Leeds - Local Digital RoadmapFirst Submission - 30 June 2016

Sect

ion

1

Intr

od

uct

ion

Leed

s as

pire

s to

be

the

best

city

to

grow

up

in, t

he b

est

city

to

grow

old

in, t

he b

est

city

fo

r he

alth

and

wel

lbei

ng a

nd h

as t

he o

vera

ll am

bitio

n to

impr

ove

the

heal

th o

f th

e po

ores

t fa

stes

t.

Leed

s is

mak

ing

stro

ng p

rogr

ess

tow

ards

be

com

ing

a ‘s

mar

t’ c

ity w

here

vol

unta

ry,

publ

ic a

nd p

rivat

e se

ctor

s co

oper

ate

to

achi

eve

sust

aina

ble

city

out

com

es a

nd in

crea

se

econ

omic

com

petit

iven

ess.

Thi

s in

clud

es t

he

abili

ty t

o sh

are

and

exch

ange

info

rmat

ion

acro

ss

a w

hole

city

sys

tem

.

Info

rmat

ics,

and

the

dig

ital t

echn

olog

y it

over

sees

, is

seen

as

cent

ral t

o th

e de

liver

y of

thi

s am

bitio

n.

Leed

s is

the

agr

eed

foot

prin

t fo

r th

e Lo

cal

Dig

ital R

oadm

ap (L

DR)

, cov

erin

g th

e th

ree

Leed

s N

HS

Clin

ical

Com

mis

sion

ing

Gro

ups

and

the

loca

l hea

lth a

nd c

are

prov

ider

s, in

clud

ing

all

GP

Prac

tices

.

The

Leed

s In

form

atic

s u

niq

ue

sellin

g p

oin

ts a

re:

Our

str

ong

and

long

sta

ndin

g co

llabo

rativ

e w

orki

ng a

rran

gem

ents

aro

und

Info

rmat

ics

acro

ss h

ealth

, car

e an

d ac

adem

ia

Our

rob

ust

info

rmat

ion

shar

ing

arra

ngem

ents

be

twee

n or

gani

satio

ns

Our

eng

agem

ent

with

citi

zens

abo

ut h

ow

thei

r in

form

atio

n is

and

mig

ht b

e us

ed t

o im

prov

e th

eir

heal

th a

nd c

are

Our

Lee

ds C

are

Reco

rd, a

n in

tegr

ated

vie

w o

f he

alth

and

car

e in

form

atio

n w

ith o

ver

2000

ac

tive

user

s

Our

use

of

join

ed u

p in

form

atio

n an

d an

alyt

ics

acro

ss t

he c

ity t

o pr

ovid

e kn

owle

dge

and

insi

ghts

into

how

eff

ectiv

e ou

r he

alth

and

car

e pr

oces

ses

are

The

pri

ori

ty In

form

atic

s o

pp

ort

un

itie

s d

escr

ibed

wit

hin

th

e

LDR

are

:To

use

tec

hnol

ogy

to s

uppo

rt p

eopl

e to

m

aint

ain

thei

r ow

n he

alth

and

wel

lbei

ng

To e

nsur

e a

robu

st IT

infr

astr

uctu

re p

rovi

sion

th

at s

uppo

rts

resp

onsi

ve a

nd r

esili

ent

24/7

w

orki

ng a

cros

s al

l hea

lth a

nd c

are

part

ners

To p

rovi

de w

orkfl

ow a

nd d

ecis

ion

supp

ort

tech

nolo

gy a

cros

s G

ener

al P

ract

ice,

N

eigh

bour

hood

Tea

ms,

Hos

pita

ls a

nd S

ocia

l C

are

To e

nsur

e a

chan

ge m

anag

emen

t ap

proa

ch

that

em

beds

the

use

of

any

new

tec

hnol

ogy

into

eve

ryda

y w

orki

ng p

ract

ices

The

LDR

has

been

pro

duce

d in

con

junc

tion

with

th

e Le

eds

and

Wes

t Yo

rksh

ire S

usta

inab

ility

and

Tr

ansf

orm

atio

n Pl

ans

(STP

) and

in c

olla

bora

tion

with

oth

er L

DRs

acr

oss

Wes

t Yo

rksh

ire.

The

LDR

is n

ot in

tend

ed t

o be

a r

epla

cem

ent

for

indi

vidu

al o

rgan

isat

iona

l inf

orm

atic

s st

rate

gies

bu

t pr

ovid

es a

con

solid

ated

vie

w o

f th

e pl

ans

requ

ired

to b

ecom

e as

clo

se a

s po

ssib

le t

o ‘p

aper

fre

e at

the

poi

nt o

f ca

re’ a

nd t

o su

ppor

t th

e de

liver

y of

inte

grat

ed h

ealth

and

car

e se

rvic

es.

The

Leed

s Lo

cal D

igita

l Roa

dmap

thu

s de

scrib

es

a 5-

year

dig

ital v

isio

n, a

3-y

ear

jour

ney

tow

ards

be

com

ing

pape

r-fr

ee-a

t-th

e-po

int-

of-c

are

and

2-ye

ar p

lans

for

pro

gres

sing

a n

umbe

r of

pr

edefi

ned

‘uni

vers

al c

apab

ilitie

s’.

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

Sect

ion

12

3

The

LDR

has

bee

n

dev

elo

ped

usi

ng

th

e

follo

win

g a

pp

roac

h:

End

ors

emen

t an

d

con

trib

uto

rs

Reso

urce

s, r

oles

and

res

pons

ibili

ties

to d

eliv

er t

he r

oadm

ap w

ere

iden

tified

and

sec

ured

at

an e

arly

st

age.

Sta

keho

lder

s w

ere

iden

tified

. Com

mun

icat

ion

and

enga

gem

ent

of t

he L

DR

plan

s in

volv

ed,

brie

fings

, mee

tings

and

bul

letin

s w

hich

wer

e m

anag

ed a

long

side

the

STP

com

mun

icat

ions

pla

ns.

The

rang

e of

act

iviti

es u

nder

take

n ha

s hi

ghlig

hted

the

exc

elle

nt w

ork

alre

ady

unde

rtak

en in

Lee

ds

alon

g w

ith c

apab

ility

gap

s, d

eliv

ery

cons

trai

nts

and

oppo

rtun

ities

to

shar

e ex

pert

ise,

min

imis

e du

plic

atio

n, s

tand

ardi

se a

nd in

tegr

ate

appr

oach

es w

here

pos

sibl

e.

Invo

lvem

ent

in t

he S

TP p

rogr

amm

e ha

s be

en a

n in

tegr

al p

art

of t

he p

roce

ss.

The

key

stak

eho

lder

gro

up

s in

clu

ded

:

It w

as a

gree

d at

an

early

poi

nt t

hat

the

Leed

s ST

P w

ould

be

the

driv

ing

initi

ativ

e, b

eing

co

mm

unic

ated

wid

ely

to a

ll st

akeh

olde

rs, i

nclu

ding

to

the

Leed

s Pa

rtne

rshi

p Ex

ecut

ive

Gro

up a

nd

the

Leed

s H

ealth

and

Wel

lbei

ng B

oard

. The

LD

R de

velo

pmen

t ha

s al

so h

ad w

ide

visi

bilit

y ei

ther

as

a co

mpl

emen

tary

asp

ect

of t

he S

TP o

r in

it’s

own

right

. The

agr

eed

sign

-off

pro

cess

for

the

LD

R is

via

th

e Le

eds

Info

rmat

ics

Boar

d to

the

Lee

ds P

artn

ersh

ip E

xecu

tive

Gro

up, w

ith v

isib

ility

pro

vide

d to

the

H

ealth

and

Wel

lbei

ng B

oard

.

The

mai

n c

on

trib

uti

ng

org

anis

atio

ns

hav

e b

een

as

follo

ws:

NH

S Le

eds

Nor

th C

linic

al C

omm

issi

onin

g G

roup

(lea

d C

CG

)

NH

S Le

eds

Wes

t C

linic

al C

omm

issi

onin

g G

roup

NH

S Le

eds

Sout

h an

d Ea

st C

linic

al C

omm

issi

onin

g G

roup

Leed

s C

ity C

ounc

il-

Adu

lt So

cial

Car

e-

Chi

ldre

n’s

Serv

ices

- Pu

blic

Hea

lth

Leed

s Te

achi

ng H

ospi

tals

NH

S Tr

ust

Leed

s Pa

rtne

rshi

p N

HS

Foun

datio

n Tr

ust

Leed

s C

omm

unity

Hea

lthca

re N

HS

Trus

t

Gen

eral

Pra

ctic

e

Info

rmat

ics

lead

s fr

om W

est

York

shire

Clin

ical

Com

mis

sion

ing

Gro

ups

Wes

t Yo

rksh

ire U

rgen

t an

d Em

erge

ncy

Car

e N

etw

ork/

Vang

uard

Leed

s Th

ird S

ecto

r or

gani

satio

ns

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

45

Sen

ior

Stak

eho

lder

s

Stak

eho

lder

s

Cit

y Ed

ito

rial

Del

iver

y

Gro

up

Leed

s Pa

rtne

rshi

p Ex

ecut

ive

STP

deliv

ery

grou

p

City

Chi

ef In

form

atio

n O

ffice

rs g

roup

Chi

ef In

form

atio

n O

ffice

rs

linke

d to

org

anis

atio

ns a

nd

thei

r te

ams

Ded

icat

ed r

esou

rces

Leed

s In

form

atic

s Bo

ard

CC

G P

lann

ers

grou

p

Spec

ialis

ts t

o co

ntrib

ute

to

tech

nica

l and

clin

ical

asp

ects

Lead

clin

icia

ns w

ithin

or

gani

satio

ns

Sect

ion

1Se

ctio

n 1

Loca

l del

iver

y:

Leed

sSu

stai

nab

ilit

y an

d

Tran

sfo

rmat

ion

Pla

n

The

deliv

ery

of d

igita

l sol

utio

ns a

nd t

he m

anag

emen

t of

info

rmat

ion

in L

eeds

is a

n en

ablin

g co

mpo

nent

with

in t

he S

TP. T

he L

ocal

Dig

ital R

oadm

ap is

as

muc

h ab

out

man

agin

g ch

ange

and

de

liver

ing

new

way

s of

wor

king

as

it is

abo

ut in

trod

ucin

g ne

w t

echn

olog

ies.

The

STP

stak

ehol

der

wor

ksho

ps h

ave

incl

uded

the

dig

ital l

eade

rs in

volv

ed in

the

ove

rsig

ht o

f th

e LD

R. C

linic

al le

ader

s ha

ve w

orke

d w

ith d

igita

l lea

ders

to

fully

exp

ose

the

tran

sfor

mat

iona

l op

port

uniti

es t

hrou

gh t

he d

igita

l ena

blem

ent

of in

form

atio

n pa

thw

ays

and

self

man

agem

ent

and

clin

ical

sup

port

too

ls.

The

follo

win

g ill

ustr

atio

n de

scrib

es t

he L

eeds

sus

tain

abili

ty a

nd t

rans

form

atio

n m

odel

whe

re

tech

nolo

gy w

ill s

uppo

rt ‘p

reve

ntio

n an

d pr

oact

ive

care

’, ‘r

apid

res

pons

e in

tim

e of

cris

is’ a

nd

‘effi

cien

t an

d ef

fect

ive

seco

ndar

y ca

re’:

The

STP

has

also

des

crib

ed t

he r

equi

red

tran

sfor

mat

ion

plan

s, a

ddre

ssin

g th

e ga

ps a

nd t

he e

nabl

ers

- on

e of

whi

ch is

Info

rmat

ics:

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

67

Visi

on:

Leed

s w

ill b

e a

heal

thy

and

carin

g ci

ty fo

r all

ages

whe

re p

eopl

e w

ho a

re th

e po

ores

t im

prov

e th

eir h

ealth

the

fast

est.

Tran

sfor

mat

ion

plan

s Pr

even

tion

and

proa

ctiv

e C

are

(Out

-of-H

ospi

tal S

ervi

ces)

, inc

ludi

ng:

1.In

crea

sing

inve

stm

ent i

nto

univ

ersa

l (p

ropo

rtion

ate

to n

eed)

and

com

mun

ity le

d se

rvic

es a

nd ta

rget

ed p

reve

ntio

n se

rvic

es w

ith b

espo

ke e

nhan

cem

ents

for t

hose

w

ith th

e gr

eate

st c

apac

ity to

ben

efit

( nee

d) .

2.E

mbe

ddin

g ev

iden

ced-

base

d ap

proa

ches

(HoC

, hea

lth c

oach

ing,

yea

r of c

are,

di

gita

l app

s) .

3.A

dvan

ced

care

pla

nnin

g

4.A

n in

term

edia

te ti

er fo

cuse

d on

reco

very

and

reab

lem

ent

5.R

educ

ing:

ou

tpat

ient

, W

IC a

nd A

&E

atte

ndan

ces

in L

THT,

LC

HT,

LP

FT

adm

issi

ons

to h

ospi

tal a

nd lo

ng te

rm c

are

XB

Ds

prim

ary

care

pre

scrib

ing

6.

Re-

com

mis

sion

ing

PP

C s

ervi

ces

R

apid

Res

pons

e in

Tim

e of

Cris

is, i

nclu

ding

: 7.

A si

mpl

e pa

thw

ay to

mak

e it

easy

for p

eopl

e to

get

tim

ely

help

qui

ckly

: 8.

A Fr

ail O

lder

Per

son’

s A

sses

smen

t fun

ctio

n at

the

front

end

of t

he h

ospi

tal p

rovi

ding

ra

pid

acce

ss to

a s

enio

r med

ical

opi

nion

and

dia

gnos

tics.

Ef

ficie

nt a

nd E

ffect

ive

Seco

ndar

y C

are,

incl

udin

g 9.

An

inte

grat

ed D

isch

arge

ser

vice

in 2

016

10

.R

educ

ing

capa

city

in

LTH

T

11.

Red

ucin

g M

H O

ATS

and

LO

S o

n D

emen

tia w

ards

12

.In

crea

sing

cap

acity

for s

tep-

up p

rovi

sion

Em

bedd

ing

the

Soci

al C

ontr

act:

13.

Sha

ring

resp

onsi

bilit

y fo

r hea

lth a

nd c

are

in L

eeds

, so

that

Lee

ds p

eopl

e un

ders

tand

how

ser

vice

s w

ork

with

them

at a

ll st

ages

of t

heir

lives

whe

n th

ey

expe

rienc

e di

fficu

lty a

nd h

ow th

is w

ill h

elp

them

live

hea

lthie

r, ha

ppie

r liv

es;

“cha

ngin

g th

e co

nver

satio

ns” l

eads

to c

hang

ing

patte

rns

whi

ch c

an le

ad to

bet

ter

outc

omes

and

redu

ced

cost

. N

ew M

odel

s of

Car

e 14

.W

ill d

eliv

er im

prov

ed h

ealth

and

wel

lbei

ng o

utco

mes

for p

opul

atio

ns re

gist

ered

with

gr

oups

of G

ener

al P

ract

ices

, pla

nned

and

pro

vide

d th

roug

h an

inte

grat

ed te

am o

f he

alth

and

soc

ial c

are

prof

essi

onal

s an

d vo

lunt

ary

sect

or c

ross

-cut

ting

curr

ent

prov

ider

org

anis

atio

nal b

ound

arie

s. W

ork

is o

ngoi

ng b

etw

een

com

mis

sion

ers

and

prov

ider

s to

sco

pe th

e m

erits

of d

iffer

ent f

unct

iona

l and

con

tract

mod

els.

Impa

ct o

n 3

gaps

H

ealth

and

Wel

lbei

ng: (

Solu

tions

1, 1

0, 1

1, 1

3, 1

4)

HW

1 -

Life

exp

ecta

ncy

for m

en a

nd w

omen

rem

ains

sig

nific

antly

wor

se in

Lee

ds

than

the

natio

nal a

vera

ge

HW

2 - C

ardi

ovas

cula

r dis

ease

(CV

D) m

orta

lity

is s

igni

fican

tly w

orse

than

for

Eng

land

H

W3

- Can

cer m

orta

lity

is s

igni

fican

tly w

orse

than

the

rest

of Y

orks

hire

and

the

Hum

ber

HW

4 - D

eath

s fro

m c

ance

r are

the

sing

le la

rges

t cau

se o

f avo

idab

le P

YLL

in th

e ci

ty, a

ccou

ntin

g fo

r 36.

3% o

f all

avoi

dabl

e P

YLL

H

W5

- PY

LL fr

om c

ance

r is

twic

e th

e le

vel i

n th

e de

priv

ed L

eeds

qui

ntile

than

in

Leed

s no

n-de

priv

ed

HW

6 - S

uici

des

have

incr

ease

d C

are

and

Qua

lity:

(Sol

utio

ns 2

, 3, 4

, 7, 8

, 9, 1

2, 1

3, 1

4)

NH

S C

onst

itutio

nal K

PIs

the

area

s w

here

sig

nific

ant g

aps

have

bee

n id

entif

ied

are:

C

Q1

- Men

tal H

ealth

(inc

ludi

ng IA

PT)

C

Q2

- Pat

ient

Sat

isfa

ctio

n C

Q3

- Qua

lity

of L

ife

CQ

4 - A

&E

and

Am

bula

nce

Res

pons

e Ti

mes

C

Q5

- Del

ayed

Tra

nsfe

rs o

f Car

e (D

TOC

) C

Q6

- Hos

pita

l adm

issi

on ra

tes

CQ

7 - C

apac

ity g

ap c

reat

ed b

y di

fficu

lties

in re

crui

ting

and

reta

inin

g G

P st

aff,

coup

led

with

a ri

sing

dem

and

CQ

8 - D

iffic

ultie

s in

pro

vidi

ng g

reat

er a

cces

s to

ser

vice

s in

and

out

of h

ours

Fi

nanc

e an

d Ef

ficie

ncy

(by

2020

/21)

: (So

lutio

ns 5

, 9, 1

0,11

, 13,

14)

To

tal:

£725

m, o

f whi

ch £

153.

7m i

s a

city

-wid

e, c

olla

bora

tive

targ

et.

Key

ena

bler

s:

Wor

kfor

ce

Info

rmat

ics

Esta

tes

Res

earc

h

Com

mun

icat

ion

Enga

gem

ent

Sect

ion

1Se

ctio

n 1

Info

rmat

ion

for

Citi

zens

‘Ope

n D

ata’

Info

rmat

ion

for

Prof

essi

onal

s

Sect

ion

2

Cit

y Te

chn

olo

gy

visi

on

an

d s

trat

egy

Vis

ion

an

d s

trat

egy:

Leed

s ha

s de

sign

ed a

sim

ple

info

rmat

ics

‘blu

eprin

t’ w

hich

des

crib

es o

ur v

isio

n fo

r th

e ci

ty.

Ther

e ar

e th

ree

stra

tegi

c bu

ildin

g bl

ocks

tha

t fo

rm o

ur in

form

atic

s vi

sion

to

supp

ort

impr

oved

he

alth

and

wel

lbei

ng a

nd im

prov

ed h

ealth

and

car

e pr

ovis

ion.

The

se a

re:

Info

rmat

ion

and

tech

nolo

gy t

hat

prov

ides

info

rmat

ion

for

prof

essi

onal

s;

Info

rmat

ion

for

citiz

ens;

‘Ope

n da

ta’ t

hat

desc

ribes

asp

ects

of

our

city

or

our

‘pla

ce’,

for

exam

ple

air

qual

ity a

nd t

rans

port

.

Info

rmat

ics

is t

hus

the

full

rang

e of

tec

hnol

ogy

and

info

rmat

ion

man

agem

ent

prov

isio

n r

equi

red

to d

eliv

er t

his

visi

on. T

his

incl

udes

tec

hnol

ogy

infr

astr

uctu

re s

uch

as d

ata

netw

orks

, inf

orm

atio

n sy

stem

s de

sign

ed t

o co

llect

and

pro

cess

info

rmat

ion,

the

ski

lls n

eces

sary

to

impl

emen

t an

d op

erat

e sy

stem

s an

d th

e us

e of

the

info

rmat

ion

prod

uced

.

Ou

r si

mp

le In

form

atic

s st

rate

gy

for

the

city

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

89

Sect

ion

2

Inte

grat

ion

Gov

erna

nce

Prof

essi

onal

and

Citi

zen

Enga

gem

ent

Tech

nolo

gy a

s a

‘util

ity’

Inte

grat

ion

Supp

ort

Tool

s

Busi

ness

Inte

llige

nce

Thes

e th

ree

area

s w

ill b

e in

tegr

ated

with

eac

h ot

her.

