1. Phil Molyneux, CIO Yorkshire and Humber SHA 12 th November 2010

2.  The White Paper Equity and excellence: Liberating the NHS, published on 12 July 2010, sets out proposals for the NHS to become a truly world-class service that is:  easy to access,  treats people as individuals and  offers care that is safe and of the highest quality It set out a vision for an NHS that:  puts patients at the heart of everything that we do  achieves outcomes that are among the best in the world  empowers our clinicians to deliver results based on the needs of patients  In order to help make the vision a reality, the White Paper set out a commitment to seeking further views on proposals to give people more information and greater choice about their care

3.  Many people value being able to make choices, and giving people more choice can lead to better outcomes and experiences, can promote equalities and reduce inequalities  The presumption should be that everyone has choice and control over their care and treatment, and choice of any willing provider for NHS care, wherever relevant  When making these choices, decision-making about their treatment or care should be shared between them and their health and care professionals

4. ◦ increasing the current offer of choice of healthcare provider, ◦ going further by enabling people to choose a named consultant-led team, ◦ giving people more choice of where to have diagnostic tests and more choice of where to have their treatment after a diagnosis has been made. ◦ offering more choice in maternity services, mental health services and more choice in end of life care. ◦ ensuring people are offered a choice of treatment as a matter of course wherever feasible, ◦ ensuring people with long term conditions can make choices about their care and are given the confidence to manage their condition

5.  Information supports the delivery of high quality care.  Information on treatments, conditions and lifestyle choices, helping people look after their own & their family’s health & care, should reach everyone and should be easy to understand.  People’s care records should become routinely available to them, starting with their GP record.  Intermediaries should be free to innovate and present data.  The most important source of data is the patient or service user’s care record, with data recorded once at the point of care. This can then be used to generate a wealth of high quality information that, in turn, gives people real knowledge and choice

6. ◦ people will have greater access and control of their health and social care records ◦ more information on treatments, conditions & lifestyle choices, helping people look after their own and their family’s health & care will reach everyone and will be easy to understand ◦ there will be greater emphasis on information generated by patients and service users, to help NHS and social care systems become more responsive ◦ a wider range of providers to analyse and present information to the public will help promote innovation and enable greater tailoring of information to individual needs ◦ improved use of digital technologies will provide more convenient, higher quality, safer and more efficient & effective care

7.  For patients and service users, there should be “no decision about me, without me”  People should be involved as much as they want to be in every decision about their care: what care they want and how and where they want it delivered  In order for this to happen, people actually need to be given a greater range of choices, and high quality information to help them take greater control of their care  Information is used routinely to support the delivery of safe, high quality, people-centred care

8.  Electronic patient record as platform for:-  Integrated care across patient pathway (A&E, End of Life etc)  LTC personalised care planning  E consultation  Mobile/Agile/Flexible working  PACs  Integration engines  T health (T coaching, T health, T medicine)  Integrated OOH  Information Governance Infrastructure  ECS – communication between A&E & YAS (& to GPs re non conveyance, potential to refer to more appropriate response)  And much more!

9.  Y&H informatics community & partners  Attendance & facilitation at Yorkshire and Humber Regional Forum Consultation Event (Regional Voices) tbc  Attendance at BCS event 22 nd November 2010  Raising awareness – Press Release & flyer  SHA awareness session  1:1 interviews across the Region  Regional Workshop for Informatics & Partners  Clinical engagement  Response co-ordinated by 7 th January for circulation and comment by 14 th January 2011

10.  4 tables – 2 questions each, 1 facilitator, 1 scribe  Review the 2 questions posed:- -what are we currently doing in relation to the question? (already have some prompts) -what are the issues for the future? -what can we do in relation to this through transition period (next 18 months)?

11. Work on tables…