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Digital Transformation Strategy

R e s p e c t F a i r n e s s A m b i t i o n C o m p a s s i o n A c c o u n t a b i l i t y P a r t n e r s h i p Co-Creation Anytime, anyplace anywhere Inter-operability Safe and Secure New Models of Care Intelligence

(2)

SYB ICS Digital Vision

A citizen in South Yorkshire and Bassetlaw will be able to access and use digital technology and information to improve

or maintain their own health and wellbeing and expect any person or organisation involved in their care to do the same

Forward View:

Harnessing Technology and Innovation

• Helping people manage their own health • Digitising hospitals

• Technology to support the NHS priorities • Innovation for future care improvement

(3)

SHSC Digital Vision and Aims

Our vision is a technologically and digitally enabled health and social care system built for and in co-production with our citizens to improve

their mental health and wellbeing

1. Citizen and Patient Empowerment 2. System integration and operational efficiency 3. Strategic Decision Support 4. Health Innovation and Digital Capacity

1. Sustaining Digital Engagement and

Innovation

Integrated Healthcare Systems that improve

Patient Pathways Digital Co-production

Leading Edge Production of Patient-centric Healthcare Apps

2. Updating the 2. Updating the ICT Infra-structure

Best Value Infrastructure Secure yet Flexible Remote and Mobile

Access

Customer Service that supports Digital

Inclusion

3. Optimising our Information Assets Data, Information and

Intelligence Efficient, Effective Provision and Use of

Information and Information Systems Improved Data Quality

4. Modernising 4. Modernising IMST Provision

Innovation Partnerships Rapid, Responsive and

Collaborative Development

Sustainable development of IMS

(4)

R e s p e c t F a i r n e s s A m b i t i o n C o m p a s s i o n A c c o u n t a b i l i t y P a r t n e r s h i p Digital Transformation Sustaining Digital Engagement and Innovation Updating the ICT Infra-structure Optimising our Information Assets Modernising IMST

SHSC Digital

Strategic

Aims

(5)

R e s p e c t F a i r n e s s A m b i t i o n C o m p a s s i o n A c c o u n t a b i l i t y P a r t n e r s h i p High Digital Maturity Excellence in IT Service Management and Governance 1.1 Rapid Responsive Collaborative Development 1.2 Leading Edge Healthcare Apps 1.3 Patient Pathway Management 2.1 Best Value Infrastructure 2.2 Secure, Flexible Mobile Access 2.3 Great Customer Service 3.1 Accessible Records , Data and

Information 3.2 Efficient, Effective Use of Information 3.3 Improved Data Quality 4.1 Relevant, Up -to-Date Skills 4.2 Empowered Professionals 4.3 Best Practise

SHSC Digital

Strategic

Objectives

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R e s p e c t F a i r n e s s A m b i t i o n C o m p a s s i o n A c c o u n t a b i l i t y P a r t n e r s h i p PATIENT PATHWAYS PARTNERSHIPS PROFESSIONALISM 1.1 Shared Records for system-wide healthcare interoperability 1.2 Portals 1.3 Integration Platform 1.4 Co-production: Social

Media Web-based and Applications 1.5 Next Generation

Patient Pathway

System 2.1 Licensing 2,2 Cyber Security 2.3 Public Services Network

and Multichannel WiFi 2.4 Cost -effective Hardware,

Prescribed Devices 2.5 Mobile Voice and Data 3.1 Data, Information

and intelligence 3.2 Data and Information

Governance 3.3 Data Warehouse 3.4 BI and Self service

Reports

3.5 Shared business information solutions,

systems and service 4 .1 Technical and Digital

Skills Development 4.2 Health Tech Innovation

4.3 Management and Technical Tools

4.4 Agile delivery, Portfolio Planning and Prioritisation 4.5 Service Offerings for

Sustainable Growth Invest in FUTURE Capability Treat Data as an ASSET TRANSFORMATION supported by information One OPTIMISED Information Architecture

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Healthcare Outcomes and Benefits

• Empowering citizens in their healthcare and well-being • Better patient outcomes:

-> integrated healthcare -> recovery and relapse -> safety

-> handovers -> experience • Reduction in costs:

-> healthcare delivery models -> operations

-> estates

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Delivered in 2016-18

1.1.1 Integration Architecture Blueprint

1.2.1 Urgent Insight functionality 1.2.1 Electronic Discharge 1.2.3 CMHT Reconfiguration

1.3.1 Screening Tool 1.5.1 SM Electronic Prescribing

2.1 Licensing risks and optimisation 2.2 Cyber Security

2.3.1 Secure Patient WiFi 2..3.2 GovRoam

2.3.3 HSCN federated procurement

3.2.1 Business Information Systems Review

3.2.2 Strategic Principles for Business Information Systems

3.5.1 Exec BI Dashboard

4.1.1 Managed services and project management contracts with CCGs 4.1.2 Capacity building for services 4.4.1 Digital Transformation Strategy,

Portfolio and Plan 4.4.3 Data and Information Governance and Policy Review

4.5.1 Management and skills development for staff

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Digital Transformation Portfolio 2018-21

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R e s p e c t F a i r n e s s A m b i t i o n C o m p a s s i o n A c c o u n t a b i l i t y P a r t n e r s h i p

• Integrated Healthcare Systems (CSSG, CCIO)

– Development Coalition and Innovation Partnership

– Integrated Mental Health Care System Phase 1 (Insight2 to be named by staff) – NHS coding and integration standards

– Clinical innovation (Fast follower quick wins)

• Mobile and Connectivity (ITSG, CIO)

– Mobile MS Office

– BYOD Policy (for staff and service users using own devices on infrastructure)

– National HSCN migration incl Regional Network and Storage Strategy (mandatory) – Estate driven Network Moves including Data Centre

