The National Health Service (NHS) was born out of the ideal that good healthcare should be available to all. As the UK population grows and demand for healthcare services increase, the NHS is increasingly pursuing an innovation agenda, including the use of AWS, to continue delivering high-quality healthcare. Presenter: Angus McAlister, Solution Architect, Amazon Web Services

1. P U B L I C S E C T O R
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Canberra, ACT

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How UK Healthcare Organisations are
Innovating in the Cloud
Angus McAllister
Solutions Architecture Manager, UK Healthcare
AWS

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Agenda
Quick overview of the NHS
Challenges and Opportunities facing the NHS
Role of technology in addressing these
Customer innovations and outcomes
Call to action

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How the NHS in England is structured (simplified)
Department of Health and
Social Care
Public Health
England
NHS England
Clinical Commissioning
Groups
Local
Government
Public HealthPrimary
Care
Secondary
Care
Mental
Health
GPs Acute
Trusts
Mental
Health Trusts
Community
Trusts
Ambulance
Trusts
Private
Providers
NHS
Digital
Care Quality
Commission
NHS
X
NHS
Improvement

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Challenges facing the NHS
Chronic, expensive conditions:
• Obesity
• Type 2 diabetes
• Cancer
• Neurodegenerative diseases
• Mental health

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Impacts of those challenges
1 Ahmed Z, Garfield S, Jani Y, et al. (2016). Impact of electronic prescribing on patient safety in hospitals: implications for the UK

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Assets and Opportunities for the NHS
Large genomic
datasets
Faster feedback
on intervention
effectiveness
Grass-roots
innovation
Forward-thinking national
bodies focused on
digitalisation
Standardised terminologies:
• SNOMED CT
• ICD-10 & 11
• dm+d
• READ Codes
Interoperability
through data
standards (FHIR)

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Role of Technology – NHS’s Guiding Principles
User need
Privacy and security
Interoperability and
openness

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Role of Technology – NHS’s Architectural Principles
• Mobile-first, in the browser
• Internet-first
• Cloud-first
• Data registers with APIs
• Adopt best security standards
• Separate layers of the stack

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Case Study: One
Gloucestershire
with Kainos
JUYI - ‘Joining Up Your Information’
Connects:
• GP surgeries
• Acute hospitals
• Community and mental health
• Out of hours services
• Children’s social care services
Over 600,000
patients
Average 4,500
views per month
8 partner
organisations
By the numbers:

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“This new digital record means health professionals
are able to see people’s information in one place 24
hours a day, seven days a week. It is more efficient
and helps to ensure a continuity of care for patients.”
Dr. Paul Atkinson
Chief Clinical Information Officer
Gloucestershire Clinical
Commissioning Group

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Case study

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“Without the cloud we wouldn't be able to
do this securely, cost effectively, or at
scale.”
Breght Boschker
Chief Technology Officer
SkinVision

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NHS business services authority case study
EHIC

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Proof of concept results
These benefits were achieved
in less than two weeks

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Call to action
What are your
clinical
information
challenges?
Engage with AWS and/or an
APN Partner to begin
addressing them
And
Think
Big