Phil Molyneux, CIO Yorkshire and Humber SHA

12th November 2010

The White Paper Equity and excellence: Liberating the NHS, published on 12 July 2010, sets out proposals for the NHS to become a truly world-class service that is:

easy to access, treats people as individuals and offers care that is safe and of the highest quality

It set out a vision for an NHS that:

puts patients at the heart of everything that we do achieves outcomes that are among the best in the world empowers our clinicians to deliver results based on the needs of patients

In order to help make the vision a reality, the White Paper set out a commitment to seeking further views on proposals to give people more information and greater choice about their care

Many people value being able to make choices, and giving people more choice can lead to better outcomes and experiences, can promote equalities and reduce inequalities

The presumption should be that everyone has choice and control over their care and treatment, and choice of any willing provider for NHS care, wherever relevant

When making these choices, decision-making about their treatment or care should be shared between them and their health and care professionals

◦ increasing the current offer of choice of healthcare provider, ◦ going further by enabling people to choose a named

consultant-led team,◦ giving people more choice of where to have diagnostic tests

and more choice of where to have their treatment after a diagnosis has been made.

◦ offering more choice in maternity services, mental health services and more choice in end of life care.

◦ ensuring people are offered a choice of treatment as a matter of course wherever feasible,

◦ ensuring people with long term conditions can make choices about their care and are given the confidence to manage their condition

Information supports the delivery of high quality care.

Information on treatments, conditions and lifestyle choices, helping people look after their own & their family’s health & care, should reach everyone and should be easy to understand.

People’s care records should become routinely available to them, starting with their GP record.

Intermediaries should be free to innovate and present data.

The most important source of data is the patient or service user’s care record, with data recorded once at the point of care. This can then be used to generate a wealth of high quality information that, in turn, gives people real knowledge and choice

◦ people will have greater access and control of their health and social care records

◦ more information on treatments, conditions & lifestyle choices, helping people look after their own and their family’s health & care will reach everyone and will be easy to understand

◦ there will be greater emphasis on information generated by patients and service users, to help NHS and social care systems become more responsive

◦ a wider range of providers to analyse and present information to the public will help promote innovation and enable greater tailoring of information to individual needs

◦ improved use of digital technologies will provide more convenient, higher quality, safer and more efficient & effective care

For patients and service users, there should be “no decision about me, without me”

People should be involved as much as they want to be in every decision about their care: what care they want and how and where they want it delivered

In order for this to happen, people actually need to be given a greater range of choices, and high quality information to help them take greater control of their care

Information is used routinely to support the delivery of safe, high quality, people-centred care

Electronic patient record as platform for:- Integrated care across patient pathway (A&E, End of Life

etc) LTC personalised care planning E consultation Mobile/Agile/Flexible working PACs Integration engines T health (T coaching, T health, T medicine) Integrated OOH Information Governance Infrastructure ECS – communication between A&E & YAS (& to GPs re non

conveyance, potential to refer to more appropriate response) And much more!

Y&H informatics community & partners Attendance & facilitation at Yorkshire and

Humber Regional Forum Consultation Event (Regional Voices) tbc

Attendance at BCS event 22nd November 2010 Raising awareness – Press Release & flyer SHA awareness session 1:1 interviews across the Region Regional Workshop for Informatics & Partners Clinical engagement Response co-ordinated by 7th January for

circulation and comment by 14th January 2011

4 tables – 2 questions each, 1 facilitator, 1 scribe Review the 2 questions posed:-

- what are we currently doing in relation to the question? (already have some prompts)- what are the issues for the future?- what can we do in relation to this through

transition period (next 18 months)?

Work on tables…