Outline National Strategy for Information Technology in Health and Care (DHSC / BBC News / NHS England / NIHR / HEE / WHO / SMF / CQC) | Dementia and Elderly Care News

Outline National Strategy for Information Technology in Health and Care (DHSC / BBC News / NHS England / NIHR / HEE / WHO / SMF / CQC)

Posted on October 21, 2018 by Dementia and Elderly Care News

Summary

Matt Hancock, Health and Social Care Secretary, has announced the latest vision for IT modernisation in the NHS, This will involve moving applications / data to cloud-based services, and technical standards which will allow NHS IT systems to be interoperable and upgradable. Access to up-to-date patient records and data in real-time will support good quality and prompt care. The NHS IT infrastructure should deliver better services and facilitate innovation. The main section headings are:

Reference

Matt Hancock launches tech vision to build the most advanced health and care system in the world. [Online]: Department of Health and Social Care, October 17^th 2018.

This relates to:

Reference

The future of healthcare: our vision for digital, data and technology in health and care. [Online]: Department of Health and Social Care, October 17^th 2018.

Cautionary Notes

Progress has not always gone to plan, in recent history:

Reference

Wheeler, B. (2018). MP’s ‘horror’ at getting £4.2bn to digitise NHS with no plan. London: BBC Health / Politics News, October 2^nd 2018.

The Healthtech Advisory Board

An advisory board has been created to advise Matt Hancock’s department, regarding the uses of technology in health and social care, and linking this closely to promoting a culture of innovation in the NHS.

“Medicine is driven by information: better use of data can revolutionise health care”.

Reference

Health technology expert panel meets for the first time. [Online]: Department of Health and Social Care, November 19^th 2018.

Technologically-Enabled Redesign of the Outpatient Referrals System?

Professor Stephen Powis, NHS England National Medical Director, believes use of information technology should be able to reduce the thousands of unnecessary outpatient appointments each day. Commonplace digital solutions – including Skype, apps and online tools – could help to prevent avoidable hospital visits, avoid patients taking time off work and school needlessly, while saving on NHS running costs.

Currently there are 127 million outpatient appointments in the UK per year; roughly five times more than the number of patients using A&E. About a fifth of appointments get cancelled, or patients don’t turn up.

Reference

Triggle, N. (2018). NHS outpatients service ‘stuck in the 18th Century’. London: BBC Health News, November 9^th 2018.

See also:

Reference

England’s top doctor calls on NHS to use tech to revamp outpatient system. [Online]: NHS England, November 9^th 2018.

This relates to:

Reference

Isherwood, J. Hillman, T. [and] Goddard, A. (2018). Outpatients: the future – adding value through sustainability. London: Royal College of Physicians (RCP), November 2018.

Investigation Into Nursing Workforce Planning and Deployment Technologies

Possibly of interest, an NIHR report explores the implementation of workforce planning and deployment technologies for nurse staffing:

Reference

Burton, CR. Rycroft-Malone, J. [and] Williams, L. [et al] (2018). NHS managers’ use of nursing workforce planning and deployment technologies: a realist synthesis. Southampton (UK): NIHR Journals Library / Health Services and Delivery Research. November 2018, Vol.6(36).

Extension of the 100,000 Genome Project?

The 100,000 Genome Project (launched in 2012) reached its target in December 2018. The NHS has early plans for Genomic England, a company set-up and owned by the NHS, to recruit genomic volunteers whose sequenced genomic information (duly pooled and anonymised) may contribute to developments in the understanding and possible future treatment of serious health conditions, including cancer and dementia.

Reference

NHS to offer paid-for DNA tests if patients share data. London: BBC Health News, January 26^th 2019.

Global Digital Exemplar Blueprints

Reports of Acute Global Digital Exemplars, and Mental Health Global Digital Exemplars, which are partnered with “fast follower” trusts to support the faster spread of best practice and innovation through the of use of world-class digital technology and information:

Reference

Older patients spared dementia and falls by NHS tech roll-out. [Online]: NHS England, February 7^th 2019.

The Topol Review

The Topol Review covers education and training plans for preparation of the health care workforce to make better use of digital technologies; including genomics, digital medicine, artificial intelligence, big data and robotics.