Info

rmat

ion

from

and

for

pro

fess

iona

ls

will

be

avai

labl

e to

our

citi

zens

. Inf

orm

atio

n us

ed b

y an

d co

llect

ed b

y ci

tizen

s w

ill b

e av

aila

ble

to p

rofe

ssio

nals

. ‘O

pen

data

’ will

in

form

citi

zens

abo

ut t

he c

omm

uniti

es t

hat

they

live

in. A

ll of

thi

s is

und

erpi

nned

by

a sh

ared

app

roac

h to

how

and

wha

t in

form

atio

n is

use

d, b

oth

in t

erm

s of

gov

erna

nce

and

the

conv

ersa

tions

tha

t ta

ke p

lace

bet

wee

n ea

ch

othe

r.

The

‘sm

art

city

’ pro

gram

me

for

Leed

s m

eans

th

at w

e ta

ke a

‘dig

ital fi

rst’

app

roac

h to

any

ne

w in

itiat

ives

. All

digi

tal a

sset

s ac

ross

the

city

w

ill in

tero

pera

te w

ith e

ach

othe

r an

d pr

ovid

e co

mbi

ned

info

rmat

ion

from

whi

ch w

e ca

n ga

in n

ew v

alue

and

insi

ght.

We

will

bui

ld t

his

incr

emen

tally

by

cons

ider

ing

and

inco

rpor

atin

g “D

igita

l by

Des

ign”

in a

ll ne

w p

roje

cts

that

we

carr

y ou

t ac

ross

the

city

.

We

will

tak

e a

‘util

ity’ b

ased

app

roac

h to

pr

ovid

ing

the

requ

ired

tech

nica

l inf

rast

ruct

ure

to a

chie

ve t

his

visi

on. T

his

mea

ns t

hat

we

will

re

duce

the

unn

eces

sary

var

iatio

n in

are

as s

uch

as m

obile

dev

ices

, wifi

and

des

ktop

s. T

his

will

al

so in

clud

e ho

w w

e de

liver

the

tec

hnol

ogy

prof

essi

onal

s re

quire

, for

exa

mpl

e th

e ab

ility

to

wor

k an

ywhe

re, a

ny t

ime,

any

pla

ce a

cros

s th

e ci

ty. I

t w

ill a

lso

dict

ate

the

appr

oach

we

take

to

impr

ove

digi

tal f

acili

ties

for

citiz

ens,

whe

ther

th

is w

ill b

e pu

blic

wifi

, dig

ital l

itera

cy o

r th

e w

ay

we

wor

k w

ith in

dust

ry t

o en

able

a m

arke

tpla

ce

for

tech

nolo

gy t

hat

supp

orts

citi

zen

heal

th a

nd

wel

lbei

ng.

Our

app

roac

h is

to

sim

plify

, sta

ndar

dise

and

sh

are,

and

mak

e av

aila

ble

for

natio

nal r

e-us

e w

here

app

licab

le.

The

city

Chi

ef In

form

atio

n O

ffice

rs (C

IOs)

and

C

hief

Clin

ical

Info

rmat

ion

Offi

cers

(CC

IOs)

ac

ross

Lee

ds h

ave

join

tly p

ropo

sed

a ci

ty-fi

rst

(or

plac

e-ba

sed)

str

ateg

y an

d an

inte

grat

ed a

nd

open

pla

tfor

m b

ased

app

roac

h to

ach

ievi

ng o

ur

visi

on. T

his

was

sig

ned

up t

o by

the

city

wid

e Pa

rtne

rshi

p Ex

ecut

ive

Gro

up in

May

201

6. A

ll pa

rtie

s ha

ve s

igne

d up

to

a se

t of

dig

ital d

esig

n pr

inci

ples

.

Stra

teg

ic a

pp

roac

h t

o d

eliv

ery

and

re

sou

rces

:W

e ha

ve d

esig

ned

a st

rate

gic

fram

ewor

k to

del

iver

y th

at d

istin

guis

hes

betw

een

our

appr

oach

to

deliv

erin

g:

1 Te

chni

cal i

nfra

stru

ctur

e;

2 Sy

stem

s th

at d

eliv

er d

irect

ly t

o th

e bu

sine

ss;

3 In

nova

tions

and

res

earc

h.

This

is il

lust

rate

d be

low

:

We

reco

gnis

e th

at r

esou

rces

, bot

h fin

anci

al a

nd

peop

le c

apac

ity a

nd c

apab

ility

, are

ess

entia

l to

deliv

erin

g th

is r

oadm

ap. H

owev

er, a

city

-firs

t ap

proa

ch s

eeks

to

erad

icat

e th

e m

ultip

le a

nd

dive

rse

initi

ativ

es w

hich

com

e fr

om d

iffer

ent

part

s of

the

hea

lth a

nd c

are

syst

em t

hat

use

up r

esou

rce

in a

n un

plan

ned

way

and

of

ten

conf

use.

It w

ill a

lso

ensu

re t

hat

digi

tal

prog

ram

mes

and

pro

ject

s ar

e al

igne

d fu

lly t

o an

ag

reed

who

le-s

yste

m o

utco

me

desc

ribed

in t

he

heal

th a

nd w

ellb

eing

str

ateg

y, S

TP a

nd L

DR.

Stra

teg

ic a

pp

roac

h t

o g

ove

rnan

ce:

We

have

des

igne

d an

d ag

reed

city

-wid

e go

vern

ance

arr

ange

men

ts r

equi

red

to p

rovi

de

assu

ranc

e on

the

del

iver

y of

dig

itally

ena

bled

he

alth

and

wel

lbei

ng o

utco

mes

in L

eeds

, in

line

with

the

agr

eed

desi

gn p

rinci

ples

.

Acc

ount

abili

ty f

or d

eliv

ery

of t

he L

DR

and

asso

ciat

ed d

igita

l cha

nge

prog

ram

mes

is

dele

gate

d to

the

Lee

ds In

form

atic

s Bo

ard

(LIB

). Th

is B

oard

con

sist

s of

a m

ix o

f se

nior

lead

ers,

cl

inic

ians

and

sen

ior

Info

rmat

icia

ns. I

t is

cha

ired

by a

sen

ior

clin

icia

n; a

GP

and

Clin

ical

Cha

ir of

Le

eds

Nor

th C

CG

.

Whi

lst

indi

vidu

al o

rgan

isat

ions

hav

e in

form

atio

n an

d te

chno

logy

str

ateg

ies,

at

a ci

ty-le

vel,

a ci

ty-b

ased

fun

ctio

n w

ill b

e cr

eate

d to

sup

port

th

e LI

B, C

IOs

and

CC

IOs

in t

he d

eliv

ery

of t

he

Loca

l Dig

ital R

oadm

ap. T

he f

unct

ion

will

pro

vide

su

ppor

t w

ith p

lann

ing,

str

ateg

ic c

ompl

ianc

e,

busi

ness

cas

e de

velo

pmen

t an

d de

liver

y.

A k

ey p

art

of o

ur s

trat

egy

is t

hat

ever

y di

gita

l or

info

rmat

ics

enab

led

busi

ness

/clin

ical

cha

nge

proj

ect

shou

ld o

nly

be p

rogr

esse

d if

ther

e is

cl

ear

clin

ical

/bus

ines

s sp

onso

rshi

p an

d re

sour

ce

to m

ake

the

chan

ge h

appe

n. C

apac

ity f

or

clin

icia

ns a

nd b

usin

ess

man

ager

s to

be

invo

lved

in

del

iver

ing

chan

ge is

a k

ey s

trat

egic

prin

cipl

e,

supp

orte

d by

clin

ical

lead

ersh

ip a

nd c

linic

al,

busi

ness

and

dig

ital c

ham

pion

s.

We

will

als

o en

sure

tha

t th

ere

is a

ppro

pria

te

finan

ce s

ervi

ce s

uppo

rt t

o w

ork

with

CIO

s an

d C

CIO

s to

ens

ure

that

the

re is

an

equi

tabl

e an

d su

stai

nabl

e ap

proa

ch t

o th

e fu

ndin

g of

a c

ity-

wid

e ap

proa

ch t

o in

form

atic

s as

we

deliv

er t

he

tran

sfor

mat

ion

requ

ired

as p

art

of t

he d

igita

l ro

adm

ap.

Sup

po

rtin

g t

he

Sust

ain

abilit

y an

d

Tran

sfo

rmat

ion

Pla

n:

The

Leed

s ST

P re

cogn

ises

tha

t ci

ty-w

ide

savi

ngs

will

be

deliv

ered

thr

ough

mor

e ef

fect

ive

colla

bora

tion

on in

fras

truc

ture

and

sup

port

se

rvic

es a

nd t

urni

ng t

he ‘d

eman

d cu

rve’

on

clin

ical

and

car

e pa

thw

ays.

The

wor

k of

the

ci

tyw

ide

info

rmat

ics

team

s w

ill m

ake

a ke

y co

ntrib

utio

n to

tur

ning

the

dem

and

curv

e. O

ur

stra

tegi

c pr

iorit

ies

with

in t

he S

TP in

clud

e:

The

use

of t

echn

olog

y to

max

imis

e th

e co

ntrib

utio

n th

at c

itize

ns c

an m

ake

to

mai

ntai

n th

eir

own

heal

th a

nd w

ellb

eing

;

The

prov

isio

n of

a r

obus

t IT

infr

astr

uctu

re t

hat

supp

orts

24/

7 w

orki

ng a

cros

s al

l hea

lth a

nd

care

par

tner

s;

The

prov

isio

n of

wor

kflow

and

dec

isio

n su

ppor

t te

chno

logy

acr

oss

Gen

eral

Pra

ctic

e,

Nei

ghbo

urho

od T

eam

s, H

ospi

tals

and

Soc

ial

Car

e;

The

adop

tion

of a

cha

nge

man

agem

ent

appr

oach

tha

t em

beds

the

use

of

any

new

te

chno

logy

into

eve

ryda

y w

orki

ng p

ract

ices

.

Info

rmat

ics

has

been

par

t of

a s

truc

ture

d ap

proa

ch t

o de

vel

opin

g th

e ST

P an

d ha

s de

sign

ed a

num

ber

of o

utlin

e ca

pabi

litie

s th

at

cont

ribut

e to

add

ress

ing:

The

heal

th in

equa

litie

s ga

p;

The

care

and

qua

lity

gap;

The

finan

ce g

ap.

We

have

iden

tified

a n

umbe

r of

fea

ture

s th

at

need

to

be d

eliv

ered

.

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

1011

Sect

ion

2Se

ctio

n 2

Lin

e o

f B

usi

nes

s Sy

stem

sSp

ecifi

c bu

sine

ss s

yste

ms

for

a se

rvic

e or

bus

ines

s un

it

Shar

ed S

yste

ms

Syst

ems

shar

ed a

cros

s or

gani

satio

ns

Co

llab

ora

tio

n a

nd

Pro

du

ctiv

ity

Des

ktop

sof

twar

e to

com

plet

e co

mm

on b

usin

ess

task

s (e

.g. g

roup

war

e, w

ord

proc

esso

r et

c)

Infa

stru

ctu

reSu

ppor

ting

syst

ems,

sof

twar

e an

d op

erat

ions

, com

pute

r an

d ne

twor

k ha

rdw

are,

net

wor

k co

nnec

tions

etc

Innovations E

nablin

g Citizen

s and Communitie

s

Giv

en t

hat

Leed

s ha

s al

read

y m

ade

cons

ider

able

pro

gres

s in

del

iver

ing

a nu

mbe

r of

far

-rea

chin

g di

gita

l sup

port

fac

ilitie

s fo

r th

e ci

ty, f

or e

xam

ple

the

Leed

s C

are

Reco

rd, w

e h

ave

rate

d t

he

follo

win

g f

eatu

res

bas

ed o

n t

he

‘pu

sh’ a

nd

inve

stm

ents

req

uir

ed t

o d

eliv

er o

ur

amb

itio

n

and

no

t o

ur

curr

ent

stat

e. T

his

is il

lust

rate

d di

agra

mm

atic

ally

as

follo

ws:

Hea

lth

ineq

ual

itie

s g

ap:

Hig

h-lev

el c

on

sid

erat

ion

s fo

r h

ow

Info

rmat

ics

will c

on

trib

ute

:

To im

prov

e di

gita

l lite

racy

ski

lls f

or c

itize

ns t

o en

sure

tha

t th

ey a

re n

ot e

xclu

ded

from

tec

hnol

ogy-

enab

led

heal

thca

re s

olut

ions

and

tec

hnol

ogy

enab

led

self-

care

opp

ortu

nitie

s;

Con

tinue

to ‘l

ink’

hea

lth a

nd c

are

data

acr

oss

sect

ors

in o

rder

to u

nder

take

mor

e so

phist

icat

ed

popu

latio

n an

d he

alth

nee

ds a

sses

smen

t;

Use

and

pub

lish

‘ope

n da

ta’ t

o as

sist

with

hea

lth a

war

enes

s an

d en

sure

our

loca

litie

s ar

e w

ell

info

rmed

, for

exa

mpl

e ai

r qu

ality

, tra

nspo

rt li

nks

and

usag

e;

Build

and

dev

elop

mor

e an

alyt

ical

ski

lls t

hat

span

sec

tors

, util

isin

g sk

ills

and

capa

city

acr

oss

orga

nisa

tions

whi

ch w

ill d

rive

unde

rsta

ndin

g of

the

issu

es in

the

hea

lth a

nd c

are

sect

or;

Wor

k w

ith c

itize

ns t

o in

crea

se t

heir

unde

rsta

ndin

g an

d co

nfide

nce

and

as t

o ho

w t

heir

data

/in

form

atio

n ca

n be

use

d to

impr

ove

heal

thca

re;

Prov

ide

tool

s to

sup

port

sel

f-ca

re/s

elf-

man

agem

ent,

for

exa

mpl

e te

le-h

ealth

and

tel

e-ca

re;

Wor

k w

ith t

he p

rivat

e se

ctor

to

deve

lop

new

con

sum

er-b

ased

pro

duct

s to

sup

port

sel

f-ca

re a

nd

self-

man

agem

ent;

Util

ise

and

impr

ove

popu

latio

n st

ratifi

catio

n te

chni

ques

and

our

abi

lity

to m

onito

r co

hort

s;

Enga

ge c

omm

uniti

es w

ith d

ata

that

is m

eani

ngfu

l to

them

;

Prov

ide

publ

ic w

ifi a

cces

s.

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

1213

Thes

e fe

atu

res

by

STP

‘gap

’ ar

e su

mm

aris

ed a

s fo

llo

ws:

Sect

ion

2Se

ctio

n 2

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

1415

Car

e an

d q

ual

ity

gap

: H

igh

-lev

el c

on

sid

erat

ion

s fo

r h

ow

Info

rmat

ics

will c

on

trib

ute

:

Impr

ove

tech

nolo

gy in

fras

truc

ture

with

in o

rgan

isat

ions

to

ensu

re r

elia

bilit

y an

d ad

equa

te s

ervi

ce

supp

ort

to c

over

ext

ende

d ho

urs

and

7-da

y w

orki

ng;

Prov

ide

heal

th a

nd c

are

prof

essi

onal

s w

ith in

tegr

ated

dec

isio

n su

ppor

t to

ols

to p

roac

tivel

y as

sist

w

ith t

he h

ealth

and

car

e pr

ovis

ion;

Prov

ide

faci

litie

s to

ena

ble

heal

th a

nd c

are

prof

essi

onal

s to

nav

igat

e pa

thw

ays

acro

ss s

ecto

rs;

Prov

ide

faci

litie

s to

man

age

heal

th a

nd c

are

wor

kflow

, esp

ecia

lly a

cros

s an

d be

twee

n or

gani

satio

ns a

nd e

nsur

e te

chno

logy

is a

vaila

ble

to s

uppo

rt s

ervi

ce ‘h

and-

offs

’ e.g

. ref

erra

l, di

scha

rge;

Ensu

re T

hird

Sec

tor

and

AQ

Ps e

tc. c

an a

cces

s th

e N

HS

num

ber,

as r

equi

red;

Prov

ide

faci

litie

s th

at a

llow

hea

lth a

nd c

are

prof

essi

onal

s to

col

labo

rate

. For

exa

mpl

e, I

nsta

nt

Mes

sagi

ng, V

oice

and

Vid

eo. T

his

will

incl

ude

the

capa

bilit

y to

pro

vide

clin

ical

adv

ice

and

guid

ance

and

fac

ilitie

s fo

r ef

fect

ive

Mul

ti D

isci

plin

ary

Team

mee

tings

;

Prov

ide

faci

litie

s to

allo

w p

rofe

ssio

nals

to

com

mun

icat

e w

ith p

atie

nts

inc.

pat

ient

onl

ine

and

vide

o;

Ensu

re h

ealth

and

car

e or

gani

satio

ns h

ave

the

rang

e an

d m

atur

ity o

f sp

ecia

list

busi

ness

and

cl

inic

al s

yste

ms

with

in t

heir

orga

nisa

tions

to

prov

ide

‘pap

er f

ree

at t

he p

oint

of

care

ser

vice

s an

d ca

n in

tero

pera

te w

ith o

ther

par

ts o

f th

e he

alth

and

car

e se

ctor

;

Des

ign

and

deve

lop

tech

nolo

gy s

uppo

rt f

or ‘n

ew m

odel

s of

car

e’ p

rovi

ders

;

Prov

ide

heal

th a

nd c

are

prof

essi

onal

s w

ith a

n in

tegr

ated

vie

w o

f he

alth

and

car

e in

form

atio

n ac

ross

sec

tors

, inc

ludi

ng v

ario

us a

lert

s to

sup

port

dire

ct c

are;

Exte

nd a

n in

tegr

ated

vie

w o

f he

alth

and

car

e fo

r ci

tizen

s ac

ross

a w

ider

foo

tprin

t e.

g. W

est

York

shire

urg

ent

and

emer

genc

y ca

re;

Expl

oit

natio

nally

pro

vide

d te

chno

logy

fac

ilitie

s to

pro

vide

spe

cific

clin

ical

ben

efits

– e

.g

elec

tron

ic p

resc

riptio

ns (E

PS2)

and

ele

ctro

nic

refe

rral

s (e

RS);

Impl

emen

t ‘t

ele’

tec

hnol

ogie

s: -

1) P

rovi

ded

to c

itize

ns a

s co

nsum

er b

ased

tec

hnol

ogie

s to

ena

ble

them

to

be s

elf

suffi

cien

t an

d re

-ab

led

2) P

roac

tive

“tel

ecar

e” p

rovi

ded

to c

itize

ns u

sed

to e

ffec

tivel

y m

onito

r an

d m

ake

sure

peo

ple

who

ar

e at

ris

k ar

e sa

fe a

nd w

ell;

Prov

ide

tech

nolo

gy t

o en

able

rea

l-tim

e fe

edba

ck f

or p

rovi

ders

on

the

serv

ices

the

citi

zen

is

curr

ently

acc

essi

ng in

the

city

;

Prov

ide

tech

nolo

gy t

o ca

ptur

e an

d sh

are

a si

ngle

car

e pl

an;

Prov

ide

spec

ialis

t, h

igh-

tech

sol

utio

ns e

.g. r

obot

ics

etc.

Fin

ance

an

d e

ffici

ency

gap

: H

igh

-lev

el c

on

sid

erat

ion

s fo

r h

ow

Info

rmat

ics

will c

on

trib

ute

:

Con

tinue

to

desi

gn a

nd d

eliv

er c

ity-

or p

lace

-bas

ed s

olut

ions

, exp

loiti

ng t

he c

ombi

ned

capa

bilit

ies

and

reso

urce

s ac

ross

hea

lth, c

are,

loca

l gov

ernm

ent

and

acad

emia

;

Wor

k to

mov

e to

one

infr

astr

uctu

re f

ootp

rint

and

serv

ice

for

the

city

– in

clud

ing

voic

e, d

ata,

em

ail,

colla

bora

tion

tool

s et

c;

Expl

oit

natio

nally

pro

vide

d te

chno

logy

fac

ilitie

s to

pro

vide

spe

cific

clin

ical

ben

efits

– e

.g

elec

tron

ic p

resc

riptio

ns (E

PS2)

and

ele

ctro

nic

refe

rral

s (e

RS);

Del

iver

‘util

ity’ t

echn

olog

y w

here

pos

sibl

e to

driv

e do

wn

cost

s an

d us

e es

tate

flex

ibly

etc

;

Util

ise

priv

ate

sect

or, i

ndep

ende

nts,

SM

Es e

tc. t

o co

ntrib

ute

to c

ity in

war

d in

vest

men

t;

Wor

k to

pro

gres

s an

Ope

n St

anda

rds

appr

oach

to

deve

lopi

ng a

Dig

ital P

latf

orm

for

the

city

.

