DIGITAL TRANSFORMATION National Strategy & Building a ... · @Andy_Kinnear @JamesFreed5 ANDY...

Strategic Workforce Forum 2018

DIGITAL TRANSFORMATIONNational Strategy & Building a Digital Ready workforce

Andy Kinnear & James Freed

@Andy_Kinnear @JamesFreed5

ANDY KINNEARDirector of Digital Transformation – SCWChair – BCS Health & Care Executive

JAMES FREEDCIO – Health Education EnglandProgramme Director – Building a Digital Ready Workforce

Who are we?

4

Rate of changeRate of change

50 Million Users

• Landline telephone 75 years to hit 50 million users. • Airplanes 68 years, • Automobile 62 years, • Light bulbs 46 years, • Television 22 years.

• YouTube, Facebook and Twitter - four, three and two years, respectively

• Babylon signs up 12,000 patients AN HOUR!!

The big boys & girls

Greenaway, Terrett, Bracken, Loosemore

One of the strange things about governments is how rarely politicians pay attention to their departments mechanics. In many countries there is a formal split between political and bureaucratic worlds

Minister says what he/she wants and the public servant will make that happen in what ever way they feel is most likely to succeed.

To make a start on digital transformation, you need a leader who is prepared to engage across these boundaries

Matt Hancock Expo speechOpening lines:All around us, a new generation of technology is changing all of our lives.

And I’ve spent most of my Ministerial career driving the proper use of digital technology.

I intend to bring that knowledge and experience, and frankly my unsurpassable enthusiasm for tech to Britain’s health and social care system.

It’s great to be in the company of so many here who feel the same.

Matt Hancock Expo speechHe’s got our back:I can understand why leadership would shy away from grappling with technology given the history, but we must get back to driving this transformation. We must drive this agenda and you need to know that I’ve got your back.

The biggest risk is not driving digital transformation. The biggest risk is not driving digital transformation.

So please hear this one message very clearly – I am not looking for people to blame; I am looking for people to lead..

Matt Hancock Expo speechThe six part plan:

1. Talk to each other ‐ Our systems need to be able to talk to each other. 2. Buy the right stuff ‐ Too often people with too little technical understanding are buying IT from suppliers who want to capture the buyer so they cannot ever go elsewhere. 3. HealthTech and the cutting edge ‐ Building an ecosystem means setting standards, securing access to finance, opening up procurement, deepening the talent pool, and offering the full range of support and collaboration. 4. Backing the NHS to succeed ‐ The digital revolution in healthcare cannot rely solely on the innovations of industry. There is a huge role for the NHS to play in developing solutions. I want to support anyone in the NHS developing new technology that can improve care.5. A new skillset ‐ To do all this we need the right skills as well as the right tools. And crucially, we need the skills and capability in management and leadership to build this technology. I want every Trust Board and STP leadership team to drive this, and ensure this transformation happens.6. Culture change – The truth is, it is not the technology that is holding us back. Just being able to make the best use of technology that has already been invented would transform health and care in this country. In all my experience of digital transformation it’s no different. Only 10% of the challenge is the tech. 90% of the challenge is the culture.

Matt Hancock Expo speechCulture:

I know there are many brilliant people trying to do the right thing and I will back you. And I say to health and social care leaders: I expect every board in the health and care system, to grapple with this agenda and back the people doing the transformation. I am determined to make this happen ‐ for the sake of the millions of you who work in health and social care. For the 50 million people in this country who rely on you in their hour of need.

What do you think?



WHAT IS DIGITAL HEALTH & CARE


Well maybe not……but definitely better!!!

KINNEAR’s Digital Transformation ‘engines’ ….

NHS England‐ Vision & Strategy

‐ Money‐ Leadership

‘‘Locals’‐ Design

‐ Delivery‐ Timetable

NHS Digital‐ Standards

‐ National systems‐ Delivery

Suppliers‐ Products‐ Innovation‐ Repeatability

Our PatientsOur Public

Our most progressive digital leadership ever…..

