Microsoft - NHS Annual Summit

Delivering Darzi – Locally

High Quality Care for All

Agenda -morning10:00 Welcome & Introduction Mark Treleaven

Healthcare Strategic Marketing Manager

Microsoft UK

10:10 Transforming Service Delivery – a view from South Central

SHA - Putting patients at the centre and in control

Chris Evennett

Director of Strategy & Reform

South Central SHA

10:50 Improving Healthcare around the world

--with software innovation

Neil Jordan

World Wide Health Managing Director

Microsoft Corporation

11:30 Coffee/Exhibition

11:45 Making Darzi real in London –

- The IM&T challenges of LPfIT & Polyclinics

Kevin Jarrold

CIO, NHS London

Nigel Brokenshire

Strategic Lead

12:20 Delivering High Quality Care –

- from Data Confusion to Unified Intelligence

Dr. Steffen Achenbach

Clinical Lead

Microsoft Amalga

1:00 Lunch & Exhibition

Agenda - afternoon

2:00 The information requirements to support World Class

Commissioning

- delivering improvements in patient outcomes

Matthew Swindells

Managing Director

Tribal Health

2:40 Using information to improve services in Wandsworth

- A case study for Public Health

Laurence Gibson

Associate Director of Public Health

Wandsworth PCT

3:20 Evidence based innovation

- the challenges for leadership in implementing Darzi

Vijaya Nath,

Snr. Consultant Leadership,

Kings Fund

4:00 Conclusions & Close Mark Treleaven

Microsoft UK

4:15 Tea & Exhibition

Mini Expo

Online - NHS Resource Centre

© System C Healthcare plc 2008

System C Healthcare plc

Medway Sigma – next generation Microsoft product

PAS, EPR, clinical systems, BI

Worked with over 180 hospitals and trusts

The UK’s biggest and most experienced team of

healthcare IT domain specialists

The UK’s premier healthcare solutions company

21st century information management

www.21C.it

21C Overview

“Dashboards on every NHS decision makers desktop”

• NHS-focussed BI specialists

• PCT, Mental Health and Acute customer base

• Experienced in data integration– UNIFY, STEIS, MHMDS, MARACIS, RiO, CERNER, ISOFT, EPEX, McKesson ESR

• A team of 20 NHS business and IT consultants

• A proven implementation model and solution framework

• Microsoft throughout– SQL Data Warehouse

– MOSS Portals

– Performance Point reporting and analytics

Healthcare PRM - EDS, an HP company

• Contacts– Julian Wright, Director UK Healthcare and Pharmaceuticals

– John Cruickshank, EMEA Industry Lead for Health

– Stephen Lindsay, Dynamics CRM Business Development

– Darren Wilkes, Microsoft Solutions Technology Lead

• Healthcare Patient Relationship Management– Based on Microsoft Dynamics CRM

– Chronic Disease Management

– Managing the Healthcare Professional and Patient Relationship

• Demonstrations in Exhibition Area – EDS and Microsoft Partner Demo

• Darren Wilkes (EDS)

• Phil Rawlinson (Microsoft)

Copyright BP 2007

DYNABS OVERVIEW

European Healthcare specialist since

1996:

300 staff across Europe

Longstanding track-record

Recently launched in UK

Complete Hospital Information System

(HIS) for Providers

Commissioning Management System for

PCTs

Microsoft Confidential

Legacy Solutions

Fulfilling a vision of connected health that serves the patient by bringing together information from across the healthcare ecosystem

Partner Applications

Enterprise Consumer

Hospital Information System complete with radiology, image archiving, patient and bed management, laboratory, pharmacy, pathology, accounting, materials management and HR.

Consumer health information platform connecting doctors, partner applications, and devices

Consumer health search

Consumer health search, storage and development platform

10

Microsoft Infrastructure & Services

Innovative way to capture, store and present information. Enables enterprise providers to unlock data sitting in clinical, financial and administrative silos.

Unified Intelligence System (UIS)

Chris Evennett

South Central SHA

“NHS South Central – Improving health and alleviating the causes of poor health for the benefit of patients, the public and taxpayer alike in Oxfordshire, Buckinghamshire, Berkshire, Hampshire and the Isle of Wight”

Transforming Service Delivery:

a view from NHS South Central

Putting patients at the centre & in control

Chris Evennett, Director Strategy & Reform,

South Central Strategic Health Authority

“NHS South Central – Improving health and alleviating the causes of poor health for the benefit of patients, the public and taxpayer alike in Oxfordshire, Buckinghamshire, Berkshire, Hampshire and the Isle of Wight”

One of the most important topics for the NHS!

Outline of the presentation

• Our challenges and strategic issues

• The Opportunities for information

management and technology

• The challenges faced in encouraging

innovation and diffusion

“NHS South Central – Improving health and alleviating the causes of poor health for the benefit of patients, the public and taxpayer alike in Oxfordshire, Buckinghamshire, Berkshire, Hampshire and the Isle of Wight”

• What are the strategic challenges?