Sect

ion

2Se

ctio

n 2

Sect

ion

3

Dig

ital

mat

uri

ty a

nd

C

ore

Cap

abilit

ies

Sum

mar

y o

f cu

rren

t d

igit

al m

atu

rity

The

follo

win

g se

ctio

n su

mm

aris

es a

nat

iona

l exe

rcis

e th

at w

as u

nder

take

n in

ear

ly 2

016

to a

sses

s th

e di

gita

l mat

urity

of

the

heal

th a

nd c

are

prov

ider

s in

Lee

ds. T

he t

erm

inol

ogy

used

is t

hat

used

w

ithin

thi

s pa

rtic

ular

met

hodo

logy

.

Rea

din

ess:

Stra

tegi

c al

ignm

ent,

lead

ersh

ip, g

over

nanc

e an

d re

sour

ces

are

mat

ure

with

in a

cute

and

men

tal

heal

th s

ecto

r. A

lthou

gh t

he in

form

atic

s st

rate

gy is

doc

umen

ted

with

in c

omm

unity

hea

lth t

here

is

less

mat

urity

in t

erm

s of

ded

icat

ed in

tern

al in

form

atic

s le

ader

ship

, gov

erna

nce

and

reso

urci

ng.

Ther

e is

a m

atur

e an

d w

ell e

stab

lishe

d Le

eds

city

info

rmat

ics

stra

tegy

, city

-wid

e go

vern

ance

and

se

t of

pro

ject

initi

ativ

es w

hich

are

join

tly f

unde

d. T

he in

form

atic

s pr

ogra

mm

e is

an

enab

ling

com

pone

nt o

f th

e ci

ty t

rans

form

atio

n pr

ogra

mm

e (in

the

pro

cess

of

tran

sitio

ning

to

the

STP)

. The

m

embe

rshi

p of

the

Lee

ds In

form

atic

s Bo

ard

com

pris

es o

f se

nior

lead

ers,

clin

icia

ns, C

CIO

s an

d C

IOs

from

acr

oss

the

city

.

Cap

abilit

ies:

Dig

ital r

ecor

ds, a

sses

smen

ts a

nd p

lans

hav

e ad

vanc

ed in

all

heal

th a

nd c

are

sett

ings

. The

re h

as b

een

sign

ifica

nt g

row

th in

the

use

of

digi

tal r

ecor

ds a

nd t

he u

se o

f pa

per

reco

rds

is d

eclin

ing.

Rec

ords

ar

e up

to

date

, hel

d in

a s

truc

ture

d fo

rmat

and

can

be

acce

ssed

qui

ckly

and

eas

ily.

Tran

sfer

s of

car

e fr

om a

cute

hea

lth t

o pr

imar

y an

d so

cial

car

e se

ttin

gs is

hig

her

than

the

nat

iona

l av

erag

e, h

owev

er t

he t

rans

fer

of c

are

from

com

mun

ity h

ealth

and

men

tal h

ealth

is le

ss m

atur

e,

alth

ough

the

use

of

Syst

mO

ne a

cros

s C

omm

unity

and

70%

of

Prim

ary

Car

e su

ppor

ts t

he t

rans

fer

of p

atie

nt c

are

thro

ugh

the

shar

ed r

ecor

d fu

nctio

nalit

y. T

he d

evel

opm

ent

of e

-ref

erra

ls a

nd in

tern

al

wor

kflow

is c

omm

on t

o al

l org

anis

atio

ns.

Ord

ers

and

resu

lts m

anag

emen

t is

mat

ure

with

in a

cute

car

e an

d co

mm

unity

car

e.

Dig

ital m

edic

ine

man

agem

ent

and

optim

isat

ion

is r

elat

ivel

y lo

w in

mat

urity

whi

ch is

refl

ecte

d at

a

natio

nal l

evel

, how

ever

the

leve

l of

mat

urity

with

in a

cute

car

e ex

ceed

s th

e na

tiona

l ave

rage

Dec

isio

n su

ppor

t ca

pabi

litie

s ex

ceed

the

nat

iona

l ave

rage

acr

oss

all h

ealth

set

tings

; the

leve

l of

mat

urity

with

in a

cute

car

e is

str

ong.

The

nee

d fo

r un

iver

sal a

nd s

tand

ard

deci

sion

sup

port

too

ls

acro

ss t

he c

ity h

as b

een

iden

tified

as

a ke

y pr

iorit

y. B

usin

ess

requ

irem

ents

hav

e be

en id

entifi

ed in

so

me

heal

th a

nd c

are

sett

ings

. A

dvan

cem

ent

has

been

slo

w d

ue t

o fin

anci

al r

esou

rce

limita

tions

.

Rem

ote

and

assi

stiv

e ca

re t

echn

olog

ies

in a

hea

lth s

ettin

g ar

e ge

nera

lly lo

w in

mat

urity

whi

ch is

re

flect

ed a

t a

natio

nal l

evel

Ass

et a

nd r

esou

rce

optim

isat

ion

is m

atur

e an

d ex

ceed

s th

e na

tiona

l ave

rage

in b

oth

acut

e ca

re a

nd

men

tal h

ealth

. Com

mun

ity h

ealth

is r

elat

ivel

y im

mat

ure.

The

posi

tion

on ‘s

tand

ards

’ is

gene

rally

less

mat

ure

than

the

nat

iona

l ave

rage

.

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

1617

Sect

ion

3

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

1819

Busi

ness

Inte

llige

nce

acro

ss t

he c

ity is

a p

riorit

y. T

he r

equi

rem

ents

for

info

rmat

ion

and

data

sha

ring

are

wel

l for

med

and

the

pro

duct

ion

of li

nked

inte

llige

nce

is s

yste

mat

ic. T

he f

urth

er a

dvan

cem

ent

of

this

initi

ativ

e is

als

o co

nstr

aine

d by

fina

ncia

l re

sour

ce is

sues

.

Enab

lin

g In

fras

tru

ctu

re:

A s

trat

egy

has

been

agr

eed

acro

ss t

he c

ity t

o st

anda

rdis

e th

e te

chni

cal i

nfra

stru

ctur

e w

ithin

the

ac

ute

sect

or t

o im

prov

e re

silie

nce,

per

form

ance

, 24x

7 an

d ex

tend

ed h

ours

wor

king

acr

oss

the

city

.

Leed

s Te

achi

ng H

ospi

tals

NH

S Tr

ust

has

the

mos

t pr

essi

ng in

fras

truc

ture

upg

rade

nee

ds. T

heir

requ

irem

ents

incl

ude

resi

lient

dat

a ce

ntre

cap

abili

ty, n

etw

ork

impr

ovem

ents

, sin

gle

sign

-on

and

impr

oved

per

form

ance

for

clin

ical

use

rs. T

he T

rust

has

uns

ucce

ssfu

lly b

id f

or c

apita

l fun

ds f

rom

the

TD

A/M

onito

r an

d w

ork

is u

nder

way

to

refr

esh

a bu

sine

ss c

ase

in t

he s

umm

er/a

utum

n 20

16.

Leed

s C

ity C

ounc

il ut

ilise

s th

e PS

N n

etw

ork

and

has

succ

essf

ully

pio

neer

ed a

PSN

to

N3

conn

ectio

n.

GP

Prac

tices

all

utili

se t

he N

3 ne

twor

k. T

his

prov

ides

pra

ctic

e-to

-N3

conn

ectiv

ity b

ut n

ot p

ract

ice-

to-

prac

tice

conn

ectiv

ity t

hat

will

be

requ

ired

for

incr

ease

d fe

dera

tion

and

new

mod

els

of c

are.

As

per

our

stra

tegi

c ap

proa

ch, t

he c

ity is

look

ing

to d

eliv

er ‘p

lace

-bas

ed’,

‘util

ity’ s

olut

ions

in t

he

futu

re, e

nabl

ing

heal

th a

nd c

are

user

s to

wor

k an

y-tim

e an

d an

y-pl

ace

with

in t

he c

ity.

Sum

mar

y p

osi

tio

n a

cro

ss t

he

7 C

ore

C

apab

ilit

ies

Each

hea

lth a

nd c

are

econ

omy

is r

equi

red

to m

ake

digi

tal p

rogr

ess

agai

nst

7 ‘c

ore’

cap

abili

ties

to

enab

le ‘p

aper

fre

e at

the

poi

nt o

f ca

re’ o

pera

tion

by 2

020.

Tho

se d

igita

l cap

abili

ties

are:

Dig

ital r

ecor

ds, a

sses

smen

ts a

nd p

lans

Tran

sfer

s of

car

e

Ord

er a

nd r

esul

ts m

anag

emen

t

Dig

ital m

edic

ines

man

agem

ent

and

optim

isat

ion

Dec

isio

n su

ppor

t

Rem

ote

care

and

ass

istiv

e te

chno

logi

es

Ass

et a

nd r

esou

rce

optim

isat

ion

The

follo

win

g as

sess

men

t ac

ross

the

7 c

ore

capa

bilit

y ar

eas

refe

renc

es b

oth

the

prov

ider

vie

w -

as

cap

ture

d by

the

dig

ital m

atur

ity a

sses

smen

ts -

and

the

city

-vie

w t

o en

able

tra

nsfo

rmat

ion,

as

desc

ribed

in t

he S

usta

inab

ility

and

Tra

nsfo

rmat

ion

Plan

(STP

).

As

esse

nti

al s

up

po

rtin

g in

form

atio

n t

o t

he

7 co

re c

apab

ilit

ies

req

uir

ed t

o

be

pro

gre

ssed

, th

e fo

llo

win

g t

emp

late

s h

ave

bee

n c

om

ple

ted

:C

apab

ility

tra

ject

ory,

sho

win

g th

e an

ticip

ated

cap

abili

ty im

prov

emen

t fr

om t

he b

asel

ine

posi

tion

over

3 y

ears

, and

sub

ject

to

the

requ

ired

reso

urce

cap

acity

and

cap

abili

ty.

Cap

abili

ty d

eplo

ymen

t sc

hedu

le o

ver

3 ye

ars,

and

sub

ject

to

the

requ

ired

reso

urce

cap

acity

and

ca

pabi

lity.

The

follo

win

g d

iag

ram

is a

n il

lust

rati

on

th

at c

om

bin

es b

oth

asp

ects

an

d

rep

rese

nts

ou

r st

rate

gic

way

fo

rwar

d:

Sect

ion

3Se

ctio

n 3

We

hav

e ra

ted

th

e ab

ove

fea

ture

s b

ased

on

th

e ‘p

ush

’ an

d in

vest

men

ts r

equ

ired

to

d

eliv

er o

ur

amb

itio

n a

nd

no

t o

ur

curr

ent

stat

e.

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

2021

Cap

abilit

y:

Dig

ital

rec

ord

s, a

sses

smen

ts a

nd

pla

ns

Inte

grat

ed c

ity p

ersp

ectiv

e:

Pro

vid

er B

asel

ine:

The

leve

l of

mat

urity

of

form

atte

d di

gita

l rec

ords

for

clin

ical

not

es, o

bser

vatio

ns a

nd p

lans

in a

cute

ca

re a

nd c

omm

unity

hea

lth is

low

er t

han

the

natio

nal a

vera

ge; h

owev

er t

hese

org

anis

atio

ns h

ave

prog

ram

mes

of

wor

k to

rev

iew

and

dev

elop

sys

tem

s an

d pr

oces

ses

to e

nabl

e re

plac

emen

t pa

per

reco

rds

with

dig

ital r

ecor

ds in

crea

sing

the

use

of

e-fo

rm c

apab

ility

and

usa

ge w

hich

is c

aptu

red

in

the

capa

bilit

y de

ploy

men

t sc

hedu

le.

Men

tal h

ealth

is v

ery

mat

ure

on t

hese

rec

ords

bei

ng d

igita

l, in

par

ticul

ar c

ase

note

s ar

e in

put

dire

ctly

into

the

pat

ient

man

agem

ent

syst

em.

It is

wor

th n

otin

g ho

wev

er t

hat

the

curr

ent

syst

em in

m

enta

l hea

lth h

as li

mita

tions

to

deliv

er in

tero

pera

bilit

y so

the

re a

re p

lans

to

proc

ure

an a

ltern

ativ

e th

at c

an d

eliv

er t

o th

e re

quire

men

t fo

r an

inte

grat

ed c

ity-w

ide

capa

bilit

y. S

ocia

l car

e ha

ve s

emi-

stru

ctur

ed d

igita

l rec

ords

.

The

abili

ty t

o ac

cess

dig

ital r

ecor

ds f

rom

whe

reve

r th

ey a

re n

eede

d is

str

ong

with

in a

cute

car

e,

how

ever

the

re is

ack

now

ledg

emen

t th

at t

he r

equi

rem

ent

to h

ave

a fit

for

pur

pose

dev

ice

at t

he

poin

t of

car

e t

o en

able

vie

win

g an

d up

datin

g of

dig

ital r

ecor

ds is

a c

halle

nge.

Impr

ovin

g th

is

posi

tion

is a

cle

ar c

apab

ility

req

uire

men

t in

the

dep

loym

ent

sche

dule

. The

upd

atin

g of

dig

ital

reco

rds

is r

ecog

nise

d as

str

ong

but

this

can

hap

pen

afte

r th

e ev

ent

whi

ch is

not

alw

ays

supp

ortiv

e of

res

ourc

e op

timis

atio

n.

Acc

ess

to a

nd u

pdat

ing

digi

tal r

ecor

ds f

rom

whe

reve

r th

ey a

re n

eede

d in

com

mun

ity h

ealth

an

d so

cial

car

e is

less

mat

ure

with

cle

ar d

epen

denc

ies

on d

igita

l net

wor

k ac

cess

and

acc

ess

to

inte

grat

ed in

form

atio

n sy

stem

s.

The

abili

ty t

o ac

cess

a s

ingl

e so

urce

of

digi

tal i

nfor

mat

ion

at t

he p

oint

of

care

, and

inpu

t on

ce t

o a

sing

le s

yste

m a

t th

e po

int

of c

are,

is le

ss m

atur

e an

d lo

wer

tha

n th

e na

tiona

l ave

rage

with

in a

ll ca

re s

ettin

gs.

The

key

requ

irem

ent

acro

ss a

ll pr

ovid

ers

to s

uppo

rt d

eliv

ery

of a

n in

tegr

ated

pat

ient

re

cord

is a

com

mon

thr

ead

thro

ugh

the

capa

bilit

ies

in t

he d

eplo

ymen

t sc

hedu

le.

Hea

lth p

rofe

ssio

nals

hav

e ac

cess

to

info

rmat

ion

from

oth

er h

ealth

car

e pr

ovid

ers.

Acc

ess

to a

co

nsol

idat

ed v

iew

of

patie

nt in

form

atio

n is

mat

ure

and

high

er t

han

the

natio

nal a

vera

ge. S

ocia

l C

are

has

acce

ss t

o he

alth

info

rmat

ion

and

heal

th h

as a

cces

s to

soc

ial c

are

info

rmat

ion.

Alth

ough

th

e le

vel o

f in

form

atio

n be

ing

shar

ed a

nd a

cces

sed

is h

ighe

r th

an t

he n

atio

nal a

vera

ge (w

hich

is

low

) the

re is

a p

rogr

amm

e of

wor

k th

roug

h th

e Le

eds

Car

e Re

cord

to

adva

nce

the

data

con

tent

an

d th

e nu

mbe

r of

pro

fess

iona

ls a

cces

sing

the

sha

red

info

rmat

ion

syst

em w

hich

is r

eflec

ted

stro

ngly

in t

he c

apab

ility

dep

loym

ent

sche

dule

.

Patie

nts

are

curr

ently

una

ble

to a

cces

s he

alth

and

car

e da

ta v

ia s

econ

dary

car

e bu

t go

od p

rogr

ess

has

been

mad

e on

pat

ient

acc

ess

to P

atie

ntO

nlin

e w

ith a

ppro

xim

atel

y 15

% o

f pa

tient

s re

gist

ered

to

use

onl

ine

serv

ices

cur

rent

ly w

hich

is o

ver

the

natio

nal t

arge

t of

10%

.

The

deliv

ery

plan

for

uni

vers

al c

apab

ility

sho

ws

clea

r am

bitio

n an

d ac

tiviti

es t

o im

prov

e th

is

posi

tion.

This

pos

ition

has

sig

nific

antly

impr

oved

in P

rimar

y C

are

in L

eeds

ove

r th

e la

st d

ecad

e as

a r

esul

t of

eve

ry G

P Pr

actic

e m

ovin

g to

one

of

two

stra

tegi

c sy

stem

s; E

MIS

Web

or

TPP

Syst

mO

ne.

Reco

rd s

harin

g is

rel

ativ

ely

mat

ure

espe

cial

ly u

sing

ED

SM w

ithin

Sys

tmO

ne a

s th

is is

als

o us

ed b

y C

omm

unity

and

the

tw

o ho

spic

es in

Lee

ds.

Exam

ple

sh

ow

case

init

iati

ves:

An

inte

grat

ed h

ealth

and

soc

ial c

are

reco

rd c

alle

d Le

eds

Car

e R

eco

rd (c

urre

ntly

vie

w-o

nly)

has

be

en d

evel

oped

and

dep

loye

d in

all

heal

th a

nd c

are

sett

ings

. The

sha

red

care

rec

ord

is c

ontin

ually

be

ing

impr

oved

in t

erm

s of

dat

a co

nten

t an

d us

age.

The

re a

re o

ver

2000

act

ive

user

s in

5 c

ore

orga

nisa

tions

and

all

GP

Prac

tices

. Thi

s al

low

s im

prov

ed d

ecis

ions

to

care

for

peo

ple

in t

he

appr

opria

te s

ettin

gs a

nd k

eeps

pat

ient

s ou

t of

hos

pita

l. Fo

r th

ose

patie

nts

in h

ospi

tal L

eeds

Car

e Re

cord

allo

ws

heal

th a

nd c

are

prof

essi

onal

s to

vie

w t

he in

hos

pita

l inf

orm

atio

n an

d as

sist

in

patie

nts

bein

g di

scha

rged

.

Leed

s C

om

mu

nit

y H

ealt

hca

re is

re-

engi

neer

ing

the

use

of t

heir

core

sys

tem

to

chan

ge f

rom

ad

min

istr

ativ

e us

e to

clin

ical

use

as

an e

lect

ron

ic p

atie

nt

reco

rd.

Leed

s Te

achi

ng H

ospi

tal N

HS

Trus

t ha

ve c

on

solid

ated

the

ir le

tter

pro

du

ctio

n, s

tora

ge a

nd s

earc

h fa

cilit

ies

usin

g a

prod

uct

calle

d eP

RO.

Ad

ult

So

cial

Car

e ha

s im

plem

ente

d a

new

cas

e m

anag

emen

t sy

stem

. Ch

ildre

n’s

So

cial

Car

e ha

s im

plem

ente

d a

new

cas

e m

anag

emen

t sy

stem

. The

impr

ovem

ent

in f

unct

iona

lity

for

prof

essi

onal

s ha

s le

d to

bet

ter

care

and

incr

ease

d ef

ficie

ncy.

Stra

teg

ic v

iew

: H

ealth

and

car

e pr

ovid

ers

in L

eeds

will

ope

rate

pap

er-f

ree-

at-t

he-p

oint

-of-

care

. Inf

orm

atio

n sy

stem

s w

ill u

se t

he N

HS

num

ber

as t

he c

omm

on id

entifi

er. I

nfor

mat

ion

syst

ems

will

use

API

s an

d ge

nera

te

and

rece

ive

mes

sage

s fr

om o

ther

sys

tem

s. A

n in

tegr

ated

car

e re

cord

( Le

eds

Car

e Re

cord

) will

pr

ovid

e a

cros

s-or

gani

satio

nal v

iew

of

patie

nt a

nd c

lient

car

e.

Sect

ion

3Se

ctio

n 3

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

2223

Cap

abilit

y:

Tran

sfer

s o

f ca

reIn

tegr

ated

city

per

spec

tive:

Pro

vid

er B

asel

ine:

The

prod

uctio

n of

dig

ital c

are

sum

mar

ies

at p

atie

nt d

ischa

rge

to G

Ps is

mat

ure

with

96%

of s

econ

dary

ca

re p

rovi

ders

sen

ding

GPs

ele

ctro

nic

disc

harg

e su

mm

arie

s, o

f whi

ch 8

4% a

re re

ceiv

ed w

ithin

24

hour

s.

