Professor Andrew Morris of Health Research Data UK Health Research Data UK are based in Wellcome Trust. They have £27 million for 4 scientific priorities. Talk of Cerner and EPIC trying to open up their proprietary systems as well as Silicon Valley pushing into healthcare. Mentioned the Industrial Challenge fund.
Heather Cook, Mid Yorkshire Hospitals Trust , now chairs North Yorkshire Directors of Informatics Forum. They have over 150 systems. MYHFT is at crossroads of motorways M1 and M62, has some of the lowest life expectancy, highest rates of diseases, highest rates of unemployed in the area. Working with multiple associations, shares technologies and systems with Leeds and also junior doctor rotations. They are under 80% of staffing levels and she is currently working on the IT logistics of the proposed wholly owned subsidiary companies. All their medical records are electronic but they don’t have an electronic patient record system. They can search unstructured data, they have a modern network with 95% wifi coverage.
They are using NHSroam and Govroam successfully. NHSroam being used primarily for healthcare and bioscience students to connect to their local stuff whilst in NHS facilities. Govroam is a further step allowing access across public sector facilities including blue lamp (fire, NHS, police), non emergency fire and police, councils etc. The business driver for Govroam linking has been the Sustainability and Transformation Partnerships (STPs)
Their ePrescribing business case ready going to NHS digital.
Microsoft surface hub Martin Van Eker, Uni of Bristol
Project initated with an IT third party – Insight. Using onenote, classroom one note, 55 and 84 inch tv screen with Windows 10. SurfaceHub not currently available – 2.0 due in autumn. Very locked down. Some successful collaboration and teaching with clinical programmes – used video/web conference call to connect with a hospital. Ironically unable to connect with Microsoft virtually yesterday at the hotel !
Alex from NHS Digital. NHS Digital director – Tom Denwood
NHS Digital now manage 30 billion of payments to NHS providers, NHS email, Spine
DSP aims to be a but not the national platform building for research. Complementary to local health data platforms (they have had to scale back down from the)
Life sciences direction – want to release data held on NHS spine and make available to customers. Data will move from national datasets monthly to more real time data. New processing platform.External version of environment available in July. Then everything live in December with national datasets. For processing – starting with diagnostic imaging. Also deidentification – firm called Privatar. All being built with live data in the cloud. Professor Andrew Morris sits on programme board.
Questions from attendees
- Access for researchers? will sign on – NHS Identity with 2 factor authentication. Being developed in parallel to DSP.
- Env looks very like Genomics England and 100000 genomes? No specific plans to converge. Also link with NHS England platform and NHS Improvement. Also HDRUK multi tenanted research environment. Local organisations also developing similar platforms with components.
- If got university credentials can access? No – in other areas of research trying to interfederate credentials, want to discuss.
Barriers to finding and using technology in learning – Dr Catherine Ebenezer
Research – qualitative, 3 types of different trusts in Yorkshire. Research governance approval was an issue in selection of trusts. 40 semi structured interviews with clinical and non clinical across Trusts incl IT. Collected documents including codes, standards, policies, reports, marketing materials. Used NVIVO for thematic analysis. Findings
- infrastructure, organisational cultures, elearning/training, informstin governance and security, communications policies.
- Variations in availability of access when using remote access. Wifi coverage variable. IE browsers but staff could also use others. Cloud storage access variable. IT infrastructures – variable network bandwidth, variable pc specifications.
- Variable mobile and tablet usage – elearning or lms supported by technology companies.
- Clinical staff perceived as computer adverse even when not. Personal smartphones not considered acceptablein patient setting and for good reasons.
- Heavy blocking of websites but not always reported to IT to unblock. IT didn’t have time to investigate unless reported.