Global Digital Exemplar

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The Global Digital Exemplar (GDE) programme is an NHS England initiative to achieve digital transformation in selected exemplar organisations and to create a knowledge sharing ecosystem to spread learning from these exemplars. [1] The programme is to enable "digitally advanced" [2] NHS trusts to share knowledge with other NHS trusts, specifically knowledge gained during the implementation of IT systems, and especially experience from introducing electronic health record (EHR) systems. The GDE project is expected to last two to three and a half years; with the most digitally advanced trusts on the shorter time scale. [3]

Contents

Four rounds of exemplars have been announced so far — two waves of acute trust GDEs, and one wave each of ambulance trusts, and mental health trusts. In addition, eighteen acute trust "fast followers" have been partnered with the acute trusts. [4]

The programme involves the investment of £395 million. [5] Each GDE will receive "up to £10 million" to spend on digital projects. [6] The funding must be matched locally, but not necessarily in cash. [3]

Programme elements

Each Global Digital Exemplar (GDE) received £10 million and their matched Fast Followers (FFs) received £5 million (£5 million for GDEs and £3 million for FFs in mental health); and they were required to secure matched funding internally. The Healthcare Information and Management Systems Society (HIMSS) Electronic Medical Record Adoption Model (EMRAM) was chosen as a guide for programme outputs, with GDEs expect to obtain HIMSS Level 7 and FFs, HIMSS Level 5. [7]

The partnerships between GDEs and FFs constitute a formal mechanism to support knowledge transfer. The programme also introduced the idea of "Blueprints", documents describing how to implement digital technologies in healthcare. [8] [3]

Exemplars

Acute exemplars

The first twelve exemplars were announced in 2016. [9] A second wave added another four in 2017. [10]

Although NHS England refers to this grouping of exemplars as "acute", a number of the hospitals operated by trusts within this group are specialised hospitals. Examples include, Alder Hey Children's Hospital and Western Eye Hospital.

North

Midlands and East

London

South

Fast followers

There are eighteen acute "fast follower" trusts, each of which has been partnered with an acute GDE. [4]

Global Digital ExemplarFast Follower [11] EPR provider
Alder Hey Children’s NHS Foundation Trust Clatterbridge Cancer Centre NHS Foundation Trust Meditech [12]
Cambridge University Hospitals NHS Foundation Trust University College London Hospitals NHS Foundation Trust Epic Systems [13]
City Hospitals Sunderland NHS Foundation Trust South Tyneside NHS Foundation Trust Meditech [12]
Imperial College Healthcare NHS Trust Chelsea and Westminster Hospital NHS Foundation Trust
Luton & Dunstable University Hospital NHS Foundation Trust Bedford Hospital NHS Trust
Newcastle upon Tyne Hospitals NHS Foundation Trust Gateshead Health NHS Foundation Trust Cerner [14]
Oxford University Hospitals NHS Foundation Trust Royal Berkshire NHS Foundation Trust
Royal Free London NHS Foundation Trust North Middlesex University Hospital NHS Trust
Royal Liverpool and Broadgreen University Hospitals NHS Trust
 InterSystems [15]
Salford Royal NHS Foundation Trust Pennine Acute Hospitals NHS Trust Allscripts [16]
Taunton and Somerset NHS Foundation Trust
University Hospitals Birmingham NHS Foundation Trust Heart of England NHS Foundation Trust
University Hospitals Bristol NHS Foundation Trust The Whittington Hospital
University Hospitals Southampton NHS Foundation Trust Hampshire Hospitals NHS Foundation Trust
West Suffolk NHS Foundation Trust Milton Keynes University Hospital NHS Foundation Trust
Wirral University Teaching Hospital NHS Foundation Trust Countess of Chester Hospital NHS Foundation Trust Cerner [17]

Ambulance exemplars

As of July 2018, there are three ambulance trust exemplars. [18]

Mental health exemplars

There are currently seven mental health trust GDEs. [19]

See also

Related Research Articles

The Healthcare Information and Management Systems Society (HIMSS) is an American not-for-profit organization dedicated to improving health care in quality, safety, cost-effectiveness and access through the best use of information technology and management systems. It was founded in 1961 as the Hospital Management Systems Society. It is now headquartered in Chicago, Illinois. The society has more than 100,000 individuals, 480 provider organizations, 470 non-profit partners and 650 health services organizations. HIMSS is a US 501(c)6 organization.