The

stat

us o

f ot

her

stru

ctur

ed e

lect

roni

c re

ferr

als

for

tran

sfer

s of

car

e is

less

mat

ure,

how

ever

, in

term

s of

Soc

ial C

are

com

plia

nt A

sses

smen

t, D

isch

arge

and

ass

ocia

ted

With

draw

al n

otic

es 8

3% o

f re

ferr

als

are

bein

g se

nt f

rom

the

acu

te p

rovi

der

elec

tron

ical

ly t

o So

cial

car

e.

The

pro

duct

ion

of d

igita

l car

e su

mm

arie

s th

at a

re c

reat

ed in

a s

truc

ture

d fo

rmat

in s

econ

dary

he

alth

and

are

sha

red

with

oth

er h

ealth

care

pro

vide

rs in

rea

l tim

e is

mor

e m

atur

e th

an t

he n

atio

nal

leve

l. Th

ese

are

also

clo

sely

alig

ned

to t

he A

oMRC

hea

ding

s w

here

app

ropr

iate

.

The

prod

uctio

n of

str

uctu

red

digi

tal r

efer

rals

for

all

cate

gorie

s of

car

e w

hich

are

aut

omat

ical

ly

inte

grat

ed in

to d

igita

l clin

ical

wor

kflow

s is

low

er in

mat

urity

acr

oss

all c

are

sett

ings

tha

n th

e na

tiona

l lev

el. W

ithin

sec

onda

ry c

are

ther

e is

als

o so

me

pre-

popu

latio

n of

dat

a to

oth

er s

yste

ms.

With

in c

omm

unity

hea

lth t

he u

se o

f st

ruct

ured

for

mat

ted

refe

rral

s an

d ca

re s

umm

arie

s is

rel

ativ

ely

imm

atur

e al

thou

gh G

Ps w

ho u

se S

ystm

One

ben

efit

from

the

abi

lity

to “

task

” co

mm

unity

ser

vice

s w

ith r

efer

rals

and

hav

e ac

cess

to

the

deta

iled

elec

tron

ic r

ecor

d th

roug

h th

e sh

arin

g fu

nctio

nalit

y.

With

in t

he s

ocia

l car

e di

gita

l sys

tem

the

re is

a c

ase

sum

mar

y vi

ew.

In p

rimar

y ca

re, L

eeds

GPs

rec

eive

a r

ange

of

elec

tron

ic m

essa

ges,

the

se in

clud

e e-

Dis

char

ge A

dvic

e N

otes

, Pat

holo

gy a

nd R

adio

logy

res

ults

and

e-A

&E

disc

harg

e no

tes.

Exam

ple

sh

ow

case

init

iati

ves:

The

esta

blish

men

t of a

cit

y-w

ide

info

rmat

ion

gove

rnan

ce s

teer

ing

grou

p ov

erse

eing

the

IG n

eeds

of

the

city

to e

nsur

e se

curit

y, c

onsis

tenc

y an

d im

prov

e be

st p

ract

ice.

The

gro

up h

as le

d th

e pr

oduc

tion

of

clas

s le

adin

g In

form

atio

n Sh

arin

g an

d D

ata

Proc

essin

g A

gree

men

ts fo

r the

inte

grat

ed c

are

reco

rd.

Inte

gra

ted

nei

gh

bo

urh

oo

d t

eam

s ha

ve b

een

esta

blis

hed

in s

hare

d ac

com

mod

atio

n an

d ha

ve

been

equ

ippe

d w

ith t

echn

olog

y w

hich

sup

port

s th

e jo

int

care

man

agem

ent

of p

atie

nts

and

serv

ice

user

s. T

actic

al s

hare

d in

fras

truc

ture

has

bee

n im

plem

ente

d an

d st

rong

info

rmat

ion

gove

rnan

ce h

as

enab

led

impr

ovem

ents

in t

he t

rans

fer

of c

are

from

one

set

ting

to a

noth

er.

Col

leag

ues

with

in h

ealth

can

acc

ess

the

emai

l add

ress

es o

f ap

prop

riate

sta

ff in

adu

lts a

nd c

hild

ren’

s ca

re s

ervi

ces

and

visa

ver

sa. S

ecu

re e

mai

l has

bee

n im

plem

ente

d in

all

heal

th o

rgan

isat

ions

and

in

the

loca

l aut

horit

y. T

his

has

impr

oved

the

tra

nsfe

r of

car

e an

d in

form

atio

n se

curit

y.

Stra

teg

ic v

iew

:Th

ere

will

be

a co

nsol

idat

ed v

iew

of

care

pla

ns a

cros

s th

e ci

ty. P

athw

ay m

anag

emen

t an

d de

cisi

on

supp

ort

tool

s w

ill a

ssis

t cl

inic

al d

ecis

ion

mak

ing

and

tran

sfer

s of

car

e. A

dvic

e an

d gu

idan

ce f

acili

ties

will

be

avai

labl

e to

ens

ure

that

all

refe

rral

s ar

e ne

cess

ary.

Pro

fess

iona

ls w

ill b

e ab

le t

o se

e th

e ‘p

rese

nce’

of

othe

r pr

ofes

sion

als,

and

con

vert

thi

s in

to a

n in

stan

t m

essa

ge, t

elep

hone

or

vide

o ca

ll.

Uni

vers

al b

ooki

ng f

acili

ties

will

be

avai

labl

e. In

form

atio

n an

d da

ta w

ill f

ollo

w a

ny t

rans

fers

of

care

, us

ing

open

API

s be

twee

n in

form

atio

n sy

stem

s.

Sect

ion

3Se

ctio

n 3

Cap

abilit

y:

Rem

ote

car

e an

d a

ssis

tive

tec

hn

olo

gie

sIn

tegr

ated

city

per

spec

tive:

Pro

vid

er B

asel

ine:

The

mat

urity

leve

l of

prof

essi

onal

s an

d pa

tient

s us

e of

col

labo

ratio

n to

ols

to s

uppo

rt c

linic

al

cons

ulta

tions

and

adv

ice

is lo

w in

mos

t ar

eas

exce

pt m

enta

l hea

lth w

hich

refl

ects

the

nat

iona

l lev

el

of 5

0%.

Mat

urity

leve

ls f

or r

emot

e m

onito

ring

of p

atie

nts

at r

isk

of r

eadm

issi

on a

re s

imila

rly lo

w h

owev

er

ther

e is

a h

ighe

r le

vel o

f m

atur

ity in

soc

ial c

are

to s

uppo

rt s

ervi

ce u

sers

at

risk.

The

use

of P

atie

nt O

nlin

e as

a m

eans

by

whi

ch p

atie

nts

can

man

age

thei

r ca

re t

hrou

gh e

lect

roni

c bo

okin

g of

app

oint

men

ts, o

rder

ing

repe

at p

resc

riptio

ns a

nd a

cces

s to

the

ir G

P re

cord

is in

crea

sing

an

d U

nive

rsal

‘Cap

abili

ty J

’ del

iver

y pl

an e

vide

nces

act

iviti

es t

o im

prov

e on

the

cur

rent

pos

ition

. Thi

s w

ill in

clud

e en

gagi

ng w

ith t

he G

P C

onne

ct p

rogr

amm

e an

d G

P sy

stem

sup

plie

rs w

ho a

re r

evie

win

g op

tions

to

impr

ove

thei

r se

rvic

e of

ferin

g.

The

‘Tec

hnol

ogy

Fund

2’ i

nitia

tive,

‘Rip

ple’

, will

pilo

t a

pers

on-h

eld

reco

rd in

201

6.

Exam

ple

sh

ow

case

init

iati

ves:

We

have

tes

ted

a nu

mbe

r of

tec

hnol

ogie

s fo

r us

e w

ith c

itize

ns. T

hese

hav

e in

clud

ed t

echn

olog

y to

en

hanc

e ci

tizen

sel

f-m

anag

emen

t of

hea

lth a

nd c

are,

app

s th

at in

tera

ct w

ith a

pat

ient

’s G

P (e

.g.

man

agin

g ac

ute

pain

) and

tho

se e

nabl

ing

peop

le t

o liv

e in

depe

nden

tly a

nd t

ackl

e so

cial

isol

atio

n.

The

acut

e pa

in m

anag

emen

t ap

p is

als

o liv

e bu

t m

any

test

s an

d tr

ials

hav

e ye

t to

dem

onst

rate

the

ec

onom

ic c

ase

for

impl

emen

ting

at s

cale

. Ass

iste

d L

ivin

g L

eed

s is

the

mos

t su

cces

sful

exa

mpl

e of

re

mot

e ca

re t

echn

olog

y. T

his

is n

ow a

larg

e op

erat

iona

l ser

vice

pro

vidi

ng a

ssis

tive

tech

nolo

gy a

ids

such

as

falls

and

floo

d in

dica

tors

.

Stra

teg

ic v

iew

:W

e ai

m t

o cr

eate

the

env

ironm

ent

and

enco

urag

e th

e te

chno

logy

mar

ket

to r

espo

nd t

o as

pect

s of

the

citi

zen

heal

th a

nd w

ellb

eing

req

uire

men

t, f

or e

xam

ple,

thi

s co

uld

be t

he u

se o

f in

tern

et

‘hom

e hu

bs’ i

nteg

rate

d to

nea

r-ci

tizen

dig

ital d

evic

es. W

e ai

m t

o do

thi

s vi

a th

e es

tabl

ishm

ent

of a

ci

ty t

echn

olog

y ‘t

est

bed’

to

enab

le s

uppl

iers

to

wor

k in

a c

lose

-to-

real

env

ironm

ent.

We

will

als

o en

cour

age

open

sta

ndar

ds f

or t

he s

harin

g of

citi

zen

colle

cted

info

rmat

ion

with

pro

fess

iona

ls a

nd

vice

-ver

sa. W

e w

ill in

tegr

ate

near

-pat

ient

tes

ting

devi

ces

with

our

Lee

ds C

are

Reco

rd. W

e w

ill u

se

soci

al p

resc

ribin

g to

incr

ease

the

upt

ake

of in

nova

tive

appr

oach

es t

o he

alth

and

wel

lbei

ng.

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

2425

Cap

abilit

y:

Ord

ers

and

res

ult

s m

anag

emen

tIn

tegr

ated

city

per

spec

tive:

Pro

vid

er B

asel

ine:

The

digi

tal o

rder

ing

of t

ests

and

con

sulta

tions

in a

str

uctu

red

form

at a

cros

s al

l hea

lth s

ettin

gs is

st

rong

and

hig

her

than

the

nat

iona

l mat

urity

leve

l. M

ore

deve

lopm

ent

is n

eede

d in

the

are

as o

f pr

e-po

pula

tion

of e

xist

ing

data

and

ass

imila

tion

of a

ssoc

iate

d da

ta.

Com

mun

ity h

ealth

can

pos

itive

ly id

entif

y pa

tient

s th

roug

h us

ing

barc

odin

g te

chno

logy

prio

r to

al

l dia

gnos

tic t

ests

bei

ng p

erfo

rmed

. Req

uest

s re

ceiv

ed b

y di

agno

stic

ser

vice

s ar

e in

tegr

ated

into

di

gita

l wor

kflow

s. T

he r

esul

ts o

f te

sts

and

imag

es f

or p

atie

nts

are

avai

labl

e to

city

hea

lth a

nd c

are

prof

essi

onal

s at

the

poi

nt o

f ca

re.

Thes

e m

atur

ity le

vels

are

hig

her

than

the

nat

iona

l lev

els.

The

capa

bilit

y to

cre

ate

an a

lert

for

res

ults

tha

t re

quire

ack

now

ledg

emen

t is

less

mat

ure.

With

in P

rimar

y C

are

univ

ersa

l tec

hnol

ogy

feat

ures

hav

e be

en im

plem

ente

d th

at h

ave

enab

led

sign

ifica

nt e

ffici

enci

es; O

rder

ing

of t

ests

and

ser

vice

s us

ing

Sunq

uest

ICE,

ele

ctro

nic

resu

lts

repo

rtin

g.

Exam

ple

sh

ow

case

init

iati

ves:

A

dig

ital f

acili

ty f

or o

rder

s an

d r

esu

lts

man

agem

ent

has

been

in p

lace

for

sev

eral

yea

rs a

cros

s th

e Le

eds

Teac

hing

Hos

pita

l and

all

GPs

in p

rimar

y ca

re in

Lee

ds. M

akin

g pr

oces

ses

mor

e ef

ficie

nt,

impr

oved

clin

ical

dec

isio

n m

akin

g an

d pa

tient

exp

erie

nce.

The

ord

er c

omm

unic

atio

ns s

yste

ms

is

inte

grat

ed w

ithin

GP

clin

ical

sys

tem

s.

Stra

teg

ic v

iew

:Th

e br

eadt

h of

ser

vice

s co

vere

d by

an

oper

atio

nal o

rder

com

mun

icat

ions

fac

ility

will

be

expa

nded

. Th

e pr

otoc

ols

for

orde

ring

(dec

isio

n su

ppor

t) w

ill b

e co

ntin

ually

refi

ned.

Res

ults

, as

wel

l as

othe

r ou

tput

s su

ch a

s im

ages

, will

be

avai

labl

e vi

a Le

eds

Car

e Re

cord

.

Sect

ion

3Se

ctio

n 3

Enab

ler:

St

and

ard

sIn

tegr

ated

city

per

spec

tive:

Pro

vid

er B

asel

ine:

Publ

icat

ion

of t

he N

HS

Num

ber

on c

orre

spon

denc

e to

sup

port

info

rmat

ion

shar

ing

acro

ss t

he

heal

th s

ettin

g is

not

est

ablis

hed

in a

ll se

ttin

gs.

The

use

of S

NO

MED

CT

is n

ot e

stab

lishe

d an

d na

tiona

l lev

els

are

low

.

Dic

tiona

ry o

f m

edic

ines

and

dev

ices

is lo

w in

mat

urity

and

low

er t

han

the

natio

nal l

evel

s.

The

Aca

dem

y of

Med

ical

Roy

al C

olle

ges

Stan

dard

s fo

r cl

inic

al s

truc

ture

of

patie

nt r

ecor

ds is

str

ong

and

stro

nger

tha

n th

e na

tiona

l lev

els.

The

reco

rdin

g of

pat

ient

end

of

life

pref

eren

ces

with

ref

eren

ce t

o th

e na

tiona

l sta

ndar

ds in

the

co

mm

unity

are

hig

her

than

the

nat

iona

l lev

el o

f 14

%.

Exam

ple

sh

ow

case

init

iati

ves:

NH

S N

umbe

r: E

xcel

lent

pro

gres

s ha

s be

en m

ade

on o

btai

ning

the

NH

S nu

mbe

r in

Lee

ds. A

du

lt

Soci

al C

are

unde

rtoo

k th

e In

form

atio

n G

ove

rnan

ce T

oo

lkit

wid

e as

sess

men

t se

vera

l yea

rs a

go

(now

com

plet

ed c

ounc

il w

ide)

and

beg

an t

raci

ng N

HS

num

bers

. The

nex

t st

ep is

to

capt

ure

the

NH

S nu

mbe

r in

car

e re

cord

s fo

r bo

th a

dults

and

chi

ldre

n in

rea

l tim

e fr

om t

he P

DS.

Thi

s w

ill r

epla

ce

the

curr

ent

use

of t

he D

BS. W

e w

ill a

lso

ensu

re t

he p

ublic

atio

n of

the

NH

S nu

mbe

r on

to

adul

ts

and

child

ren’

s co

rres

pond

ence

. Thi

s su

ppor

ts jo

ined

up

care

, spe

eds

up a

cces

s to

info

rmat

ion

and

impr

oved

rec

ords

man

agem

ent

and

data

qua

lity.

Ripp

le: L

eeds

has

led

the

way

on

a ‘T

echn

olog

y Fu

nd 2

’ pro

gram

me

to e

stab

lish

and

prom

ote

the

the

use

of o

pen

sta

nd

ard

s an

d o

pen

req

uir

emen

ts t

o su

ppor

t or

gani

satio

ns o

utsi

de L

eeds

un

dert

akin

g di

gita

l car

e re

cord

initi

ativ

es. T

his

prog

ram

me,

kno

wn

as ‘R

ippl

e’ h

as d

evel

oped

a

dem

onst

rato

r O

pen

Sour

ce In

tegr

ated

Dig

ital C

are

Reco

rd P

latf

orm

.

Stra

teg

ic v

iew

:To

ens

ure

heal

th a

nd c

are

orga

nisa

tions

hav

e th

e ra

nge

and

mat

urity

of

spec

ialis

t bu

sine

ss a

nd

clin

ical

sys

tem

s w

ithin

the

ir or

gani

satio

ns t

o pr

ovid

e co

re c

apab

ilitie

s w

hich

hav

e be

en im

plem

ente

d in

suc

h a

way

so

as t

o in

tero

pera

te w

ith o

ther

par

ts o

f th

e he

alth

and

car

e se

ctor

and

del

iver

pap

er-

free

at

the

poin

t of

car

e.

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

2627

Cap

abilit

y:

Dig

ital

med

icin

e m

anag

emen

t

and

op

tim

isat

ion

Inte

grat

ed c

ity p

ersp

ectiv

e:

Pro

vid

er B

asel

ine:

Cur

rent

ly t

he a

bilit

y of

hea

lthca

re p

rofe

ssio

nals

to

see

a co

mpl

ete

digi

tal v

iew

of

med

icat

ions

an

d pr

escr

iptio

ns is

low

er t

han

the

natio

nal a

vera

ge.

In a

dditi

on t

he a

bilit

y to

dig

itally

pre

scrib

e m

edic

atio

n is

low

and

is n

ot r

outin

ely

perf

orm

ed e

xcep

t fo

r ch

emot

hera

py.

That

sai

d, t

he s

econ

dary

car

e ho

spita

l and

the

men

tal h

ealth

pro

vide

r ar

e bo

th e

ngag

ed in

a

stru

ctur

ed r

ollo

ut o

f th

e sa

me

e-Pr

escr

ibin

g an

d A

dmin

istr

atio

n el

ectr

onic

sol

utio

n w

hich

util

ises

th

e sa

me

base

for

mul

ary

for

pres

crib

ing,

allo

win

g fo

r m

edic

ine

optim

isat

ion

and

the

esta

blis

hmen

t of

pre

scrib

ing

prot

ocol

s. T

his

will

see

the

bas

elin

e sc

ores

of

both

pro

vide

rs in

crea

se o

ver

the

3 ye

ar

LDR

perio

d as

inpa

tient

war

ds a

nd o

utpa

tient

ser

vice

s ar

e br

ough

t on

line

and

dig

itally

ena

bled

pr

oces

ses

are

embe

dded

. In

add

ition

thi

s w

ill d

eliv

er b

enefi

ts t

o as

set

optim

isat

ion

as t

he r

elia

nce

on p

resc

ribin

g cl

inic

ians

bei

ng in

the

sam

e lo

catio

n as

the

phy

sica

l dru

g ch

art

is r

emov

ed.

Com

mun

ity H

ealth

do

not

curr

ently

hav

e an

ele

ctro

nic

pres

crib

ing

and

adm

inis

trat

ion

syst

em

as t

heir

clin

icia

n pr

escr

ibin

g nu

mbe

rs a

re lo

w, h

owev

er it

has

bee

n re

cogn

ised

tha

t th

ere

are

econ

omie

s of

sca

le b

enefi

ts t

o ex

plor

e by

rev

iew

ing

the

abov

e so

lutio

n to

und

erst

and

if C

omm

unity

re

quire

men

ts c

an b

e en

com

pass

ed t

o de

liver

com

mon

ality

city

wid

e.

Com

mun

ity H

ealth

and

Soc

ial C

are

do h

ave

som

e vi

sibi

lity

of m

edic

atio

n or

der

sets

via

Sum

mar

y C

are

Reco

rd, w

here

Rol

e Ba

sed

Acc

ess

Con

trol

(RBA

C) p

erm

issi

ons

are

in p

lace

, thi

s is

enh

ance

d th

roug

h Le

eds

Car

e Re

cord

whi

ch p

rovi

des

acce

ss t

o G

P pr

escr

ibed

med

icat

ion.

Med

icat

ion

pres

crib

ed b

y ot

her

prov

ider

s w

ill b

e in

crea

sing

ly v

isib

le a

s th

e ep

resc

ribin

g / a

dmin

istr

atio

n sy

stem

us

e be

com

es w

ides

prea

d an

d av

aila

ble

thro

ugh

the

Leed

s C

are

Reco

rd in

a ‘m

elde

d’ v

iew

of

the

patie

nt’s

med

icat

ion

from

all

heal

th p

rovi

ders

.

