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Microsoft NHS CIO Summit
Matthew Swindells
Director General
(Information and Programme Integration)
Three Elements of the Future
• NHS Reforms
• The Next Stage Review (Darzi)
• The Informatics Review
The NHS Reforms
• Drivers for Change– Technology
– Demographics
– Patient Expectations
• The Path to Reform– Capacity
– Reform Levers
– Transformation
The Nicholson Transformation
From:MonolithicOne size fits allProvider led
A Huge Change• Purpose what our staff and public think
we’re here for• System not C19th capitalism or C20
nationalisation, a system linked by values.
• Leadership bold, responsible, out not up
To:PluralResponsivePatient centred
The Darzi review
• Quality – measurement & pathways• Innovation – R&D and adoption• Workforce – the right staff, working differently• Leadership – responsibility and advocacy• 1o & community care – prevention & accessibility• Constitution – accountability: patients, public, staff• Systems and Incentives – the levers of change
• Informatics – supporting every workstream
The Informatics Review
• Information
• National Programme for IT
• Organisation and governance
Information
R&DRegul’nBench-marking
Audit PathwaysCommissioningPatients
BusinessProcess
PerformMgt
RealTimeMgt
High level of coding sophistication
High level of data quality
TimelinessLess Important
TimelinessImportant
Lower level of coding sophistication
Operational Data capturedTerms (SNOMED) / Classification (ICD10,OPCS) / Grouping (HRGs)
National Programme for IT
• Does it support the original vision
• Acceptable to the users
• Building on the best of what we have
• Fit to modern the NHS
• Fit to a Darzi future
• Flexible
Organisation and Governance
• Leadership and integration to policy
• Leadership of NPfIT in an NLOP world
• Joining up the centre
• Miscellaneous groups
• Development of Informatics
• Building public trust
Information Governance
• Data storage and access
• Data transfer
• Pocket media
• Kit
• Paper
The NHS doesn’t get reinvented for the
next 60 years without your help
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