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