Matt Hancock Secretary of State

Matthew SwindellsDeputy CEO

Will Smart CIO for Health & Care

Juliet BauerDirector of Digital Experience

Dr Simon EcclesCCIO for Health & Care

The ‘Placemat’

25

Better Health, Better Care, Lower Cost

Empower People Enable Clinicians Integrate the Health and Care System

Better Management Information

Build the Future

NHS.UK Global Digital Exemplars and Fast

Followers

Regional Interoperability Hubs

Single Source of Truth

Life Sciences and Research Platform

Apps Library Digital Academy and Workforce Education

Urgent and Emergency Care

Frictionless Performance Management

Genomics and Precision Medicine

Developers’ Ecosystem

GPSoC refresh Elective Care Population Health Dashboard

Machine Learning and AI

WiFi and Home Page Extended Summary Care Record

Mental Health Analytics Capability Bioinformatics Institute

NHS Online e-Prescribing Women and Children SUS for Transactions

Decision Support Chronic/Co-morbid disease

Integrated Care Plans

Social Care

Foundational Infrastructure Projects

Patient Identity

Information Governance and Transparency

Interoperability and Enterprise Architecture

Personal Health Record and APIs for Apps

Live Services &

Infrastructure

Empower the Person Support the Clinician

Primary CareSRO: Morfydd Williams9. General Practice systems & services11. GP Transformation12. GP Data Implementation

Digitising ProvidersSRO: Paul Rice21. Provider Digitisation22. Digital Child HealthNEW – Digitising Maternity

Integrate Services

Urgent & Emergency CareSRO: Sam Shah5. Clinical Triage Support7. Access to Service Implementation

Integrating Care LocallySRO: Simon Eccles13. Integration Projects14. Interoperability

Elective CareSRO: Steve Firman20. Digital Referrals & Consultations

Social CareSRO: Simon Eccles15. Social Care

Manage the System Effectively

Data TransformationSRO: Tim Donohoe25. Data Services Platform26. Data Content & New Data CollectionsNEW – Data Strategy

Trust & SecuritySRO: Katie Farrington32. Data & Cyber Security33. National Opt OutNEW – Emergent Cyber Security Priorities

Create the Future

CancerSRO: CCIO

GenomicsSRO: CCIO

Artificial IntelligenceSRO: CCIO

Local Health and Care RecordsSRO: CCIO

Bioinformatics InstituteSRO: CCIO

Architecture & Core Services: Cyber Security Service, Standards Development

Data & Secondary Uses : SUS, Information & Analytics , Systems & Service Delivery, DID, PBCL, NMAS

Legacy & Knowledge Service: LSP, SLCS, Local Digital Roadmaps, CDM Social Care: CPIS

WH

ATH

OW

Rob Shaw

Products / ServicesSRO: Juliet Bauer2. NHS.uk NEW - NHS OnlineNEW – Patient Online

Value from MedicinesSRO: Keith Farrar17. Digitising Community Pharmacy & Medicines18. Pharmacy Supply Chain19. Integrating Pharmacy across Settings

Strengthening our WorkforceSRO: Patrick Mitchell24. Building a Digital Ready Workforce

Juliet Bauer Tim DonohoeWill SmartWill Smart Simon Eccles

Infrastructure ProjectsSRO: Juliet Bauer31. Wifi

Digital StandardsSRO: Juliet Bauer4. Widening Digital Participation16. PHRNEW – Development & ApprovalNEW – Standards & Assurance (central, local & regional)

Digital Ecosystem & PlatformsSRO: Juliet Bauer1. Citizen ID3. Health Apps Assessment & UptakeNEW – Service IntegrationsNEW – Innovation Pilots

Services: Digital Referrals Service e-RS, TAL, Pathways

Services: Electronic Transfers Prescriptions (eTP)

Architecture & Core Services: 28. Spine 2, 29. NHSMail2, 30. HSCN Other Services: Services Outside Domains , IBC (* Includes £8m funding for infrastructure and platforms)

WH

O

Life SciencesSRO: CCIO

National digital strategy

27Oct 2014 Nov 2014 Sep 2016

Here is the man himself……run VT

https://vimeo.com/287214615/55d07d56b7



WHAT NEEDS TO CHANGE?


The healthcare productivity gap

@NHS_HealthEdEng #DigitalReady

Reference: The Lord Darzi Review of Health and Care: Interim report, April 2018

Does digital provide an answer?


