CNO Summit 2017, Day 2, 9.25am Deborah El-Sayed, Director of Digital and Multi Channel Development, NHS England

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Deborah El-Sayed
Director of Digital and Multi Channel
Development
NHS England

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10 YEARS BEHIND

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MEANWHILE …..

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‘WEARABLES ARE IMPERCEPTABLE

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INGESTIBLES ARE SEEING
INSIDE

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LEADING CHANGE ADDING VALUE
DIGITAL TRAIL BLAZERS

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DOCOBO - Supporting Care Homes in Sussex and Kent
• Developed with Sussex Community Health –
8 month pilot
• Kent adopted after seeing the evidence now
report 68% reduction in 999 calls and ED
admissions
• Involves Community Matrons who are
assigned to a set of Care Homes
• Multi-Patient Unit set up in each Care Home
• Questions for UTI, Respiratory, Cardiac, Diabetes
• Different questions for each patient
• Care Home staff take tablet to each patient on
Mon, Weds, Fri
• CM’s monitor remotely via doc@HOME and pick
up negative trends
• CM time spent with her Care Homes reduced
by 40%

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• Reduce long delays for people in mental
health crisis
• Give clinicians and nurses ‘mobile’
capability to update capacity information
and respond to demand
• Give key workers, police, Street triage
teams ability to find available services
quickly
Early results
• Positive for patients faster response
• Understanding the data for capacity and
demand
• Fostered better multi agency working
Mental Health Capacity – HBPS : London, Herts, Cambs and P

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National early warning scores ( NEWS ) in Bristol
• MDT system wide approach
to finding the ‘sick’ patient.
• Track & trigger tool in hospital
with electronic alerts
• Used in primary care so track
& trigger starts one step
earlier
• Currently electronic from GP
system to Ambulance EPR
into hospital
• Planning for fuller digital
process

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LEARN, SUPPORT, CHALLENGE,
DRIVE, NURTURE, ENABLE
MAKE IT HAPPEN
IT IS UP TO YOU

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Computer says YES!
From Luddite to Digitalite
Janice Sigsworth, Director of Nursing
Imperial College Healthcare NHS Trust
March 2017
@sigsworthjanice

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Imperial College Healthcare NHS Trust
@sengasteel
Dr Senga Steel,
Deputy Director of Nursing
@digitalGerry
Gerry Bolger
Clinical Lead for Nursing Informatics

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The Imperial Digital Strategy – in five steps
Population Health
Integrated Care
Patient Engagement
Data Sharing
Digital Records
Information shared
between organisations
and available for
authorised users to
view
Patients access their own record
and contribute to content
Management of complex
pathways including virtual
MDTs, shared care plans,
messaging, tasking,
requesting
Data management and
complex analysis,
registries and
scorecards, predictive
care management
No longer reliant on
paper, information is
now digital preferably
in structured format

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The Imperial journey so far…
Aug 2011
Apr 2014
Nov 2014 –
Feb 2015
Mar 2015
2015/16
Order Comms for Pathology and Radiology
Patient Administration System and Maternity
FirstNet for A&E and Surginet for Theatres
Trustwide rollout of clinical documentation and electronic
prescribing and administration, bedside devices
Pilots for Clinical Documentation,
e-Prescribing and Meds Administration
Care information Exchange, Global Digital Exemplar funding2016/2017

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Home monitoring

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What is a Global Digital Exemplar Centre – do more faster
 Advanced EPR capability
 Full device integration
 Patient access (Care Information Exchange)
 Complex pathway management
 Population health management
 Trailblazer for others
 Aligns to our digital strategy

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What makes our plan unique
 Shared EPR two large acute Trusts, 7 hospitals across 2 organisations (2000+
beds)
 A clinically rich Cerner implementation covering largest patient population
and clinical user group in UK
 Fully demonstrated and repeatable deployment and benefits models to
share with ‘fast followers’
 Mature relationship with partners in North West London
 STP to accelerate inter-operability and supply new models of care

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EPR Transformation: The really exciting stuff
Sustainable high
quality
Co-designReducing variation in
MDT care pathways & process
es
Clinical
transformation
Continuous
improvement
Prevention and anticipatory
care models

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Nursing & Midwifery leadership reflections
 Seat at the top table – digital vision and strategy
 Signing off the plans – articulate the issues
 Nursing and Midwifery vision about the art of the possible
 It’s not just technical its transformational
 Look globally at the best
 Prioritise for better outcomes and experience for patients and staff

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Care pathways & processes - Nursing and Midwifery the
Imperial way
Introduces systematic framework
Standardise nursing practice to reduce
variation, supplemented by agile analytics
Introduce a standardised nursing language
Drive improvement to care and outcomes
from a position of improved understanding

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Challenges for Nursing and Midwifery leadership
• Patients will be empowered more, and have access to their information
– the new norm
• Pace of change will increase – implications for practice
• Next generation of nurses, will be more “tech savvy” than their leaders
• Directors of Nursing will need to have digital and transformational
wherewithal to lead the nursing and midwifery contribution
• Leaders will need to be supported by nurse experts in informatics and
technological sciences – research and OD
• Models of care will change as information and accessibility converge

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