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Southern Institute for
Health Informatics

2011 Conference

Revolution, Evolution and Innovation


Wednesday 7 September 2011

SIHI 2011

Wednesday 7 September 2011
University of Portsmouth

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Tel: 023 9284 6445



Biographical notes


Dr Philip Scott
Senior Lecturer, University of Portsmouth

Philip Scott

Philip Scott is Chair of HL7 UK, Vice-chair of the UK Faculty of Health Informatics, UKCHIP Council member and Senior Lecturer in Information Systems at the University of Portsmouth. Philip previously worked in NHS information management and IT development projects for fourteen years. He has been a member of the HL7 UK Board since 2005. He is a Fellow of the British Computer Society, a Chartered IT Professional and a Fellow of the Higher Education Academy. He organized the HL7 UK 2011 roadshows and is an HL7 guest lecturer in the university outreach programme for UK academic health informatics courses.

Philip's research interests include clinical handovers and the socio-technical effects of EHRs on clinical time and behaviour.

Revolution, Evolution and Innovation - Where next for health informatics?

The "information age for healthcare" has been promised for years... What has it delivered? Where is it going in the UK and internationally?

The presentation will introduce the theme of the conference with some highlights of how informatics is already transforming healthcare and a critical look at the grand challenges.

Dr Hugh Sanderson

Clinical Lead, Hampshire Health Record

Hugh Sanderson

Toby Cave

Project Manager, NHS Hampshire

Toby Cave

Hugh Sanderson is a Consultant in Public Health who has spent much of his career involved in health care information. His roles have included Director of the Wessex Cancer Intelligence Unit, Director of the National Casemix Office, Medical Director of Winchester Hospital Trust and, since retirement, Clinical lead for the Hampshire Health Record.

Over the last 3 years he has been particularly concerned with the development of the HHR analytical database which links primary and secondary care patient records to provide a more comprehensive picture of the care that patients have received and used this to explore ways of providing information to support commissioning consortia.

Toby Cave has held senior IT positions in Acute trusts, Primary care and Independent health for 9 years. He has both a technical and clinical background and is committed to enabling clinical staff make best use of IT to improve patient care. He has a track record of delivering large diverse IT projects and programmes across professional boundaries and has worked on the Hampshire Health Record since August 2010.

Using the regional electronic record to enhance care delivery and commissioning

The Hampshire Health Record (HHR) provides both a shared clinical record to support out of hours and emergency patient care, and also a linked primary/secondary care database to support commissioning. The presentation will focus on how the HHR enhances patient care and delivers useful information for commissioners.

Keith Naylor

Head of Data Standards and Products Implementation, Department of Health Informatics Directorate

Keith Naylor

Keith Naylor is the ITK Lead for the Department of Health Informatics Directorate (DHID).  He brings over 28 years of health related system integration experience to his current role leading the development of the interoperability toolkit (ITK).

Keith is also a board member of HL7 UK, representing the interests of the department and previously Connecting for Health.

How the interoperability toolkit enables 'Connect All' in the NHS and social care

The change in emphasis from ‘replace all’ to ‘connect all’ characterises the changes in approach for systems interoperability within the NHS. At the heart of connecting systems is a need to standardise the way systems interact with each other, a common ‘code of connection’ within NHS systems. The interoperability toolkit (ITK) is gaining support at the grass roots level within the service, but significantly it is also seen as a significant element in the soon to be released national information strategies.

The presentation will concentrate on options for the four year programme to help local health and social care organisations adopt the common approach. Keith will also provide an update on the recently published ITK Release.

Mick Harper

Simulation Project Manager (I-USER), Wessex Health Innovation and Education Cluster (HIEC)

Mick Harper

Mick is a Registered Operating Department Practitioner qualifying in 2001 with an NVQ level 3. He has undertaken a post-qualifying Diploma of Higher Education in ODP Studies; BSc (Hons) in Perioperative Care and Post Graduate Certificate in Learning & Teaching in Higher Education, leading to Registered Practitioner status of the Higher Education Academy.  More recently, he completed a Masters Degree in Education. Mick is currently studying for a PhD focusing on Clinical Simulation in the Education of Allied Health Professionals.

Mick is keen to develop alternative learning strategies for health professional education and has a lead role in high and low fidelity simulation learning activities for student Operating Department Practitioners, Paramedics, and Emergency Care Practitioners.

