Tuesday 21 March 14:00 15:45 Industry Briefing WebEx · • Improved access to data and analytics,...
Transcript of Tuesday 21 March 14:00 15:45 Industry Briefing WebEx · • Improved access to data and analytics,...
NHS Digital
in partnership with techUK
Tuesday 21st March
14:00 – 15:45
Industry Briefing
WebEx
Welcome and Introductions
Rob Tysall-BlayChair, Health & Social Care Council, techUK
techUK Health & Social Care Council
• Over 300 member companies
• Priorities:
o Digital Citizens
o Safe and Effective Data Sharing
o Sustainability and Transformation
• Strategic Partnership and Launch
www.industrybriefings.co.uk
- Access agenda and presentation
- Leave a question
Agenda
14.00 – 14.10Welcome & Introductions
Rob Tysall-Blay, Chair of the Health & Social Care Council, techUK
14.10 – 14.20Driving digital transformation
Tracey Watson, Director of Innovation & Partnerships, NHS Digital
14.20 – 14:40Data for Oversight and ResearchProf Daniel Ray, Director of Data Science, NHS Digital
14.40 – 15.00Self Care and Prevention David Corbett, Programme Head for NHS WiFi, NHS Digital
15:00 – 15:20 GPIT Futures: Get Involved
Ben Gregory, Commercial Lead, NHS Digital
15:20 – 15:40Integration & Social Care
Malcolm Senior, Programme Director, NHS Digital
15.40 – 15.45Closing Remarks
Rob Tysall-Blay, Chair of Health & Social Care Council, techUK
Driving digital transformation
Tracey Watson Director of Innovation & Partnerships,
NHS Digital
Responsive
Open
Supportive
Innovative
Launch our new way of working
Creating a healthy tension between
national and local delivery
Local
• Local Digital Roadmaps/STPs
• Exemplars
• Vanguards and test beds
• Start-ups, SMEs and industry
• Universities
National• Infrastructure and standards
• Setting the right commercial
conditions
• Driving digital maturity
• Protecting patient data
Contribute towards a digital ecosystem
t
• Strengthen our partnerships with academia
• Establish joint working initiatives with selected industry and
third sector innovators
• Work with NHS Digital Innovation Fellows to develop
strategy and identify critical interventions
• Help the the SME supply chain meet local needs through our
innovation fund
• Release internally and externally developed software on
open source licenses. Where this is not possible, explain
why.
• Encourage and shape professional services support for
open source capabilities
• Use our subject matter expertise to support Code4Health
communities
Encourage an open and innovative
ecosystem that creates digital tools and
services to support good, safe, efficient,
and compassionate health and care.
Industry wide approach
Patient
Engagement
& self-care
Urgent &
Emergency
Care
Transforming
General
Practice
Integrated
care and
social care
Digital
Medicines Elective Care
Paper Free
at the point
of care
Data access
for outcomes
for research
Infrastructure Public trust
and security
A B C D E F G H I J
Industry Bulletins Market Engagement New Digital Service
P2020 Agenda – 10 Domains - 33 programmes spanning health and social care
StrategicPARTNERSHIP
Strategic partnership
• Create a transparent and accessible operating environment for
industry
• Share and exploit market opportunities created by the P2020
portfolio ,consulting industry throughout the delivery life-cycle and
supporting the development of a vibrant digital health and care
marketplace.
• Develop a range of joint initiatives that will support the delivery of
an integrated paper-free health and care system.
• Develop a more intelligent delivery chain in which national and local
organisations and suppliers work effectively together to maximise
benefit and minimise cost and risk for all.
P2020 Market Research & Consultation
• Market reaction to P2020 strategy and requirements;
• The market appetite, capability and capacity to
provision;
• Test which risks are best managed in-house or managed
by the supply chain;
• Understand key business drivers for the suppliers, both
reputational and remunerative.
• Understand strategy impacts on the market, both short
and long term.
