NHS Policy

Open Digital Platform Challenge Fund

Many  will be aware of the proposal that Tony Shannon and I have been promoting to persuade the decking to allocate 1% of the money they plan to spend on an “Open Digital  Platform Challenge Fund” to stimulate the development of an open digital ecosystem based on open standards. We have had a positive response…

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Digital Maturity Index?

Follow @WoodcoteEwan It’s a good idea for health and social care organistaion to reflect on their digital maturity and understand where they are in relation to their peers. The NHS Digital Maturity Index was a good proxy for what we all might reasonably recognise as digital maturity and potentially a great tool to stimulate reflection,…

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Please! Not another "White Knight"

Follow @WoodcoteEwan News has been leaked this week by Computing  of plans by NHS England to create a new post of Chief Information Officer/Chief Technology Officer to replace the role that Tim Kelsey will leave vacant at the end of the year. On the face of it this seems to be a good idea, but my experience…

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Sticking to the Knitting

Follow @WoodcoteEwan I’ve written about this before, but have become increasing concerned that the pressure on NHS organisation to generate revenue outside of their core business is a dangerous distraction, acts as a barrier to the diffusion of innovation within the NHS and acts against the best interest of patients and taxpayers. A distraction because…

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Supporting New Models of Care

Follow @WoodcoteEwan “I’m pretty certain that the health informatics community know how to create the open digital ecosystem we need to support the emerging new models of care, but I have concerns that a lack of knowledge and experience amongst policy makers, vested interests in the care, informatics and vendor communities and a naive belief in…

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Let's do it like the Internet

Follow @WoodcoteEwan There is much talk about “Standards” following the publication of the NIB Framework “Personalised health and care 2020: a framework for action”. Standards are of course a self-evidently good thing, but only if you do them right which is far from the way the NHS has traditionally done them or looks like doing…

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Farewell to “Ruthless Standardisation”

Follow @WoodcoteEwan “Ruthless Standardisation” was the failed mantra of the NHS National Programme for IT. The Programme is dead, but in some places this view still persist but it is time to consign it to history as something else that “seemed a good idea at the time” In a previous blog I said “Standards are…

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Code4Health

The  Code for Health initiative and the idea of teaching doctors to code (disambiguation: I mean write computer software not learning to apply clinical codes to health records and other health data) is in my mind a really good idea but something that is capable of being badly misunderstood and misapplied with the potential to…

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What makes an Open Source community?

There has been a lot of interest in the role of Open Source software in the UK over recent months, initially stimulated by NHS interest in the American VistA Open Source EHR, but now taking on a broader scope including some of the exciting home grown initiatives. Included amongst these are a number of projects that…

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Food England?

Listening to the Nuffield Health Policy Summit http://www.nuffieldtrust.org.uk/live/health-policy-summit-2014 Lots of interesting stuff from Phil Collins of the Times. Talking about “command and control”, “integration and competition” and “patient centred service design” Perhaps it would help to think of the NHS as a supply chain? Supply chains are complex adaptive systems which consist of a large…

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