Soci

al C

are

are

low

in m

atur

ity in

the

adm

inis

trat

ion

med

icin

e m

anag

emen

t, h

owev

er t

heir

focu

s is

on

ens

urin

g th

ey h

ave

info

rmat

ion

on p

resc

ribed

med

icat

ion

incl

udin

g do

sage

and

fre

quen

cy w

hich

w

ill b

e su

ppor

ted

by t

he d

eliv

ery

of in

form

atio

n w

ithin

the

Lee

ds C

are

Reco

rd w

hich

is a

cces

sed

by

Soci

al C

are

prof

essi

onal

s w

ith t

he r

equi

red

perm

issi

ons

With

in P

rimar

y C

are

exce

llent

pro

gres

s ha

s be

en m

ade

on e

pres

crib

ing

2 (E

PS2)

. Of

the

105

GP

Prac

tices

with

in t

he L

eeds

foo

tprin

t, 9

5 ar

e Re

leas

e 2

com

plia

nt, t

his

is 9

0% a

gain

st t

he n

atio

nal

aver

age

whi

ch is

81%

. In

addi

tion,

all

but

one

of t

he c

omm

unity

pha

rmac

ists

in L

eeds

is R

elea

se

2 co

mpl

iant

. Thi

s is

evi

denc

ed w

ithin

the

uni

vers

al ‘c

apab

ility

I’ d

eliv

ery

plan

with

str

uctu

red

ambi

tions

and

del

iver

y ac

tiviti

es id

entifi

ed t

o pr

ogre

ss in

par

ticul

ar r

epea

t di

spen

sing

with

in t

he

natio

nal E

PS P

hase

4 p

ilot.

Exam

ple

sh

ow

case

init

iati

ves:

Exce

llent

pro

gres

s ha

s be

en m

ade

in im

plem

entin

g eP

resc

ribin

g 2

in P

rimar

y C

are.

Pra

ctic

es h

ave

expe

rienc

ed c

onsi

dera

ble

effic

ienc

ies

whi

ch is

evi

denc

ed b

y th

e av

erag

e pe

rcen

tage

of

elec

tron

ic t

o pa

per

scrip

ts a

cros

s th

e 3

CC

Gs

curr

ently

at

50%

aga

inst

a t

arge

t of

40%

. The

re a

re c

lear

pla

ns in

pl

ace

to im

prov

e th

is b

asel

ine

with

in G

P an

d C

omm

unity

Pha

rmac

ists

evi

denc

ed in

the

del

iver

y pl

an

for

univ

ersa

l cap

abili

ty I.

Stra

teg

ic v

iew

:Se

cond

ary

Car

e ho

spita

ls a

nd t

he m

enta

l hea

lth p

rovi

der

will

be

usin

g el

ectr

onic

fac

ilitie

s fo

r ne

ar

patie

nt p

resc

ribin

g. ‘T

o ta

ke h

ome’

ele

ctro

nic

mes

sage

s w

ill b

e se

nt t

o G

Ps. B

oth

seco

ndar

y an

d pr

imar

y ca

re p

resc

ribin

g w

ill b

e re

flect

ed in

the

Lee

ds in

tegr

ated

car

e re

cord

. Var

ious

med

icin

e re

gim

es w

ill b

e re

conc

iled.

The

acc

essi

bilit

y of

thi

s in

form

atio

n by

the

app

ropr

iate

pro

fess

iona

ls

impr

oves

the

man

agem

ent

of c

are,

the

util

isat

ion

of p

rofe

ssio

nal c

linic

al t

ime

by e

nabl

ing

rem

ote

acce

ss t

o el

ectr

onic

pre

scrib

ing

and

adm

inis

trat

ion

reco

rds,

red

uces

med

icin

e co

sts

thro

ugh

iden

tified

for

mul

ary

use

and

redu

ces

med

icat

ion

erro

r im

prov

ing

clin

ical

and

pat

ient

saf

ety.

Sect

ion

3Se

ctio

n 3

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

2829

Cap

abilit

y:

Dec

isio

n S

up

po

rtIn

tegr

ated

city

per

spec

tive:

Pro

vid

er B

asel

ine:

The

mat

urity

of

capa

bilit

y fo

r he

alth

and

car

e pr

ofes

sion

als

to r

ecei

ve a

lert

s to

the

exi

sten

ce

of p

atie

nt p

refe

renc

es, s

peci

fic p

atie

nt r

isks

and

whe

re t

here

has

bee

n a

dete

riora

tion

of t

heir

cond

ition

is s

tron

g an

d m

uch

high

er t

han

the

natio

nal l

evel

s.

Rem

inde

rs a

bout

ove

rdue

car

e ac

tions

and

cha

se u

ps f

or m

issi

ng in

form

atio

n ex

ist

in p

art

and

at a

hi

gher

leve

l of

mat

urity

tha

n th

e na

tiona

l lev

el.

The

deliv

ery

of a

n el

ectr

onic

epr

escr

ibin

g an

d ad

min

istr

atio

n sy

stem

in s

econ

dary

and

men

tal

heal

th w

ill e

nhan

ce t

he d

eliv

ery

of a

utom

ated

ale

rts

whi

ch w

ill h

ighl

ight

pat

ient

spe

cific

ale

rts

and

alle

rgie

s in

pat

ient

con

text

and

will

ref

eren

ce p

oten

tial c

ontr

a in

dica

tions

with

exi

stin

g m

edic

atio

ns.

The

solu

tion

also

pro

vide

s fo

r el

ectr

onic

acc

ess

to d

ecis

ion

supp

ort

tool

s fo

r pr

escr

ibin

g w

ithin

the

ap

plic

atio

n w

ithou

t ad

ditio

nal n

avig

atio

n.

Dec

isio

n su

ppor

t cu

rren

tly p

rovi

des

supp

ort

to t

he d

isch

arge

pro

cess

and

mat

urity

leve

ls a

re h

ighe

r th

an t

he n

atio

nal l

evel

. The

LD

R ca

pabi

lity

depl

oym

ent

sche

dule

sho

ws

a cl

ear

capa

bilit

y de

liver

y pr

iorit

y as

enc

oura

ging

and

incr

easi

ng a

cces

s an

d m

anag

emen

t of

a s

hare

d pa

tient

sum

mar

y re

cord

th

roug

h en

hanc

ed u

sage

and

ric

hnes

s of

dat

a in

the

Lee

ds C

are

Reco

rd, w

hich

will

ena

ble

effe

ctiv

e an

d pr

oact

ive

join

t de

cisi

on m

akin

g th

roug

h co

llect

ive

prov

isio

n of

dec

isio

n su

ppor

t in

form

atio

n.

This

will

sup

port

del

iver

y of

enh

ance

d pa

tient

flow

thr

ough

car

e se

ttin

gs.

GP

core

clin

ical

sys

tem

s ha

ve a

spec

ts o

f de

cisi

on s

uppo

rt a

nd s

tron

g w

orkfl

ow f

eatu

res.

Thi

s in

clud

es im

plem

enta

tion

of t

he E

PaC

Cs

tem

plat

e to

ens

ure

that

pat

ient

s on

a p

allia

tive

care

pa

thw

ay c

an e

xpre

ss a

nd c

hang

e th

eir

end

of li

fe p

refe

renc

es. U

nive

rsal

‘cap

abili

ty H

’ del

iver

y pl

an

confi

rms

the

exce

llent

pro

gres

s th

at h

as b

een

mad

e an

d th

e ac

tiviti

es t

o in

clud

e th

is in

form

atio

n in

th

e Le

eds

Car

e Re

cord

to

mak

e th

is a

vaila

ble

for

all c

are

prof

essi

onal

s.

Chi

ld S

ocia

l Car

e is

impl

emen

ting

Chi

ld P

rote

ctio

n In

form

atio

n Se

rvic

es (C

P-IS

) as

part

of

the

natio

nal r

oll o

ut. U

nive

rsal

cap

abili

ty G

del

iver

y pl

an e

vide

nces

the

am

bitio

n an

d ac

tivity

to

ensu

re

this

info

rmat

ion

is a

vaila

ble

thro

ugh

both

CP-

IS a

nd L

eeds

Car

e Re

cord

to

care

pro

fess

iona

ls in

pa

rtic

ular

in u

rgen

t ca

re s

ettin

gs.

Exam

ple

sh

ow

case

init

iati

ves:

Le

eds

Car

e R

eco

rd (

LCR

) ha

s cl

ear

plan

s in

pla

ce in

201

6/17

to

deliv

er a

dditi

onal

pat

ient

ale

rts

incl

udin

g an

indi

cato

r th

at a

pat

ient

is in

the

top

2%

of

patie

nts

with

a c

are

plan

in p

lace

and

al

erts

to

lear

ning

dis

abili

ties.

Thi

s is

evi

denc

ed w

ithin

the

LD

R de

ploy

men

t sc

hedu

le c

apab

ility

de

liver

able

s.

Leed

s G

Ps c

an s

ee li

ve w

ard

elec

tro

nic

wh

iteb

oar

d d

etai

ls o

f th

eir

patie

nts

in h

ospi

tal o

r lis

ts o

f pa

tient

s re

cent

ly d

isch

arge

d th

roug

h th

e LC

R. E

lect

roni

c m

essa

ges

from

Lee

ds T

each

ing

Hos

pita

l au

tom

atic

ally

app

ear

in G

P cl

inic

al s

yste

m w

orkfl

ows.

Gen

eral

pra

ctic

e us

e fa

cilit

ies

such

as

the

‘fra

ilty

inde

x’ a

nd m

ake

use

of p

roac

tive

clin

ical

tem

plat

es.

GPs

and

sec

onda

ry c

are

use

pat

hw

ay g

uid

elin

es w

hich

are

ava

ilabl

e th

roug

h th

e Le

eds

Hea

lth

Path

way

s fr

om a

ded

icat

ed w

ebsi

te a

t ht

tp://

nww

.lhp.

leed

sth.

nhs.

uk/

Leed

s In

telli

gen

ce H

ub

: Sep

arat

e fr

om c

linic

al

deci

sion

sup

port

Lee

ds h

as m

ade

exce

llent

pro

gres

s w

ith c

omm

issi

onin

g de

cisi

on s

uppo

rt. U

sing

ps

eudo

nym

ised

link

ed d

ata

Leed

s ha

s so

me

pow

erfu

l ex

ampl

es o

f im

prov

ed c

omm

issi

onin

g de

cisi

ons

and

eval

uatio

ns. S

igni

fican

t an

alys

is h

as b

een

deliv

ered

sup

port

ing

tran

sfor

mat

ion

initi

ativ

es a

nd

city

prio

ritie

s. T

his

has

enab

led

the

heal

th a

nd c

are

syst

em t

o ev

alua

te t

he im

pact

of

chan

ges

and

iden

tify

oppo

rtun

ities

for

cha

nge

and

driv

ing

effic

ienc

ies.

Th

e Le

eds

Inte

llige

nce

Hub

com

pare

s va

riatio

n in

ca

re a

cros

s th

e ci

ty’s

neig

hbou

rhoo

ds a

nd b

egin

s to

un

ders

tand

why

and

how

to

addr

ess

unw

arra

nted

va

riatio

n. T

he in

sigh

ts g

ener

ated

hav

e pr

ovid

ed a

tot

ally

new

leve

l of

dial

ogue

and

dis

cuss

ion

acro

ss

the

city

fro

m c

ity-w

ide

lead

ersh

ip g

roup

s, t

he H

ealth

and

Wel

lbei

ng B

oard

, urg

ent

care

boa

rds

and

mos

t or

gani

satio

n’s

seni

or m

anag

emen

t te

ams.

Stra

teg

ic v

iew

:Fa

cilit

ies

that

are

cur

rent

ly p

assi

ve w

ill b

ecom

e pr

oact

ive.

Clin

ical

dec

isio

n su

ppor

t fa

cilit

ies

will

m

ove

from

with

in o

rgan

isat

ions

to

a ci

ty-w

ide

colle

ctiv

e pr

ovis

ion

with

acc

ess

avai

labl

e to

all

orga

nisa

tions

and

with

all

orga

nisa

tions

pro

vidi

ng in

put.

We

will

des

ign

our

Leed

s C

are

Reco

rd t

o us

e re

al-t

ime

feed

s fr

om ‘t

ele’

fac

ilitie

s su

ch a

s ne

ar p

atie

nt t

estin

g de

vice

s. C

apab

ilitie

s su

ch a

s bo

okin

g w

ill m

ove

from

poi

nt-t

o-po

int

to ‘o

pen’

fac

ilitie

s to

sup

port

a w

ide

rang

e of

boo

king

.

Sect

ion

3Se

ctio

n 3

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

3031

Cap

abilit

y:

Ass

et a

nd

res

ou

rce

op

tim

isat

ion

Inte

grat

ed c

ity p

ersp

ectiv

e:

Pro

vid

er B

asel

ine:

Dig

ital s

yste

ms

are

used

in a

ll se

cond

ary

care

set

tings

to

mon

itor

bed

utili

satio

n; m

atur

ity le

vels

are

co

nsis

tent

ly h

ighe

r th

an t

he n

atio

nal l

evel

s.

Dig

ital s

yste

ms

are

used

to

trac

k pa

tient

flow

in a

cute

and

men

tal h

ealth

; the

re is

less

mat

urity

in

com

mun

ity h

ealth

and

soc

ial c

are.

The

Acu

te p

rovi

der

is d

eplo

ying

GS1

to

allo

w a

sset

s to

be

trac

ked

robu

stly

thr

ough

the

sec

onda

ry c

are

orga

nisa

tion

to o

ptim

ise

thei

r us

e an

d en

sure

the

y ar

e av

aila

ble

at t

he r

ight

pla

ce a

t th

e rig

ht t

ime

for

deliv

ery

of c

are.

The

abi

lity

to t

rack

pat

ient

s ro

bust

ly t

hrou

gh t

heir

jour

ney

thro

ugh

the

Trus

t w

ill a

lso

be m

anag

ed m

ore

effe

ctiv

ely

to s

ignp

ost

to r

elev

ant

depa

rtm

ents

and

to

impr

ove

patie

nt fl

ow.

Staf

f ro

ster

ing

is d

igita

lly m

anag

ed in

acu

te, m

enta

l hea

lth a

nd s

ocia

l car

e al

thou

gh w

eake

r th

an t

he n

atio

nal l

evel

in c

omm

unity

hea

lth. H

owev

er, w

ithin

the

dep

loym

ent

sche

dule

the

re a

re

capa

bilit

ies

with

pla

nned

del

iver

y of

e-r

oste

ring

solu

tions

in b

oth

the

men

tal h

ealth

pro

vide

r an

d C

omm

unity

whi

ch w

ill s

uppo

rt t

he a

ppro

pria

te h

ealth

and

car

e pr

ofes

sion

al b

eing

in t

he r

ight

lo

catio

n at

the

rig

ht t

ime

to m

ake

best

use

of

prof

essi

onal

res

ourc

e.

The

uplo

adin

g of

dat

a fr

om d

evic

es is

mat

ure

in a

cute

but

wea

k in

oth

er s

ettin

gs. T

his

is d

epen

dant

on

dev

ices

bei

ng fi

t fo

r pu

rpos

e, m

anag

ed a

nd s

uppo

rted

eff

ectiv

ely.

Exam

ple

sh

ow

case

init

iati

ves:

As

desc

ribed

in S

ectio

n 1

Leed

s ha

s ga

ined

app

rova

l to

take

a c

ity-

bas

ed a

pp

roac

h t

o t

he

del

iver

y o

f in

form

atic

s in

ter

ms

of in

tegr

ated

infr

astr

uctu

re, p

lann

ing

and

deliv

erin

g in

tegr

ated

bu

sine

ss/c

linic

al s

yste

ms

and

inno

vatio

ns. T

his

will

era

dica

te t

he m

ultip

le a

nd d

iver

se in

itiat

ives

w

hich

com

e fr

om d

iffer

ent

part

s of

the

hea

lth a

nd c

are

syst

em t

hat

use

up r

esou

rce

in a

n un

plan

ned

way

and

oft

en c

onfu

se. I

t w

ill a

lso

ensu

re t

hat

digi

tal p

rogr

amm

es a

nd p

roje

cts

are

alig

ned

fully

to

an a

gree

d w

hole

-sys

tem

out

com

e de

scrib

ed in

the

hea

lth a

nd w

ellb

eing

str

ateg

y,

STP

and

LDR.

The

Leed

s C

are

Rec

ord

is p

rovi

ng v

alua

ble

in t

erm

s of

avo

idin

g ph

one

calls

bet

wee

n se

ctor

s to

ac

cess

add

ition

al c

linic

al in

form

atio

n.

Mo

bile

wo

rkin

g in

itiat

ives

hav

e de

liver

ed e

ffici

enci

es in

the

use

of

acco

mm

odat

ion

and

offic

e sp

ace.

Des

k ut

ilisa

tion

has

redu

ced

to 6

0% in

are

as o

f th

e sy

stem

whe

re t

he im

plem

enta

tion

of

mob

ile w

orki

ng h

as b

een

fully

em

bedd

ed.

Stra

teg

ic v

iew

:W

e w

ill d

eliv

er a

city

(or

plac

e)-b

ased

app

roac

h to

tec

hnol

ogy

infr

astr

uctu

re e

nabl

ing

an a

ny-t

ime,

an

y w

here

, any

-pla

ce c

apab

ility

for

pro

fess

iona

ls. W

e w

ill u

se in

form

atic

s re

sour

ces

as e

ffec

tivel

y as

po

ssib

le. W

e w

ill im

prov

e th

e te

chno

logy

infr

astr

uctu

re w

ithin

org

anis

atio

ns t

o en

sure

rel

iabi

lity

and

serv

ice

supp

ort

to c

over

ext

ende

d ho

urs

and

7 da

y-w

orki

ng. T

here

will

be

a fu

ll re

view

of

esta

te

asse

ts a

cros

s th

e ci

ty. T

his

will

und

erpi

n th

e pl

ace-

base

d ap

proa

ch f

rom

a t

echn

olog

y pe

rspe

ctiv

e,

com

bini

ng t

he in

fras

truc

ture

off

er f

or e

ffici

ent

serv

ice

deliv

ery.

We

will

del

iver

‘util

ity’ t

echn

olog

y w

here

pos

sibl

e to

driv

e do

wn

cost

s an

d us

e es

tate

s fle

xibl

y. W

e w

ill u

tilis

e th

e pr

ivat

e se

ctor

, in

depe

nden

ts a

nd S

ME’

s et

c to

con

trib

ute

to c

ity in

war

d in

vest

men

t.

Sect

ion

3Se

ctio

n 3

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

3233

Enab

ler:

In

fras

tru

ctu

reTh

e ci

ty h

as v

arie

d le

vels

of

infr

astr

uctu

re m

atur

ity.

Leed

s Te

achi

ng H

ospi

tals

NH

S Tr

ust

has

the

mos

t pr

essi

ng in

fras

truc

ture

upg

rade

nee

ds. T

heir

requ

irem

ents

incl

ude

resi

lient

dat

a ce

ntre

ca

pabi

lity,

net

wor

k im

prov

emen

ts, s

ingl

e si

gn-o

n an

d im

prov

ed p

erfo

rman

ce f

or c

linic

al u

sers

.

Publ

ic w

ifi a

cces

s is

rel

ativ

ely

stro

ng b

ut w

eake

r in

the

acu

te s

ecto

r. Th

e us

e of

mob

ile d

evic

es is

es

tabl

ishi

ng it

self

in c

omm

unity

hea

lth w

ith a

con

cert

ed p

rogr

amm

e of

wor

k to

dep

loy

port

able

de

vice

s to

mob

ile s

taff

, bu

t m

ore

mat

ure

than

the

nat

iona

l lev

el in

acu

te a

nd m

enta

l hea

lth.

Sing

le s

ign-

on is

low

in a

cute

and

com

mun

ity b

ut h

ighe

r m

enta

l hea

lth. T

he t

ime

it ta

kes

to lo

g on

his

rel

ativ

ely

high

acr

oss

the

heal

th s

ettin

gs, a

nd t

he m

atur

ity in

thi

s ar

ea is

low

er t

han

the

natio

nal l

evel

s.

Soft

war

e ap

prov

al a

nd m

anag

emen

t is

mat

ure.

IT S

ervi

ce D

esk

stan

dard

s an

d m

anag

emen

t pr

oces

ses

are

wea

ker

in a

cute

and

com

mun

ity h

ealth

, bu

t ve

ry s

tron

g in

men

tal h

ealth

.

Dis

aste

r re

cove

ry p

roce

sses

are

wea

ker

than

the

nat

iona

l mat

urity

leve

ls.