Reference

The Topol Review: preparing the healthcare workforce to deliver the digital future. London: Health Education England, February 2019.

Comment and analysis from BBC News:

Reference

Pym, H. (2019). Could patients become their own doctors? London: BBC Health News, February 12^th 2019.

Information as an Asset Project

Published in the wake of the Topol Review (even sharing some very similar artwork), there is an update to the Hawley (1995) “Information as an Asset” Report:

Reference

Information as an asset: today’s board agenda. cilip/KPMG Position Paper. London: cilip [and] KPMG, February 2019.

Imperial College London’s Care Research and Technology Centre

Possibly of interest, research into developing the “healthy dementia home” will study the use of sensors and wearable devices to monitor physical deterioration, or changes in patients’ behaviour, which could put persons with dementia at risk of hospital admission. Other applications being research include RTLS/RFID tracking, robotic devices and sleep monitors.

Reference

Technology to keep dementia patients out of hospital. London: BBC Health News, April 17^th 2019.

Capacity Tracker: Faster Checking for Availability of Care Homes Vacancies

A digital portal allows health and social care staff to get current information about vacancies in local care homes, thereby enabling patients needing care home placements to be supported for discharge from hospital sooner.

Reference

Digital tool to help reduce avoidable lengthy stays in hospital. [Online]: NHS England, April 15^th 2019.

World Health Organization (WHO)’s Corrective to Over-Optimistic IT Mania?

This guideline offers an approach to weighing the evidence on how digital health interventions can contribute towards health services improvement. The methodology involves careful and balanced assessment of such interventions based on impact criteria including benefits, harms, acceptability, feasibility, resource use and equity.

Note: “Digital health interventions are not a substitute for functioning health systems, and there are significant limitations to what digital health is able to address”.

Reference

World Health Organization (2019). WHO guideline: Recommendations on digital interventions for health system strengthening. Geneva: World Health Organization (WHO), March 2019.

There is also an Executive Summary covering evidence and recommendations.

Further related documentation:

Issues Limiting Analytical Capability in Health Care

The Health Foundation’s “Untapped potential: investing in health and care data analytics” report explains nine benefits from more investment in analytical capability:

Supporting clinical decision-making.
Supporting innovation and improvement in care.
Facilitating board-level oversight of complex organisations and care systems.
Improving everyday management.
Improving responsiveness to national initiatives and regulation.
Improving resource allocation.
Improving patient flow.
Supporting new data and new digital tools.
Helping patients and raising public interaction with health-related information / patient information.

Reference

Bardsley, M. Steventon, A. [and] Fothergill, G. (2019). Untapped potential: investing in health and care data analytics. London: Health Foundation, May 2019.

The Learning Health System (LHS): Use of Data for Learning and Improvement

More on analytical capability, from a Nuffield Trust briefing:

“A learning health system’ (LHS) continuously analyses data which is collected as part of routine care to monitor outcomes, identify improvements in care, and implement changes on the basis of evidence”.

Reference

Scobie, S. [and] Castle-Clarke, S. (2019). What can the NHS learn from learning health systems? London: Nuffield Trust, May 2019.

Scoping the Future Development of Digital Technology in the NHS

A Social Market Foundation report considers the potential of digital technology throughout the patient care “journey” (i.e. from prevention in the community, diagnosis and referral involving primary and secondary care, and the management of long-term conditions):

Stage 1 of the patient journey: preventing diseases.
Stage 2 of the patient journey: diagnosis in the community.
Stage 3 of the patient journey: digital technology in primary care.
Stage 4 of the patient journey: digital technology in secondary care.
Stage 5 of the patient journey: managing long-term conditions.

Reference

Keohane, N. [and] Petrie, K. (2019). National Health Servers: delivering digital health for all. London: Social Market Foundation (SMF), May 2019.

NHSX: to be Launched in July 2019

NHSX comprises “digital leaders” from NHS England, NHS Improvement, and the Department of Health and Social Care, working to direct national policy on NHS technology, digital and data. NHSX first came to attention in April 2019, and via this report covering national policy on digitisation from the acute trusts angle.

