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PAPER-FREE AT
THE POINT OF
CARE EXEMPLARSPaul Rice
Head of Technology Strategy, NHS England
NCL digital footprint
Great Ormond Street
NHS Foundation Trust
Royal National Orthopaedic
Hospital NHS Trust
Moorfields Ey...
Raising awareness within Trust
 DMA results presented to Executive Board
 DCEO comms to divisional clinical directors
 ...
Connected Nottinghamshire
Programme established 2013
Area selection decided from the primary patient flows
Includes six of...
Our story so far:
• Information sharing
– IG sorted for direct care
– Primary Care 146 Practices sharing through TPP S1 an...
Lessons to share/we have learnt from others?
• “It's all about people” – get the right people involved and get the right
l...
Part of the GM Roadmap
• Prompted Collaboration across Greater Manchester
– sharing roadmaps and associated narrative
• Using LDR as part of the ...
We provide a very broad range of physical community services, therapies,
mental health community and inpatient services, l...
Paperless at the Point of Care Exemplars
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Paperless at the Point of Care Exemplars

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Paul Rice, Head of Technology Strategy, NHS England with NHS providers sharing best practice

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Paperless at the Point of Care Exemplars

  1. 1. PAPER-FREE AT THE POINT OF CARE EXEMPLARSPaul Rice Head of Technology Strategy, NHS England
  2. 2. NCL digital footprint Great Ormond Street NHS Foundation Trust Royal National Orthopaedic Hospital NHS Trust Moorfields Eye Hospital NHS Foundation Trust
  3. 3. Raising awareness within Trust  DMA results presented to Executive Board  DCEO comms to divisional clinical directors  Intranet article  Regular agenda item on Digital Services Delivery Board  Questions arising  CQC assessment  Access to central funding  Benchmarking  Alignment to STP Local Digital Roadmap  Limited use of DMA results  Baseline assessment of capabilities and IT systems by CCGs  STP and LDR immature with limited current alignment  Complex governance model for London  Greater visibility of regional and national initiatives required  Providers as passive participants
  4. 4. Connected Nottinghamshire Programme established 2013 Area selection decided from the primary patient flows Includes six of seven CCG areas in Nottinghamshire Population circa 1.2 million residents 147 GP Practices (with two IT Systems) Five main IT Service Providers Three Community Trusts Two NHS Acute Providers (plus two private providers) Two Local Authorities One Mental Health Provider One Ambulance Service One 111 Provider + over 200 different Third Sector organisations
  5. 5. Our story so far: • Information sharing – IG sorted for direct care – Primary Care 146 Practices sharing through TPP S1 and MIG (80% of records available) – Community 100% sharing – Secondary Care challenging; some specialties sharing but limited, lots of paper, limited coding – Mental Health even more challenging; lots of paper, limited coding and a different language(s) – TPP S1, MIG and Graphnet (2016) are main tools for sharing • Workflow (tasks/actions/referral/notifications) – Discharge and some letters electronic (but needs more work) – Good progress internally within single systems e.g. TPP S1 – VERY difficult between different vendors Working to be paper free at the point of care
  6. 6. Lessons to share/we have learnt from others? • “It's all about people” – get the right people involved and get the right leader(s) • It doesn’t always need lots of money or resources to make progress • Common problem – start with a problem everyone has • You have to be pragmatic – technology isn’t where it needs to be so you have to go with the best fit for now • Someone else has probably already tried it! Find them out and repeat (but do it better of course if you can)
  7. 7. Part of the GM Roadmap
  8. 8. • Prompted Collaboration across Greater Manchester – sharing roadmaps and associated narrative • Using LDR as part of the input to the Devolution Process • Many benefits from the wider debate and shared frame of reference Digital Roadmaps
  9. 9. We provide a very broad range of physical community services, therapies, mental health community and inpatient services, learning disability services, healthy lifestyle support and addictions services to people living in Hull and the East Riding of Yorkshire, a large geographical area with a population of approximately 600,000. Our Forensic services support patients from the wider Yorkshire and Humber area and from further afield. We employ approximately 3000 staff across more than 70 sites at locations throughout Hull and the East Riding of Yorkshire.

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