DIGITAL HEALTH & CARE STRATEGY - 2021-2026 Part of the Trust's Strategy
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DIGITAL HEALTH
& CARE STRATEGY
Part of the Trust’s Strategy
2021-2026
CARING SAFE EXCELLENT
Foreword
From our Chief Executive Dr Nick Broughton
and Trust Chair David Walker
Digital Opportunities The Digital Strategy has been developed to define
how digital will be used as a vital enabler for
This document sets out the ambitions for each
theme, building on what people (both those who
Despite advancements over recent years - and
the dramatic acceleration of the use of digital
Many aspects of modern life have been transformed improving: access to healthcare; the quality of use and provide services) have told us they need and for consultations and appointments during the
by innovations in technology and information over services provided; the working lives of staff, and the describing how people will experience digital services Covid-19 pandemic - there is a long way to go to
recent decades, and healthcare is no different. efficiency of the Trust and its collaborations with in the future. realise the full digital potential of the NHS. We want
People are increasingly able to access support online, other healthcare organisations. Oxford Health to be a ‘digital first’ organisation,
In 2017 Oxford Health was one of seven mental
from advice and information to virtual consultations. a national and global leader in the use of digital
health providers nationally that were selected for
The number of physical and mental health conditions
that can be remotely monitored and treated in
Four Digital Themes the five year NHS Digital Global Digital Exemplar
health technology. We want this because we want
to deliver outstanding care to the people who use
(GDE) programme. The aims of the programme
people’s homes and workplaces is constantly The Strategy is underpinned by a digital health our services and believe digital health has a key role
were to develop, deliver and spread advances in
expanding, giving people more choice and control approach - increasing the use of digital technology to play, improving choice, access and efficiency and
digital healthcare across the NHS. Oxford Health will
over their health and wellbeing. People who need to improve the quality of healthcare outcomes maximising time to care.
use the GDE programme as a springboard to drive
more specialised services are benefiting from a wide and to enhance the health and wellbeing of local
momentum in its digital development. We hope this document will be a guide for the
variety of innovations that make their care and populations. From this, four digital themes have
Trust’s digital working, innovation and collaborations
treatment safer and more effective, from electronic
prescribing to virtual reality therapies.
been identified:
Research and Innovation and look forward to seeing its realisation.
Supporting the digital empowerment of Digital also has a key role to play in the innovation
Taken together, these developments are providing people who use our services and their and research ambitions of the Trust, which has
clinicians and researchers with new opportunities to family and carers; strong existing relationships with academia and
access and analyse information, leading to earlier
industry. The relationship with Oxford University
identification and diagnosis of ill-health, more Embedding a digital organisational
is particularly well established, with a track record
effective treatments and improved health outcomes. culture and approach within the Trust;
of joint working on the development, testing and
implementation of new approaches to care and
Leading Trust Building and maintaining an effective treatment. Through this Strategy the Trust intends Chief Executive Trust Chair
and resilient digital foundation; and to develop its innovation and research relationships Dr Nick Broughton David Walker
We want Oxford Health to be the best Trust of
further, particularly with international organisations
its kind in the country – a leading provider of
Further developing our research, like the Toronto-based Centre for Addiction and
mental health and community healthcare services,
collaboration and innovation Mental Health (CAMH), a global leader in the use
harnessing the best of modern technology. This
capabilities. of digital technology and partner in a research and
strategy provides a routemap to achieving this and
provider collaborative alongside Oxford Health, the
delivering against the Trust’s core vision of providing
University of Toronto and Oxford University.
outstanding care by an outstanding team.
2 3
About Oxford Health
Oxford Health’s services To promote healthier lifestyles, identify
and intervene in ill-health earlier, address
Oxford Health NHS Foundation Trust is primarily health inequalities, and support people’s
a community-based service provider, delivering independence, and to collaborate with
physical and mental health services to approximately partner services in this work.
two million people across a geographical area that
includes Oxfordshire, Buckinghamshire, Wiltshire, People
Swindon, Bath and North East Somerset.
To maintain, support and develop a
Services are primarily delivered in community-based high-quality workforce and compassionate
settings, but the Trust also has a number of inpatient culture where the health, safety and
facilities for both mental and physical health services. wellbeing of our workforce is paramount.
