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