Rec

om

men

dat

ion

s m

ade

by

the

city

Sh

ared

Str

ateg

y, A

rch

itec

ture

an

d

Co

mm

issi

on

ing

gro

up

incl

ud

e:D

evel

op a

bus

ines

s ca

se f

or s

hare

d da

ta c

entr

e fa

cilit

ies

Dev

elop

‘pla

tfor

m a

s a

serv

ice’

for

infr

astr

uctu

re a

nd d

eskt

op s

ervi

ces

that

can

be

del

iver

ed t

o cu

rren

t an

d an

y fu

ture

org

anis

atio

ns

Revi

ew s

kills

and

res

ourc

es a

cros

s th

e pa

rtne

r or

gani

satio

ns t

hat

can

be s

hare

d

Build

on

the

com

mun

ity a

sset

s w

hich

are

a s

tren

gth

in t

he c

ity

Prov

ide

a m

oder

n, u

p to

dat

e, s

ecur

e an

d re

silie

nt p

rovi

sion

for

all

part

ners

Prov

ide

exte

nded

hou

rs, e

veni

ng a

nd w

eeke

nds

for

inci

dent

man

agem

ent

Prov

ide

supp

ort

to p

rofe

ssio

nals

nee

ding

sec

ure

acce

ss t

o di

gita

l sys

tem

s fr

om a

ny r

equi

red

loca

tion

on t

he a

ppro

pria

te d

evic

e

Util

ise

colle

ctiv

e bu

ying

pow

er a

cros

s th

e ci

ty p

artn

ers

to a

chie

ve b

est

valu

e fo

r m

oney

Exam

ple

sh

ow

case

init

iati

ves:

The

shar

ing

and

linki

ng o

f da

ta n

etw

orks

has

allo

wed

inte

gra

ted

nei

gh

bo

urh

oo

d t

eam

s to

op

erat

e ac

ross

hea

lth a

nd c

are

in n

ew o

r re

vam

ped

loca

tions

; thi

s ha

s re

duce

d th

e co

st o

f in

stal

ling

sepa

rate

dat

a lin

es. I

nteg

rate

d te

ams

are

able

to

occu

py h

ealth

pre

mis

es a

nd v

isa-

vers

a, w

hich

im

prov

es m

ulti-

disc

iplin

ary

team

wor

king

and

car

e m

anag

emen

t.

The

deliv

ery

of im

prov

ed w

ifi f

or

flex

ible

an

d m

ob

ile s

taff

wo

rkin

g. I

mpr

oved

pub

lic a

cces

s to

w

ifi in

pub

lic b

uild

ings

.

Ther

e is

an

ongo

ing

revi

ew o

f th

e cu

rren

t in

fras

truc

ture

sup

port

ing

inte

grat

ed t

eam

s w

hich

will

be

follo

wed

by

the

prov

isio

n of

join

t so

lutio

ns s

uch

as s

cann

ing,

prin

ting

and

wifi

. Im

prov

emen

ts in

ho

spita

l soc

ial w

ork

acce

ss t

o in

form

atio

n an

d te

chno

logy

. The

pro

visi

on o

f ac

cess

to

adul

t so

cial

ca

re s

yste

ms

on h

ealth

dev

ices

.

Impl

emen

tatio

n of

the

pu

blic

sec

tor

net

wo

rk (P

SN) i

n he

alth

and

car

e ha

s of

fere

d ve

rsat

ility

an

d ac

hiev

ed e

ffici

enci

es. L

eeds

led

the

natio

nal p

ilot

to c

onne

ct t

he d

edic

ated

NH

S ne

twor

k (N

3)

to t

he p

ublic

sec

tor

netw

ork

(PSN

). Th

is li

nk p

rovi

des

acce

ss t

o he

alth

sys

tem

s an

d in

form

atio

n fo

r Pu

blic

Hea

lth s

taff

, acc

ess

to t

he c

hild

pro

tect

ion

info

rmat

ion

and

acce

ss t

o th

e N

HS

Num

ber.

Thes

e in

itiat

ives

hav

e in

crea

sed

inte

grat

ion

oppo

rtun

ities

and

incr

ease

d ef

ficie

ncie

s th

roug

h fle

xibl

e w

orki

ng.

Impl

emen

tatio

n of

sec

ure

em

ail f

or a

ll he

alth

org

anis

atio

ns a

nd t

he lo

cal a

utho

rity.

In a

dditi

on,

colle

ague

s w

ithin

hea

lth c

an n

ow a

cces

s th

e em

ail a

ddre

sses

of

appr

opria

te s

taff

in a

dults

and

ch

ildre

n’s

care

ser

vice

s an

d vi

sa-v

ersa

. Thi

s ha

s im

prov

ed t

he s

peed

of

com

mun

icat

ions

, im

prov

ed

info

rmat

ion

secu

rity

and

redu

ced

data

sec

urity

bre

ache

s.

Leed

s is

a 4

G c

ity a

nd t

he U

nive

rsity

has

del

iver

ed a

n in

tern

atio

nal f

acili

ty c

alle

d ‘e

duro

am’ w

hich

ha

s th

e ca

pabi

lity

to b

e fe

dera

ted

with

pub

lic s

ecto

r w

-fi.

The

univ

ersi

ty a

nd t

he h

ospi

tal t

rust

hav

e se

cure

dat

a an

d te

leph

ony

gate

way

s be

twee

n th

e ac

adem

ics

and

the

acut

e tr

ust.

Stra

teg

ic v

iew

: H

ealth

and

car

e pr

ofes

sion

als

will

be

able

to

acce

ss t

heir

requ

ired

syst

ems

any

time

and

any

plac

e w

ithin

the

city

, inc

ludi

ng v

ia m

obile

dev

ices

. The

infr

astr

uctu

re u

nder

pinn

ing

the

city

info

rmat

ics

stra

tegy

will

be

secu

re, r

elia

ble

and

resp

onsi

ve. C

itize

ns w

ill h

ave

acce

ss t

o un

iver

sal f

acili

ties

such

as

wifi

in k

ey a

reas

suc

h as

som

e ci

ty-c

entr

e op

en s

pace

s, p

ublic

bui

ldin

gs a

nd G

P su

rger

ies.

Peo

ple

will

incr

ease

the

ir le

vel o

f di

gita

l ski

lls t

o ac

cess

suc

h se

rvic

es.

Sect

ion

3Se

ctio

n 3

Sect

ion

4

Un

iver

sal C

apab

ilit

ies

Sum

mar

y p

osi

tio

n a

cro

ss t

he

10 U

niv

ersa

l Cap

abilit

ies

Ever

y lo

cal h

ealth

and

car

e sy

stem

is e

xpec

ted

to m

ake

early

pro

gres

s on

10

univ

ersa

l cap

abili

ties,

de

mon

stra

ting

clea

r m

omen

tum

bet

wee

n no

w a

nd t

he e

nd o

f M

arch

201

7 an

d su

bsta

ntiv

e de

liver

y by

end

-Mar

ch 2

018.

A s

epar

ate

tem

plat

e sh

eet

has

been

com

plet

ed f

or e

ach

of t

he 1

0 un

iver

sal c

apab

ilitie

s. E

ach

is

desc

ribed

as

a ‘c

apab

ility

del

iver

y pl

an’ a

nd h

as s

igni

fican

t de

tail

in t

erm

s of

bas

elin

e, a

mbi

tion,

key

ac

tiviti

es a

nd e

vide

ncin

g pr

ogre

ss, t

here

fore

we

have

not

und

erta

ken

a po

int

by p

oint

rev

iew

as

per

the

7 co

re c

apab

ilitie

s in

thi

s na

rrat

ive.

How

ever

as

Leed

s is

in a

goo

d po

sitio

n to

mak

e th

e re

quire

d pr

ogre

ss w

e ha

ve p

rovi

ded

exam

ples

of

som

e ar

eas

whe

re w

e ha

ve m

ade

nota

ble

prog

ress

, as

wel

l as

som

e ar

eas

whe

re m

ore

wor

k is

req

uire

d.

Wh

y Le

eds

is w

ell p

lace

d t

o s

ucc

eed

in im

ple

men

tin

g t

he

10 u

niv

ersa

l ca

pab

ilit

ies:

Lead

ersh

ip: F

or m

any

heal

th e

cono

mie

s th

ere

may

hav

e be

en s

ome

brea

k in

con

tinui

ty b

etw

een

the

Info

rmat

ics

lead

ersh

ip t

hat

exis

ted

with

in a

Prim

ary

Car

e Tr

ust

and

the

new

arr

ange

men

ts p

ut

in p

lace

at

the

esta

blis

hmen

t of

Clin

ical

Com

mis

sion

ing

Gro

ups.

For

tuna

tely

Lee

ds h

ad t

he f

ores

ight

to

est

ablis

h a

seni

or In

form

atic

s le

ader

ship

arr

ange

men

t at

the

out

set

on b

ehal

f of

the

3 L

eeds

C

CG

s. T

his

incl

uded

the

uni

fied

over

sigh

t of

the

IT p

rovi

sion

for

GP

Prac

tices

. Thi

s C

CG

/Gen

eral

Pr

actic

e le

ader

ship

arr

ange

men

t ha

s no

w b

een

supp

lem

ente

d w

ith c

larit

y on

lead

ersh

ip a

nd a

st

ruct

ured

way

of

wor

king

acr

oss

the

city

.

Tech

no

log

y ca

pab

ility

: Lee

ds h

as s

igni

fican

t de

velo

pmen

t ex

perie

nce

and

capa

bilit

y in

te

chno

logi

es t

hat

supp

ort

inte

grat

ion.

Thi

s ha

s en

able

d th

e Le

eds

Car

e Re

cord

to

go b

eyon

d so

me

natio

nal f

acili

ties

such

as

the

Sum

mar

y C

are

Reco

rd. T

his

deve

lopm

ent,

whi

ch u

tilis

es in

tegr

atio

n an

d m

essa

ging

cap

abili

ty, a

llow

s m

essa

ges

to fl

ow in

exc

ess

of t

hose

rec

omm

ende

d na

tiona

lly

whi

ch c

an b

e vi

ewed

acr

oss

heal

th a

nd c

are

sett

ings

city

wid

e.

Cit

y-w

ide

wo

rkin

g: E

xcel

lent

arr

ange

men

ts h

ave

been

in p

lace

for

sev

eral

yea

rs t

o en

sure

tha

t th

e st

rate

gic

info

rmat

ics

agen

das

of h

ealth

and

car

e or

gani

satio

ns in

Lee

ds a

re a

ligne

d, a

nd a

ligne

d w

ith t

he b

usin

ess/

clin

ical

age

nda.

Thi

s ha

s m

eant

tha

t fa

cilit

ies

such

as

an e

-Dis

char

ge In

itiat

ion

Doc

umen

t be

twee

n he

alth

and

adu

lt so

cial

car

e is

in p

lace

bec

ause

of

the

busi

ness

nee

d th

at

beca

me

appa

rent

sev

eral

yea

rs a

go.

Eng

agem

ent

wit

h G

ener

al P

ract

ice:

Thr

ough

eff

ort

and

good

rel

atio

nshi

ps w

e ha

ve m

any

GP

Prac

tices

in L

eeds

tha

t co

ntin

ue t

o be

will

ing

to t

rial a

nd t

hen

cham

pion

nat

iona

l tec

hnol

ogy

faci

litie

s su

ch a

s Pa

tient

Onl

ine

and

Elec

tron

ic P

resc

ribin

g.

All

of t

he a

bove

has

mea

nt t

hat

good

mom

entu

m h

as b

een

mai

ntai

ned

in m

ost

of t

hose

are

as t

hat

fall

unde

r th

e, n

ow id

entifi

ed, 1

0 un

iver

sal c

apab

ilitie

s. B

elow

are

2 e

xam

ples

of

good

pra

ctic

e an

d an

exa

mpl

e of

whe

re m

ore

atte

ntio

n is

req

uire

d.

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

3435

Sect

ion

4

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

3637

Exam

ple

1:

Uni

vers

al C

apab

ility

- ‘P

rofe

ssio

nals

acr

oss

care

se

ttin

gs c

an a

cces

s G

P-he

ld in

form

atio

n on

G

P-pr

escr

ibed

med

icat

ions

, pat

ient

alle

rgie

s an

d ad

vers

e re

actio

ns’.

Mat

uri

ty v

iew

:Le

eds

led

the

way

in e

nabl

ing

all G

P Pr

actic

es

to u

se t

he S

umm

ary

Car

e Re

cord

[SC

R] (1

00%

co

ntrib

utio

n). T

his

faci

lity

was

use

d in

tens

ivel

y in

sec

onda

ry c

are,

with

Lee

ds T

each

ing

Hos

pita

ls

bein

g on

e of

the

top

SC

R co

nsum

ers

in t

he

coun

try.

SC

R w

as v

ery

muc

h se

en a

s a

prec

urso

r to

the

Lee

ds C

are

Reco

rd, a

sec

ure,

mul

ti-or

gani

satio

nal v

iew

of

mul

ti-or

gani

satio

nal

heal

th a

nd c

are

data

. Lee

ds C

are

Reco

rd is

in

its 4

th P

hase

of

deve

lopm

ent

with

ove

r 20

00

activ

e us

ers.

As

a ba

sic

this

vie

w in

clud

es G

P-pr

escr

ibed

med

icat

ions

, pat

ient

alle

rgie

s an

d ad

vers

e re

actio

ns.

Exam

ple

sh

ow

case

init

iati

ves:

Leed

s C

are

Reco

rd, i

nclu

ding

an

agre

ed p

ilot

with

111

nur

ses

spec

ialis

ing

in p

allia

tive

care

an

d m

enta

l hea

lth t

o al

low

acc

ess

to t

he L

eeds

C

are

Reco

rd. T

his

will

info

rm d

esig

n w

ork

acro

ss W

est

York

shire

to

supp

ort

Urg

ent

and

Emer

genc

y C

are.

Stra

teg

ic v

iew

:Th

e Le

eds

Car

e Re

cord

con

tinue

s to

be

an

esse

ntia

l par

t of

the

Lee

ds In

form

atic

s pl

an,

alth

ough

the

re a

re a

num

ber

of c

halle

nges

in

term

s of

str

ateg

ic n

ext

step

s. T

hese

incl

ude:

Del

iver

ing

capa

bilit

ies

to m

ove

from

a p

assi

ve

view

rec

ord

to a

pro

activ

e to

ol f

or d

ecis

ion

supp

ort

Con

side

ratio

n to

‘writ

e fa

cilit

ies’

to

the

LCR

To d

eliv

er a

fut

ure

proo

f so

lutio

n, a

str

ateg

ic

appr

oach

to

deve

lopm

ent

is r

equi

red

i.e. i

n-ho

use,

a p

artn

ersh

ip o

r a

city

-dev

elop

ed a

sset

Cap

abilit

y d

eplo

ymen

t:Se

e ‘u

nive

rsal

cap

abili

ty d

eliv

ery

plan

’.

Exam

ple

2:

Uni

vers

al c

apab

ility

- ‘S

ocia

l car

e re

ceiv

e tim

ely

elec

tron

ic A

sses

smen

t, D

isch

arge

and

W

ithdr

awal

Not

ices

fro

m a

cute

car

e’.

Mat

uri

ty v

iew

:A

cute

Car

e fo

r Le

eds

Adu

lt So

cial

Car

e re

ceiv

es

on a

vera

ge 7

50 re

ferr

als

per

mon

th.

ASC

’s en

gage

men

t w

ith p

artn

ers

to w

ork

effe

ctiv

ely

to

ensu

re s

ocia

l car

e re

ceiv

e tim

ely

elec

tron

ic n

otic

es

has

been

suc

cess

ful t

o da

te a

nd h

as re

sulte

d in

83%

of

refe

rral

s cu

rren

tly b

eing

rece

ived

el

ectr

onic

ally

fro

m t

he s

econ

dary

car

e ho

spita

l to

a si

ngle

poi

nt o

f ur

gent

refe

rral

(SPU

R).

The

SPU

R is

a m

ulti-

disc

iplin

ary

team

who

ha

ve a

cces

s to

Hea

lth a

nd S

ocia

l car

e sy

stem

s in

clud

ing

a sy

stem

to

supp

ort

polic

e cu

stod

y re

late

d ca

lls. T

his

mea

ns t

hat

SPU

R ca

n ef

fect

ivel

y re

ceiv

e an

d de

al w

ith in

exc

ess

of

2,50

0 re

ferr

als

on a

mon

thly

bas

is t

o en

sure

a

join

ed u

p re

spon

se t

o ur

gent

req

uire

men

ts.

Exam

ple

sh

ow

case

init

iati

ves:

The

achi

evem

ent

of 8

3% o

f tim

ely

elec

tron

ic

tran

smis

sion

of

notic

es f

rom

the

acu

te h

ospi

tal

prov

ider

to

soci

al c

are.

Esta

blis

hmen

t of

SPU

R w

hich

is a

mul

ti-di

scip

linar

y te

am m

ade

up o

f bo

th r

egis

tere

d an

d un

regi

ster

ed w

orke

rs f

rom

Joi

nt C

are

Man

agem

ent

and

Inte

rmed

iate

Car

e Te

ams

to

deliv

er a

Sin

gle

Poin

t of

Urg

ent

refe

rral

. Thi

s ap

proa

ch s

uppo

rts

the

STP

initi

ativ

es o

f ra

pid

resp

onse

in t

imes

of

cris

is t

o op

timis

e re

spon

se

and

use

of r

esou

rces

eff

ectiv

ely.

Stra

teg

ic v

iew

:A

ll 10

0% o

f C

are

Act

201

4 co

mpl

iant

A

sses

smen

t, D

isch

arge

and

ass

ocia

ted

With

draw

al N

otic

es w

ill b

e se

nt e

lect

roni

cally

fr

om t

he a

cute

pro

vide

r to

loca

l aut

horit

y so

cial

ca

re w

ithin

the

tim

esca

les

spec

ified

in t

he A

ct

thro

ugh

coor

dina

ted

activ

ities

to

enga

ge w

ith

out-

of-a

rea

hosp

itals

and

con

vert

the

rem

aini

ng

non-

elec

tron

ic f

ax t

rans

mis

sion

s to

the

ele

ctro

nic

solu

tion

to s

uppo

rt S

PUR

coor

dina

tion.

Cap

abilit

y d

eplo

ymen

t:Se

e ‘u

nive

rsal

cap

abili

ty d

eliv

ery

plan

’.

Furt

her

pro

gre

ss r

equ

ired

:Si

gn

ifica

nt

pro

gre

ss:

Exam

ple

:U

nive

rsal

cap

abili

ty -

‘GPs

can

ref

er e

lect

roni

cally

to

seco

ndar

y ca

re’.

Mat

uri

ty v

iew

:W

hils

t Le

eds

has

man

aged

to

mai

ntai

n a

reas

onab

le p

ositi

on w

ith r

egar

ds t

o e-

Refe

rral

s it

is f

air

to s

ay t

hat

city

-wid

e co

ordi

natio

n is

less

rob

ust

than

say

3 y

ears

ago

. Our

boo

king

rat

es a

re lo

wer

th

an t

hey

wer

e 3

or 4

yea

rs a

go. M

uch

of t

his

is d

ue t

o a

prob

lem

with

slo

ts n

ot b

eing

ava

ilabl

e in

som

e sp

ecia

lties

at

the

time

of b

ooki

ng, l

eadi

ng t

o w

hat

is k

now

n as

‘app

oint

men

t sl

ot is

sues

’. Le

eds

Com

mun

ity H

ealth

care

has

mad

e so

me

good

pro

gres

s w

ith b

ecom

ing

dire

ctly

boo

kabl

e fo

r no

n-co

nsul

tant

led

serv

ices

, but

res

ourc

e ga

ps h

as le

d to

thi

s w

ork

slow

ing

dow

n. A

ll G

Ps u

se t

he

new

eRS

sys

tem

to

som

e de

gree

but

we

have

to

addr

ess

aspe

cts

such

as

advi

ce a

nd g

uida

nce

and

a pr

essu

re t

o sh

ortc

ut p

roce

sses

.

Stra

teg

ic v

iew

:W

e w

ill c

onfir

m t

he c

urre

nt p

lace

of

eRS

in t

he c

ity. I

n th

e lo

nger

ter

m w

e w

ill lo

ok a

t op

en A

PIs

for

book

ing

to c

reat

e a

mor

e ge

neric

and

‘ope

n’ b

ooki

ng f

acili

ty. W

e w

ill r

e-es

tabl

ish

impr

ovem

ent

coor

dina

tion

of e

Refe

rral

s ac

ross

the

city

and

exp

lore

the

fac

ilitie

s fo

r ad

vice

and

gui

danc

e an

d ho

w

this

and

eRe

ferr

als

can

beco

me

clos

er t

o pa

thw

ays

guid

elin

es.

Cap

abilit

y d

eplo

ymen

t:Se

e ‘u

nive

rsal

cap

abili

ty d

eliv

ery

plan

’.