To actively promote and enhance our
Best care and outcomes culture of equality, diversity, teamwork and
empowerment to provide the best possible
The Trust’s overarching aim is to provide the staff experience and working environment.
best possible clinical care and health outcomes
for patients, clients, their carers and families – Sustainability
supporting them, wherever possible, to live To make the best use of our resources and
healthier and independent lives for as long as data to maximise efficiency and financial
possible. Oxford Health works in partnership stability and inform decision-making,
with many other organisations to that end. focusing these on the health needs of
the populations we serve, and reduce
Strategic objectives our environmental impact.
Oxford Health has four strategic objectives:
Research
To be a recognised leader in healthcare
Quality
research and education by developing a
To maintain and continually improve the
strong research culture across all services
quality of our mental health and community
and increase opportunities for staff to
services to provide the best possible care
become involved in research, skills and
and health outcomes.
professional qualifications.
4 5
CARING SAFE EXCELLENT
Our digital strategy: At a glance
OHFT Strategy 2021-2026 OHFT Digital Strategy 2021-2026
Our four strategic objectives: OHFT’s Digital Health approach refers to:
1 2 3
the use of digital improve the to enhance
technologies to quality of health the health and
improve access to outcomes; wellbeing of local
healthcare; people.
The Digital Strategy is broken down into four key themes:
Quality People Sustainability Research
Deliver the best Be a great Make the best use Become a leader in
possible care and place to work of our resources healthcare research
health outcomes and protect the and education
Patient
enviorment Experiences
Digital & Health Research,
empowerment Outcomes collaboration
and insight
These objectives are underpinned by...
Digital Digital
culture foundation
Mission Vision Values
To be the best Trust of Outstanding care delivered
Caring Safe Excellent
our kind in the country by an outstanding team
6 7
CARING SAFE EXCELLENT
Four key themes
Headline activities and worksteams:
Digital empowerment
• Improve access & quality of digital alternatives to
face-to-face appointments
• Improving self-help and online care
• Access to Personal Health Record
• Information at the point of care
• Apps, website, wearables and home devices
Digital culture
• Digital innovation to support Quality Improvement
• Development of digital pathways of care
• Increasing time for care (intelligent automation)
• Digital leadership and confidence
• Mobile and flexible working for staff
Digital foundation
• ‘Best of breed’ electronic health care record systems
• Getting the basics right – devices refresh, data centres
and network infrastructure
• Interoperability between systems
• Sustainability and efficiency
• Data protection and security
Research, collaboration and insight
• Research to reality – Continuous improvement
• Innovation & Commercial development
• Whole population insight (using ‘big data’ to aid
prevention, predict need, and improve health)
8 9
1 Digital empowerment
Theme:
Improved access to and choices about healthcare Tell us once
As a parent, carer or family member... As a parent, carer or family member...
Activites Activites
• I will have online options that improve and simplify • I only have to tell my story once to a healthcare
access to the support I need • Suite of online options professional and not have to repeat it to others • Interoperability of systems
• I can book & change appointments online • Self Help & Service Portal • I am confident that information I am happy to be • ‘Record Once, Use
• I can access plain English advice online shared will be available to all those involved in my care Many Times’
• I can have online consultations (but still choose face-to-face if preferred)
• I can be signposted to other services and support in my local area (social prescribing)
Improved experience of healthcare services Personal health record
As a parent, carer or family member... As a parent, carer or family member...
• My experience of healthcare will be improved through
Activites Activites
• I will have online access to my health record, or the record
digital options (takes less time, more at home) • Apps, wearables, home of someone I care for, and can input into it if I wish • Single Care Record
• I will have improved communication with healthcare staff devices • Personal read/edit access
• I have confidence that my personal health information
and can give feedback on my care quality • Tools to capture & analyse is safe and secure when shared across organisations
patient experiences / supporting me
journeys
Improved experience of healthcare services Using data to improve the health of others
As a parent, carer or family member... As a parent, carer or family member...
• I can access online resources and suitable home devices Activites • I will know and be assured that only anonymised health Activites
that allow me to manage and personalise my care • Patient suite of apps information is used to improve care quality • Whole population health
• I can better manage and personalise the care of someone • Clinical suite of apps • I will know that health data will be used to predict and data collection & analysis
I care for via digital prevent ill-health, address health needs and inform clinical • Performance data
• Patient Information
• I can be signposted to other services and support in my decision-making
local area (social prescribing)
• I will be able to access devices and data that can advise on
preventing ill-health, allowing me to be healthier and independent for longer
10 11
2 Digital culture
Theme:
Freeing up more time for care (reducing admin time, Digital leadership and confidence
smarter data capture)
As an employee of Oxford Health...
