Building a Shared ServiceBuilding a Shared Service

• Focus on high-volume areasFocus on high-volume areas• Need for scalable resilienceNeed for scalable resilience• ‘‘A significant shift – not incremental A significant shift – not incremental

journey’ (Transformational change)journey’ (Transformational change)• Data Quality and Standards need careful Data Quality and Standards need careful

considerationconsideration• Benefits of sharing risk and opportunitiesBenefits of sharing risk and opportunities• ’’Shared Services doesn’t mean that Shared Services doesn’t mean that

everyone does everything the same way’everyone does everything the same way’

A SystmOne Paperless A SystmOne Paperless ServiceService• Identify ‘target’ patients – focussed effortIdentify ‘target’ patients – focussed effort• ““My computer is my friend” – “it helps My computer is my friend” – “it helps

me do my job better” me do my job better” • Shared information is the key to Shared information is the key to

efficiencyefficiency• ‘‘Information’ is ‘knowledge’Information’ is ‘knowledge’• Decision Support is difficult to Decision Support is difficult to

computerise, need to compliment ‘brain’ computerise, need to compliment ‘brain’ processesprocesses

Document ManagementDocument Management

• Importance of Service-led changeImportance of Service-led change

• Make it easy to use and ‘fit for Make it easy to use and ‘fit for purpose’ from a user perspectivepurpose’ from a user perspective

• DM – just a piece of the jigsawDM – just a piece of the jigsaw

eHealth – an exciting futureeHealth – an exciting future

• ““An opportunity to transform the way we An opportunity to transform the way we work”. “heed to redesign services”work”. “heed to redesign services”

• Need for effective stakeholder Need for effective stakeholder engagementengagement

• ““The ability to share information/patient The ability to share information/patient records is a very valuable tool”records is a very valuable tool”

• Should the patient be in charge of their Should the patient be in charge of their care plan?care plan?

• ““We have new tools – we need to build a We have new tools – we need to build a new car”; but how do we encourage new car”; but how do we encourage workers to use the new toolsworkers to use the new tools

KeynoteKeynote

• ““The economic climate is biting”, The economic climate is biting”, puts an emphasis on cost controlputs an emphasis on cost control

• The private sector are ‘alive’ to the The private sector are ‘alive’ to the need for transformation; is the NHS?need for transformation; is the NHS?

• Putting the customer at the heart of Putting the customer at the heart of the businessthe business

• Overcoming organisational barriersOvercoming organisational barriers

Drs, Managers and ITDrs, Managers and IT

• Need to serve different stakeholders Need to serve different stakeholders starting from different places – starting from different places – sometimes at odds with each othersometimes at odds with each other

• The ‘profession’ vs the NHSThe ‘profession’ vs the NHS

Personalisation and Personalisation and InformationInformation

• ‘‘Integration’ not ‘alignment’Integration’ not ‘alignment’

• There appears to be a case for There appears to be a case for ‘personalised’ funding‘personalised’ funding

• ‘‘Total Place’ is the future – single Total Place’ is the future – single economy budgetseconomy budgets

• Can IT deliver what is needed as Can IT deliver what is needed as quickly as it is needed?quickly as it is needed?

World Class PerformanceWorld Class Performance

• Need for ‘dramatic’ transformationNeed for ‘dramatic’ transformation

• It is possible to change without the It is possible to change without the need to throw large ‘dollops’ of need to throw large ‘dollops’ of money at itmoney at it

• IM&T function embedded in IM&T function embedded in organisational fabric. Leading organisational fabric. Leading transformational change and transformational change and reporting to Medical Director reporting to Medical Director

The Challenge for usThe Challenge for us

• Seeing the slides from the top tableSeeing the slides from the top table• Deploying solutions that ‘allow clinicians to do Deploying solutions that ‘allow clinicians to do

their job better’ not give them more admin to dotheir job better’ not give them more admin to do• Supporting the ‘innovators’Supporting the ‘innovators’• Using computers to do the right bits (need to Using computers to do the right bits (need to

coexist with ‘brain’ processes)coexist with ‘brain’ processes)• Establishing systems/services to support the Establishing systems/services to support the

‘Total Place’ approach ‘Total Place’ approach

• Computer Department needs to say “yes”!Computer Department needs to say “yes”!