– Trust Communications Technology Strategy

• Performance Management and Business Intelligence (BSSG, SIRO)

– Data Dictionary and Data Warehouse structure – Repository of KPI definitions

– Consolidation of local MI systems (local excel spreadsheets)

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NHS Digital Exemplar Programme

R e s p e c t F a i r n e s s A m b i t i o n C o m p a s s i o n A c c o u n t a b i l i t y P a r t n e r s h i p Co-Creation Anytime, anyplace anywhere Inter-operability Safe and Secure New Models of Care Intelligence

(12)

Infrastructure 2019

Mobile

Remote access speed Service Management 2017 Asset Management Cyber Security Patient WiFi 2015

Repairs & substitutions Data Centre resilient Incident management Capability 2019 Transfer of Care Medicine Management & Optimisation

Asset & Resource Optimisation

2017

Decision Support

Remote and Assistive Care

2015

Records, Assessment & Plans Asset & Resource Optimisation

Digital Maturity Performance

Readiness 2019 Information Governance 2017 Strategic Alignment Leadership Resourcing Governance 2015 R e s p e c t F a i r n e s s A m b i t i o n C o m p a s s i o n A c c o u n t a b i l i t y P a r t n e r s h i p

(13)

Fast Follower Bid

• Investment in digitally mature Trusts to develop technology blueprints to be deployed across NHS • GDE Worcestershire invited SHSC to be their FF • Collaborative and complimentary partnership

→ Integrated Mental Health Care System

• SHSC will design and build a 3rd generation asset • NHSE will match fund £3M

• Access to current GDE technology at no cost • More than just an new EPR

→ Care Flow

→ Patient Empowerment → Health Tech Innovation

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Interoperability and Sharing Information

Infrastructure Mobile and Agile Working

Improving Clinical Outcomes

1. Citizen and Patient Empowerment

2. System integration and

operational efficiency 3. Strategic decision support

4. Health Innovation and Digital Capacity

1. Sustaining Digital Engagement and Innovation

Integrated Healthcare Systems that improve

Patient Pathways Digital Co-production Leading Edge Production of

Patient-centric Healthcare Apps

2. Updating the ICT Infra-structure

Best Value Infrastructure Secure yet Flexible Remote

and Mobile Access Customer Service that supports Digital Inclusion

3. Optimising our Information Assets Data, Information and

Intelligence

Efficient, Effective Provision and Use of Information and

Information Systems Improved Data Quality

4. Modernising IMST Provision Innovation Partnerships

Rapid, Responsive and Collaborative Development Sustainable development of IMST services Alignment of the GDE FF Partners

(15)

GDE FF Blueprints and Capabilities

• Shared clinical intelligence at point of contact • Mobile service delivery

• Electronically supported handovers • Patient pathway triggers

• Medicine reconciliation • Data security

• Chat bots and secure social media

• Mental and physical health monitoring devices • Well-being and recovery apps

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Breakdown of GDE FF Investment

• NHS England :

-> Fast Follower Match Funding £3M • Sheffield Health and Social Care NHS FT:

-> Fast Follower Integrated Mental Healthcare c.£1.6M -> Fast Follower Digital Clinical Innovation c.£1.4M

-> Business Intelligence and Public Health Outcomes c.£1.2M -> Infrastructure c.£1.1M

• Worcestershire Health and Care NHS and Oxford Health NHS FT blueprints valued at:

-> Integrated Mental Healthcare c.£2M -> Digital Clinical Innovation c.£0.85M -> Infrastructure c.£0.35M

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SHSC Digital Transformation

Investment Portfolio

R e s p e c t F a i r n e s s A m b i t i o n C o m p a s s i o n A c c o u n t a b i l i t y P a r t n e r s h i p Co-Creation Anytime, anyplace anywhere Inter-operability Safe and Secure New Models of Care Intelligence

(18)

The aims of the Digital Transformation Strategy covered by the Integrated MH Care

GDE FF Investment are:

Patient Empowerment Integrated Mental Healthcare to improve Population Health Care Outcomes

Mobile and Agile working for efficient and effective near

real-time access

Sharing data and information to improve HealthCare Outcomes Digital Clinical Innovation

The bid for the Fast Follower funding was submitted in March 2018 and has been well received. There will be a site visits from NHSE and NHSD on 18th June 2018. The key consideration is the viability of a long distance partnership with Worcestershire Health and Care, although there are no GDEs to partner with in this region.

The OBC for the Fast Follower Programme will come to FIC and Trust Board in June 2018.

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There will be two major other areas of investment that will make up this next phase of the Digital Transformation Strategy 2018-21

Data Quality

Performance Management Framework Power BI Tools and Skills

Data Warehouse

Cloud (Azure) Data Storage BI Portal

BI, Reports and Dashboard Self-service National HCS Network Migration

Data Centre Migration New Estate Connectivity

Desktops and Mobile Devices incl. BOYD Windows 10, Office 365 and NHS Mail Staff and Service User Communications

Technology

IT Service Management

Mobile and Connectivity

Performance Management

(20)

SHSC Capital and Revenue

Digital Investment 2018-21

CapEx RevEx

Integrated MH Care £6M c.£500k

Mobile and Connectivity c.£1.1M c.£300k excl MS licensing cost already approved

Performance

Management and Business Intelligence

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SHSC Digital Transformation

2018-21 Business Case Decisions

OBC FBC

Integrated MH Care June 2018 GDE FF Programme Funding Milestone

Mobile and Connectivity

Data Centre – May 2018 Networks & Communications - July 2018 Q3, 2017-18 Performance Management and Business Intelligence Q3, 2017-18 Q4, 2017-18

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Digital Transformation enabling better

Healthcare Outcomes

References

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