Informatics Capability Development in the NHS

John WillshereDirector ICD

DH InformaticsPolicy and Planning Division

Topics

• New DH Function

• What is informatics capability?

• Operational Efficiency Programme

• What are we doing now?

• Where are we going?

• Questions and Answers

Informatics Directorate

C o m m e rc ia l

T e ch O ffice

C lin ica l

B u s ine ss A rch ite c tu re

D ig ita l P o lic y & IG

S tra te g y, P la nn in g & M o n ito ring

In fo rm atics C ap a b ility

P o licy & P lan n ing

P ro g ram m es & S erv ices

C h ris tin e C o n n e llyD G In fo rm a tics

Capability Development

• Resource and Capability Strategy (Grant)– Organisations thrive through flexibility in

strategy– Building organisational resources (like

knowledge)– Building capability

• People• Culture• Processes

Informatics Capability

• Capability– Organisational

• Sustainable capability to exploit informatics for health care improvement

– Workforce• Developing the individual

– Specialist in Informatics– Generalist with Informatics Skills

• Developing the career frameworks• Predicting demand/availability

Contents

Chapter 1 Back office operations and IT

Chapter 2 Collaborative procurement

Chapter 3 Asset management and sales

Chapter 4 Property

Chapter 5 Local incentives and empowerment

Operational Efficiency

• strengthen the governance of IT-enabled change projects;

• strengthen Gateway assurance processes for all IT-enabled change projects;

• implement portfolio management processes to prioritize projects and resources and

• to reduce overlap and duplication in IT-enabled change projects;

• promote greater standardization and simplification of IT systems, desktops, infrastructure and applications across the public sector;

• develop internal IT capability (SFIA)

Challenges 2010 on

• Financial/Performance– IT Costs– General Pressures

• Implementations– Concurrency & Skill Gaps– Drivers for Change/Transformation

• Commissioning/Quality– Of HIS – Information Quality and reporting– Innovation

How can we help?

• Toolkits and initiatives

• Personal Support

• Organisational Support

• Development of the new strategic framework for informatics

LISA•Local health community (LHC) focus•Prepares readiness for IM&T enabled change•PCT accountability for IM&T strategic planning•Alignment of IM&T strategy with LHC transformation goals

NIMM• IT Infrastructure maturity model• Considers technology and IT

management of IT infrastructure• Focus is on capabilities not

specific products• Allows as is benchmarking and

target planning in order to create a roadmap for coordinated infrastructure improvement

ORAM• Assists IM&T Programme

Managers to assess organisational readiness to implement IM&T enabled change

• Planning & delivery of programmes & projects

• Programme & Project governance

• Benefits realisation & lessons learned

HiBC• Framework for health informatics benchmarking• Identifies areas for service improvement• Promotes understanding of benefits & risks of

alternative models• Address issues of information governance &

accreditation• Compares performance of informatics services

CUIPSPGIG Tool kitCFH GPGNHS EWAsITILMSPOthers..

ITILMSPIG Tool kitTCA

Executive Leadership Support for IM&T-Enabled Change

Field Support Completed or

Agreed for 2008/9

• Cumbria and Lancashire IM&T Board

• Bristol, Nth Somerset.& South Gloucester- Provider Informatics strategy development

• Kent PCTs -Informatics/commissioning alignment of Integrated Care Pathways

• SE Coast Benefits optimisation training

• Surrey-co-design benefit roll out model

• Westminster, Kensington and Chelsea

• Pan London Primary Care Board refresh.

• East Midlands (workshop series)

• North West Clinical Leads

• Barnet, Enfield& Haringey

• Milton Keynes PCT –Informatics for commissioning community services

Over 20 LHC Informatics Strategic Assessments (LISA) diagnostic workshops have also been completed or are scheduled, with many others under discussion

Sharing and Building on

Knowledge and Experiences

Creating a Climate for Champions

Coaching and Awareness

Raising

Cascading IM&T Management

Tools and Solutions to

Local Ownership challenges

LHC IM&T Self Assessment Tool (LISA) Assesses IM&T maturity dimensions for effective LHC-wide

IM&T enabled transformation

PCTs and their Senior Responsible Owners (SROs) are responsible for realising benefits for the NPfIT and other IM&T investments and hence need to lead local health communities in planning and deploying solutions which support service transformation and achieve local and national service priorities. The Executive Leadership Support team is currently engaged with Clinical Leads, CEOs and SHAs and over 20 frontline NHS organisations, and has begun working towards raising awareness, local confidence and capability in leading IT-enabled change.

Provision of Support and Facilitation

Programme and Project Management

The PPM Team are working with NHS organisations to help embed good project and programme management practices, support the development of a recognised career framework, publicise successes and collaborate with the NHS, the public sector and independent bodies championing PPM.

The team are engaging with SHA leads and frontline organisations to support local areas of good practice and encourage sharing and collaboration at individual as well as organisational level.

