Jeremy Hunt advocates for "intelligent transparency" in the healthcare system, which involves an open conversation with the public about improving health. Intelligent transparency unleashes self-directed improvement and allows for true devolution of power through transparency of outcomes. It fosters a learning culture where doctors, nurses and managers are empowered to constantly improve care for patients. The goal of intelligent transparency is to engage the public in their health, support informed choice for patients, improve safety and quality of care, and create a more patient-centered system. Several government initiatives aim to achieve intelligent transparency through making quality and performance data publicly available and accessible online via sites like "My NHS."

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INTELLIGENT TRANSPARENCY
Expo pop-up university
7 September 2016

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The vision for intelligent transparency
Text
Jeremy Hunt,
speaking at the King’s Fund July 2015
Intelligent transparency
means an intelligent
conversation with the
public about the role we
all need to play to make
ourselves a healthier
nation.
Self-directed improvement is
the most powerful force
unleashed by intelligent
transparency
Transparency over
outcomes also
makes possible true
devolution of power.
… we need to foster an
inquisitive, curious and
hungry learning culture.
The world’s fifth largest
organisation needs to
become the world’s
largest learning
organisation
… not top-down targets but
transparency and peer review;
learning and self-directed
improvement that tap into the
basic desire of every doctor,
nurse and manager to do a better
job for their patients; empowered
leaders with the permission and
the space to excel
… a more human
system where we
eliminate any conflict
between organisational
priorities and what is
right for the patient
sitting in front of you
Intelligent Tranparency

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The audiences for intelligent transparency
Text
Where to start?
The public,
who pay for health and care services
Patients, carers, services users,
who use health and care services
Health and care professionals,
who provide health and care services
Health and care managers,
who plan and commission health and care services
Journalists, regulators, MPs, researchers
Intelligent transparency means an intelligent
conversation with the public about the role
we all need to play to make ourselves a
healthier nation.
… we need to foster an
inquisitive, curious and
hungry learning culture. The
world’s fifth largest
organisation [the NHS]
needs to become the world’s
largest learning organisation
tap into the basic desire of
every doctor, nurse and
manager to do a better job for
their patients; empowered
leaders with the permission and
the space to excel
Intelligent Tranparency

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The purpose of intelligent transparency
What are we trying to achieve with intelligent transparency?
A public engaged with their own health
Service users exercising informed choice of treatment, care and provider, supported by professionals
Improvements in the safety and quality of care: identifying problem areas locally (eg whistleblowing) and levelling up
nationally (eg peer review)
Openness and accountability
… a more human system where we
eliminate any conflict between
organisational priorities and what is
right for the patient sitting in front of
you
Self-directed improvement is
the most powerful force
unleashed by intelligent
transparency
Transparency over
outcomes also makes
possible true
devolution of power.
Intelligent Tranparency

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Nirvana …?
Text
 A fully engaged public, taking responsibility for their own health and self-
care
• Patients and professionals in partnership to treat ill health and manage long
term conditions, including honesty about prognosis, likely treatment
outcomes including quality of life
• Openness about mistakes: complaints and compliments equally welcomed
and used to bring about improvements
• Variations in performance used as by professionals and organisations as a
tool to identify where and how to improve
“Fully engaged
scenario”
Derek Wanless, 2002 “We still have a paternalistic
service and dependent
population, and we are a
long way from having good
information to support
personal decisions and the
ability for consistency of
care”
APPG on primary care and
public health, 2012,
assessing progress on the
Wanless report
Challenge
Intelligent Tranparency

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The Intelligent Transparency Programme
• Personalised Health and Care 2020
• National Information Board Workstream 3 –Making the quality
of care transparent
• Domain A of implementing Paperless 2020
• Transparency Programme Board – includes DH; NHS England;
NHS Digital; PHE; CQC; LGA, ADASS and other external
organisations
Intelligent Tranparency

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Intelligent Transparency –
working definition
• Transparency means putting information into the public
domain
• Intelligent transparency means ensuring that that information
is clear, simple, easy to understand and to act on
• This is how it becomes transformative, by allowing comparisons
and empowering patients and leaders alike to make choices, to
ask questions, to learn and to bring about improvement
Intelligent Tranparency

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Questions …
• How can we embed intelligent transparency in
health and care?
• What are the challenges:
– are they cultural?
– or about data?
– or both?
Intelligent Tranparency

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My NHS – aims to make NHS and care data
available and accessible
The MyNHS site is designed
• for the public, professionals and organisations;
• to compare, in public, the quality and performance of NHS and care services, providers and
commissioners, including public health;
• to support transparency and to stimulate improvements in quality, safety, and efficiency
• to provide public accountability
• To complement other public-facing and publically available sites (eg NHS Choices, Dr Foster,
National Cancer Intelligence Network etc)
To do this it
• selects key measures from existing data which will signal overall quality
• uses language and presentation for non-specialists
• presents facts rather than judgements
It invites comments from users to suggest further improvements
Intelligent Tranparency

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My NHS
Intelligent Tranparency

11. 11 Intelligent Tranparency
My NHS

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Questions …
• How useful is the site to you now?
• What would make it more useful?
Intelligent Tranparency