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Conservatives commission review of NHS IT

21 Aug 2008

The Conservative Party has commissioned an independent review of NHS IT policy.

The review is intended to inform future government policy for the use of IT in the NHS, health and social care in England. The review will aim to establish a vision for IT in the NHS, health and social care and inform the policy actions the current and any future government should take.

Chaired by Dr Glyn Hayes, the former chair of the BCS Health Informatics Forum, the new review has been commissioned by, and will report back to, the Conservative shadow health minister, Stephen O’Brien.

Dr Hayes told E-Health Insider that the he only agreed to lead the review after being assured of its independent nature. “The BCS is apolitical,” said Dr Hayes.

He stressed that he intended the review to focus on developing a pragmatic blueprint to get the maximum patient benefit from IT and informatics in health and social care, and not to dissect the existing National Programme for IT in the NHS.

He said the first requirement was to define a clear shared “vision of what the future holds for the next five to ten years”.

Dr Hayes said the roots of the review could be traced back to the Commons’ Public Accounts Committee review of the national programme, which first recommended that such a review should be conducted. However, he said the review “may inform the development of Conservative party policy in this area.”

Dr Hayes said the review will not be retreading the ground covered by the recent Health Informatics Review, which was carried out by the Department of Health. He said it had really only looked at the way forward for the DH and NHS Connecting for Health.

And he argued it had failed to consider a number of key areas in sufficient detail. While the review focused on information sharing across the health service, for example, Dr Hayes suggested that some of the greatest benefits came from ensuring information was available “at the point of patient care.”

The plan is to carry out the review rapidly, with all written evidence to be submitted by the end of September. This phase will be followed by oral hearings in October and November. A first draft is to be produced in December and the final report is to be published by the end of March 2009.

“The review will be published as an independent review and then it will be for the Conservative party to decide whether to adopt some or all of the policy recommendations,” said Dr Hayes. Secretarial support for producing the report will be provided by the Conservative party.

The review group has already been formed, with members from primary and secomdary care already confirmed. It has issued an invitation for written evidence from individuals and organisations involved in health and social care.

All interested parties are invited to submit written evidence by 30 September to evidence@healthitpolicyreview.info.

“The letter has been circulated to all Royal Colleges, academic units; anyone who has expressed an interest - and that includes the readers of E-health Insider,” said Dr Hayes.

In the letter inviting submissions, Dr Hayes stresses the central role that electronic patient records have to play: “In particular we are aware of the benefits to be gained from patient centred records.

“We believe that such records, appropriately designed, properly implemented, and made available to those providing health and, where feasible, social care would enable the improvement and efficient management of patient and service user outcomes.”

Forum

The letter calling for evidence for the review is published in full in a new forum that EHI has set up. Readers are invited to use the forum to read and discuss it.

Jon Hoeksma

© 2008 E-HEALTH-MEDIA LTD. ALL RIGHTS RESERVED.

1

Mixed feelings

nhstechie@btinternet.com

21 Aug 08 00:08

As a BCS member I have mixed feelings about this exercise. There is a risk that the BCS could inadvertently be seen as endorsing the Conservative Party when we come to the next election.

On the other hand it would be a useful exercise if we are able to influence the policy of what looks likely to be the next government on this issue, if only to avoid a populist policy which scraps the entire National Programme before an alternative approach has been planned with yet another 3 year hiatus on development and deployment.


2

Better Feelings

21 Aug 08 10:08

As a non member of the BCS I have no problems with it's political standing. I am however delighted to hear of an independent review of the entire role for IT around the "patient". I hope the report is made public in full and that the next government of which ever hue takes a practical, informed path forward rather than digging into fight a trench war to defend a snap decission.


3

Correction of original headline

22 Aug 08 09:08

The original headline on this story incorrectly stated the BCS had been commissioned by the Conservative party to carry out a review of NHS IT.

In fact Dr Glyn Hayes, a former chair of the BCS Health Informatics Forum, has been commissioned to carry out this review, not the BCS.

Our apologies for the error

Jon Hoeksma, editor E-health Insider


4

Who has been commissioned?

22 Aug 08 10:08

It's not clear from the report that Dr Hayes realises that this is a personal (rather than BCS) commission. Otherwise, why would he be commenting that "The BCS is apolitical"?


5

BCS or not, what is the real question?

26 Aug 08 10:08

The title of the article may have changed but the opening paragraph states "under the auspices of the British Computer Society", so is this a BCS led review or not?

And how independent will the review be given the Conservatives have already committed to ending the NPfIT approach?

BUT

Interestingly some leading some leading clinical informaticians are on the review panel and the set of questions being asked looks sensible and comprehensive. Is the real problem here a lack of an Informatics Strategy for the NHS that would address such questions? The recent Health Informatics Review was, appropriately, a review not a strategy.

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