The vision “To establish recognised and respected PPM practices and professionalism across the NHS that will attract, develop and retain the best people and is valued for its effective contribution to improved delivery”

Everyone can, and should,

learn and teach from experience

Career Paths

• Competency frameworks• Role profiles• Review of workforce strategies• Priority development cohort -

proof of concept

PPM CareersSuccess Stories

Today 2009 2010 2011

Career Paths

Training & Development

CommunityAnd Recognition

2012 - Blueprint

§Aligned to competency framework/roles§Tailored to NHS needs and environment§Aligned to industry recognised standards§ Involves accreditation§Uses a variety of channels§ Informal development through community

§Aligned to industry best practice & standards§Simple and concise§Linked to remuneration, seniority, recognition§Unique and enforced§Linked to knowledge & experience§Allocation to role§Recognition as a profession in the NHS

§Active§Self-sustaining§Clear about role and responsibilities§ Interfaced with external PPM communities§Officially recognised within NHS§Collaborative

“To establish recognised and respected PPM practices and professionalism across the NHS that will attract, develop and retain the best people and is valued for its effective contribution to improved delivery”

Vision

Work-packages completed

Work-packages underway

Quick-win work packages

Longer-term work-packages

Key

NHS PPM Profession Roadmap

Key in-house courses developed

Career paths mapped through job roles

Recruitment and promotion aligned to

job roles

Job roles mapped to competency framework

Job roles and career paths linked to remuneration

Standard set of job roles

Engagement Strategy in place

PPM community leaders elected

Centrally organised events

Hard incentives for community contribution

Critical industry recognised courses

offeredKey in-house courses

developed

Full suite of training opportunities aligned

to framework

Development cells

Career paths linked to accreditations

Vocal sponsorship of PPM community

Gain Corporate APM Membership

PPM’ers have appropriate

memberships

Recognised industry award

Community contributions recognised

Mentoring scheme

Peer support and wiki collaborative

functions

Roles accredited

PPM community role defined

Development portfolio mapped to competency

framework

Communications pack for CEOs and CIOs

Framework customised

Framework mapped to KSF

Competency framework loaded into

online tool

NHS pay scales Compared with other

organisations

PPM development centre process

PPM Competency Frameworks evaluated

PPM Espace Community Established

Members of OGC PPM Leaders

Wider use of Human Systems Knowledge

Review of other workforce strategies

Published programmeOf learning, training

And devt options

Central point for support materials and industry

information

Initial skills gap assessment

PPM Careers Success Stories

PPM Modules in NHS graduate training

HR recognises PPM and career paths

PPM community allocated job roles

Competency Framework analysis

Community & Recognition

• PPM Career success stories• PPM in graduate training• eSpace community• Membership of Human

Systems and OGC

Training & Development

• Skills gap assessment• Map of tailored learning to

roles and competencies• 12 months of masterclasses• Mentoring, coaching, ALSs

Knowledge Management

LondonKnowledge

Management Pilot

The Knowledge Management Team has been working with a number of NHS communities across London and NME and with NPFIT programmes internally to leverage the work that has been done on lessons learned and create effective knowledge management strategy and approach.

Knowledge Management is about connectivity •Connecting people together to create, share and exploit knowledge more effectively •Connecting people to the information they need to develop and apply their knowledge in new ways•Connecting people to the tools they need to process information and knowledge

Knowledge Management is also about improving the key processes of•Knowledge creation and acquisition including reflection on experience •Knowledge capture, structuring and maintenance for knowledge best retained in an explicit form•Knowledge sharing and re-use

Everyone can, and should,

learn and teach from experience

Lessons LearnedPeer Assist

Communities of PracticeKnowledge Assets

NMELessons Learned

Collaboration

NHS CFHLesson Learned

Review

Knowledge ManagementFramework

eSpace

Knowledge Harvesting

Pilot

Knowledge Management

Health Informatics Development

Talent Management

www.hicf.org.uk

• Health Informatics Graduate Training Scheme

• Leadership Development for HI Specialists

• HI National Occupational Standards Development

E-ICEEmbedding

Informatics in Clinical Education

“Learning to Manage Health Information – a theme for

clinical education”

www.nhscfh.nhs.uk/eice

Recognising Quality in Health

Informatics Modular Courses –

“HI Quality Scheme for Learning & Development”

NHS Health Informatics

Services Benchmarking

Club

130 Memberswww.hibc.nhs.uk

Building knowledge

Communities UK Faculty of Health

Informatics•Think Tank•Master Classes•Research & publications

Health Informatics Community in eSpace

HI Professionalism

www.ukchip.org.uk

PHIwww.nhscfh.nhs.uk/phi

Health Informatics: “the knowledge, skills and tools which enable information to be collected, managed, used and shared to support the delivery of healthcare and promote health”

Supporting healthcare modernisation and better, safer patient services through:

• establishing quality standards supported by accreditation schemes for informatics professional practice, service delivery and courses;

• building informatics specialist and clinical capability;

