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DIGITAL DICTATION Reporting on the benefits of digital ... - BCS

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INDUSTRY NEWS<br />

MATURE DEBATE IS NEEDED<br />

Mat<strong>the</strong>w Swindells, Head <strong>of</strong> <strong>BCS</strong> Health, reflects <strong>on</strong> changes in NHS<br />

The ability to m<strong>on</strong>itor hospitals’<br />

performance has perversely led to a<br />

decline in public c<strong>on</strong>fidence in <strong>the</strong> NHS,<br />

according to Mat<strong>the</strong>w Swindells.<br />

Mat<strong>the</strong>w’s recent comments in Nati<strong>on</strong>al<br />

Health Executive coincide with a belief in<br />

04<br />

INFORMATION<br />

REVOLUTION<br />

HINOW Autumn 2010<br />

<strong>BCS</strong> Health for <strong>the</strong> need for a mature and<br />

h<strong>on</strong>est debate about <strong>the</strong> growing pains <strong>of</strong><br />

<strong>the</strong> informati<strong>on</strong> revoluti<strong>on</strong> inside <strong>the</strong> NHS.<br />

Increased accountability, such as <strong>the</strong><br />

opportunity to see mortality rate data, has<br />

resulted in higher standards <strong>of</strong> care.<br />

The future <strong>of</strong> Dr Foster Intelligence is under review<br />

According to <strong>the</strong> DOH, <strong>on</strong>e <strong>of</strong> <strong>the</strong> UK’s main<br />

providers <strong>of</strong> informati<strong>on</strong>, analysis and<br />

targeted communicati<strong>on</strong>s to health and<br />

social care organisati<strong>on</strong>s is under review.<br />

The review will explore strategic opti<strong>on</strong>s<br />

for <strong>the</strong> future <strong>of</strong> Dr Foster Intelligence. This<br />

follows <strong>the</strong> recent white paper 'Equity and<br />

Excellence: Liberating <strong>the</strong> NHS', which<br />

stated <strong>the</strong> government’s commitment to<br />

<strong>the</strong> introducti<strong>on</strong> <strong>of</strong> an NHS informati<strong>on</strong><br />

revoluti<strong>on</strong>, providing patients with quality<br />

informati<strong>on</strong> and data <strong>on</strong> all aspects <strong>of</strong><br />

healthcare.<br />

Combined with <strong>the</strong> right support, <strong>the</strong> aim<br />

is to increase <strong>the</strong> use <strong>of</strong> healthcare<br />

informatics to create better care, outcomes<br />

and reduced costs. The review will ensure<br />

that Dr Foster Intelligence is best placed to<br />

meet this challenge.<br />

Dr Foster Intelligence was launched in<br />

However, <strong>the</strong> public’s positive view <strong>of</strong> <strong>the</strong><br />

health service has in all likelihood<br />

diminished as a result <strong>of</strong> <strong>the</strong> statistics<br />

being published, said Mat<strong>the</strong>w.<br />

Informati<strong>on</strong> has become a doubleedged<br />

sword when it comes to<br />

administrative data, he believes.<br />

He said: ‘On <strong>the</strong> <strong>on</strong>e hand, we now have<br />

<strong>the</strong> ability to use data to track <strong>the</strong><br />

performance <strong>of</strong> NHS trusts with regards to<br />

things like mortality rates and this has<br />

enabled <strong>the</strong> public to hold <strong>the</strong> NHS to<br />

account far more effectively than ever<br />

before. Perversely though, this has<br />

probably led to a reducti<strong>on</strong> in public<br />

c<strong>on</strong>fidence in <strong>the</strong> health service,’<br />

Although <strong>the</strong> debate around <strong>the</strong><br />

implementati<strong>on</strong> <strong>of</strong> <strong>the</strong> nati<strong>on</strong>al patient<br />

records system has tended to dominate <strong>the</strong><br />

impressi<strong>on</strong> <strong>of</strong> ICT in <strong>the</strong> NHS, <strong>the</strong> last 10<br />

years have yielded many advancements in<br />

administrating healthcare.<br />

Mat<strong>the</strong>w predicted that <strong>the</strong> next decade<br />

will see <strong>the</strong> use <strong>of</strong> ICT to identify and target<br />

patients, allowing clinicians to intervene<br />

earlier in <strong>the</strong>ir disease or risk pr<strong>of</strong>iles in<br />

order to keep <strong>the</strong>m healthy, as opposed to<br />

reacting to when <strong>the</strong>y fall ill.<br />

Ano<strong>the</strong>r advance will be allowing patient<br />

records to follow <strong>the</strong> patient, ra<strong>the</strong>r than it<br />

being <strong>the</strong> o<strong>the</strong>r way around.<br />

Although this would enable care to be<br />

delivered in a more c<strong>on</strong>venient way, he<br />

acknowledged that safeguards must be in<br />

place to ensure <strong>the</strong> quality <strong>of</strong> data.<br />

He said: ‘You really do need to ensure<br />

that clinical informati<strong>on</strong> can move<br />

seamlessly around <strong>the</strong> patient. O<strong>the</strong>rwise<br />

you will have patients being treated in<br />

c<strong>on</strong>venient settings, but in an unsafe way.<br />

2006 as a joint venture between <strong>the</strong> NHS<br />

Informati<strong>on</strong> Centre and Dr Foster<br />

Holdings LLP. The NHS Informati<strong>on</strong><br />

Centre transferred its shareholding to <strong>the</strong><br />

Department <strong>of</strong> Health <strong>on</strong> 9 July 2010.<br />

This review is in line with <strong>the</strong><br />

government’s policy to maximise <strong>the</strong><br />

value <strong>of</strong> assets and commercial<br />

opportunities as explained in <strong>the</strong> findings<br />

<strong>of</strong> <strong>the</strong> Arm’s Length Bodies Review.<br />

Health Minister Sim<strong>on</strong> Burns said: ‘In<br />

<strong>the</strong> white paper Equity and Excellence:<br />

Liberating <strong>the</strong> NHS’, we set out a visi<strong>on</strong><br />

for an informati<strong>on</strong> revoluti<strong>on</strong> to give<br />

patients greater choice and c<strong>on</strong>trol. We<br />

will publish our informati<strong>on</strong> strategy<br />

paper in <strong>the</strong> autumn. This review will<br />

ensure that <strong>the</strong> Department <strong>of</strong> Health is<br />

making <strong>the</strong> most <strong>of</strong> Dr Foster<br />

Intelligence.’

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