NHS Connecting for Health Fact Sheet

 

What is NHS Connecting for Health?

NHS Connecting for Health is an agency of the Department of Health.  Its primary role is to deliver new, integrated IT systems and services to help modernise the NHS and ensure care is centred around the patient.

The new computer systems and services will connect over 100,000 doctors, 380,000 nurses and 50,000 other health professionals.

Why do we need NHS Connecting for Health?

The NHS is changing the way it works.  Its vision for the future is to have a more modern, efficient health service “designed around the patient” and to give patients more choice and control over their own health and care.

Sharing high quality information effectively between teams and organisations will become an important part in providing safer, higher quality, patient-led care.  

NHS Connecting for Health will deliver the systems and services which will enable information to be shared between NHS organisations.  It will mean that all those involved in the care of a patient will have secure access to up-to-date, accurate information for diagnosis, treatment and care.  It will also enable patients to have easier access to their own health and care information.

What are the new IT systems and services which are being delivered by NHS Connecting for Health?

ž          The NHS Care Records Service (NHS CRS) – with an individual electronic NHS Care Record for every patient in England, securely accessible by the patient and those caring for them.

 

ž          The electronic booking service, Choose and Book - offering patients greater choice of hospital or clinic and more convenience in the date and time of their appointment.

 

ž          Electronic Transmission of Prescriptions (ETP) - to make prescribing and dispensing safer, easier and more convenient for patients.

 

ž          A new National Network (N3) - providing IT infrastructure and broadband connectivity for the NHS so patient information can be shared between organisations.

 

ž          Contact – a central email and directory service for the NHS, to enable staff to transfer patient information, swiftly, securely and efficiently.

 

ž          Picture Archiving and Communications Systems (PACS) - to capture, store, display and distribute static and moving digital medical images, providing clearer x-rays and scans and faster, more accurate diagnosis.

 

ž          IT supporting GPs, including the Quality Management and Analysis System (QMAS), support for the Quality and Outcomes Framework and system for GP to GP record transfer.

Why does the NHS need new IT?

The NHS is providing more care than ever before and it is increasingly complex and specialised.  Care is also often provided by teams working across a number of locations and organisations.

There is currently no national means to transfer health and care information efficiently, securely and confidentially between different NHS locations and the 5000+ computer systems in the NHS in England are of variable quality and age.

 

How secure will patient information be?

Only authorised NHS professionals involved in a patient’s care will be able to access their record. Access will be on a ‘need to know’ basis according to job role e.g. a booking clerk would not be able to access medical information, but a clinican would.

 

State of the art authentication processes are used.  All NHS staff must be authorised as users. Once authorised, they use a credit card style smartcard and PIN to access the systems. 

 

Patient information will only be shared with NHS staff involved in their care. An audit trail of when, where and by whom patient records were accessed, will help to assure confidentiality.

 

Patients will eventually have access to their NHS Care Record through a secure NHS gateway on the Internet.

What are the benefits for patients?

ž          Easier, secure access to their own NHS Care Record via the Internet, so they can be more informed and involved in decisions about their care and treatment.

ž          Faster, safer diagnosis and treatment because vital information (such as test results or allergies) will be available from their NHS Care Record wherever and whenever care is required, even outside hours or away from home elsewhere in England.

ž          A faster, easier way to make hospital appointments at a convenient time, date and place using Choose and Book, whilst at the GP surgery – or later via a call centre or the Internet.

ž          A safer way to obtain medication with the Electronic Transmission of Prescriptions, which will reduce prescription errors by enabling medication history, adverse drug reactions or missing information to be checked on their NHS Care Record.

What are the benefits to clinicians and other NHS staff?

ž          Ready access to more comprehensive, up-to-date patient information and a fast, reliable and secure means of sending and receiving information.

ž          Streamlining of clinical practice and smoother handovers of care, supporting multi-disciplinary team working.

ž          Online decision support tools, easier access to best care pathways and faster access to specialist opinions and diagnosis.

ž          Guidance on referral procedures and clear protocols for clinical investigations.