Reference

Castle-Clarke, Hutchings, R. [and]. (2019). Achieving a digital NHS: lessons for national policy from the acute sector. London: Nuffield Trust, May 29^th 2019.

An April 2019 DHSC press release mentioning NHSX:

Reference

NHSX: digital experts will be part of cancer and mental health teams. Department of Health and Social Care, April 4^th 2019.

Amazon / DHSC / NHSX Partnership Combines NHS Choices Answers and AI Algorithms

Amazon’s Alexa gives users smart health advice derived effortlessly from the reputable NHS Choices website.

Reference

Amazon Alexa offering NHS health advice. London: BBC Health News, July 10^th 2019.
Speculations on the NHS Estate in the future?

This relates to:

Reference

NHS health information available through Amazon’s Alexa: the NHS is collaborating with Amazon to provide reliable health information from the NHS website through voice-assisted technology. [Online]: Department of Health and Social Care, July 10^th 2019.

National Artificial Intelligence Laboratory (NHS England)

£250 million will be invested on the new national artificial intelligence laboratory.

Reference

Gallagher, J. (2019). NHS to set up national artificial intelligence lab. London: BBC Health News, August 8^th 2019.

Other Stories

Reference

Wenzel, L. [and] Evans, H. (2019). Clicks and mortar: technology and the NHS estate. London: King’s Fund, May 2019.

There is also an Executive Summary.

June 2019 Update

Plans for the NHS to become a world leader in using artificial intelligence (AI) and machine learning:

Reference

NHS aims to be a world leader in artificial intelligence and machine learning within 5 years. [Online]: NHS England, June 5^th 2019.

Acute Kidney Injury – Phone app

An alerting system, developed by the London’s Royal Free Hospital with technology firm DeepMind, in the form of the Streams mobile phone app has speeded up detection of acute kidney injury in hospital patients.

Reference

Pym, H. (2019). Kidney condition detected in minutes by app. London: BBC Health News, August 1^st 2019.

AI Modelling For Detection of Atrial Fibrillation

An AI-based approach to recognition of atrial fibrillation:

Reference

AI may help to spot heart problems. London: BBC Health News, August 2^nd 2019.

UK Longevity Council

The UK Longevity Council has been set up to meet the challenges of an ageing population:

Reference

Experts to help UK champion ageing society opportunities: Council of advisers set up to help UK seize economic opportunities of ageing society, and Business Champion for the Ageing Society Grand Challenge announced. [Online]: Department of Health and Social Care [and] Department for Business, Energy and Industrial Strategy, June 30^th 2019.

See further:

Reference

Policy paper: the Grand Challenges. [Online]: Department for Business, Energy and Industrial Strategy, May 22^nd 2019.

Care Quality Commission: On the Uses of New Technologies

An examination of the uses of new technologies in quality improvement and the monitoring of various health and care services.

Reference

Driving improvement through technology. [Online]: Care Quality Commission (CQC), July 16^th 2019.

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Dementia and Elderly Care News. Wolverhampton Medical Institute: WMI. (jh)