@NHS_HealthEdEng #DigitalReady Ref: McKinsey & Company, May 2018

Skill mix will change…

What does this look like for health?


The conclusion…

“Being confident and competent around technology and data will empower our workforce to provide more effective and compassionate care, give people, and anyone in a caring role, more control over their own health and wellbeing, reduce the administrative burden and support the development of new medicines, treatments, technologies and practices.”

Ian Cumming Chief Executive

Health Education England

“New areas of knowledge and skills will be required, such as an understanding of genomics or AI algorithms and the ability to analyse and understand the implications of big datasets in the provision of future healthcare services, as well as a major increase in digital literacy.”

Topol Interim Report

What is digital readiness?

Digital ready

Digitally willing

Individual attitudes

Organisational “drivers”

Digitally able

Skills

Technology

Everyone

Organisation leaders

Everyone

Informaticians

40

We need to be here

Digitalisation Organisational Development

…is the actual 'process' of technologically‐induced

change…linked to holistic views on business and social change, horizontal

organisational and business development.

… is a planned effort, managed by leadership and supported by

employees, to increase organisational effectiveness through planned change

in processes and systems.

Source: Wikipedia

The CIO and the HRD need to be Best Friends!

(locally, regionally and nationally)

BDRW on a slide

WIDENING DIGITAL PARTICIPATION DIGITAL LITERACY

CEO

Nurse

Dr

AHP

Social Worker

Patient/ Citizen

CHANGE

• Culture• Assurance• Future

focus

CHANGE

• Empowerment• Staff development• Changing attitudes

CHANGE

• Staff development• User needs• Service• Sharing and listening

Non‐clinician

Local health/ care

organisation(s)

CIO

Informatician


Group work



OUR ASSETS


Killing DigitalJames Freed, CIO, Health Education England

Programme Director, Building a Digital Ready Workforce

@jamesfreed5

What do leaders think of ‘Digital’?

47

“Why can’t people working in Informatics Services just explain things more simply? …teach them to try and be ‘can do’ and to speak like a Yorkshire man to a Yorkshire man! ”

“Despite being Chair of my local STP I find it hard to champion the use of technology in how we meet and collaborate across our area. Usability and reliability is key as I always have the fear that the technology won’t work.”

“I see a few cases where Health CEOs are lauded for their success in adopting new Health Technologies, but many more who have lost their jobs when things haven’t gone to plan”

“There is a sense it is one of the solutions and the NHS is not embracing the digital age but Chairs don’t understand how – it is a world of mystery.”

What is a digital organisation?

People•Planning for the future•Culture (openness, experimentation, sharing and social power)•Staff capabilities•Focus on user’s needs

Process•Processes need to be fast, integrated, light and meet users’ needs

Technology•Risks are understood and assurance is received (cyber/ GDPR)•Tech is scalable, interoperable, flexible, fixable, resilient and fit‐for‐purpose

…prototype resource for boards

Digital Leadership = Leadership

Health Education England definition

“Digital literacies are those capabilities that fit someone for living, working, learning, participating and thriving in a digital society.”

What is digital literacy?

• Patients, carers, volunteers and the public• Pace of technological change• New technologies• Confidence and competence• Retention and recruitment• Efficiency and effectiveness

Why is digital literacy important?

The Digital Capabilities Framework

• 6 domains• 4 levels of

capabilities under each

• Digital capabilities framework• Discovery – self‐diagnostic tool• Existing resources• Nursing and informatician consultations• Individual digital readiness to learn (Towards Maturity)• Pilot work e.g. social care, dentistry

What are we doing?

How do we upskill our workforce?

What works best?

How do we upskill over 3 million?

How do we convince people that digital is important to ALL OF US and the people we care for?

How can we teach and develop people at scale?

How do we reach those who have little to no digital capabilities – how do we avoid excluding them?

What can you do?

What are you already doing?