Mick is currently seconded to the Wessex Health, Innovation & Education Cluster (HIEC) as the simulation project manager. This project has a specific mandate to audit, evaluate, develop and improve the use of simulation education and resources across Wessex.

Wessex HIEC I-USER Project - helping to deliver the DoH vision

The process of apprenticeship learning for health professionals is necessary but can impact patient care in that the central focus can shift from the patient to the opportunistic learning experience that the patient may offer.  Recent Chief Medical Officer reports have recognized the significance of learning in simulation for all medical staff and there are projects being undertaken throughout England to scope the simulation resources currently in use and to establish sustainability of such resources to ensure availability for clinical staff and students.

This presentation details the current state of simulation resources within the Wessex HIEC region. Specifically included are the types of simulation facilities, students, use of resources and future potential. In addition it will demonstrate the Wessex HIEC commitment to developing such resources for the future and how that will be achieved.

Dr Peter Murphy

Consultant Paediatric Intensivist, University Hospitals Bristol NHS Foundation Trust; Chair, UK Faculty of Health Informatics

Peter Murphy

Peter qualified from Leeds University Medical School in 1984 and became a Fellow of the Royal College of Anaesthetists in 1990. Between 1990 and 1992 Peter worked as a Lecturer in Anaesthesia at the University of Leicester and then became a Senior Registrar on the UK South West Rotation. After a final year as an Associate Professor in Pediatric Anesthesia at the Children’s Hospital Seattle (University of Washington), Peter was appointed, in 1995, to the post of Consultant in Paediatric Anaesthesia and Intensive Care at the Bristol Royal Hospital for Children (BRHC). Here, among other projects, he helped develop the South West Regional Critical Care Retrieval Service, whereby critically ill children are moved to the Regional Paediatric Intensive Care Unit (PICU) in Bristol. Peter became interested in Telemedicine as an additional aid when managing the transfer of these sick children across such a huge area.

Peter completed an Honours Degree in IT and Computing (2007) and undertook a part-time secondment with Connecting for Health (working for 12 months as a Clinical Advisor in the Technology Office in Leeds). He was part of the Design Steering Groups for the Summary Care Record and the Central Medication Record and was elected Chair of the UK Faculty of Health Informatics in 2010. His current interests relate to Intensive Care Health Information Systems, especially Electronic Prescribing systems and “in-situ” teaching via high fidelity simulators.

Between March 2010 and July 2011 Peter was seconded to the post of Lead Clinician for Hospital Doctors in England at the Department of Health (Informatics Directorate).

High Fidelity “In Situ” Medical Simulation and the Safe Deployment of Health Information Systems

Medical Simulation is rapidly becoming established in the curricula of mainstream clinical education. High Fidelity Medical Simulation, once the confine of large and expensive Simulation Centres, is beginning to move into the workplace. “In situ” Simulation is developing into an important tool to facilitate improvements in multidisciplinary team-working and enable the safe deployment of new medical technologies and techniques.

Current clinical deployment of Health Information Systems often utilises computer labs, far removed from the clinical workspace, to educate clinical staff prior to “go-live”. This allows “real” problems to affect “real” patients during initial deployment. However some US centres are now utilising “in situ” High Fidelity Medical Simulation to assist the safe deployment of new systems, allowing a system to be safely evaluated in the clinical environment. This is particularly useful for complex clinical systems such as electronic prescribing and can make the difference between a successful deployment and failure. Simulation allows clinicians to identify, and resolve, potential safety issues prior to “go-live”, without any risk to “real” patients.

Dr Nicholas Robinson

Associate Clinical Director, Long Term Conditions and Telehealth, NHS Direct

Nick Robinson

Dr Nicholas Robinson is a practicing GP and has worked as an NHS GP for 30 years, involving himself in the development of GP computer systems and GP Out of Hours organisations. 

Within NHS Direct, Dr Robinson is responsible for developing and implementing new services for NHS Direct, supporting patients with long term health conditions in their homes, and helping to improve outcomes. He is involved in the Nottingham City OwnHealth® service and SE Essex Telemonitoring programme as well as the development of a range of innovative products to support remote care.

