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NHS Direct & Sitecore<br />Roger Donald<br />Head of Digital Delivery<br />12/10/2010<br />1<br />#SitecoreDT10<br />
What is NHS Direct?<br />12/10/2010<br />2<br />
What is NHS Direct?<br />A health information and advice line (0845 46 47) <br /> 14,000 calls a day. That’s over 5 millio...
The digital challenge<br />12/10/2010<br />4<br />
	“The internet has changed the way we shop, find information and access services or all sorts, including health care. The ...
Public access to health services?<br />Historically...<br />Face-to-face communication only<br />At a time that suits the ...
Delivering digital health services<br />The challenge...<br />40 health & symptom checkers (sometimes called SATs) that ar...
8<br />
An NHS with accessible health services <br />All done via <br /><ul><li>net books
PCs
Mobile devices
iTV
Gaming consoles</li></ul>9<br />
The Sitecore solution<br />12/10/2010<br />10<br />
Sitecore was chosen because...<br />It integrates with other Microsoft platforms<br />Specifically Arezzo  a clinical deci...
Over to Michael...<br />12/10/2010<br />12<br />
13<br />12/10/2010<br />Developing the Online Service<br />Michael Edwards<br />Web Consultant<br />
14<br />12/10/2010<br />Who is Eduserv?<br /><ul><li>10 years experience providing information services to public sector
Not-for-profit registered charity with commercial approach
1stUK Sitecore Partner
7 years delivering Sitecore solutions
14 Sitecore Certified Developers </li></li></ul><li>15<br />12/10/2010<br />Features<br /><ul><li>Find Your Nearest
Job Search
Health Enquiries
SATs
Syndication</li></li></ul><li>16<br />12/10/2010<br />
17<br />12/10/2010<br />
18<br />12/10/2010<br />
19<br />12/10/2010<br />
20<br />12/10/2010<br />
21<br />12/10/2010<br />
22<br />12/10/2010<br />What is a Health and Symptom Checker?<br /><ul><li>A series of questions that follow a NHS Direct ...
Contains
Questions
Information</li></li></ul><li>23<br />12/10/2010<br />What is a Health and Symptom Checker?<br />
24<br />12/10/2010<br />What is a Health and Symptom Checker?<br /><ul><li>A series of questions that follow a NHS Direct ...
Contains
Questions
Information</li></li></ul><li>25<br />12/10/2010<br />What is a Health and Symptom Checker?<br />
CDE<br />HaSC<br />26<br />12/10/2010<br />
HaSC Process<br />27<br />12/10/2010<br />
CDE<br />Website<br />28<br />12/10/2010<br />
CDE<br />Website<br />29<br />12/10/2010<br />
CDE<br />Website<br />30<br />12/10/2010<br />
CDE<br />Website<br />31<br />12/10/2010<br />
CDE<br />Website<br />32<br />12/10/2010<br />
CDE<br />Website<br />33<br />12/10/2010<br />
The Challenges<br />34<br />12/10/2010<br />
35<br />12/10/2010<br />The Challenge<br /><ul><li>Clinical Decision Engine uses a full object model
We use a full object model with Sitecore (in house framework)
Sitecore XSLT Renderings can’t be used</li></li></ul><li>36<br />12/10/2010<br />The Solution	<br />SPARK<br />
37<br />12/10/2010<br />What is Spark?<br /><ul><li>View engine for .NET
XHTML focused
Uses domain objects as content source
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Digital Trendspot 2010 NHS Direct

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Slides from the NHS Direct Presentation which was given as Digital Trendspot on 13/10/10.

