Dr Masood NazirClinical Informatics Advisor

NHS England

Developing Digital Clinical Champions

within CCGS & NHS England

Dr Masood Nazir

General Practitioner

Clinical Informatics Advisor

NHS England

The Case Is Made

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“Lead clinicians or care professionals within individual organisations will be responsible for organising and interpreting information support of better care”

“Information and IT need to ‘work’ for the clinicians and care professionals; suppliers of information systems are encouraged to work with care professionals in developing information solutions that are safe and offer benefits to professionals as well helping to improve outcomes for us as patients and service users”

The Power of Information Para 5.16 May 2012

Clinical Informatics Advisor Masood Nazir Anne Cooper

David LowDavid Davis

Head of Clinical Informatics Mobilisation

David Bolus

Project Administrator

Susan Moore

Clinical Informatics Network Support

ManagerAlex Porter

Clinical Informatics DirectorJonathan Kay

Planning and Assurance Manager

Nina Prodywus

6

PARachael Sykes

Medical Directorate Clinical Informatics Team

BusinessAdministrator

vacant

Deputy Medical Director

Mike Bewick

NHS | Presentation to [XXXX Company] | [Type Date]7

NHS | Presentation to [XXXX Company] | [Type Date]8

NHS | Presentation to [XXXX Company] | [Type Date]9

NHS | Presentation to [XXXX Company] | [Type Date]10

Florence Nightingale – the first CNIO?

Florence Nightingale 1820-1910The founder of modern nursing was a pioneer in the visual presentation of information and statistics to highlight seasonal sources of patient mortality in military hospitals.

NB - Since 2008 ANA has marked her birthday, 12 May, as Nursing Informatics Day

NHS England structure

• 27 Area teams – commissioning high quality primary care services, supporting and developing CCGs, assessing and assuring performance, direct and specialised commissioning, managing, cultivating local partnerships and stakeholder relationships, including representation on health and wellbeing boards

• Four regions - providing clinical and professional leadership, co-ordinating planning, operational management and emergency preparedness - undertaking direct commissioning functions and processes within a single operating model

• National support centre in Leeds and a presence in London

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Birmingham CrossCity CCG – current configuration

Population:

• 730,000 patients

Number of practices:

•117 practices across 125 sites

 Formed from 3 PCTs across the city and

• Six former groups:

• Equity, UBC, SBIC, Sparkfield, BICC, NEB

Made up of ten area based clinical networks

Birmingham CrossCity Board

Washwood Heath

Bordesley, Small Heath,

South Yardley, Acocks Green

East Birmingha

m

Edgbaston

Hall Green

Kingstanding

North East

Northfield

South Birmingha

m

Sutton Coldfield,

Castle Vale and

Shard End

Local Commissioning Networks

Small enough to care, big enough to make a

difference

BXCCG Governing Body

CCG Clinical Information team

Primary Care Informatics

• Peter Arora

• Harjinder Dau

• Gareth Stuttard

• Eamon McQuillan

Website / Patient online access/ EDT / Recall systems / Informatics strategy & priorities…..

Business Intelligence

• Damian Williams

• Satinder Singh

GPADS/ MICS / Data Sharing Agreement

Risk stratification tools / Research

Referral Support

• Nigel Speak

Choose & Book & CAS

• Ibrahim Varsani

Computer aided support

• Savio Gaspar

Digital requesting of Diagnostics

M6

M5

M6

M1

M1

M54

M69

M40

M42

M50

M6 toll

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Mobile Working

Sharing Information

Education

NHS TREASURE MAP

Innovations – Promote, Share & Spread your GEMS

Virtual meetings and communication: some days I need a TARDIS

“Eat your lunch, sign prescriptions, answer queries from reception staff, get involved, pay attention and contribute!”

CCG Chair

Solutions (although not quite as good as a TARDIS):• Skype• Microsoft Office 365• WebExand many more . . .

i-Engage – Meetings from Planned Care Solutions using Microsoft Office 365. and Microsoft Lync device for virtual meetings

“Know where to find the information and how to use it – That’s the secret of success”

The challenge

• Implementing electronic health records & technology changes within the NHS is a challenge, a major project and a substantial change in the way care is delivered

• But are successfully achievable with clinical ownership

• Utilisation is much higher with clinical buy in

• Once technology enabled most health care professionals would not want to go back

Thank you