Health and Social Care in the Digital Age John Matheson Director Finance, EHealth and Pharmaceuticals Directorate Public Finances – Fall in Government Expenditure eHealth Strategy Board • Digital Public Service Sector Board for Health • The governance body providing overall strategic guidance and investment approval • eHealth Strategy published in September 2011 – Six Strategic Aims – eHealth approach is collaborative, incremental, locally led and outcomes focused Three Key Drivers • Person Centred • Safe • Effective eHealth Strategy 2011 - 17 The 3 Quality Ambitions Person Centred Strategic eHealth Aims 201117 Maximising efficient working practices Supporting people to communicate with NHSS and manage their own health and wellbeing Contributing to care integration and supporting people with long term conditions Enhancing the availability of appropriate information for healthcare workers Improving the safety of people taking medicines and their effective use Providing clinical and other local managers with the management information they need to inform their decisions Safe Effective • Six Strategic Aims • eHealth approach is • collaborative • incremental • locally led • outcomes focused eHealth Strategy 2011 - 17 • Clinical Portal – The portal delivered for clinicians, patients and the four health boards. It was described by one consultant as: ‘ the nearest thing to the Holy Grail we will ever get’ • ECS – ‘Access to GP drugs is particularly helpful in palliative care units, the patients druglist can be long and the dosage range large. Up to date information provides a measure of safety.’ Palliative care consultant • KIS – ‘Excellent for sharing info with relevant others’ – ‘Structured, concise and easy to fill in’ – ’easy to use and navigate’ Policy and Strategic Drivers • Adult Health and Social Care Integration Bill • Children and Young People Bill • Renewing Scotland's Public Services - Priorities for Reform • The McClelland Review of Scottish Public Sector ICT Infrastructure • Scotland's Digital Future Delivery of Public Services Focus on partnership and collaboration 2020 Vision A 2020 Vision of healthcare • We will have a healthcare system where we have integrated health and social care, a focus on prevention, anticipation and supported self management. • When hospital treatment is required, and cannot be provided in a community setting, day case treatment will be the norm. • Whatever the setting, care will be provided to the highest standards of quality and safety, with the person at the centre of all decisions. • There will be a focus on ensuring that people get back into their home or community environment as soon as appropriate, with minimal risk of re-admission. Delivering 2020 Vision • • • • Increasing the role of Primary Care Integrating Health and Social Care Accelerated safety improvements Strengthen delivery of unscheduled and emergency care • People powered Health and Social Care Services • Focus on Multiple and Chronic Illnesses • Increased investment in new innovations Adult Health and Social Care Integration Bill • • • • Services firmly integrated around the needs of individuals, their carers and other family members Strong and consistent clinical and care professional leadership Joint accountability for effectively improved delivery Flexible, sustainable financial mechanisms giving priority to the needs of the people they serve NOT the organisations through which they are delivered Children and Young Person Bill Getting It Right For Every Child (GiRFEC) • • • • • • • More effective rights for children and young people A focus on wellbeing Better service planning and delivery Improved reporting on outcomes Improved access to high quality, flexible and integrated early learning and childcare, Better foster care Specific provisions around the named person and child’s plan The Early Years Collaborative - Ambition To make Scotland the best place in the world to grow up in by improving outcomes, and reducing inequalities, for all babies, children, mothers, fathers and families across Scotland to ensure that all children have the best start in life and are ready to succeed. Relationship with other Strategies and Governance Bodies Health and Social Care Information and Technology Strategy “By 2014 a new health and social care IT strategy will have been developed in partnership with local authorities. This will have paved the way for improvements in information sharing between health and social care workers and greater integration of health and social care services, for people of all ages, across Scotland.” eHealth Strategy 2011 – 2017 – overseen by the Data Sharing Technologies Board (DSTB) Strategy Scope • Provides a framework of principles and guidance to facilitate service integration. • Contains an agreed high-level model of what various aspects of integration will look like. • Has an agreed set of outcomes and high level delivery plan • Focuses on the needs of practitioners, managers and citizens. • Concentrates on cross-sector and cross-organisation activities • Encourages local initiatives and facilitates wider implementation if required. Conclusion • Many good examples of local partnership working between Local Authorities, Health Boards and the third sector that are delivering local benefits. • • • • • • • Ayrshire and Arran - Ayrshare Fife - SASPI Tayside - MiDIS Lanarkshire - local eCare GGC - Orion Portal Lothian - CareFX Portal West Lothian – Electronic Adult Protection Conclusion • Close collaboration on national projects proving successful (eg SWAN). • The policies and over-arching strategies provide a solid framework for delivery. • Locally led IT based initiatives are already enabling improved data sharing. • DSTB and Health and Social Care Information and Technology Strategy will provide clear strategic direction.