RADIOLOGY & IMAGING
talent pool and offering the full range of support and collaboration.
It is expected that soon there will be a set of standards to guide all procurement of new IT systems for use in the NHS. No system will allowed to be built unless it meets the standards and existing systems will be upgraded to meet them. He said that the standards would be simple, with the application programming interface (APIs) that allow for the right people to interrogate other systems for data. The standards will set out the permissions required, and the privacy and cyber security requirements. The standards will be open, so that everyone can see them.4
Ensuring the workforce is prepared
It is crucial to the development of not only a more integrated healthcare system but also one that can fully embrace technological opportunities, that the workforce is sufficiently prepared. To that end, a review is being undertaken on behalf of Health Education England, led by cardiologist, geneticist, and digital medicine researcher Dr Eric Topol and facilitated by HEE, is exploring how to prepare the healthcare workforce, through education and training, to deliver the digital future. It is due to report early in 2019. Chief clinical information officers are already being trained and the NHS Digital Academy is poised to develop the next generation of digital leaders. The scope of the Topol review will examine factors on n How technological and other developments are likely to change the roles and functions of clinical staff in all professions over the next two decades to ensure safer, more productive, more effective and more personal care for patients
n What the implications of these changes are for the skills required by professionals filling these roles, identifying professions or sub-specialisms where these may be particularly significant
n The consequences of the selection, education, training, development and life long learning of current and future clinical staff5
The review is working through three expert advisory panels who will consider the needs of health and social care at the present and for five years, for 7-10 years and for 20 years6 The decisions and recommendations
made by Topol and colleagues will have far reaching impact on the future capability of the healthcare workforce. There is of course, a great deal of other activity already in hand by Health Education England including the digital capability framework. There is already a well established development programme by Health Education England, since 2013 the Technology Enhanced Learning Programme (TEL) which was established with an ambitious vision of world class education and training which is enhanced through innovation and the use of existing and emerging technologies. One of
the projects which TEL has been working on, is the digital literacy project.
Developing digital literacy
Health Education England have developed a definition of digital literacy which is “ The capabilities that fit someone for living, learning, working, participating and thriving in a digital society.” Their resources which are available to all, are designed to reach the needs of the 2 million workers in health and social care who demonstrate a wide range of skills and knowledge. The framework has been developed with stakeholders across health and care. It is recognised to be a dynamic document which will promote a positive attitude towards change and sets out by outlining generic capabilities which support individual motivation and development.7 The framework describes six domains of specific capabilities made up of skills, behaviours and attitudes and behaviours to help improve the digital knowledge and skills of the workforce. n Communication, collaboration and participation
n Teaching learning and self development n Information, data and content literacies n Creation, innovation and research n Technical proficiency and the sixth which underpins all of the above, the governance agenda of digital identity, wellbeing, safety and security.
Each of the domains identifies a range of different levels for achievement. It goes without saying that the accessibility of patient data, levels of access and confidentiality are all hugely important where health data are being shared. It is beyond important that robust arrangements for the governance of all data, is vital. The complexity of data involved and
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the sensitivity of data that healthcare organisations hold on their patients is hugely challenging for the organisations as new software is introduced and data needs to be shared.
As we become integrated across acute and primary care as well as social care, there will be far more players in the market and ever more data not only to share but also to protect. This is a significant challenge but must be undertaken to prevent paper records being moved around.
Supporting patients to become engaged in the digitalisation process
Engaging patients as well as staff in the transformation process will be critical to its future success. It is said that an NHS app is soon to be launched, although at present, it is being piloted at a range of GP practices across the country. The plan is that patients (8) will be able to: n Check their symptoms using NHS 111 online and the symptom checker on the NHS website
n Book and manage appointments at their GP practice
n Order their repeat prescriptions n Securely view their GP medical record n Register as an organ donor n Choose whether the NHS uses their data for research and planning.
The key benefit for GP practices will be that it should empower people to take control and to make more informed decisions about their own health care by providing access to their general practice medical record, NHS 111 and the symptom checker. The pilot is due to finish in December.
There is a huge concern, however, with more and more services moving to online, that is there are many elderly and other
NOVEMBER 2018
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