• facilitating knowledge sharing, research and development

ETD Standards• 9 new standards developed by the NHS for the NHS• Each standard is divided into 3 levels (Bronze, Silver and Gold)• A guidance document that includes tools and templates supports each standard• Will be used to benchmark training performance and underpin the quality assurance framework for training • Can be used standalone in either printed or electronic format

Training Centre AccreditationWill recognise quality training within the

NHSAdministered by an external supplier:• Provides a framework and accreditation process based on the ETD standards • Produces action plans and development pathways to facilitate centre progress from one level of accreditation to another• 3 levels of accreditation: Bronze Silver & Gold

ETD Practitioner Development for Trainers and Training Managers

• Generic job profiles linked to KSF and National Occupational Standards• Learning needs and career pathways reports• Case studies on ETD career pathways• High level learning resources identified

ETD Practitioner Development for Trainers and Training Managers

• Generic job profiles linked to KSF and National Occupational Standards• Learning needs and career pathways reports• Case studies on ETD career pathways• High level learning resources identified

ETD Standards ToolAn online application that:• Allows benchmarking against the ETD standards to determine at which level a training centre is performing• Uses the standards to create improvement plans for training centres • Stores evidence in support of Training Centre Accreditation

Online Self Assessment Tool Will be developed for ETD practitioners to support competency assessment and gap analysis for personal development and career pathway planning

Online Self Assessment Tool Will be developed for ETD practitioners to support competency assessment and gap analysis for personal development and career pathway planning

Support and improve the quality of NPfIT and IT-related training across the Support and improve the quality of NPfIT and IT-related training across the NHS, reinforcing NHS CFH commitment to improving patient safetyNHS, reinforcing NHS CFH commitment to improving patient safety

Training Quality ImprovementTraining Quality Improvement

Quality Assurance Process for NPfIT Supplier Training

• To establish consistent high quality training delivery into the NHS• Review and approve training proposals strategies and products• Development of Key Performance Indicators will measure effectiveness of training delivery

Professional Development• Nationally funded development opportunities• Promote Mentoring and Action learning sets

Professional Development• Nationally funded development opportunities• Promote Mentoring and Action learning sets

Education Training & Development Relationship and Service Management

NHS Microsoft IT Academies

NHS Microsoft IT Academies

Relationship Management, Communications and Engagement

Relationship Management, Communications and Engagement

Essential IT Skills Programme

Essential IT Skills Programme

Mobile Training Units (MTUs) framework agreement

Mobile Training Units (MTUs) framework agreement

NASP Training Scheduling Service

NASP Training Scheduling Service

• Pre-requisite IT skills and information governance training to support NPfIT systems training

• Pre-requisite IT skills and information governance training to support NPfIT systems training

• National agreement for the procurement of MTUs to support large scale NPfIT training rollouts

• Short term training capacity solutions that can be delivered at short notice and ‘in situ’

• Centralised service management and assurance

• 1000 deployment days since 2006

• Significant local cost savings

• 187 approved NHS training and testing centres throughout England

• ‘World class’ E-Learning materials available to all NPfIT systems users

• 2000+ qualifications completed since March 2008

• Scheduling and coordination of RA, and SUS training to support rollout of National Applications

• Central service management and assurance

• 350+ courses delivered in 2008/9

• Scheduling and coordination of RA, and SUS training to support rollout of National Applications

• Central service management and assurance

• 350+ courses delivered in 2008/9

• Proactive, collaborative relationships with key NHS stakeholders

• Relationship Management resource to work with SHAs from requirements gathering to post deployment support

• Centralised communications, delivering a single consistent message

• Proactive, collaborative relationships with key NHS stakeholders

• Relationship Management resource to work with SHAs from requirements gathering to post deployment support

• Centralised communications, delivering a single consistent message

• Delivery and support of fully accredited Microsoft specialist testing centres

• Enabling the NHS to develop the information analysis and technical workforce necessary to support the NPfIT

• All SHA academies accredited to deliver technical qualifications since 31st Mar 09

• Academic pricing to take advantage of national economies of scale

• Delivery and support of fully accredited Microsoft specialist testing centres

• Enabling the NHS to develop the information analysis and technical workforce necessary to support the NPfIT

• All SHA academies accredited to deliver technical qualifications since 31st Mar 09

• Academic pricing to take advantage of national economies of scale

Effective ETD relationship and service management

Effective ETD relationship and service management

• Stakeholders engaged and consulted about all ETD initiatives.

• Through proactive listening, our aim is that all our communications and implementation are done with the NHS rather than done to them.

• At all stages from planning to evaluation we seek to base all of our work around one simple question – “How does this ultimately improve patient care”

• Stakeholders engaged and consulted about all ETD initiatives.

• Through proactive listening, our aim is that all our communications and implementation are done with the NHS rather than done to them.

• At all stages from planning to evaluation we seek to base all of our work around one simple question – “How does this ultimately improve patient care”

Questions