How do we create the right conditions for transformation? Fazila Dingmar Programme Lead – Transformation NHS England

1. How do we
create the right
conditions for
transformation?
Fazila Dingmar
Programme Lead – Transformation
NHS England
29 June 2016, Health + Care 2016,

2. www.england.nhs.uk
What is technology transformation?
Transformation is more than just about implementing new technology,
or adding to what we already have.
It is about using technology to implement change that leads to:
 Improved clinical outcomes
 Better patient experience
 Economic benefits
 Sustainable and scalable ways of providing and receiving
patient centred care
2

3. www.england.nhs.uk
Why, What, and How?
• Know what you want to achieve from the outset and why.
• How will you implement the change?
• Assessment of risk factors (external and internal)
Clear objectives,
 engaged stakeholders from the outset (patients, clinicians and
commissioners)
 detailed planning and expert execution
 supported by clinical leadership
3

4. www.england.nhs.uk
Case study: GP Access Fund
Business
Justification
Due
Diligence &
Ongoing
Assurance
Support
Ongoing
innovation
&
contribution
to future IT
Starting position
Continuous throughout
lifecycle of the project
Continuous throughout
lifecycle of the project
Continuous throughout
lifecycle of the project
(and beyond in some
cases)
4

5. www.england.nhs.uk
Case study: GP Access Fund
Business Justification
Business
Justificatio
n
Due
Diligence &
Ongoing
Assurance
Support
Ongoing
innovation
&
contribution
to future IT
• Detailed submission made once initial
proposal approved
o Clearly set out intentions
o Expected benefits and impact
articulated
o Financially robust
o Technology plans realistic and well
though out
• Continuously revisited through lifecycle
• Supported by clinicians, commissioners
and patients
5

6. www.england.nhs.uk
Case study: GP Access Fund
Due Diligence & Ongoing Assurance
Business
Justification
Due
Diligence
& Ongoing
Assurance
Support
Ongoing
innovation
&
contribution
to future IT
• Ambition vs practicalities (feasibility)
• Realistic milestone setting
• Support package put in place to support
implementation
• Change, risks and issues managed
formally
• Governance structure put in place to
monitor progress and provide escalation
points.
• Evaluation
6

7. www.england.nhs.uk
Case study: GP Access Fund
Support
Business
Justification
Due
Diligence &
Ongoing
Assurance
Support
Ongoing
innovation
&
contribution
to future IT
Targeted and practical, to provide support in
places where most needed:
• Information governance (surgeries,
webinars, review of documentation, online
one to one help)
• Technology architecture building and story
mapping
• Procurement (price negotiation, contract
management advice, day to day advice and
guidance, access to frameworks)
• Supplier management (incident
management, pricing…)
7

8. www.england.nhs.uk
Case study: GP Access Fund
Business
Justification
Due
Diligence &
Ongoing
Assurance
Support
Ongoing
innovation
&
contribution
to future IT
• Shared network / collaboration amongst
peers (online and face to face)
• Attendance at events to share learning
and expertise
• Contribution to development of future
national infrastructure through:
accelerated learning events, first of type
testing, sharing knowledge and
experience
• GP Connect. Moving to the next stage..
8

9. www.england.nhs.uk
Case study: GP Access Fund
Suite of products developed to support schemes:
• Procurement templates and good practice guidance
• Online knowledge sharing and support hub for common issues,
including supplier forum
• IG How to guides, Top Tips, templates, online learning and resource
platform
• Story maps to support interoperability (GP Connect) technical
development.
• Summary report on technology
• Toolkits (how to) for unscheduled care, at scale working, and
unscheduled care.
9

10. www.england.nhs.uk
Any questions?

11. www.england.nhs.uk
Get in Touch
england.digitalprimarycare@nhs.net
#PMGPAccess
#DigitalPrimaryCare
#FutureNHS
Digital Primary Care website