Sect

ion

4Se

ctio

n 4

Sect

ion

5

Oth

er e

nab

lin

g f

acto

rs

Sou

rces

of

fun

din

gTh

e Su

stai

nabi

lity

and

Tran

sfor

mat

ion

Plan

s de

scrib

es t

he u

nder

lyin

g fin

anci

al p

ositi

on a

nd p

lan

for

the

city

and

the

nee

d fo

r si

gnifi

cant

rec

urre

nt s

avin

gs t

o be

del

iver

ed. H

owev

er, i

t al

so r

ecog

nise

s th

e ro

le o

f In

form

atic

s in

ena

blin

g sm

arte

r w

orki

ng a

nd s

ervi

ce t

rans

form

atio

n. T

here

will

the

refo

re

need

to

be f

urth

er in

vest

men

t in

dig

ital o

ver

the

next

5 y

ears

as

a m

eans

of

deliv

erin

g sa

ving

s,

effic

ienc

ies

and

impr

oved

qua

lity

else

whe

re in

the

hea

lth a

nd c

are

syst

em. A

t th

e sa

me

time

ther

e is

an

expe

ctat

ion

that

the

effi

cien

cy o

f in

form

atic

s op

erat

iona

l ser

vice

s w

ill a

lso

impr

ove,

del

iver

ing

inte

rnal

and

col

labo

rativ

e sa

ving

s ac

ross

tec

hnol

ogy

depa

rtm

ents

with

in t

he c

ity. W

e ex

pect

any

ne

w in

vest

men

t to

be

mul

ti-so

urce

d ov

er a

mul

ti-ye

ar t

imef

ram

e. L

eeds

has

a g

ood

trac

k re

cord

of

secu

ring

exte

rnal

fun

ding

and

has

the

exp

ertis

e to

con

tinue

to

do s

o.

An

tici

pat

ed s

ou

rces

of

fun

din

g:

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

3839

Pro

vid

ers

Cit

y

Exis

ting

inte

rnal

rev

enue

bud

gets

Effic

ienc

ies

on in

tern

al r

even

ue b

udge

ts

Acc

ess

to in

tern

al c

apita

l

Acc

ess

to e

xter

nal c

apita

l

Col

labo

ratio

n w

ith t

he p

rivat

e se

ctor

Prov

ider

dire

ct a

cces

s to

NH

S N

atio

nal I

nfor

mat

ion

Boar

d fu

ndin

g

City

acc

ess

to N

HS

Nat

iona

l Inf

orm

atio

n Bo

ard

fund

ing

e.

g. L

ocal

Dig

ital R

oadm

ap

Acc

ess

to o

ther

NH

S fu

ndin

g e.

g. V

angu

ard,

Est

ates

and

Te

chno

logy

Tra

nsfo

rmat

ion

Fund

, Int

egra

tion,

Pio

neer

fun

ding

Bett

er C

are

Fund

Col

labo

ratio

n ac

ross

pro

vide

rs

Col

labo

ratio

n w

ith t

he p

rivat

e se

ctor

e.g

. via

an

Inno

vatio

n

Test

Bed

Acc

ess

to in

tern

atio

nal f

undi

ng s

ourc

es

Sect

ion

5

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

4041

Go

vern

ance

Stra

tegi

c C

ity-w

ide

gove

rnan

ce a

rran

gem

ents

are

est

ablis

hed

and

prov

ide

assu

ranc

e on

the

del

iver

y of

dig

itally

-ena

bled

hea

lth a

nd w

ellb

eing

out

com

es in

Lee

ds.

Acc

ount

abili

ty f

or d

eliv

ery

of t

he L

ocal

Dig

ital R

oadm

ap a

nd t

he a

ssoc

iate

d di

gita

l cha

nge

prog

ram

me

is d

eleg

ated

to

the

Leed

s In

form

atic

s Bo

ard

(LIB

). Th

is B

oard

con

sist

s of

a m

ix o

f se

nior

le

ader

s, c

linic

ians

and

sen

ior

info

rmat

icia

ns. I

t is

cha

ired

by a

sen

ior

clin

icia

n; a

GP

and

Clin

ical

C

hair

of N

orth

Lee

ds C

CG

:

We

are

curr

ently

des

igni

ng t

he a

ntic

ipat

ed c

ity c

apac

ity a

nd c

apab

ility

str

uctu

re t

o su

ppor

t th

e de

liver

y of

the

Loc

al D

igita

l Roa

dmap

. Par

t of

thi

s re

sour

ce p

lan

may

be

a ch

ange

d fo

cus

of s

ome

exis

ting

staf

f:

Por

tfolio

pla

n fo

r del

iver

y of

info

rmat

ics

– S

TP /

LDR

Sect

ion

5Se

ctio

n 5

Solu

tion

Arc

hite

ct(s

)

Serv

ice

Arc

hite

ctLe

adSe

rvic

e M

anag

emen

t

Dig

ital O

ffice

Pr

ojec

t M

anag

emen

tRo

adm

ap /

busi

ness

cas

e de

velo

pmen

t

Del

iver

y Pr

ogra

mm

e an

d Pr

ojec

t m

anag

ers

Busi

ness

cas

e fu

nded

Dig

ital O

ffice

M

anag

er

Dig

ital O

ffice

Su

ppor

t

Hea

d of

C

ity D

igita

l Po

rtfo

lio

Hea

d of

IM&

T H

ealth

and

C

are

bus

ines

s st

rate

gy

Hea

d of

City

Stra

tegy

, A

rchi

tect

ure

&

Com

miss

ioni

ng

Leed

s In

form

atic

s Bo

ard

City

CIO

G

roup

Fina

ncia

l M

anag

emen

t

Busi

ness

an

alys

t /

busi

ness

cas

e de

velo

pmen

t

Cha

nge

Man

agem

ent

Lead

Com

mun

icatio

ns

/ PR

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

4243

Ch

ang

e an

d b

enefi

ts m

anag

emen

t ap

pro

ach

As

a ci

ty, w

e ar

e co

mm

itted

to

cont

inuo

us le

arni

ng a

nd im

prov

emen

t ac

ross

our

hea

lth a

nd c

are

serv

ices

. As

such

, Lee

ds u

ses

the

appr

opria

te c

hang

e m

anag

emen

t m

odel

s an

d ap

proa

ches

to

deliv

er r

eal b

usin

ess

tran

sfor

mat

ion

to w

orki

ng p

ract

ices

and

to

brin

g ab

out

impr

oved

out

com

es f

or

the

peop

le o

f Le

eds.

Diff

eren

t m

etho

dolo

gies

are

use

d de

pend

ing

on t

he s

cale

and

the

sco

pe o

f th

e ch

ange

req

uire

d,

from

a “

light

tou

ch”

in-h

ouse

app

roac

h, f

or e

xam

ple

Leed

s C

ity C

ounc

il’s

PMlit

e m

etho

dolo

gy,

to m

ore

radi

cal a

nd n

atio

nally

rec

ogni

sed

mod

els

such

as

the

Sust

aina

ble

Impr

ovem

ent

Team

’s 8

elem

ent

Cha

nge

Mod

el.

Ther

e is

an

inte

grat

ed P

rogr

amm

e M

anag

emen

t O

ffice

for

Info

rmat

ics

in t

he c

ity. A

dditi

onal

ly, in

divi

dual

org

anis

atio

ns in

Lee

ds h

ave

in-h

ouse

pro

ject

man

agem

ent

offic

es a

nd u

se r

ecog

nise

d ap

proa

ches

to

proj

ect

man

agem

ent

such

as

PRIN

CE

and

the

Life

Cyc

le /

Gat

eway

pro

cess

. We

will

look

to

appo

int

a ch

ange

and

ben

efits

man

agem

ent

expe

rt d

edic

ated

to

the

deliv

ery

of o

ur L

ocal

Dig

ital R

oadm

ap.

With

reg

ard

to b

usin

ess

chan

ge, w

e re

cogn

ise

the

impo

rtan

ce o

f ta

king

the

clin

icia

ns w

ith u

s on

th

e jo

urne

y. S

taff

eng

agem

ent

is c

ritic

al t

o ou

r ch

ange

man

agem

ent

wor

k. F

or e

xam

ple,

Lee

ds is

le

adin

g on

a d

igita

l lite

racy

pro

ject

for

the

hea

lth a

nd c

are

wor

kfor

ce, t

o en

able

the

m t

o m

ake

the

mos

t of

the

new

tec

hnol

ogie

s av

aila

ble

and

shar

e th

e be

nefit

s of

thi

s w

ith p

atie

nts

and

serv

ice

user

s.

We

are

uniq

uely

pla

ced

thro

ugh

our

part

ners

hip

wor

king

and

‘one

city

’ Inf

orm

atic

s le

ader

ship

ap

proa

ch t

o ac

cess

nat

iona

l and

inte

rnat

iona

l sup

port

to

brin

g ab

out

the

chan

ges

requ

ired.

Fo

r ex

ampl

e, L

eeds

Tea

chin

g H

ospi

tals

Tru

st, i

s w

orki

ng w

ith t

he V

irgin

ia M

ason

Inst

itute

. Thi

s ap

proa

ch s

uppo

rts

them

to

appl

y ‘le

an’ p

rinci

ples

to

incr

ease

pat

ient

saf

ety,

qua

lity

of c

are,

val

ue

and

effic

ienc

y.

Leed

s id

entifi

es a

nd d

eplo

ys a

ppro

ache

s to

ben

efits

man

agem

ent

and

mea

sure

men

t at

the

out

set

of a

ny p

roje

ct, b

enefi

ts a

nd r

esou

rces

are

pla

nned

usi

ng t

he a

ppro

pria

te t

ool t

o th

e sc

ale

of t

he

proj

ect.

Prog

ress

is t

rack

ed c

ontin

uous

ly t

o en

sure

ong

oing

ser

vice

impr

ovem

ent

and

valu

e fo

r m

oney

. In

ter

ms

of m

easu

ring

heal

th a

nd c

are

effe

ctiv

enes

s of

ser

vice

cha

nges

, Lee

ds h

as a

n in

tegr

ated

in

telli

genc

e hu

b th

at w

orks

on

beha

lf of

the

city

and

use

s to

ols

such

as

Car

eTra

k to

est

ablis

h ba

selin

e da

ta, p

redi

ct a

nd m

odel

cha

nge

and

mea

sure

pro

gres

s. A

cade

mic

eva

luat

ion

is a

lso

built

in

to t

he c

ore

of m

ajor

pro

ject

s. L

iste

ning

to

the

view

s of

sta

ff, p

atie

nts

and

serv

ice

user

s to

gat

her

qual

itativ

e ev

iden

ce o

f be

nefit

s is

als

o cr

ucia

l to

mea

surin

g ch

ange

and

iden

tifyi

ng b

arrie

rs t

o re

alis

ing

bene

fits

in t

he In

form

atic

s ar

ena.

Ris

ks a

nd

issu

esW

e re

cogn

ise

that

the

re a

re m

any

rate

lim

iting

fac

tors

aro

und

peop

le, p

roce

sses

and

tec

hnol

ogy.

The

pac

e o

f d

eliv

ery

of

the

dig

ital

ro

adm

ap is

dep

end

ent

on

:Fu

ndin

g

Suffi

cien

t st

aff

with

kno

wle

dge

and

expe

rtis

e in

the

req

uire

d po

rtfo

lio r

oles

Cap

acity

for

cha

nge

acro

ss t

he s

yste

m

Sign

ed-o

ff d

igita

l req

uire

men

ts

A v

arie

ty o

f ex

tern

al d

epen

denc

ies

Acc

ess

to s

take

hold

ers

and

stak

ehol

der

lead

ersh

ip

Clin

ical

cha

mpi

ons

Tech

nolo

gy

We

have

cov

ered

an

elem

ent

of r

isk

and

rate

lim

iting

fac

tors

with

in t

he lo

cally

defi

ned

attr

ibut

es

of t

he ‘c

apab

ility

dep

loym

ent

sche

dule

s’ h

eade

d ‘C

onfid

ence

; hig

h, m

ediu

m o

r lo

w’,

agai

nst

each

ca

pabi

lity.

In a

dditi

on, t

he im

pact

on

the

deliv

ery

of t

he c

apab

ilitie

s w

ithin

the

Cap

abili

ty D

eplo

ymen

t sc

hedu

le, h

as b

een

used

to

info

rm t

he C

apab

ility

Tra

ject

ory

scor

ing

tem

plat

e. T

his

traj

ecto

ry

assu

mes

tha

t fu

ndin

g ca

n be

sec

ured

. If

this

is n

ot t

he c

ase

then

cle

arly

tho

se m

atur

ity s

core

s w

ill

not

be a

chie

vabl

e, e

ither

in t

otal

ity o

r at

the

req

uire

d ra

te.

The

deliv

ery

of in

fras

truc

ture

at

pace

, whi

ch is

rob

ust

and

resi

lient

, is

a ke

y de

pend

ency

on

deliv

erin

g th

e Ro

adm

ap .

The

Leed

s Te

achi

ng H

ospi

tals

NH

S Tr

ust

(LTH

T) h

as t

he m

ost

pres

sing

in

fras

truc

ture

upg

rade

nee

ds. T

heir

requ

irem

ents

incl

ude

resi

lient

dat

a ce

ntre

cap

abili

ty, n

etw

ork

impr

ovem

ents

, sin

gle

sign

-on

and

impr

oved

per

form

ance

for

clin

ical

use

rs.

The

chan

ge in

clud

es a

st

ep c

hang

e in

bot

h te

chno

logy

and

the

ser

vice

man

agem

ent

polic

ies

and

proc

edur

es t

o su

ppor

t th

e se

rvic

e de

liver

y.

The

step

ch

ang

es t

o d

eliv

er r

esilie

nt

infr

astr

uct

ure

fo

r th

e ci

ty in

clu

des

:Th

e es

tabl

ishm

ent

of s

trat

egic

city

-wid

e go

vern

ance

A f

ull r

evie

w o

f th

e cu

rren

t in

fras

truc

ture

and

sup

port

mod

els

Iden

tifica

tion

of t

he g

aps

and

reco

mm

enda

tions

for

uni

fied

solu

tions

.

Leed

s ha

s ad

vanc

ed o

n th

ese

activ

ities

, the

opt

ions

and

rec

omm

enda

tions

on

the

tech

nica

l sol

utio

n an

d bu

sine

ss s

uppo

rt m

odel

s ar

e un

der

cons

ider

atio

n. T

he p

rodu

ctio

n of

the

del

iver

y pl

ans

has

com

men

ced.

Ther

e is

a r

isk

to t

he p

ace

of d

eliv

ery

of e

ffec

tive

colla

bora

tion

tech

nolo

gy. L

ocal

Aut

horit

y ac

cess

to

NH

S em

ail f

unct

iona

lity

wou

ld r

esol

ve t

he c

urre

nt c

ity-w

ide

com

mun

icat

ion

and

colla

bora

tion

limita

tions

. With

out

this

the

re w

ill b

e a

dela

y in

the

dev

elop

men

t of

alte

rnat

ive

optio

ns w

hich

w

ill b

e co

stly.

The

abi

lity

to f

eder

ate

acro

ss a

ll or

gani

satio

ns in

clud

ing

the

Loca

l Aut

horit

y is

als

o es

sent

ial.

Sect

ion

5Se

ctio

n 5

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

4445

Furt

her

rat

e lim

itin

g f

acto

rs in

clu

de:

Acc

ess

to t

he c

hild

-pro

tect

ion

info

rmat

ion

syst

em t

hrou

gh t

he p

ublic

sec

tor

netw

ork,

with

a

bi-d

irect

iona

l flow

to

be in

vest

igat

ed.

PSN

to

be a

cces

sibl

e by

the

acu

te t

rust

to

supp

ort

a m

ulti

agen

cy a

ppro

ach

N3

circ

uit

redu

ctio

n

PSN

Alp

ha re

plac

emen

t and

Lee

ds a

cces

s to

the

Dem

ogra

phic

Bat

ch S

ervi

ce (D

BS)

thro

ugh

this

rout

e

Agr

eem

ent

and

impl

emen

tatio

n of

a n

ew g

ener

atio

n na

tiona

l IG

too

lkit

Add

ress

ing

the

cybe

rsec

urity

age

nda

A k

ey e

lem

ent

of o

ur a

ppro

ach

to m

inim

isin

g ris

ks t

he a

risin

g fr

om t

echn

olog

y is

the

foc

us w

e ar

e pl

acin

g on

goo

d go

vern

ance

and

the

est

ablis

hmen

t of

a c

omm

on S

trat

egy,

Arc

hite

ctur

e an

d C

omm

issi

onin

g fu

nctio

n fo

r th

e ci

ty. O

ur a

im is

for

the

ado

ptio

n an

d us

age

of o

pen

and

com

mon

st

anda

rds

as r

eflec

ted

else

whe

re w

ithin

thi

s Ro

adm

ap. W

e se

e th

is a

s a

fund

amen

tal c

onst

ruct

in

our

wid

er a

ppro

ach

to m

itiga

ting

risks

fro

m t

echn

olog

y in

ter

ms

of ‘f

utur

e pr

oofin

g’ t

he c

ity. A

s su

ch, w

e w

ill e

nsur

e th

at, a

s fa

r as

s po

ssib

le, G

S1 s

tand

ards

are

writ

ten

in a

ppro

pria

tely

to

our

stat

ed r

equi

rem

ents

as

deem

ed n

eces

sary

.

Res

ou

rces

We

reco

gnis

e th

at r

esou

rces

, bot

h fin

anci

al a

nd p

eopl

e ca

paci

ty a

nd c

apab

ility

, are

ess

entia

l to

deliv

erin

g th

is R

oadm

ap. A

city

-firs

t ap

proa

ch t

o In

form

atic

s de

liver

y se

eks

to e

radi

cate

the

mul

tiple

an

d di

vers

e in

itiat

ives

whi

ch c

ome

from

diff

eren

t pa

rts

of t

he h

ealth

and

car

e sy

stem

tha

t us

e up

re

sour

ce in

an

unpl

anne

d w

ay a

nd o

ften

con

fuse

. It

will

als

o en

sure

tha

t di

gita

l pro

gram

mes

and

pr

ojec

ts a

re a

ligne

d fu

lly t

o an

agr

eed

who

le-s

yste

m o

utco

me

desc

ribed

in t

he h

ealth

and

wel

lbei

ng

stra

tegy

, STP

and

LD

R.

Such

an

appr

oach

will

als

o he

lp t

o de

velo

p an

d al

ign

our

Chi

ef In

form

atio

n O

ffice

rs a

nd C

linic

al

Chi

ef In

form

atio

n O

ffice

rs.

We

will

als

o fo

cus

on b

uild

ing

and

secu

ring

mor

e ho

listic

ana

lytic

al s

kills

and

fac

ilitie

s th

at s

pan

sect

ors,

util

isin

g sk

ills

and

capa

city

acr

oss

orga

nisa

tions

.

The

prop

osal

for

the

est

ablis

hmen

t of

a n

ew D

igita

l Por

tfol

io O

ffice

is o

utlin

ed in

thi

s do

cum

ent.

Th

e be

nefit

s in

clud

e th

e ec

onom

ies

of s

cale

ach

ieve

d th

roug

h th

e sh

arin

g of

exp

ertis

e,

stan

dard

isin

g te

chno

logi

es a

nd w

ays

of w

orki

ng. T

he s

uppo

rt f

unct

ions

will

be

stre

amlin

ed t

o re

flect

sha

red

infr

astr

uctu

re a

nd t

echn

olog

ies.

The

proc

ess

of d

evel

opin

g th

e di

gita

l roa

dmap

has

exp

osed

the

City

-wid

e pl

ans

to a

chie

ve p

aper

-fr

ee a

t th

e po

int

of c

onta

ct. C

ross

cut

ting

initi

ativ

es h

ave

been

cla

rified

and

the

str

ateg

ic v

isio

n fo

r in

tegr

ated

wor

king

has

set

the

dire

ctio

n of

tra

vel.

The

desi

gn a

nd d

evel

opm

ent

of t

he S

TP s

ets

the

focu

s fo

r fu

ture

dig

ital e

nabl

emen

t. T

he a

lignm

ent

of t

hese

act

iviti

es p

rovi

des

grea

ter

cont

rol i

n te

rms

of t

he e

ffec

tive

use

of r

esou

rces

.

Dig

ital

Lit

erac

y Pr

og

ram

me:

Lee

ds h

as c

omm

ence

d a

digi

tal l

itera

cy p

rogr

amm

e, t

he v

isio

n be

ing

to h

elp

heal

th a

nd c

are

prac

titio

ners

dev

elop

dig

ital s

kills

and

con

fiden

ce s

o th

ey c

an m

ake

thin

gs

bett

er f

or p

eopl

e w

ho a

cces

s th

eir

serv

ices

. We

will

als

o ha

ve a

str

uctu

red

appr

oach

to

impr

ove

digi

tal l

itera

cy f

or o

ur c

itize

ns.