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Hawley Committee (1995), Information as an Asset: Today's Board agenda: cilip/KPMG Position Paper (2019), Information Assets, Information Needs of Patients, Information Technology, Information Technology Connectivity, Infrastructure, Initial Code of Conduct for Data-Driven Health and Care Technology, Innovation and Technology Payment (ITP), Innovation in Bioinformatics, Innovation Infrastructure, Innovation Technology and Infrastructure, Integrated Digital Care Record (IDCR) Approach, Integrated Health and Care Records, Integrated Pain and Spinal Service (IPASS), Integrated Patient Acuity Monitoring Systems, Integration of Health and Care, Intermountain Model, Internet First, Interoperability, Interoperability Specifications, Interoperability Standards, Interoperable Electronic Health Records, Investing for Transformation, Investment in Health and Care Data Analytics, Investment in Information Technology, IT Infrastructure, Jeni Tennison: CEO of Open Data Institute, Jo Chilton: Programme Director of Adult Social Care Transformation Programme at Greater Manchester Health and Social Care Partnership, Karen Kirkham: NHS England’s National Clinical Advisor for Primary Care, Kent and Medway Primary Care Trust, Kent Surrey and Sussex AHSN, Learning Health Communities, Learning Health System (LHS): Using Data for Learning and Improvement, Learning Health System Cycle, LEGO Serious Play, LEGO® SERIOUS PLAY® Methodology, LHCRE Approach, LHSs: Learning Health Systems (Nuffield Trust), Local Health and Care Record (LHCR) Programme, Local Health and Care Record Exemplar (LHCRE), Local Health and Care Records Exemplars, Management Information Systems, Manoj Badale: Co-Founder of Blenheim Chalcot, Matt Hancock: Co-Chair of the UK Longevity Council, Matt Hancock: Secretary of State for Health and Social Care, Matthew Gould: CEO of NHSX, Matthew Swindells: Deputy Chief Executive of NHS England, Mental Health - Global Digital Exemplars, Michelle Brennan: Group Chair for Johnson and Johnson Medical Devices Companies, MIS: Management Information System, Most Advanced Health and Care System in World (NHS Ambition), MyCOPD app, National Artificial Intelligence Laboratory (NHS England), National Early Warning Score (NEWS), National Health Servers: Delivering Digital Health For All (Social Market Foundation), National Information Board’s Building a Digital Ready Workforce (BDRW) Programme, National Information Board’s Plans to Improve Digital Services in Health and Care, National Institute for Health Research (NIHR), National Institute for Health Research (NIHR) Service Delivery and Organisation (SDO), National Programme for Information Technology (NPfIT), Nervecentre Platform: Nottingham University Hospitals, New Technology, NHS apps Library, NHS at 70: New Technology for the NHS and Patients, NHS Culture, NHS Dictionary of Medicines and Devices (dm+d), NHS Digital Data and Technology Standards Framework, NHS Digital Education Programme (Proposed), NHS Digital’s Data Security and Protection Toolkit, NHS Electronic Patient Records, NHS England Blueprints (Spreading Digital Innovation), NHS Estate and Information Technology, NHS Infrastructure for LHSs, NHS Investment in Digital Technology and Infrastructure, NHS IT Infrastructure, NHS Number, NHS Property Services, NHS Technology Agenda, NHS Workforce, NHS-R Community, NHSX, Nicola Blackwood: Chair of Human Tissue Authority, Nicole Junkermann: Founder of NJF Holdings, NMMDS: Nursing Management Minimum Data Set, North West London: Connecting Care for Children (CC4C), Northumberland Tyne and Wear NHS Foundation Trust, Nottingham University Hospitals NHS Trust, Nudge, Nursing Workforce Planning and Deployment Technologies, OAuth 2.0, Online Patient Consultations, OPCq: (Oulu Patient Classification Qualisan) Instrument, Open Application Programming Interfaces (APIs), Open Culture, Open Data and Big Data, Open Standards, Open Standards Principles, Open Systems, OpenID Connect, Optimising Benefits of Digital Technology, Optimising Patient Outcomes Using Digital Technology, Optimising Use of Digital Technology, Oulu Patient Classification Instrument, Outpatient Appointments, Outpatient Attendances, Outpatient System: Redesign, Outpatients, Outpatients: Adding Value Through Sustainability (RCP 2018), Paper-Free Healthcare, Paper-Free NHS, Paperless Systems, Parker Moss: F-Prime and Eight Roads, Patient Access to Records, Patient Activation, Patient Choice, Patient Empowerment, Patient Records, Patients Know Best (PKB): Surrey and