1. www.england.nhs.uk Integrated Digital Care Record Work stream The Offers Michael A. Bewell Interoperability Engagement Lead

2. www.england.nhs.uk Barriers you told us about Consent models (direct / indirect) Challenges with dynamic model of consent Access by non clinical members of a clinical team Patient subscription model A description of what needs to be shared between professionals Describing benefits Skills and knowledge – around informatics and access to business change expertise Organisational capacity and readiness and culture Prioritising resources Professionals and patients understanding Complex landscape and a varying digital maturity across patch

3. www.england.nhs.uk The Offer 1.Information Governance 2. Priority needs & datasets 3. Interoperability Handbook 4. Common Interfaces 5. Clinical & citizen viewer 5. Citizen engagement

4. www.england.nhs.uk The Request 1.To understand and share priority care use cases, common datasets, capabilities and various architecture models. 2.Provide feedback and testing. 3.To respond to short questionnaires that monitor progression of interoperability projects in England

5. www.england.nhs.uk Priority needs and datasets. This product provides a starting point for interoperability projects and programmes based on the knowledge and lessons learnt from Wave 1 Pioneer sites and other leading lights. prioritised Clinical scenariosJune Iteration of clinical scenariosSeptember Offer 1 Offer 2Offer 3 Offer 4Offer 5Offer 6 ElementsTimeline Priority care use cases (Wave 1 Pioneer sites and other leading lights) July Iteration incorporating a wider set of intelligence including Wave 2 pioneers September

6. www.england.nhs.uk Priority use cases

7. www.england.nhs.uk Core dataset

8. www.england.nhs.uk Interoperability Handbook. The handbook will enable more informed decision making to direct interoperability projects and programmes by bringing together all relevant standards, tools and guidance to shape interoperability architecture and review common data sharing architecture models. prioritised Clinical scenariosJune Iteration of clinical scenariosSeptember Offer 1 Offer 2Offer 3 Offer 4Offer 5Offer 6 ElementsTimeline Interoperability HandbookJuly Iteration of HandbookSeptember

9. www.england.nhs.uk Thanks…..

10. www.england.nhs.uk Information Governance. Practical guidance on real-life clinical scenarios and the information governance approaches taken. Supplemented with agreed standard templates.. prioritised Clinical scenariosJune Iteration of clinical scenariosSeptember Offer 1 Offer 2Offer 3 Offer 4Offer 5Offer 6 ElementsTimeline A suite of nationally “kite marked” standard templates July Direction for sharing information within prioritised Clinical scenarios June Iteration of clinical scenariosSeptember

11. www.england.nhs.uk Common interfaces. Defined interfaces that describe the data required from clinical systems to support the identified priority care / clinical use cases. scenariosJune Iteration of clinical scenariosSeptember Offer 1 Offer 2Offer 3 Offer 4Offer 5Offer 6 ElementsTimeline Transfer of care interface into Open Electronic Health Record July Interface into key vendors to share data within priority use cases September Integration engine working in N3 environment sharing real data from Pioneers December

12. www.england.nhs.uk Clinical and citizen viewer. Open source software implementation for clinicians / care professionals and citizens to access integrated care record information prioritised Clinical scenariosJune Iteration of clinical scenariosSeptember Offer 1 Offer 2Offer 3 Offer 4Offer 5Offer 6 ElementsTimeline Clinical viewer alpha prototypeMay Iteration with transfer of careJuly Iteration with telehealthSeptember Iteration with virtual wards and specialist views November Viewer functioning in N3 environmentMarch Citizen viewerMarch

13. www.england.nhs.uk Citizen engagement. Engagement approach and materials to activate citizen interest and define common requirements for citizen’s to feed, access and use data about themselves to better manage their health and well-being. Based on these requirements, prioritised requirements.June Iteration of clinical scenariosSeptember Offer 1 Offer 2Offer 3 Offer 4Offer 5Offer 6 ElementsTimeline Citizen engagement toolkitJuly Citizen Requirements (Established through using the toolkit) September Citizen app’ release (based on Citizen Requirements) March

14. www.england.nhs.uk Your role. To deliver these supporting products we need your engagement in three areas: 1.To understand and share priority care use cases, common datasets, capabilities and various architecture models. 2.To provide feedback and testing of products in development. 3.To respond to short questionnaires that monitor progression of interoperability projects in England Action call