ewan davis – consultant to nhs england - opusvl...nhs and odoo many nhs processes are generic...
TRANSCRIPT
A Digital NHS
Ewan Davis – Consultant to NHS England
34 Years in NHS ITSME > CorporateFounder of HANDI
Past Chair TechUK Healthcare GroupPast Chair BCS Primary Health Care Group
A Digital NHS - Agenda
● Some background to the the NHS● IT in the NHS● A new open collaborative approach to
digitisation● Role of open source in the NHS● NHS experience with odoo● Some lesson and conclusions
NHS● Large and complex organisation
– Has to deal with massive rise in demand driven by ageing population - “The Grey Tsunami”
– Devolved to 4 home countries
– Biggest employer in Europe
– Over 900 legal entities + NHS GPs, Pharmacists, Dentists and Opticians
– Ranks #1 in the World (Switzerland #2 USA #11)● http://www.commonwealthfund.org/publications/press-releases/2014/jun/us-health-system-ranks-last
– Current priority to move to integrated care with much greater patient participation e.g. Devo-Manch
● http://www.theguardian.com/healthcare-network/2015/mar/24/devo-manc-five-early-lessons-for-the-nhs
NHS IT● Primary Care (GP) IT leads the world – 99% computerised > 15
years, majority paperlite
● Other sectors lag behind with full electronic records still rare
● In all sectors focus has been on enterprise wide systems
● The $12.bn 10 year+ NHS National Programme for IT now acknowledged as mainly a failure
● Emergence of apps creating new challenges and opportunities
A new approach
● To facilitate the creation of an open digital ecosystem
– A mixed economy of proprietary and open source components based on open standards, open APIs (interfaces) and open data
– Providing a platform to facilitate interoperability and orchestration on which systems can “plug and play”
– Making data and knowledge shareable and computable, seperate from the application that create and consume it
– Eliminating vendor lock-in, so vendors compete on value not ownership of IPR
– Facilitating collaborative working
Open digital ecosystem (simplified)
The role of open source in the NHS
● To provide an alternative to proprietary solutions– To drive value
– To facilitate “clinical” engagement
– To facilitate cooperation
– To promote openness
– To encourage proprietary vendors to “play nicely”
– To enable sharing and re-use
Some Examples
● NHS Spine – The NHS master index and ESB● NHS eRefferals – NHS enterprise wide
scheduling (replaces Choose & Book● Open-eObs● OpenEyes● Open-eP● OpenMaxims
OPENep
Open-eObs
NHS and odoo
● Many NHS processes are generic business process
● Many clinical processes can be treated as business processes
● But ERP has been little used in the NHS because of cost and complexity of proprietary ERP solutions
● oddo looks like a promising tool to bring the power of ERP to the NHS compatible with our open strategy
● oddo already used to successfully replatform Open-eobs and is likely to be used as a part of other open source projects
●
Lesson and Conclusions
● The use of open source components and collaborative approaches– Massively reduces development time and cost
– Encourages end user engagement and adoption
– Creates opportunities for innovation
A Digital NHS
Ewan Davis – Consultant to NHS England
@nhsopensource @WoodcoteEwan @handihealth
www.code-4-health.org
www.handihealth.org
www.woodcote-consulting.com/blog