P2020 Market Consultation RoadmapQ Year Month Date Title of Event Location Type of Event Status
Q42016
October18 NHS Digital Industry Briefing London, Westminster Event Complete
21 NHS Digital Industry Briefing Leeds, The Leeds Club Event Complete
November
09 Health and Social Care Council Meeting London, techUK Event Complete
17 techUK Industry Award Annual Dinner London, techUK Event Complete
30 WiFi RFI Consultation N/A Consultation Complete
December
7 WiFi Standards Consultation N/A Consultation Complete
7 ISB Standard Patient Identifier Bands N/A Consultation Complete
13 Child Health Briefing London, techUK Event Complete
Q1
2017
January
12 Social Care Industry Briefing London, techUK Event Complete
17 Health and Social Care Council Meeting London, techUK Event Complete
26 GP IT Futures Session London, External venue Event Complete
February 2 Strategic Approach to Data Collection Thistle City Barbican, London Event Complete
March
21 NHS Digital Industry Briefing WebEx Event Planned
29 GP IT Futures Webinar: Technical Discovery on Access to Data WebEx Event Planned
Q2
April
mid GP IT Futures Webinar: Requirements, Standards and Assurance WebEx Event Planned
25 International Digital Health Opportunities London, Asia House Joint Initiative Planned
May
15 Digital Child Health & Maternity Programme Briefing London, techUK Event Planned
16 Target Architecture Workshop London, techUK Joint Initiative Planned
June
21 NHS Digital Industry Briefing Leeds-Hilton City Event Planned
26 NHS Digital Industry Briefing London, techUK Event Planned
Q3
July
13 GPIT Futures Briefing London, techUK Event Planned
14 Social Care Event London, techUK Event Planned
August
September
Q4
October
17 NHS Digital Industry Briefing London, techUK Event Planned
23 GPIT Futures Briefing London, techUK Event Planned
25 NHS Digital Industry Briefing Leeds, Crowne Plaza Event Planned
November
December
Q1 2018 January 25 GPIT Futures Briefing London, techUK Event Planned
Supplier Information Exchange
• New digital service specifically designed to
transform the way in which suppliers consume
and interact with our services;
• User Driven - working with techUK to develop a
“clickable alpha”;
• New platform to be delivered Q4 2017;
• Interim solution that can support ongoing
P2020 engagement with suppliers.
Data for Oversight and Research
Professor Daniel RayDirector of Data Science,
NHS Digital
Data Outcomes for Research and Oversight:Programme Coherence
• Data Content and Collection– What we collect and how we collect it
– Increase timeliness of data and ensure it meets the needs of health and social care planners, providers and policy makers
– Reduce burden significantly
• Data Services Platform– Enable best use of technology to reflect needs of new data collection approach
– Land data and enable better contextual analysis
– De-identification service
• Innovative uses of data– Leading edge techniques
– Faster availability of intelligence to enable better decision making
Data Services Platform (DSP)
• Project to create a scalable, standardised and accessible data services platform with a supporting governance framework and operating model
• To ensure that the NHS Digital provides efficient and secure hosting of its key data services and improve the way we collect, analyse, disseminate and publish data
• Delivers central data processing capacity and capability to allow the landing, storage, processing and analysis of data
Data Services Platform Stakeholders
Data Content and Collection
• Multiple central organisations collect data – several hundred collections
• Duplication = burden on providers and system suppliers
• Discovery work in January-March 2017
• Strong support from suppliers/providers for single national data architecture to drive provision of data
• 100+ techUK members and other suppliers involved in initial workshop
• Ongoing engagement required, please
• Webinars and individual meetings welcome– Share your data schema?
– Help shape key design principles?
– Help test alpha version?
– Register interest at [email protected]
• Alpha version to be developed by July 2017
Common National Data Model
What:
A single, nationally defined data model that brings together and unifies the disparate
data items (attributes) and standards (nomenclature) from existing collections and
supports the overall data and technical architecture for health and social care
Why:
• Standardisation – across the data that is being collected
• Extendibility – is flexible and can be extended to include new data
• Rationalisation – reduces duplication and burden
• Ease of use – reference for technology implementation
Modular Architecture
What:
A component driven data model where data is grouped into standardised ‘modules’ that represent a
defined area of data (data domain boundaries)
• Some modules could be mandatory (e.g. identity/demographics)
• Modules could contain mandatory data OR additional ‘specific data sets’ based on individual
speciality (e.g. Pathology, 111, Activities of daily living, etc.)
• Data flow ideally by Data Packets - Modules could be grouped together into flexible and cohesive
data packets – with ‘specific sets’ submitted linked to mandatory sets – flowing on an event basis,
near real-time
Why:
• Patient/Service User Centric – whilst maintaining organisation centric features for commissioning
• Longitudinal - allows enhanced patient/service user pathway analysis & reporting
• Flexibility – to both need and to changes over time
• Processing – lowers the complexity and effort to submit and analyse. Enables near real time
submission of data in conformed modules
Now Rationalise Transform
Silos of data that overlap
and are not flexible and
are hard to link (top-
down).