As an employee of Oxford Health... Activites
• My induction will give me a good understanding of
Activites Trust systems • Regular ongoing training
• I will have better access to advice & guidance at the
• Clear pathways of care and ‘digital induction’
point of care • I have opportunities to develop my digital skills and
• Efficient data capture confidence, and the time to identify and test new digital • Visible digital leadership
• Digital tools will reduce the time I spend on admin, giving
me more time to deliver care and support my colleagues (intelligence automation) ways of working • Accurate and timely data
• Efficient processes • I will feel I’m part of a ‘digital by default’ organisation
• I can be signposted to other services and support in my local (streamlining)
area (social prescribing) where senior leaders place a high value on and invest in data, digital and technology
and use these to provide better healthcare and improve staff satisfaction
• I will use digital tools to communicate more with the people I care for and can collaborate
better with colleagues
• I will be able to easily capture data at the point of care (improving data quality) Data protection and security
As an employee of Oxford Health...
The tools needed to do my job • I will be confident that the Trust has robust cyber security
Activites
arrangements and high levels of IT resilience to protect • Cyber security training
As an employee of Oxford Health... patients and staff records • Systems to protect staff &
• I will have data protection training and see it as key part of patient confidentiality
• I will have real-time read & write access to patient records Activites patient safety
anytime, anywhere • Clinical systems that are fit • I can access / share data via the interoperability of our systems
• Our systems align with those of other health and social for purpose (interoperable)
care organisations and allow mobile and
flexible working
• I will be fully mobile – having access to apps via Office365 Sustainability and efficiency
• I will only need to update one system with my or my teams information - linked
systems will then auto-populate As an employee of Oxford Health...
• I will have access to responsive ICT support and new kit when needed Activites
• The Trust will be digitally efficient
• The Trust will use digital options to reduce its Co2 emissions • Digital care pathways
(e.g. virtual working to reduce vehicles journeys) • Reducing physical journeys
• Procurement standards will include single sign-on and • Increase clinical space
interoperability requirements to improve internal efficiencies • Procurement standards
and external collaborations
12 133 Digital foundation
Theme:
IT infrastructure Wi-fi provision
Oxford Health will... Oxford Health will...
• Align and improve IT infrastructure, systems, devices Activites • Update and improve Wi-Fi provision at Trust sites -
Activites
and services so that the maximum benefit of digital • Secure, reliable providing greater coverage and more reliable access to our • Ensure reliable, effective
opportunities can be realised. The Trust will achieve higher infrastructure network for patients, staff and partners and high-speed access
HIMSS levels (Healthcare Information and Management across all Trust sites
• Higher HIMSS levels
Systems Society) over the life of this strategy.
Data centre servers & storage Interoperability - access to information,
systems & applications
Oxford Health will...
• Provide new resilient, reliable and expandable capacity Activites Oxford Health will...
to meet the growing needs of the Trust. The Data Centre Activites
• Install and commission • Develop integration of systems to be able to share data
will be physically and Cyber secure, protecting the Trust’s
new IT data equipment between them, improving workflow efficiency and
Information assets • Interoperability between
• Migrate services to new interoperability work with current and future suppliers to IT systems
Data Centre implement single sign on capability to core systems • Delivery of clinical &
• implement self-service support for the workforce, reducing patient portals
time spent by staff seeking advice and assistance for • Information as intelligence
common issues or tasks e.g. self-service password reset
Devices refresh
Oxford Health will...
• Implement a 5-year rolling refresh for workforce IT devices
Activites
- refreshing 20% per annum of the current IT device estate, • Provide devices for staff
providing Staff with IT equipment capable of dealing with that meet their needs
the demands modern application and systems require and worker style and are
modern, efficient
• Replacing desktop devices with laptops and mobile devices
and reliable
where possible to enable a more mobile workforce, better
equipped to take full advantage of digital ways of working
14 154 Research,Theme:
collaboration
and insight
Research & Collaboration Commercial development
Oxford Health will... Oxford Health will... Activites
• Actively collaborate with UK based and international
Activites
• Explore options for strategic relationships across industry • Explore new commercial
academic and research institutions / networks to develop • Academic and research and academia – focused on innovation to improve health relationships focused on
and apply pioneering new methods to solve established or collaborations outcomes healthcare innovation
emerging problems • Improve access to research • Use digital opportunities as a ‘common ground’ for
• Open up appropriate access to research related software to software and systems
partnership-working focused on collaboration and
conduct required levels of statistical and qualitative analysis integration
– making available: remote log-in, and remote editable
access within Sharepoint
Data-rich decisions
Oxford Health will...
