Www.england.nhs.uk Integrated Digital Care Record Work stream The Offers Michael A. Bewell Interoperability Engagement Lead.

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Integrated Digital Care Record Work stream

The OffersMichael A. Bewell

Interoperability Engagement Lead

www.england.nhs.uk

Barriers you told us about

• Consent models (direct / indirect)

• Challenges with dynamic model of consent

• Access by non clinical members of a clinical team

• Patient subscription model• A description of what

needs to be shared between professionals

• Describing benefits• Skills and knowledge – around

informatics and access to business change expertise

• Organisational capacity and readiness and culture

• Prioritising resources• Professionals and patients

understanding • Complex landscape and a

varying digital maturity across patch

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The Offer1. Information Governance

2. Priority needs & datasets

3. Interoperability Handbook

4. Common Interfaces

5. Clinical & citizen viewer

5. Citizen engagement

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The Request

1. To understand and share priority care use cases, common datasets, capabilities and various architecture models.

2. Provide feedback and testing.3. To respond to short questionnaires that monitor progression of

interoperability projects in England

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Priority needs and datasets. This product provides a starting point for interoperability projects and programmes based on the knowledge and lessons learnt from Wave 1 Pioneer sites and other leading lights.prioritised Clinical scenarios JuneIteration of clinical scenarios September

Offer 1 Offer 2 Offer 3 Offer 4 Offer 5 Offer 6

Elements TimelinePriority care use cases (Wave 1 Pioneer sites and other leading lights)

July

Iteration incorporating a wider set of intelligence including Wave 2 pioneers

September

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Priority use cases

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Core dataset

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Interoperability Handbook. The handbook will enable more informed decision making to direct interoperability projects and programmes by bringing together all relevant standards, tools and guidance to shape interoperability architecture and review common data sharing architecture models.

prioritised Clinical scenarios JuneIteration of clinical scenarios September

Offer 1 Offer 2 Offer 3 Offer 4 Offer 5 Offer 6

Elements TimelineInteroperability Handbook JulyIteration of Handbook September

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Thanks…..

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Information Governance. Practical guidance on real-life clinical scenarios and the information governance approaches taken. Supplemented with agreed standard templates. .prioritised Clinical scenarios JuneIteration of clinical scenarios September

Offer 1 Offer 2 Offer 3 Offer 4 Offer 5 Offer 6

Elements TimelineA suite of nationally “kite marked” standard templates

July

Direction for sharing information within prioritised Clinical scenarios

June

Iteration of clinical scenarios September

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Common interfaces. Defined interfaces that describe the data required from clinical systems to support the identified priority care / clinical use cases.scenarios JuneIteration of clinical scenarios September

Offer 1 Offer 2 Offer 3 Offer 4 Offer 5 Offer 6

Elements TimelineTransfer of care interface into Open Electronic Health Record

July

Interface into key vendors to share data within priority use cases

September

Integration engine working in N3 environment sharing real data from Pioneers

December

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Clinical and citizen viewer. Open source software implementation for clinicians / care professionals and citizens to access integrated care record informationprioritised Clinical scenarios JuneIteration of clinical scenarios September

Offer 1 Offer 2 Offer 3 Offer 4 Offer 5 Offer 6

Elements TimelineClinical viewer alpha prototype MayIteration with transfer of care JulyIteration with telehealth SeptemberIteration with virtual wards and specialist views

November

Viewer functioning in N3 environment MarchCitizen viewer March

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Citizen engagement. Engagement approach and materials to activate citizen interest and define common requirements for citizen’s to feed, access and use data about themselves to better manage their health and well-being. Based on these requirements, prioritised requirements . JuneIteration of clinical scenarios September

Offer 1 Offer 2 Offer 3 Offer 4 Offer 5 Offer 6

Elements TimelineCitizen engagement toolkit JulyCitizen Requirements (Established through using the toolkit)

September

Citizen app’ release (based on Citizen Requirements)

March

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Your role. To deliver these supporting products we need your engagement in three areas:

1. To understand and share priority care use cases, common datasets, capabilities and various architecture models.

2. To provide feedback and testing of products in development.

3. To respond to short questionnaires that monitor progression of interoperability projects in England

Action call