Innovative Telehealth – Supporting new care pathways

NHS Direct has been pursuing a strategy of supporting larger scale Telehealth implementations, using specialised call centre staff carrying out technical triage and focusing on COPD and heart failure patients. Traditionally these services have been community and primary care based.

However there are new agendas in the NHS – the need for hospitals to support discharged patients for 30 days will require new relationships and services to be developed. The focus on planned discharge allows new clinical pathways (for instance, chemotherapy patients) to be supported, providing both safer care (out of hospital) and freeing up NHS resources.

Tim Benson

Director, Routine Health Outcomes Ltd

Tim Benson

Tim Benson is founder of Routine Health Outcomes Ltd. He first worked on health outcomes with Rachel Rosser during the 1970s. He then went on to set up Abies, one of the first GP computer suppliers, where he instigated the development of the Read Codes. He is a Senior Honorary Research fellow at UCL CHIME and author of "Principles of Health Interoperability HL7 and SNOMED".

Why don't we monitor outcomes?

We all know we should monitor outcomes but hardly anyone is doing it. There are lots of reasons why not. These include:

(1) People do not understand the outcome measures available in terms of readability, scoring systems and presentation of results

(2) It takes too long, involves more staff time and does not benefit either patients or clinicians

(3) Benefits to managers are not yet proven. They will consider doing it if it is mandatory and if commissioners demand it.

(4) Some of the proposed benefits depend on integration with other computer systems which is expensive and time consuming

(5) This sort of change requires leadership from the top and managers are more concerned with cutting costs

(6) There is always a long delay between Ministers exhorting people to do something and it getting done on the ground, especially if there is no extra cash to pay for it.

(7) The existing DH PROMs project has ben going two years and has delivered few benefits.

Adrian Byrne

Director of IM&T, Southampton University Hospitals NHS Trust

Adrian Byrne

Adrian Byrne is the Director of IM&T for Southampton University Hospitals NHS Trust. He has been in this role for seven years during which a strategy has been pursued to deliver an integrated electronic care record. This has largely been achieved through connecting up systems that fulfil different functions for the Trust such as patient administration. The electronic ordering of tests and investigations (Order communications) has been rolled out to 100% of Trust activity and links to an electronic document repository (eDocs).


Issues and challenges in patient online access to acute health records

Recently, wrap-around portal technology is presenting the whole patient journey to clinical staff and the Trust has embarked on paper-light working in outpatients where paper case notes are increasingly no longer sent to clinics. All recording is becoming electronic and the strategy is to move on to inpatient areas and capture data such as nursing observations. This has led to a recognition of increased reliance on the infrastructure where a parallel piece of work has been increasing resilience by mirroring and virtualizing data across data centres.

The Trust has had a strand of its strategy dedicated to opening a channel of communication to patients. Now this has started to become a reality with the ability to present applications to an Internet based audience. The session will focus on what are the considerations when starting to think about the on-line patient, and how might you overcome the issues. It will also look at the possible uses and benefits for both health service and patient as we enter a system of co-production.

Dr Mohammad Al-Ubaydli

Chief Executive, Patients Know Best

Mohammed Al-Ulbaydli

Mohammad is founder and CEO of Patients Know Best and has over 15 years of experience in medical software. He trained as a physician at the University of Cambridge; worked as a staff scientist at the National Institutes of Health; and was a management consultant to US hospitals at The Advisory Board Company. He is the author of seven books, including Personal health records: A guide for clinicians and Streamlining Hospital-Patient Communication: Developing High Impact Patient Portals. He is also an honorary senior research associate at UCL medical school for his research on patient-controlled medical records.

Patient-controlled medical records

Dr Ira Laketic-Ljubojevic

Health Informatics Workforce Development Lead, Department of Health Informatics Directorate

Ira Laketic-Ljubojevic

Ira was studying medicine when the war in former Yugoslavia forced her to flee her home in Sarajevo. Almost 20 years later, Ira is now heading up Specialists’ Development and Professionalism for Health Informatics across the NHS.

For a genetics graduate with a PhD in bone cell electrophysiology, the career pathway to Ira’s current role on health informatics specialist workforce development is perhaps not the most obvious, but the connection between people and health has been a constant throughout her career.

Having worked for health authorities, and more recently for the NHS Modernisation Agency as the national workforce lead for new ways of working in anaesthesia, Ira certainly understands the vast array of skills required to make the health service tick.