Sussex Healthcare NHS Trust, Personalised Medicine, Personalised Medicine: Improving Outcomes, Personalised Technology, Planned Operations and Care Within 18 Weeks of Referral, Preparing the Healthcare Workforce for the Digital Future. Final Report (Topol Review), Prescribing Digital Skills for Health and Care Workforce, Prevention of Avoidable Outpatient Appointments, Professional Record Standards Body (PRSB), Professor David Sharp: UK Dementia Research Institute at Imperial College London, Professor Stephen Powis: NHS England's National Medical Director, Public Cloud First, Rachel Dunscombe: CEO of NHS Digital Academy and Director of Digital for Salford Royal NHS Group, RAFAELA: RAFAELA® System (Finnish Consulting Group), RCGP Surveillance Unit, Realist Reviews, Realist Syntheses, Reducing Unnecessary Trips to Hospital, Reducing Waste in the NHS, Reform Health Conference (2019), Remote Appointments, Remote Consultations, Remote Monitoring, Remote Monitoring Systems, Remote Prescribing, Robotics and Voice Assistants: Dementia Support, Robotics and Voice Assistants: Medication Management, Robotics and Voice Assistants: Support for Rehabilitation, Roger Taylor: Chair of Centre for Data Ethics and Innovation, Royal Berkshire NHS Foundation Trust, Royal College of Physicians (RCP), Royal Free Hospital (London), Royal Liverpool and Broadgreen University Hospitals NHS Foundation Trust, Royal Liverpool and Broadgreen University Hospitals NHS Trust (Digital Exemplar), Royal Liverpool and Broadgreen University Hospitals NHS Trust: Early Recognition and Treatment of Sepsis, Ruth May: Chief Nursing Officer for England, SafeCare (Allocate), Safer Nursing Care Tool, Salford Royal NHS Foundation Trust, Salford Royal NHS Foundation Trust: Electronic Assessment Tool for Delirium, Sarah Wilkinson: Chief Executive at NHS Digital, School of Healthcare Sciences: Bangor University, Self Care (Technology-Supported), Self-Management (Technology-Supported), Service Transformation, Shortfalls in Analytical Capability, Simon Eccles, Sir Mark Walport: Chief Executive of UK Research and Innovation (UKRI), Skills Framework for the Information Age (SFIA) Model, Skype, Smart Home Smart Speakers, Smartphone apps, Smartphones, SNOMED CT, Social Market Foundation, Specialist Primary Care Services, Standardisation of Data Infrastructure Platforms and APIs, STEAM: System to Escalate and Monitor Clinical Capacity, Streams: AKI Mobile Phone app, Street Triage Teams (Mental Health), Surrey and Sussex Healthcare NHS Trust, Sustainability, Sustainable Digital Transformation, Tackling Wasteful Spending, Taunton and Somerset NHS Foundation Trust, Technologies Improving Patient Safety and Freeing-Up Resources, Technology and Infrastructure Development, Technology and the NHS Estate, Telehealth (Remote Monitoring), Telemedicine, TeleTracking, Text Messaging, Tools in Modern Browsers, Topol Review: Health Education England, Tracking Patient Care, Tracking Patient Progress, Transformational Commissioning, Transformational Technologies, Transformative Health Technology, Transformative Technology, Treating Patients Closer to Home, Trialling Use of Amazon Echo in Adult Social Care, Triangulated Approaches to Safe Staffing, UK’s National Programme for Information Technology (NPfIT), Unified Codes for Units of Measure (UCUM), University of Manchester, Unnecessary Outpatient Appointments, Untapped Potential: Investment in Health and Care Data Analytics (Health Foundation), Upgradability, Use of Data and Technology to Transform Outcomes for Patients and Citizens, Value of Data Analysis, Video Consultations to Avoid Outpatient Attendances, Virtual e-Clinic (Tower Hamlets), Voice Controlled Smart Speakers, Voice-Assisted Searching, Voice-Assisted Technology, Walton Centre Neurology Advice Line, Walton Centre Neurology Hotline for GPs, WannaCry Attack (2017), WCS Care, Wearable Technology, WHO Guideline: Recommendations on Digital Interventions for Health System Strengthening, Whole Systems Integrated Care, Whole Systems Integrated Care (WSIC), Will Smart: NHS England's Chief Information Officer for Health and Care, Workforce Competencies, Workforce Development, Workforce Education, Workforce Planning and Deployment Tools and Technology (WPTs), Workforce Skills, Working With Digital Suppliers, World Health Organization (WHO), World Health Organization (WHO): Corrective to Over-Optimism Regarding IT, WPT: Workforce Planning and Deployment Tools and Technology, Wrightington Wigan and Leigh NHS Financial Trust. 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