 2020
If we don’t change the way care is delivered
Interoperability across care settings
A Place Based agenda moving care from over stretched hospital setting into the local communities.
Able to respond to population needs
Giving commissioners and provider the means to respond to and predict the needs of the population
10 NHS Universal Capabilities
True Interoperability
Commitment that by 2020 “ all patient records will be digital , interoperable and real time.”
Five year forward view
H&SC communities must achieve NHS 10 Universal Capabilities by March 2018
Access across care settings
Access records in emergencies
Patients access GP record
GPs refer electronically
Discharge summaries to GPs
Acute-social care notifications
Clinicians see child protection information
Access end-of-life preferences
Electronic prescriptions
Patients book appointments & repeat prescriptions
Records assessments
Transfers of care
Orders
Medicines Review
Decision support
Remote care
Asset optimisation
Puts the citizen at the centre
Plans & funding being put in place
Delivering a Person Centric Model of Care
Whole System Transformation
All STP’s empower Citizens to be the
STP and LDR plans submitted, including funding application by November
custodian of their own Health and Social care needs . Promote Well Being and drive the Prevention agenda
All enabling work streams identified, with tight timeframes for completion. 10

11. The environment for WST
Vision
Overarching vision & desire to place Person Centric Model of care ahead of the needs of the individual care provider orgs.
Cultural
Cultural commitment to act in a cooperative and trusting fashion
Organisation
Tangible progress towards Person Centric model e.g. appointment of SRO, establish Accountable Care Org
Commercial
Commercial mechanism through innovative engagement with private sector.
Infrastructure
Infrastructure and Public, Public Sector and Mobility layers underpinning Interop
Digital
Population and Predictive Analytics, True Interoperability, TECS

12. WST Digital Architecture & Infrastructure layers
BT’s Whole System Transformation approach
Transformation Consultancy
Monitor & Review
Discovery & Planning
Understand health & social care needs of a population
Identify citizens likely to utilise services
Develop a care plan with each citizen
Understand impact on outcomes
Integration Engine & BT Adaptors
Information Sources
Context Management
Patient Summary
Charts
Detailed Care Record
Secure Messaging
Care Plans, Assessments
Social Care
NHS
Citizen
3rd Sector
Appointments
Health Links
Provider Portal
Citizen Portal
Clinical, Carer and Citizen Access
Population Analytics & Reporting
Risk Stratification & Predictive Analytics
Risk tracking & reporting
Evaluation tools
Information Sharing, Care Support & Analytics Solutions
Care Plan & Pathway Tools
Care Co-ordination Tools
Assisted Living
Mobility Propositions – (Total Mobile, Mobile Working)
Health & Social Care Transformation Journey
Electronic Master Patient Index
Clinical Data Repository
Service Improvement
Mobile Apps, Secure web, N3, Single sign on
Public Sector Infrastructure - (HSCN, WAN, UC, Wifi)
Inform, plan and minimise acute care
Co-ordinate and provide citizens care
Enable citizens to self care
Collaborate & share information
Integrated Care / Citizen Record
Public Infrastructure - (Superfast Broadband, Openzone, 4G, 5G)
BT Enablers

14. What we are delivering in Islington
Across Health and Social Care, covering GP’s, Acute, Community, Mental Health, Ambulance, Adult & Child Social Care for over 10,000 care providers
Full Integrated Digital Care Record, (IDCR)
Avoids the quality, duplication and timeliness issues associated with data repositories and enables care plans and care pathways to adapt organically as new information sources are added over time
Federated & Real time information sharing
Allows Islington to holistically mange the complex care needs of their population at an individual level and across the entire care community
Care Coordination tools
A true transactional capability, allowing the citizen to have access & share IDCR, to manage their own health & wellbeing, book appointments, request repeat prescriptions and be a full part in their own health care. Available via portal & app
Person Held Record across 216,000 Islington citizens
Initially to support Multi Disciplinary Teams, (MDT’s) and minority groups such as deaf citizens and those with mobility issues, but being considered for use as GP overflow to address challenges of access and 7 day working.
Secure Video conferencing
To identify problem cohorts then embedding anticipatory Care Plans specific to individual across MDT
Predictive Analytics
Fully embedded in solution, used at the front end to cover risk stratification and cohort selection, but also to provide a bench mark and evidence mechanism to underpin Payment by Outcomes aspirations
Population analytics