It’s now a critical part of her job to raise the profile of the informatics profession throughout the NHS, and ensure that standards, competencies and codes of conduct for the profession are well understood so that it is easier for policy-makers and decision takers to grasp the value and benefits that these skills confer on better and safer care.

Building a capable informatics workforce – helping to develop business advantage and clinical excellence

The purpose of the session is to:

1)      Increase people’s understanding of informatics as a discipline and explain the importance of professionalising the informatics workforce;

2)      Engage with, and guide, colleagues on the importance of informatics professionals’ development. Development is a key to the delivery of: improved patient safety; improved client satisfaction; transparent accountability; and business robustness (this is the case for both commissioner and provider organisations).; and

3)      Provide delegates with the opportunity to engage with the Department of Health Informatics Directorate about the informatics capability development. The presenter(s) will provide a national view, as well as present practical examples of where local health communities are taking forward informatics workforce developments (and their reasons for doing so).

Dr John Thornton

General Practitioner; Director, Portsmouth Clinical Commissioning Group

John Thornton

John has been a GP in Portsmouth for 21 years and involved in medical politics even longer than that! His role at the PCT with Practice Based Commissioning has morphed into clinical engagement around GP commissioning for our emerging Clinical Commissioning Group, to which John has recently been elected as one of five executive directors. The need for accurate data sits comfortably with his general interest in information and technology.

Information to support NHS transformation: A primary care perspective

This presentation will give a GP view of the future shape of the NHS locally and progress with the information needs of the clinical commissioning process. What are the key building blocks already in place? What remains to be understood and developed?

Professor Matthew Swindells

Chair, BCS Health; Senior Vice President, Cerner; former CIO for the Department of Health

Matthew Swindells

Matthew was elected Chair of the health section of the British Computer Society in 2009 with the intention of raising its profile and making it more relevant to the challenges that face informatics in health today.  This was a logical step in a 20+ year career in and around health which has been marked by a belief that the NHS needs to be transformed to offer better care and better value and that improving the use of information and information technology must make an important contribution to achieving this.

Matthew has spent his entire career in healthcare, currently working for the global healthcare information company, Cerner, with a remit to build their health transformation capability and ensure that Cerner are partners in improving the quality and cost of health services around the world.  He leads their international Lighthouse analytics and consulting business as well as overseeing Cerner’s activities across EMEA.
He joined the NHS as a graduate trainee in procurement, moving on to be Head of Information Technology at a large teaching hospital, then Deputy Chief Executive in a District General Hospital and ultimately Chief Executive of a large acute hospital, where he led the turn-around of one of the worst performing hospitals in England to become one of the best.

In 2005 he was asked to move to the Department of Health as Policy Advisor to the Secretary of State, a role that he filled for two years until the Prime Minister and Secretary of State changed.  He then joined the NHS Management Board as the NHS’s first Chief Information Officer, undertaking the NHS Informatics Review.  He left the DH in 2008 to join consulting and services company Tribal as Group Managing Director for its health practice, building one of the largest and most successful advisory and professional services businesses in the NHS.

Matthew is a visiting Professor of Management at the University of Surrey and Chair of the Charitable Trustees at Imperial College Academic Health Sciences Centre in London.

The information revolution in healthcare

It has long been regarded as axiomatic that the NHS is a triangle with quality, access and cost on its three points and that improvements in any two will require a worsening of the third.  The challenge that faces the NHS today: to reduce its running costs by 20% in real terms over the next four years, whilst at the same time maintaining the tremendous progress it has made in access times and reducing the variation in quality that too often bring it into disrepute, requires that assumption to be thrown away. 

This talk will explore the role of information, IT and informatics professionals in delivering the transformation that the NHS requires.

  • It will consider the light that can be brought to bear on sacred truths through the use of information and benchmarking to demonstrate the opportunity for improvement and the gains that would be made if the NHS was better at applying what is already known.
  • It will explore how digitisation can reduce errors and improve workflow productivity, making the business case for investment in information and IT one that every informatics should be confident to make.
  • It will look at some leading edge examples of how information systems can improve the adoption and deployment of evidence based medicine to improve healthcare for patients.
  • And, lastly, it will make the case that IT solves nothing, unless it is part of a wider transformation programme which confronts historic working practices and comfortable paradigms.
Programme content and timings are subject to change.


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