www.npfit.nhs.uk ippr: front line delivery challenges wednesday 15 december 2004 gordon hextall
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www.npfit.nhs.uk
IPPR: Front Line Delivery Challenges
Wednesday 15 December 2004 Gordon Hextall
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Programme objectives
Not just an IT programme but a patient safetyand clinical governance programme …………
………..to deliver a 21st century health service through efficient use of information technology
• Modernisation of the NHS - 10 year programme initiated July 2000
- Enables improved Access & Choice
- Enables care pathways and patient focus
- Should improve accuracy in treatment
- Opportunities for Improved efficiency
- Front line challenges: patients and staff
IT is the underpinning enabler of NHS modernisationIT is the underpinning enabler of NHS modernisation
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Delivery challenges: context
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Trusts- Most systems do not
support the movement of information between buildings and departments
- Several records often created for the same patient
Delivery challenges: context
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Primary Care- Most individual practices now
have their own IT applications and databases
- Patient records are not easily transferred to other practices or care providers
- Development and effective implementation of care pathways is inhibited
- Paper-based records delay modernisation and the delivery of National Service Frameworks
Delivery challenges: context
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Choose and Book
BMSBMS
EBS
EBS
EBS
EBS
BMSBMS
BMSBMS
Internet
Internet
Patient via Internet
& Unique Booking Ref No
Booker (via New NHS Network: N3)
Referrer or Booker
(via Primary
Care System)
• Patient confidence
• Confidentiality issues
• Access controls: new processes
• GP acceptance: changes working practice
• Availability of hospital specialties
• Availability of consultant’s slots
• Compliant and reliable IT systems
Delivery challenges: e-booking
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Electronic Transfer of Prescriptions
Delivery challenges: e- prescriptions
• Three tier computerisation (Prescriber; dispenser; re-imburser)
• Compliant and reliable GP and pharmacy IT systems
• Electronic authorisation signatures
• Culture change: - nomination of pharmacies - detailed prescribing history - drug costs
• Counter fraud paperchase
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Picture Archiving
Delivery opportunities: PACS
• Clearer digital images (x-rays, scans etc)
• Reduced diagnostic waiting times (images instantly available)
• Patient convenience
• Enables remote diagnosis – incl. paramedics
• Quicker and more accurate archive retrieval
• Reduced film, chemical and storage costs
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NHS.uk & Healthspace
Delivery opportunities: NHS e- portal
• Single NHS web portal: NHS.uk
• Personal records web access: Healthspace
• Access to treatment: NHS.direct
• Access to appointment booking: chooseandbook
• Access to information on all NHS services
• Access to NHS Care Records Service
• Telemedicine
• Self diagnosis, monitoring and treatment
• Knowledge, information & decision support
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www.npfit.nhs.uk
IPPR: Front Line Delivery Challenges
Wednesday 15 December 2004 Gordon Hextall
![Page 11: Www.npfit.nhs.uk IPPR: Front Line Delivery Challenges Wednesday 15 December 2004 Gordon Hextall](https://reader035.vdocuments.us/reader035/viewer/2022062618/551509fa55034673228b465f/html5/thumbnails/11.jpg)