Data is described and
organised in a consistent
way. Duplication is
reduced.
Data architecture is
transformed. Datasets
are built from modules
(bottom-up).
What the journey ‘could’ look like…
Vision
“We will empower the health and care system by visualising, analysing,
interpreting and displaying useful, powerful information in a way that enables
users to interact with it using modern technological analytical methods and
tools, to harness the power of information to drive up efficiency, equity, quality
and outcomes of health and care delivery.”
The Programme will create remote and use existing environments to enable
innovative use by appropriate others of health & care data and do / deliver
analytics directly that cover the baseline for the NHS along with specific
innovation projects in collaboration.
Which translates into:
Problem Statements
• There is very little information available on outcomes
– For clinicians & the health system
– For International comparisons
• The NHS buys the analytics baseline, rather than
buying value, for benchmarking and national analysis
• Multiple sources of data and not timely enough data
are used
• Relatively high level of skills are required to access
baseline information
• Many health data assets are not utilised currently for
secondary use
Problem Statements
What are the issues and opportunities?
• Ensure that the deliverables are completed on architecture and tools that fit with the strategic direction of the DSP
• Need to understand and engage the market impact on what the programme does / delivers
• Huge opportunity to use the health system data even on the architecture we have to add value Innovation and new data use:
– AI, Cognitive
– Newly Generated EPR Data
– NHS 111
– Apps and Wearables data
– International Data
What have we done and are going to do? Top Priorities
1. Providing a baseline set of Business Intelligence • Reporting for the health system, initially focusing STP evaluation
• Long term Outcomes analysis for cancer and dementia
• Standard set of timely data
• Subscription services
• Meeting the requirement from NIB2.2 around ensuring the health system has the intelligence it needs for comparisons, benchmarking and planning
2. Innovation and Virtual Data Science Centre• Coherent strategy for Data Science across ALBs, Cabinet, DWP, ONS, etc.
• Urgent and Emergency care - Structured and unstructured data for Cognitive AI work
• Engagement with the NHS 111 team to identify the utility and analysis of this data for secondary use
3. Empowered outcomes intelligence for clinicians • Consultant level reporting, the construction of a baseline set of information for all doctors to
enable them to understand their level of efficiency and quality of care delivery, in association with GIRFT and Model Hospital
(Innovative) Uses of DataDescription The aim of this programme is to create improved access and appropriate ability to further unlock and exploit national health and care datasets, by
individuals and organisations who should have access, through the application of new data science, analytics technology and skills. The programme has 2
aspects to it, creating tools and environments enabling others to create innovative deliverables that have a real world impact on patients with data and
analytics. The second is actually producing data and analytics that have direct real world impact in their own right (ie AE demand models).
Outcomes for
Patients,
Clinicians and
System Leaders
• Improved access to data and analytics, with guaranteed response times for fast innovative health intelligence.
• Break down barrier to access data, analytics and information
• Be informed pro-actively by technology, of the data and information you need, at the right time, about the information and data you need to know.
• Improved patient outcomes by empowering system leaders and clinicians to understand disease outcome inequality and inefficiency.
• Data assets across a health system ‘Linkage by default’ to enable health system outcome tracking to underpin vanguard and STP evaluation.
Objectives This programmes objective is to drive new uses of data and create the environment for more effective exploitation and impact of data (including for research
and HSCIC I&A transformation).
Our outcome objective is improved quality of care, improved care outcomes, better treatment and prevention and improved health and care service
planning, provision and performance.
• To empower patients, and the health system with targeted powerful health data, intelligence and enable them to interact with analytics that they can use
and understand.
• To create a secure remote data access environment facilitating improved access to data, but reduced amounts of data dissemination outside of NHS
Digital..
Current Portfolio
of Systems and
Services
• Bundle 4 or lot 2 ‘Data Exploitation vendor / collaboration partner’ is the ‘analytics’ component within the DSP which will act as the delivery vehicle for
many of the strategic aspects of the ‘uses of data’ programme 27
• I & A and new Data Science skills resourcing, consisting of upskilling and recruitment
Interdependencies The procurement of the DSP, I&A Transformation and agreement across the health system around deliverables.