Whole population insight (prediction and prevention)
• Improve the collection, quality and triangulation of diverse Activites
data sources (data sets, trials, records, patient feedback) to • Accurate and timely data
Oxford Health will... provide greater insight with which to make decisions, for
Activites example prescribing of medicines. • Clear pathways of care
• Increase its capabilities to predict and/or improve early
diagnosis to prevent or slow the onset of ill-health, and • Clear understanding of
• Install and commission • Achieve interoperability of systems and data sets flow with alerts and
reduce the future need for more urgent care. Focus areas new IT data equipment (CareNotes & UK CRIS) triggers
will include onset of dementia, and working with young • Migrate services to new • Continue to secure confidentiality of patient records by • Development of outcomes
people to improve school-based mental wellbeing support Data Centre tracking and reporting
improving early anonymisation of information and ensuring
• Use machine learning, intelligent automation, advanced that data remains non-identifiable across systems.
analytics, data science, risk stratification (identifying high-risk people and groups)
• Use Population Health Management analytics will help to identify and priorities
healthcare planning and decision-making
16 17CARING SAFE EXCELLENT
Roadmap Objectives throughout 2021 - 2026
Digital pathways Interoperability The Biomedical
of care between internal Research Centre
and external (BRC) is the
systems backbone of
2020 2021 Staff can work in
Performance is Research
mobile and flexible
measured by and innovation
ways and from home
outcomes rather The Trust
than volumes consistently has
strong Cyber
Defences Intelligent
Development automation and
The Trust has access Clinicians have Wi-Fi of digital platforms business intelligence
to population access to patient upgrades at to facilitate online Digital training is to improve
health management records through a all Trust sites treatments available to staff outcomes and
information through central portal and care and is mandatory efficiency
Shared Care Records
The Trust has an effective EHR
2022 The Trust aims to system for mental health
operate from new
data centres
Patients have access Shared Care Records
to improved The Trust aims to have an
available at place The Trust aims
effective EHR system for
self-help online and region 2025 to have removed
Urgent and Emergency Care
paper records
The Trust has Clinicians The Trust aims to The Trust aims to
Diagnostic Hubs have single Latest 2024, Q2 have an effective complete the roll
in Community sign on into European aFRR 2023 EHR system for out of electronic
2024
Hospitals IT systems EAM (PICASSO) Community Hospitals prescribing
18 19CARING SAFE EXCELLENT
Getting involved
with Oxford Health
There has never been a better time to show how
much you value the NHS. Show your support
Making a difference
and become a member of Oxford Health NHS where you live
Foundation Trust. As a member you can help
Oxford Health NHS Foundation Trust operates
shape the local services and the future our trust.
across Oxfordshire, Buckinghamshire, Swindon,
Wiltshire, Bath and North East Somerset. With
You help us make the range of services Oxford Health provides –
community hospitals, mental health services,
things better school nurses, speech and language therapy,
health visitors, dentistry, and talking therapy –
The trust board depends on the membership to it is likely that nearly everyone in our region has
keep them in touch with what’s needed in our a stake in the future of the trust. And by signing
hospitals and services. Our members help us up you can show your support to the services
discover how best to improve services, making you value.
sure that we put patients’ and local
communities’ needs first. Membership is free
and everyone over12 years old is welcome For more information
to join.
If you would like to find out more about getting
involved please visit our membership page:
www.oxfordhealth.nhs.uk/get-involved/
membership/
Email us at:
enquiries@oxfordhealth.nhs.uk
Or call our switchboard on:
01865 901 000
20 21DIGITAL HEALTH & CARE STRATEGY Part of the Trust’s Strategy 2021-2026 Published by Oxford Health NHS Foundation Trust, September 2021 www.oxfordhealth.nhs.uk
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