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Digital Trendspot 2010 NHS Direct

  1. 1. NHS Direct & Sitecore<br />Roger Donald<br />Head of Digital Delivery<br />12/10/2010<br />1<br />#SitecoreDT10<br />
  2. 2. What is NHS Direct?<br />12/10/2010<br />2<br />
  3. 3. What is NHS Direct?<br />A health information and advice line (0845 46 47) <br /> 14,000 calls a day. That’s over 5 million calls a year<br /> Web site alone receives 1 million visits each month <br /> 3,400 staff<br /> over 1,400 of whom are trained nurses (including dental nurses)<br />National infrastructure, but with regional/local engagement<br />Commissioned by the East of England Strategic Health Authority<br /> on behalf of NHS<br />12/10/2010<br />3<br />
  4. 4. The digital challenge<br />12/10/2010<br />4<br />
  5. 5. “The internet has changed the way we shop, find information and access services or all sorts, including health care. The revolutionary effect of the web will continue to grow, and all organizations need to understand how to harness this to achieve their goals. <br /> Our patients currently think of NHS Direct as a telephone service. We must, of course continue to be available to patients who just pick up the phone as now. But to ensure we continue to give a service that is highly valued, we need to think about patients who choose to access us by looking on the web first, and then seek phone contact if that is what they need. This needs our full attention.”<br />Nick Chapman - Chief Executive<br />5<br />
  6. 6. Public access to health services?<br />Historically...<br />Face-to-face communication only<br />At a time that suits the health professional<br />Organised around geographic locations & communities<br />Some telephone based access (NHS Direct)<br />Our research demonstrated a public demand for digitally delivered health services<br />12/10/2010<br />6<br />
  7. 7. Delivering digital health services<br />The challenge...<br />40 health & symptom checkers (sometimes called SATs) that are clinically safe<br />That are easily altered by our clinicians & content authors<br />From a single source of clinical algorithms<br />That meet Government accessibility standards <br />Delivered across multiple channels <br />That allow for patient / health professional interactive communication<br />Which capture and pass patient data securely to our systems<br />12/10/2010<br />7<br />
  8. 8. 8<br />
  9. 9. An NHS with accessible health services <br />All done via <br /><ul><li>net books
  10. 10. PCs
  11. 11. Mobile devices
  12. 12. iTV
  13. 13. Gaming consoles</li></ul>9<br />
  14. 14. The Sitecore solution<br />12/10/2010<br />10<br />
  15. 15. Sitecore was chosen because...<br />It integrates with other Microsoft platforms<br />Specifically Arezzo a clinical decision support tool from InferMed (Prime Contractor to NHS Direct)<br />Easy to implement workflow<br />It versions our content<br />Inline editing out the box<br />An easily accessed web interface<br />An API to syndicate our services to other organisations<br />Delivery of content across multiple channels <br />A proven service used by major organisations<br />12/10/2010<br />11<br />
  16. 16. Over to Michael...<br />12/10/2010<br />12<br />
  17. 17. 13<br />12/10/2010<br />Developing the Online Service<br />Michael Edwards<br />Web Consultant<br />
  18. 18. 14<br />12/10/2010<br />Who is Eduserv?<br /><ul><li>10 years experience providing information services to public sector
  19. 19. Not-for-profit registered charity with commercial approach
  20. 20. 1stUK Sitecore Partner
  21. 21. 7 years delivering Sitecore solutions
  22. 22. 14 Sitecore Certified Developers </li></li></ul><li>15<br />12/10/2010<br />Features<br /><ul><li>Find Your Nearest
  23. 23. Job Search
  24. 24. Health Enquiries
  25. 25. SATs
  26. 26. Syndication</li></li></ul><li>16<br />12/10/2010<br />
  27. 27. 17<br />12/10/2010<br />
  28. 28. 18<br />12/10/2010<br />
  29. 29. 19<br />12/10/2010<br />
  30. 30. 20<br />12/10/2010<br />
  31. 31. 21<br />12/10/2010<br />
  32. 32. 22<br />12/10/2010<br />What is a Health and Symptom Checker?<br /><ul><li>A series of questions that follow a NHS Direct clinically developed pathway that lead to multiple dispositions.
  33. 33. Contains
  34. 34. Questions
  35. 35. Information</li></li></ul><li>23<br />12/10/2010<br />What is a Health and Symptom Checker?<br />
  36. 36. 24<br />12/10/2010<br />What is a Health and Symptom Checker?<br /><ul><li>A series of questions that follow a NHS Direct clinically developed pathway that lead to multiple dispositions.