Risks and Issues Agreement of the underpinning business models, recruitment and retention of the right skilled individuals, and coherent delivery of new services in
association with I&A transformation.
Key Milestones 2016/17 2017/18 2018/19 2019/20 2020/21
Tactical BI deployment
Workforce skills review and
improvements
Data Science Centre
Foundations
Strategic solution (DSP)
procurement
Secure remote data access
environment
Strategic analytics solution
ASK NHS Digital service
User subscription to information
they want and need
Real time data flows from providers
Analytics on new data sources including
wearables
Data linked by default for analysis
Natural language data and information
interrogation
International collaborations and data
flows
App access to a range of intelligence
services
“Personalised Empowerment”
Remote user defined subscription via
any device to a range of health and
care data and information
Data for Oversight and
Research – Q&A
Self Care & Prevention
David CorbettProgramme Head for NHS WiFi,
NHS Digital
Patient power Reduce pressure on services
Widerparticipation
Patient engagement: Self-care and prevention
Help patients to take control of their own health and care and reduce pressure on frontline services.
Key contacts: Juliet Bauer and Rachel Murphy
Patient Power Programmes of Work
1. Citizen Identity
2. NHS.UK
3. Health Apps Assessment and Uptake
4. Widening Digital Participation
5. NHS Wi-Fi
6. Personal Health Records
Self Care and Prevention Programme update
Apps & Wearables
Focused on the introduction of healthcare apps which can be used by patients and citizens to self-care, and link into their personal health records
• Soft-launch of a digital tools library on NHS.UK by end March 2017
• Partnership working (w/NICE, PHE, NHS England) to assure a small number of Apps for the library
• Working with App Developers to create ‘demonstrators’ that access national infrastructure and services as part of their solution to patients
• Enhance ‘developer.nhs.uk’ (which is already live) to create a space where developers can find information about being involved, access design standards and understand the assurance process
Self Care and Prevention Programme update
Citizen ID
Delivering an online national mechanism for citizen identity in the health and care system
• Development of digital identity solutions for health, targeting September 2017 for first live beta
• Research and prototyping to understand the identity assurance needs for apps and third-party
providers
Personal health records
The vision for PHRs is to provide citizen access to online health services, so that they are able to access and contribute to their health information, and to interact and transact with those that care for them
• Patients will be able to come to NHS.UK and navigate to local demonstrators of care specific enabled apps and local services that are available by September 2017
• Transforming the experience for patients, by allowing them to access and download their GP record without leaving NHS.UK by September 2017
Self Care and Prevention Programme update
NHS.UK
Focused on the transformation of NHS Choices to NHS.UK from a service providing information on health conditions into a focused user journey supporting customers through their primary health care information needs
The NHS.UK beta site is live and has published a number of transformed, action oriented user centric new symptoms, conditions and medicines pages
GP appointments and information pages are now better presented to help users make the right action for their symptom or condition
In Spring 2017, NHS.UK will start piloting the GP registration service with a small number of practices
Self Care and Prevention Programme update
NHS Wifi
Enabling people who are receiving care to be better connected, by providing free wireless access across the NHS, and progressively supporting health and care professionals to have access to services, tools and technologies to deliver better care.
Two projects – primary care (GP practices) and secondary care. First stage of delivery (primary care) commenced in January with 20 CCG early adopters rolling out to approx. 1,000 surgeries by 31 March 2017, ahead of wider rollout and start of secondary care delivery
Widening Digital Participation
Focused on reaching the digitally excluded and giving them access to the health and care information they need
Reaching the 6 million who are not online and the 12 million with low digital literacy to provide skills
that help them benefit from digital NHS services - working with our partner Good Things Foundation
(formerly Tinder Foundation)
Primary Care (PC)
• First stage commenced in Jan 17 with 20 CCGs participating as WiFi Early adopters
• 2 CCGs are live, with the remainder on target to complete by 31 Mar 2017
• This represents approximately 1,000 practices and c. 5 million patients
• Business Case in approvals process. Informed by EA stage and Primary Care census
• Remaining CCGs (approx. 190) expected to implement by 31 Dec 2017 (1Supported by GP IT Operating Model and GP Forward View commitment)
Secondary Care (SC)
• Business Case in development. Informed by outputs from secondary care survey
• Secondary care delivery expected to commence spring/summer 2017
• Current expectation all secondary care providers will implement by Dec 2018
1 From April 2017, commissioning responsibility for provision of Wi-Fi services for General Practice will be devolved to CCGs
as a ‘core and mandated’ requirement outlined within an addendum to the GP IT Operating Model, Securing Excellence in
GP IT Services.