– Money and waiting times – risk

– Clinical variation

– Care closer to home

– Safety

– Customer care

“NHS South Central – Improving health and alleviating the causes of poor health for the benefit of patients, the public and taxpayer alike in Oxfordshire, Buckinghamshire, Berkshire, Hampshire and the Isle of Wight”

• What are the strategic challenges?

– “PatNav”

– Diffusing innovation

– Impact of the EU – how significant?

– Tackling health Inequalities

“NHS South Central – Improving health and alleviating the causes of poor health for the benefit of patients, the public and taxpayer alike in Oxfordshire, Buckinghamshire, Berkshire, Hampshire and the Isle of Wight”

• Strategic levers for change– World Class Commissioning

– Liberating the provider side

– Patient and public involvement

– At the heart of the reforms is the challenge of better understand the needs of the patient, putting them inc control when they want it, through choice and information.

– We need to deliver personalised commissioning.

“NHS South Central – Improving health and alleviating the causes of poor health for the benefit of patients, the public and taxpayer alike in Oxfordshire, Buckinghamshire, Berkshire, Hampshire and the Isle of Wight”

• Lets build on what we already do…….

– Tele-medicineLancashire & South Cumbria Cardiac Network

– Tele-health & Assistive Technology

– Tele-care

“NHS South Central – Improving health and alleviating the causes of poor health for the benefit of patients, the public and taxpayer alike in Oxfordshire, Buckinghamshire, Berkshire, Hampshire and the Isle of Wight”

Lets build on what we do

– Patients working in partnership with GPs

accessing their full health records, in real time

– Texts/phone call prompts for all appointments,

ensuring none are missed

• WiiFit-style health regime

for long-term conditions?!

“NHS South Central – Improving health and alleviating the causes of poor health for the benefit of patients, the public and taxpayer alike in Oxfordshire, Buckinghamshire, Berkshire, Hampshire and the Isle of Wight”

what are the obstacles for real progress

– You and Me! - our organisational culture

– Information management (“back office”)

• Needs to be everywhere!

– Leadership skills

– Not listening to our patients and public

– Slow to learn (C & B?) - More flexible responses

– Making time for innovation

“NHS South Central – Improving health and alleviating the causes of poor health for the benefit of patients, the public and taxpayer alike in Oxfordshire, Buckinghamshire, Berkshire, Hampshire and the Isle of Wight”

• Lessons from the “lean work” in South Central… truly personalised care depends on progressive transformation of

– Behaviour

– Practice

– Information

Changes in the these dimensions are inter-dependent, need addressing together

“NHS South Central – Improving health and alleviating the causes of poor health for the benefit of patients, the public and taxpayer alike in Oxfordshire, Buckinghamshire, Berkshire, Hampshire and the Isle of Wight”

• The information challenge– We need to know what the patient needs and why

and to segment the population before we plan services

– We need to understand and use outcomes

– We need to be able to plan and follow personal care• Integrated care organisations

– We need information to support teamwork and partnerships

– We need to be able to commissioning for individuals

– We need a new relationship with the patient and public

“NHS South Central – Improving health and alleviating the causes of poor health for the benefit of patients, the public and taxpayer alike in Oxfordshire, Buckinghamshire, Berkshire, Hampshire and the Isle of Wight”

• What would success look like for local people?

– People feeling confident

– People are expected

– People are informed

– Care plans actively managed

– People can choose the degree of choice choice

“NHS South Central – Improving health and alleviating the causes of poor health for the benefit of patients, the public and taxpayer alike in Oxfordshire, Buckinghamshire, Berkshire, Hampshire and the Isle of Wight”

• What would success look like for local

people?

– Services better matched to patients needs

– Effective and efficient delivery

– Patients more able to take responsibility for

their own health

– Patients are not left alone (nominated key

health worker)

“NHS South Central – Improving health and alleviating the causes of poor health for the benefit of patients, the public and taxpayer alike in Oxfordshire, Buckinghamshire, Berkshire, Hampshire and the Isle of Wight”

• What might success look like for the NHS?

– IM&T embedded within the whole system

– Much more time spent facing out towards the

patient and public

– Performance management system that follow

pathways, not functions

“NHS South Central – Improving health and alleviating the causes of poor health for the benefit of patients, the public and taxpayer alike in Oxfordshire, Buckinghamshire, Berkshire, Hampshire and the Isle of Wight”

• What might success look like for the NHS?

– Strong leadership in IM & T

– More commercial involvement?

– More rapid learning from our mistakes

– Time made for innovation

– Staff acting on “live” feedback from patients

(and published?)

“NHS South Central – Improving health and alleviating the causes of poor health for the benefit of patients, the public and taxpayer alike in Oxfordshire, Buckinghamshire, Berkshire, Hampshire and the Isle of Wight”

• We must grasp this opportunity…now

• Learn to look out, not up

• The Electronic Health Record is only part of the solution.

• We must recognise we are in the information business if we are to deliver personalised care in partnership with people