Leed

s H

ealt

h a

nd

Car

e A

cad

emy:

Lee

ds w

ill s

uppo

rt t

he e

stab

lishm

ent

of o

ne w

orkf

orce

for

the

ci

ty t

hrou

gh c

olla

bora

tion

betw

een

our

univ

ersi

ties

and

heal

th a

nd c

are

empl

oyer

s, a

nd e

stab

lishi

ng

a w

orkf

orce

Aca

dem

y fo

r Le

eds.

Thi

s w

ill:

Uni

fy t

he t

rain

ing

for

a ca

re w

orkf

orce

whi

ch h

as t

he r

equi

red

leve

ls o

f di

gita

l lite

racy

Prov

ide

effic

ienc

ies

and

a sh

ared

app

roac

h to

del

iver

ing

heal

th c

are

acro

ss v

ario

us b

odie

s in

clud

ing

incr

ease

d us

e of

virt

ual f

acili

ties

Enab

le t

rain

ing

futu

re h

ealth

car

e pr

ovid

ers

e.g.

new

mod

els

of c

are

incl

udin

g di

gita

lly e

nabl

ed

self

care

Ass

ist

with

und

erst

and

the

fund

ing

land

scap

e fo

r tr

aini

ng f

utur

e pr

ofes

sion

als

Prov

ide

a ra

pid

resp

onse

to

wor

kfor

ce t

rain

ing

need

s in

clud

ing

trai

ning

in d

igita

l tec

hnol

ogie

s

Inn

ova

tio

n f

or

Leed

sTh

e de

liver

y of

the

city

’s am

bitio

ns t

o be

the

bes

t fo

r he

alth

and

soc

ial c

are

requ

ires

the

deve

lopm

ent

of b

oth

syst

ems

and

cultu

re w

hich

em

bed

inno

vatio

n. It

is r

ecog

nise

d th

at s

uppo

rtin

g in

fras

truc

ture

will

be

requ

ired

to e

nsur

e th

ese

prio

ritie

s ar

e re

alis

ed a

nd w

ill in

clud

e de

ploy

men

t of

the

city

’s U

nive

rsiti

es a

s in

tegr

al t

o m

ains

trea

min

g of

inno

vatio

n in

to s

ervi

ce d

eliv

ery.

The

Lee

ds

Aca

dem

ic H

ealth

Par

tner

ship

has

bee

n es

tabl

ishe

d t

o cr

eate

an

envi

ronm

ent

for

solu

tions

to

be

crea

ted

and

acce

lera

ted

thro

ugh

colla

bora

tion

and

part

ners

hip

acro

ss a

cade

mia

, str

ateg

y an

d pr

actic

e. It

will

ens

ure

curr

ent

‘ass

ets’

are

dep

loye

d to

acc

eler

ate

prec

isio

n m

edic

ine

incl

udin

g sy

stem

flow

cap

abili

ties,

dia

gnos

tic c

apab

ilitie

s an

d pe

rson

alis

ed a

nd p

atie

nt c

entr

ed c

are.

The

inno

vatio

n pr

ogra

mm

e se

eks

to d

evel

op a

dee

p un

ders

tand

ing

of t

he c

halle

nges

pat

ient

s an

d cl

inic

ians

are

exp

erie

ncin

g, in

clud

ing

thei

r us

e of

tec

hnol

ogy,

and

the

n re

desi

gn p

athw

ays

to

iden

tify

how

tec

hnol

ogy

can

be a

n en

able

r. Th

e pr

ogra

mm

e w

ill u

se t

his

unde

rsta

ndin

g to

pro

vide

a

fram

ewor

k to

the

n ‘t

est’

inno

vativ

e pr

oduc

ts a

nd s

ervi

ces

deve

lope

d by

col

labo

rativ

e pa

rtne

rs

whi

ch h

ave

been

des

igne

d to

impr

ove

popu

latio

n he

alth

and

wel

lbei

ng. T

his

prog

ram

me

prov

ides

th

e su

ppor

ting

infr

astr

uctu

re a

nd a

cces

s po

ints

for

col

labo

rativ

e pa

rtne

rs t

o de

velo

p in

nova

tions

, pr

omot

ing

prod

uct

and

serv

ice

deve

lopm

ent

for

the

Hea

lth a

nd S

ocia

l Car

e m

arke

t

The

pro

gra

mm

e w

ill o

per

ate

the

follo

win

g w

ork

str

eam

s:Th

e ac

cele

ratio

n of

the

del

iver

y of

the

Lee

ds C

ity R

egio

n di

gita

l pla

tfor

m w

hich

is a

n in

tegr

ated

se

t of

tec

hnol

ogie

s th

at p

rovi

de t

he s

truc

ture

to

deliv

er jo

ined

up

heal

th a

nd s

ocia

l car

e da

ta

that

con

nect

s se

rvic

es, c

hann

els,

sys

tem

s an

d pr

ovid

es t

he f

ound

atio

n fo

r sh

arin

g in

form

atio

n to

pr

ovid

e be

tter

car

e.

The

gath

erin

g of

info

rmat

ion

to d

evel

op a

dee

p un

ders

tand

ing

the

chal

leng

es t

hat

patie

nts,

se

rvic

e us

ers

and

clin

icia

ns a

re e

xper

ienc

ing

in t

he N

HS

and

Adu

lt So

cial

Car

e w

ith a

n in

itial

fo

cus

on d

iabe

tes

and

frai

l eld

erly.

The

info

rmat

ion

will

allo

w u

s to

und

erst

and

thei

r us

e of

te

chno

logy

, and

the

n ca

rry

out

path

way

red

esig

n, id

entif

ying

how

tec

hnol

ogy

can

be a

n en

able

r. Th

is in

form

atio

n ca

n th

en b

e us

ed t

o cr

eate

a c

all t

o m

arke

t fo

r pr

oduc

ts, i

nnov

atio

ns a

nd

serv

ices

tha

t sp

ecifi

cally

tar

get

the

issu

es id

entifi

ed a

nd a

re s

uppl

ied

by S

MEs

fro

m a

cros

s th

e U

K.

This

wor

k w

ill a

lso

help

to

acce

lera

te t

he c

ities

dig

ital l

itera

cy p

riorit

ies.

The

com

mis

sion

ing

of in

nova

tion

proj

ects

. The

firs

t st

age

of t

his

will

invo

lve

a ca

ll to

mar

ket

base

d ar

ound

the

nee

ds id

entifi

ed a

bove

. NH

S an

d So

cial

Car

e w

ill a

ct a

s in

nova

tion

host

s w

ho w

ill m

eet

inno

vato

rs a

t a

serie

s of

net

wor

king

eve

nts

. Thi

s pr

oces

s ai

ms

to b

ring

toge

ther

in

nova

tors

who

can

off

er t

he g

reat

est

pote

ntia

l to

impr

ove

heal

th o

utco

mes

. Whe

re t

here

is

scop

e fo

r a

colla

bora

tion

the

host

and

the

inno

vato

r w

ill b

e in

vite

d to

sub

mit

a pr

opos

al t

o th

e co

mm

issi

oner

fun

d, w

hich

will

pro

vide

fina

nce

for

impl

emen

tatio

n an

d tr

aini

ng.

Qua

lity

assu

ranc

e an

d ev

alua

tion.

Sect

ion

5Se

ctio

n 5

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

Leed

s -

Loca

l Dig

ital R

oadm

ap 2

016

4647

Wo

rkin

g w

ith

ou

r ci

tize

ns

In L

eeds

, eng

agin

g an

d co

mm

unic

atin

g w

ith c

itize

ns is

cru

cial

to

ensu

re t

hat

thei

r vi

ews

are

at t

he

hear

t of

the

wor

k to

hel

p m

ake

the

city

a b

ette

r, he

alth

ier

plac

e in

the

fut

ure.

Usi

ng a

nd s

harin

g in

form

atio

n ab

out

citiz

ens

unde

rpin

s th

is a

mbi

tion

yet

ther

e is

oft

en h

esita

ncy

arou

nd s

harin

g in

form

atio

n, e

ven

whe

n th

is m

ay le

ad t

o im

prov

ed h

ealth

out

com

es a

nd r

educ

ed

heal

th in

equa

litie

s. In

volv

ing

citiz

ens

in t

he d

iscu

ssio

n ha

s be

en p

art

of t

he w

ork

from

the

be

ginn

ing

and

ther

e is

a c

omm

itmen

t to

con

tinua

lly e

ngag

e us

ing

a va

riety

of

met

hods

whi

ch

incl

udes

reg

ular

upd

ates

to

Clin

ical

Com

mis

sion

ing

Gro

up P

atie

nt A

ssur

ance

Gro

ups.

In S

prin

g 20

15, ‘

Join

ed U

p Le

eds’

was

dev

elop

ed a

s a

two

wee

k pe

riod

of c

onve

rsat

ions

tak

ing

plac

e ac

ross

the

city

. Citi

zens

dis

cuss

ed h

ow t

heir

heal

th a

nd w

ellb

eing

dat

a co

uld

and

shou

ld b

e sh

ared

, the

ben

efits

of

shar

ing,

the

con

cern

s th

ey h

ave,

and

how

info

rmat

ion

coul

d be

use

d fo

r th

e be

nefit

of

peop

le in

Lee

ds.

The

reco

mm

enda

tions

fro

m t

he r

epor

t re

sulte

d in

cre

atin

g a

leafl

et

calle

d “S

harin

g H

ealth

care

Rec

ords

” th

at w

as c

o-pr

oduc

ed w

ith p

atie

nts

and

dist

ribut

ed a

cros

s th

e ci

ty v

ia G

P Pr

actic

es.

Follo

win

g on

fro

m t

he s

ucce

ss o

f Jo

ined

Up

Leed

s, ‘J

oine

d U

p Le

eds

2’ g

athe

red

the

view

s of

loca

l pe

ople

to

find

out

whe

ther

citi

zens

of

Leed

s w

ant

a Pe

rson

al H

ealth

Rec

ord,

how

the

y w

ould

use

it

and

how

it m

ight

aff

ect

thei

r he

alth

and

the

rel

atio

nshi

p th

ey h

ave

with

the

ir he

alth

care

pro

vide

rs.

The

resu

lts o

f th

e en

gage

men

t ha

ve b

een

publ

ishe

d w

idel

y si

nce

the

repo

rt w

as fi

nalis

ed in

Spr

ing

2016

.

From

the

out

set,

Lee

ds C

are

Reco

rd h

as e

ngag

ed w

ith p

atie

nts,

sta

keho

lder

s an

d se

rvic

e us

ers.

Re

gula

r m

eetin

gs a

re h

eld

with

a d

edic

ated

pat

ient

gro

up w

ho h

ave

help

ed t

o de

velo

p th

e co

mm

unic

atio

ns m

ater

ial,

wid

er r

each

ing

pat

ient

eng

agem

ent

and

the

com

mun

icat

ion

plan

. Th

e pr

ojec

t te

am a

lso

mee

t m

any

of t

he p

atie

nt r

epre

sent

ativ

e gr

oups

for

GP

Prac

tices

to

info

rm t

hem

of

the

pro

ject

. F

or s

peci

fic a

reas

of

deve

lopm

ent,

the

tea

m h

ave

com

mis

sion

ed a

thi

rd s

ecto

r or

gani

satio

n to

eng

age

with

pat

ient

s an

d se

rvic

e us

ers

to h

elp

info

rm t

he p

roje

ct.

A n

umbe

r of

met

hods

hav

e be

en u

sed:

sur

veys

, fac

e to

fac

e in

terv

iew

s, f

ocus

gro

ups

and

pigg

ybac

king

ne

twor

k ev

ents

. A

n ex

tens

ive

enga

gem

ent

exer

cise

was

del

iver

ed t

o en

sure

we

unde

rsto

od t

he

requ

irem

ents

of

peop

le r

egar

ding

wha

t as

pect

s of

the

ir m

enta

l hea

lth in

form

atio

n sh

ould

be

shar

ed

by a

skin

g th

e vi

ews

of s

ervi

ces

user

s fir

st.

The

resu

lts w

ere

then

use

d by

clin

icia

ns t

o id

entif

y th

e da

ta t

hat

was

rel

evan

t to

sha

re.

Furt

her

com

mun

icat

ion

with

citi

zens

is a

lso

cond

ucte

d us

ing

a m

ulti-

plat

form

app

roac

h of

onl

ine

pres

ence

, soc

ial m

edia

, loc

al p

ress

, pos

ters

and

leafl

ets

to p

rom

ote

the

wor

k to

a w

ide

audi

ence

in

the

city

by

usin

g a

com

bina

tion

of c

hann

els.

Leed

s ha

s al

so r

un a

num

ber

of e

ngag

emen

t se

ssio

ns w

ith p

atie

nts

and

the

volu

ntar

y se

ctor

as

its

role

as

a pa

thfin

der

for

the

care

.dat

a pr

ogra

mm

e an

d th

e N

atio

nal D

ata

Gua

rdia

n re

view

and

will

co

ntin

ue t

o do

so.

Info

rmat

ion

sh

arin

g

Info

rmat

ion

gove

rnan

ce is

ver

y st

rong

with

in a

cute

car

e, m

enta

l hea

lth a

nd s

ocia

l car

e ex

ceed

ing

the

natio

nal a

vera

ge. C

omm

unity

Hea

lth is

less

mat

ure

at a

str

ateg

ic le

vel,

how

ever

goo

d tr

aini

ng is

pr

ovid

ed t

o pr

ofes

sion

als

on d

ay t

o da

y in

form

atio

n m

anag

emen

t.

Abo

ve o

rgan

isat

ion

leve

l Lee

ds h

as a

city

-wid

e In

form

atio

n G

over

nanc

e C

omm

ittee

, joi

ntly

cha

ired

by s

enio

r of

ficer

s in

hea

lth a

nd s

ocia

l car

e.

A c

omm

on In

form

atio

n Sh

arin

g A

gree

men

t w

ith a

ll th

e m

ajor

pro

vide

rs w

ithin

Lee

ds H

ealth

and

So

cial

Car

e w

as a

gree

d in

201

4 an

d re

view

ed a

gain

in 2

015

to a

ccou

nt f

or c

hang

es in

legi

slat

ion

with

the

intr

oduc

tion

of t

he H

ealth

and

Soc

ial C

are

(Saf

ety

and

Qua

lity

Act

201

5).

All

heal

th o

rgan

isat

ions

and

the

Loc

al A

utho

rity

in L

eeds

are

com

plia

nt w

ith t

he IG

Too

lkit

to

Leve

l 2 a

nd a

bove

ver

ified

by

an a

nnua

l rol

ling

prog

ram

of

inte

rnal

aud

it as

sura

nce.

The

IG T

oolk

it ad

dres

ses

area

s su

ch a

s bu

sine

ss c

ontin

uity

pla

ns. A

s in

divi

dual

Dat

a C

ontr

olle

rs e

ach

orga

nisa

tion

take

s re

spon

sibi

lity

for

thei

r po

licie

s, p

lans

and

pro

cedu

res.

Lee

ds L

ocal

Aut

horit

y an

d he

alth

pr

ovid

ers

have

thu

s ha

ve r

obus

t po

licie

s an

d pr

oced

ures

in p

lace

for

all

the

area

s id

entifi

ed.

All

NH

S or

gani

satio

ns u

se t

he N

HS

num

ber

as t

he p

rimar

y id

entifi

er f

or a

pat

ient

. Pat

ient

A

dmin

istr

atio

n Sy

stem

s an

d El

ectr

onic

Pat

ient

Rec

ord

syst

ems

that

man

age

the

Patie

nt M

aste

r In

dex

(PM

I) ei

ther

use

or

mov

ing

tow

ards

PD

S to

mat

ch N

HS

num

bers

dyn

amic

ally.

In t

erm

s of

new

reg

ulat

ions

, all

orga

nisa

tions

will

be

impl

emen

ting

the

Acc

essi

ble

Info

rmat

ion

Stan

dard

s an

d ar

e w

orki

ng w

ith t

heir

supp

liers

to

adap

t in

form

atio

ns s

yste

ms

acco

rdin

gly.

Mos

t or

gani

satio

ns h

ave

adeq

uate

arr

ange

men

ts in

pla

ce f

or a

sses

sing

the

clin

ical

saf

ety

aspe

cts

of

impl

emen

ting

new

or

adap

ting

info

rmat

ion

syst

ems.

Dat

a qu

ality

is r

ecog

nise

d as

ess

entia

l and

und

erpi

nnin

g to

the

use

of

digi

tal s

yste

ms

to r

epla

ce

pape

r. O

rgan

isat

ions

hav

e ar

rang

emen

ts in

pla

ce t

o im

prov

e da

ta q

ualit

y.

Oth

er s

trat

egic

sta

keh

old

ers

Hea

lth

y Fu

ture

s: A

Wes

t Yo

rksh

ire S

usta

inab

ility

and

Tra

nsfo

rmat

ion

plan

is b

eing

dev

elop

ed t

o co

ver

11 C

CG

s an

d th

e he

alth

and

car

e pr

ovid

ers

ther

ein.

The

appr

oach

is t

o br

ing

toge

ther

loca

l pla

ce b

ased

pla

ns a

nd c

olla

bora

tive

Wes

t Yo

rksh

ire p

lans

to

del

iver

the

req

uire

d cu

mul

ativ

e im

pact

and

the

rig

ht in

terv

entio

ns a

nd s

ervi

ces

at a

pop

ulat

ion

leve

l to

mee

t th

e id

entifi

ed g

aps.

Whi

lst

loca

l pla

ns r

etai

n pr

imac

y as

muc

h of

the

tra

nsfo

rmat

ion

will

be

deliv

ered

at

this

loca

l lev

el, t

here

are

som

e ga

ps a

nd c

halle

nges

whe

re t

he w

ork

need

s to

be

unde

rtak

en a

t a

Wes

t Yo

rksh

ire le

vel.

Thre

e ke

y qu

estio

ns w

ill b

e us

ed t

o de

term

ine

whe

re v

alue

ca

n be

add

ed a

t a

Wes

t Yo

rksh

ire le

vel u

sing

the

‘Wes

t Yo

rksh

ire L

ens’

. Ba

sed

on t

his

appr

oach

, si

x pr

iorit

y ar

eas

have

bee

n id

entifi

ed w

hich

will

for

m W

est

York

shire

wor

kstr

eam

s to

del

iver

the

ch

ange

req

uire

d. T

hese

are

:

Can

cer

Urg

ent

and

Emer

genc

y C

are

(incl

udin

g th

e U

rgen

t an

d Em

erge

ncy

Car

e Va

ngua

rd)

Spec

ialis

ed C

omm

issi

onin

g

Men

tal H

ealth

Prev

entio

n at

Sca

le

Hyp

er-a

cute

str

oke

Thes

e w

orks

trea

ms

and

loca

l pla

ns a

re s

uppo

rted

by

a nu

mbe

r of

ena

blin

g w

orks

trea

ms

incl

udin

g di

gita

l and

inte

rope

rabi

lity,

wor

kfor

ce a

nd O

D, c

omm

unic

atio

ns a

nd e

ngag

emen

t. L

eeds

is t

akin

g a

lead

tec

hnol

ogy

role

in t

he d

igita

l ena

blin

g w

ork

and

part

icul

arly

the

Urg

ent

and

Emer

genc

y C

are

Vang

uard

.

Sect

ion

5Se

ctio

n 5

For further information please contact:Alastair Cartwright Director of Informaticsc/o NHS Leeds North CCGLeafield House107 -109 King LaneLeedsLS17 5BP

Tel: 0113 843 2900

The main contributing organisations have been as follows:

NHS Leeds North Clinical Commissioning Group

NHS Leeds West Clinical Commissioning Group

NHS Leeds South and East Clinical Commissioning Group

Leeds City Council- Adult Social Care- Children’s Services- Public Health

Leeds Teaching Hospitals NHS Trust

Leeds Partnership NHS Foundation Trust

Leeds Community Healthcare NHS Trust

General Practice

Informatics leads from West Yorkshire Clinical Commissioning Groups

West Yorkshire Urgent and Emergency Care Network/Vanguard

Leeds Third Sector organisations

The Leeds Local Digital Roadmap has the following supporting documents:

Universal Capability Delivery Plan

Capability Deployment Schedule

Capability Trajectory (Secondary Care)

Information Sharing Approach

Artwork and design by Lindy Dark, Designer at Leeds City Council and Martin Daniels at Design Daniels Ltd.