ž          More efficient referrals, alerts to conflicting medicines, and early detection of disease outbreaks.

ž          Reduced administration, paperwork, repetition, duplication and bureaucracy – less time spent chasing missing notes, x-rays, referral, admission or discharge information.

 

What are the benefits to the NHS?

 

ž          Value for money and millions of pounds of savings on hardware and software through national procurement of IT. 

 

ž          Further savings over the lifetime of IT contracts through direct negotiation with prime contractors and Enterprise Wide Agreements with around 80 sub-contractors. 

 

ž          Better intelligence on how the NHS works, and on the health of citizens, with anonymised information collected nationally. Real numbers, in real time, not just a sample from spotter practices.

 

ž          Better outcomes for the same resources.

 

ž          Real improvement’s in every patient’s experience of care.

 

What is being done to prepare the ground?

ž          A Service Implementation team is working with clinicans and other NHS staff to ensure they can exploit the potential of the new technology for better, safer patient care and improved job satisfaction.

ž          Clinical leads have been appointed to lead engagement with the professions. They are encouraging two way communication and input into the design of new systems and working practices, so they reflect the changing needs of patients and clinicians.

ž          Managers, clinicians and technologists implementing the new technology within trusts and health care communities are being encouraged to think through the changes which will be necessary.  They are working to find easier, better ways of working in both clinical practice and operational procedures.

ž          National training materials, tools and techniques are being prepared to assist in training an estimated 800,000 staff in IT skills.

ž          Current best knowledge is being delivered to professionals and patients so that all decisions can be based on best practice and individual needs.

How it is the new IT being implemented?

NHS Connecting for Health and its suppliers are working closely with the NHS to implement new systems and services in planned phases.

National Application Service Providers are responsible for purchasing and integrating IT systems common to all users nationally. Local Service Providers will deliver IT systems and services on a local level for five regional clusters of strategic health authorities – London, North East, Southern, Eastern and North West & West Midlands. They will supply and integrate systems to perform functions in the local setting and to interface with the national system.

 

Is NHS Connecting for Health the same as the National Programme for IT?

No.  NHS Connecting for Health was formed as a result of the Government’s review of Arms Length Bodies.  The review led to the closure of a number of bodies that work at arm’s length from the Department of Health.  This will release an estimated £500 million which can be spent on patient care.

 

One of the bodies closed following the review was the NHS Information Authority (NHSIA).  NHS Connecting for Health is administering a number of technology related programmes which were formerly delivered by the NHS Information Authority. 

 

The primary work of NHS Connecting for Health is delivering the National Programme for IT in the NHS.  It is also delivering the following programmes of work which have migrated from the NHSIA:

ž          Programme and Service Governance Office

ž          Business Case Support

ž          Data and Information Standards Programme

ž          National Clinical Classification Service

ž          National Administrative Codes Service

ž          Information Governance

ž          NHS Terminology Service

ž          NHS Security Team

ž          NSF Delivery   

ž          GP Support Delivery - PRIMIS

ž          Health Informatics

ž          Faculty Development 

ž          Health Informatics Specialists

ž          European Computer Driving Licence (ECDL)

ž          National electronic Library for Health (NeLH)

ž          nhs.uk

ž          Directory of Services

ž          Managed Message Handling Service

ž          NHSnet and bandwidth

ž          Pathology Messaging

ž          NHS Mail and Directory Service

ž          NHAIS

ž          NHS-Wide Clearing Service (NWCS)

ž          National Strategic Tracing Service (NSTS) 

ž          NHS Numbers for Babies - Service (NN4B)

ž          NHS Central Register - Service 

ž          Contact Centre

ž          Service Delivery NHS Support

ž          Morbidity Query Extract Service (MIQUEST)

ž          NHAIS Hosted Services 

ž          Tracking Database

ž          Strategic Studies Team

ž          Systems Accreditation Testing

ž          National business requirements and support

ž          Model Communities       

ž          Communications and Messaging       

ž          Information Standards Board

ž          National Enterprise Agreements

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Ref: 2058