WiFi progress and next steps
• Start small and grow the library, refine the assurances and gatekeeping processes – March 17 onwards
• Make the existing (and develop new) capability with NHS Digital’s infrastructure and services to allow the healthcare App market to innovate against it – up to September 2017 and beyond
• Develop the required information standards, testing capability and on-boarding/assurance processes for publication on a developer focused portal –continuously and with the help of industry
• Continue to communicate with the market, patients/citizens and healthcare professionals to support this exciting direction of healthcare engagement and provision
Health Apps and Wearables
Self Care & Prevention–
Q&A
GP IT Futures: Get Involved
Ben GregoryCommercial Lead, GP IT Futures
NHS Digital
Where We Are…. Right Now
• Research, feasibility & fact checking, discovery, engagement & initiation
• Transitioning to design & test
• Programme Business Case about to enter the system (in old money)
• Current focus on User Research (challenging, as it is a resource stretched professional
and commissioning environment preparing for major operation change)
• You are our users too (yes you are)
We Need
Request For Information
RFI Published: By 31st March 2017
Download and register to respond at:
www.industrybriefings.co.uk/consultations
Responses : By 21st April 2017
Based on responses, we will invite a cross
section of suppliers to form one of our informal
working groups.
In these we will conceptually test things like
assurance and compliance process design,
standards model and articulation, technical
opportunities, procurement design.
Structured User Centred Design
Recruitment
[Hand to Hand testing…]
We are seeking willing volunteers to take
part in user centred design sessions in
support of ’the Catalogue’, this is likely to
include deploying and maintaining an
example product listing and dataset as an
early stage test area.
If you are interested please contact us to
discuss further at:
Commercial Timeline
‘Alpha’ design
cycles
2017 2018
Procurement (replace GPSoC)
Sept-17Jan-17 Feb-18 Dec-18
‘Beta’ tests
Service construction
Framework ends
March 2018Call Offs
expire Dec-18
Publish RFI
End March
Discovery
phase
Market Intelligence Report
v1 End April
Tech UK update event
July 2017
Supplier engagement (regular Show & Tell webinar sessions, events)
Tech discovery Show & Tell
3rd April 2017
POC Show & Tell
End April
Market Intelligence Report
Final End August
GP IT Futures: Get Involved
Q&A
Integration & Social Care
Malcolm Senior Programme Director, Integration and Social Care
NHS Digital
Programme Vision:
Better inform clinical decision making across all
health and care settings, by allowing information
generated in one care setting to be seen and
acted upon in another, irrespective of
geographical or organisational boundaries.
Our expectation of you:
To sign up to techUK’s Health and Social Care
Interoperability Charter.
Changing the Conversation
• Strategic partnerships
• More collaborative developments
• Joint agreement over the direction of travel
Standards not Systems
Internationally recognised standards, driven by business needs, implemented in partnership with suppliers.
Enabling better data flows to improve patient care.
Key work programmes
• GP Connect and Care Connect
• National Record Locator Service (NRLS)
• Authentication and Authorisation Service
• Common standards for Information Exchange; transfers of care, alerts and flags, Open APIs
• Implementing integrated care solutions for social care
Integration & Social Care
Q&A
Closing Remarks
Rob Tysall-BlayChair, Health & Social Care Council, techUK
What’s next? – Future events
Date Event title Location
3 April GP IT Futures Webinar: Technical Discovery on Access to Data WebEx
Late
AprilGP IT Futures Webinar: Requirements, Standards and Assurance WebEx
25 April International Digital Health Opportunities London
15 May Digital Child Health & Maternity Programme Briefing London, techUK
16 May Target Architecture Workshop London, techUK
21 June NHS Digital Industry Briefing Leeds , Hilton City
28 June NHS Digital Industry Briefing London, techUK
What’s next? Share your views
Please complete the survey at the end of the
WebEx
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Sign up for NHS Digital’s Industry Bulletin
www.digital.nhs.uk
@nhsdigital
0300 303 5678
www.techuk.org
@techUK
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