  37. 37. Contains
  38. 38. Questions
  39. 39. Information</li></li></ul><li>25<br />12/10/2010<br />What is a Health and Symptom Checker?<br />
  40. 40. CDE<br />HaSC<br />26<br />12/10/2010<br />
  41. 41. HaSC Process<br />27<br />12/10/2010<br />
  42. 42. CDE<br />Website<br />28<br />12/10/2010<br />
  43. 43. CDE<br />Website<br />29<br />12/10/2010<br />
  44. 44. CDE<br />Website<br />30<br />12/10/2010<br />
  45. 45. CDE<br />Website<br />31<br />12/10/2010<br />
  46. 46. CDE<br />Website<br />32<br />12/10/2010<br />
  47. 47. CDE<br />Website<br />33<br />12/10/2010<br />
  48. 48. The Challenges<br />34<br />12/10/2010<br />
  49. 49. 35<br />12/10/2010<br />The Challenge<br /><ul><li>Clinical Decision Engine uses a full object model
  50. 50. We use a full object model with Sitecore (in house framework)
  51. 51. Sitecore XSLT Renderings can’t be used</li></li></ul><li>36<br />12/10/2010<br />The Solution <br />SPARK<br />
  52. 52. 37<br />12/10/2010<br />What is Spark?<br /><ul><li>View engine for .NET
  53. 53. XHTML focused
  54. 54. Uses domain objects as content source
  55. 55. Open Source
  56. 56. Lives here: http://sparkviewengine.com/</li></li></ul><li>38<br />12/10/2010<br />Why Spark?<br /><ul><li>Less code
  57. 57. Quicker development
  58. 58. Compiled rather than parsed
  59. 59. Very fast rendering
  60. 60. XHTML compliant</li></li></ul><li>39<br />12/10/2010<br />Why Sitecore?<br /><ul><li>Fully extensible
  61. 61. Full integration
  62. 62. Flexibility
  63. 63. Simple
  64. 64. Uses Sitecore inbuilt caching
  65. 65. Accessible via the layout editor</li></li></ul><li>40<br />12/10/2010<br />Spark in Sitecore<br />
  66. 66. 41<br />12/10/2010<br />The Challenge<br /><ul><li>A SAT is a hierarchy of many items
  67. 67. Versioning is typically per item
  68. 68. The whole SAT must be versioned
  69. 69. The ability to change SATs versions quickly</li></li></ul><li>42<br />12/10/2010<br />The Solution<br />Workflow<br />
  70. 70. 43<br />12/10/2010<br />Why Sitecore?<br /><ul><li>Customisable
  71. 71. Full Control
  72. 72. Simple
  73. 73. Extensible</li></li></ul><li>44<br />12/10/2010<br />
  74. 74. 45<br />12/10/2010<br />
  75. 75. 46<br />12/10/2010<br />The Challenge<br /><ul><li>SAT must be shown complete
  76. 76. Maintain clinical integrity
  77. 77. Multiple users, possibly on multiple versions</li></li></ul><li>47<br />12/10/2010<br />The Solution<br />Presentation <br />split from Content<br />
  78. 78. 48<br />12/10/2010<br />Why Sitecore?<br /><ul><li>Content and rendering split
  79. 79. Content always accessible
  80. 80. Fast and powerful query language</li></li></ul><li>Time<br />Version 1<br />49<br />12/10/2010<br />
  81. 81. Time<br />Version 1<br />Version 2<br />50<br />12/10/2010<br />
  82. 82. Time<br />Version 1<br />Version 2<br />51<br />12/10/2010<br />
  83. 83. Time<br />/liveguidelines/v001/c001/coldandflu<br />Version 1<br />Version 2<br />/liveguidelines/v001/c002/coldandflu<br />52<br />12/10/2010<br />
  84. 84. Summary<br />Produced Health and Symptom Checkers<br />Provided a method to rapidly update HaSC<br />Updates don’t interfere with users already on the site<br />HaSC can be distributed through multiple channels<br />12/10/2010<br />53<br />
  85. 85. 54<br />12/10/2010<br />Any Questions<br />?<br />Michael.Edwards@Eduserv.org.uk<br />Roger.Donald@NHSDirect.nhs.uk<br />Follow Digital Trendspot on Twitter- #SitecoreDT10<br />

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