WHY WE ARE LUCKY


“As I see it, the undertaking to provide all people with all kindsof health care, using virtually the whole of the medical and other health professions to do it, creates an entirely new situation and callsfor something bolder than a mere extension and adaptation ofexisting services.”Cabinet Memorandum by the Minister of Health, 13 December 1945

“As I see it, the undertaking to provide all people with all kindsof health care, using virtually the whole of the medical and other health professions to do it, creates an entirely new situation and callsfor something bolder than a mere extension and adaptation ofexisting services.”Cabinet Memorandum by the Minister of Health, 13 December 1945

A campaign given to you by…

NW Informatics Skills Development (ISD) Networkwww.skillsdevelopmentnetwork.com

• National infrastructure established – Website/ Online Learning / Top tips – only 2 regions with an established ISD Network

• Regional Governance / Funding / ISD leads / volunteers• L & D programmes developed by the NHS, for the NHS

Purpose• Developing the full range of Informatics

professionals (clinical & non-clinical)• Sharing of good practice• Providing innovative & cost effective

learning & development opportunities from apprenticeship to director level

• Signposting, networking & encouragement of collaboration

Work streams 2018-20211) Learning and Development2) Sharing best practice and networking3) Excellence-in-Informatics Accreditation4) Digital Maturity Assessment 5) Annual Workforce profile6) Informatics Skills Framework 7) Professionalism Supported by

Live Services &

Infrastructur

eEmpower the Person Support the Clinician

Primary CareSRO: Morfydd Williams9. General Practice systems & services11. GP Transformation12. GP Data Implementation

Digitising ProvidersSRO: Paul Rice21. Provider Digitisation22. Digital Child HealthNEW – Digitising Maternity

Integrate Services

Urgent & Emergency CareSRO: Sam Shah5. Clinical Triage Support7. Access to Service Implementation

Integrating Care LocallySRO: Simon Eccles13. Integration Projects14. Interoperability

Elective CareSRO: Steve Firman20. Digital Referrals & Consultations

Social CareSRO: Simon Eccles15. Social Care

Manage the System Effectively

Data TransformationSRO: Tim Donohoe25. Data Services Platform26. Data Content & New Data CollectionsNEW – Data Strategy

Trust & SecuritySRO: Katie Farrington32. Data & Cyber Security33. National Opt OutNEW – Emergent Cyber Security Priorities

Create the Future

CancerSRO: CCIO

GenomicsSRO: CCIO

Artificial IntelligenceSRO: CCIO

Local Health and Care RecordsSRO: CCIO

Bioinformatics InstituteSRO: CCIO

Architecture & Core Services: Cyber Security Service, Standards Development

Data & Secondary Uses : SUS, Information & Analytics , Systems & Service Delivery, DID, PBCL, NMAS

Legacy & Knowledge Service: LSP, SLCS, Local Digital Roadmaps, CDM Social Care: CPIS

WH

ATH

OW

Rob Shaw

Products / ServicesSRO: Juliet Bauer2. NHS.uk NEW - NHS OnlineNEW – Patient Online

Value from MedicinesSRO: Keith Farrar17. Digitising Community Pharmacy & Medicines18. Pharmacy Supply Chain19. Integrating Pharmacy across Settings

Strengthening our WorkforceSRO: Patrick Mitchell24. Building a Digital Ready Workforce

Juliet Bauer Tim DonohoeWill SmartWill Smart Simon Eccles

Infrastructure ProjectsSRO: Juliet Bauer31. Wifi

Digital StandardsSRO: Juliet Bauer4. Widening Digital Participation16. PHRNEW – Development & ApprovalNEW – Standards & Assurance (central, local & regional)

Digital Ecosystem & PlatformsSRO: Juliet Bauer1. Citizen ID3. Health Apps Assessment & UptakeNEW – Service IntegrationsNEW – Innovation Pilots

Services: Digital Referrals Service e-RS, TAL, Pathways

Services: Electronic Transfers Prescriptions (eTP)

Architecture & Core Services: 28. Spine 2, 29. NHSMail2, 30. HSCN Other Services: Services Outside Domains , IBC (* Includes £8m funding for infrastructure and platforms)

WH

O

Life SciencesSRO: CCIO

We are part of a GLOBAL

movement

#Pinksocks

@nickisnpdxKilt-wearing pink furry bike riding healthcare MBA. #pinksocksLove More. Fear Less

That’s why we are lucky!!

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