Health Information Management in the British National Health Service NHS An Australian Perspective

1
Health Information Management in the British
National Health Service (NHS)- An Australian
Perspective

• Tanya Beale
• BSc Science (Health Information Management)
• BSc Science (Nursing)
• Prepared for Curtin University, March 2007
• Not to be reproduced without the permission of
  the author

2
The NHS

• Department of Health
• Strategic Health Authorities (SHAs)
• Primary Care Trusts (PCTs)
• Acute Trusts
• Mental Health Trusts
• Ambulance Trusts

3
NHS Trusts

• Executive Team
• CEO
• Executive Directors
• Non-Executive Team
• Chairman
• Non-executive Directors

4
Illustration - NHS Executive Team

• Medical Director
• Director of Nursing
• Director of Finance
• Director of Human Resources
• Director of Clinical Services
• Director of Service Development, Performance
  Management and IMT

5
Illustration - IMT Organisational Chart
6
Illustration IMT Committees Structure
7
HIM Overseas Experience Achievements

• Development of a countywide Clinical Records
  Service
• Vision / Strategy
• Proposal, support, funding
• Policy and Procedure
• Countywide unified clinical system
• Reconfiguration of clinical records department
  physical environment
• Recruitment records department staffing
• Establishing the clinical coding service
• Records redesign implementing the single
  clinical record approach
• Countywide transportation services
• Electronic tracking of records
• Establishing and implementing Audit / Quality
  programme
• Archiving strategy implementation

8
HIM Achievements cont

• Clinical Information Quality and Standards
  Development
• Proposal, support, funding
• Manager appointed
• Meeting forum established (AIM)
• Policy and Procedure - under development
• Robust quality assurance processes - under
  development
• IMT Organisational and Committees Structure
  Established
• refer slides 5 6

9
NHS External Body Appraisals

• Audit Commission
• Clinical Negligence Scheme for Trusts (CNST)
• Standards for Better Health (SbH)
• Information Governance Toolkit (IGT)
• Caldicott Guardianship etc

10
National Work In ProgressConnecting for Health
(CfH)

• National electronic patient record programme
• 5 Regions within England established
• Private local service providers (LSPs)
• Care record summary care record
• www.connectingforhealth.nhs.uk

11
Local Work in ProgressInterim Electronic Record
Development

• Mental Health (Adult, Older People, Child
• Adolescent),Drug and Alcohol, Learning
  Disabilities
• PAS plus clinical documentation e.g. care plans,
  risk assessments, discharge summaries, general
  correspondence saved as word documents in the
  system
• Web based application pending
• Document scanning pending
• Digital pens pilot pending
• Sexual Health Systems under review

12
Local Work in ProgressInformation Shared
Service (ISS) Development

• New IMT Strategy
• New ISS Service Level Agreement (SLA)
• SLA facilitates routine cost vs performance
  management appraisals
• AIM improved quality and efficiency of
• externally provided information services
• (commissioned services).

13
Local Work in ProgressOther

• Capital replacement programme
• Training
• Communications

14
Foundation Trust Status

• More local autonomy through
• Local budget setting
• Local priority setting
• Local regulation
• External evaluation / audit - MONITOR

15
Closing Sentiments

• Rewarding
• Professional challenge
• Professional satisfaction
• Professional frustration !
• Politics !
• Australian vs English model