Cambridge University Hospitals NHS Foundation Trust is a British public sector healthcare provider located in Cambridge, England. It was established on 4 November 1992 as Addenbrooke's National Health Service Trust, and authorised as an NHS foundation trust under its current name on 1 July 2004.

<span class="mw-page-title-main">University Hospitals Birmingham NHS Foundation Trust</span> NHS hospital trust

The University Hospitals Birmingham NHS Foundation Trust provides adult district general hospital services for Birmingham as well as specialist treatments for the West Midlands.

Salford Royal NHS Foundation Trust operated Salford Royal Hospital in Greater Manchester until 2017. Its chief executive is Dr Owen Williams.

<span class="mw-page-title-main">Alder Hey Children's Hospital</span> Childrens hospital and NHS Foundation trust in West Derby, Liverpool, England

Alder Hey Children's Hospital is a children's hospital and NHS foundation trust in West Derby, Liverpool, England. It is one of the largest children's hospitals in the United Kingdom, and one of several specialist hospitals within the Liverpool City Region, alongside the Royal Liverpool University Hospital, Liverpool Women's Hospital, Liverpool Heart and Chest Hospital, the Walton Centre, Mersey Regional Burns and Plastic Surgery Unit, and Clatterbridge Cancer Centre.

County Durham and Darlington NHS Foundation Trust (CDDFT) is an NHS Foundation Trust based in North East England. It runs two acute hospitals in University Hospital of North Durham and Darlington Memorial Hospital as well as further non-acute centres at Shotley Bridge Hospital, Sedgefield Community Hospital, Richardson Community Hospital, Weardale Community Hospital, Bishop Auckland Hospital and Chester-le-Street Hospital. The Chief Executive is Sue Jacques. The most recent review of the Trust by the Care Quality Commission in 2019 provided an "Overall: Good" rating.

<span class="mw-page-title-main">Emergency medical services in the United Kingdom</span>

Emergency medical services in the United Kingdom provide emergency care to people with acute illness or injury and are predominantly provided free at the point of use by the four National Health Services (NHS) of England, Scotland, Wales, and Northern Ireland. Emergency care including ambulance and emergency department treatment is only free to UK residents and a charge may be made to those not entitled to free NHS care.

Imperial College Healthcare NHS Trust is an NHS trust based in London, England. It is one of the largest NHS trusts in England and together with Imperial College London forms an academic health science centre.

<span class="mw-page-title-main">Royal Free London NHS Foundation Trust</span> NHS hospital trust

The Royal Free London NHS Foundation Trust is an NHS foundation trust based in London, United Kingdom. It comprises Royal Free Hospital, Barnet Hospital, Chase Farm Hospital, as well as clinics run by the trust at Edgware Community Hospital, Finchley Memorial Hospital, and North Middlesex University Hospital. On 1 July 2014, the Barnet and Chase Farm Hospitals NHS Trust was acquired by Royal Free London NHS Foundation Trust, making it one of the largest trusts in the country.

Pennine Acute Hospitals NHS Trust was an acute hospital trust which, until 2019, operated Fairfield General Hospital in Bury, North Manchester General Hospital, the Royal Oldham Hospital and Rochdale Infirmary, all in Greater Manchester. It is now part of the Northern Care Alliance NHS Group. North Manchester General Hospital was formally acquired by Manchester University NHS Foundation Trust on April 1, 2021. The trust also operated Bury General Hospital which closed in 2006.

<span class="mw-page-title-main">Crawley Hospital</span> Hospital in England

Crawley Hospital is a National Health Service hospital in Crawley, a town and borough in West Sussex, England. Since 2006 it has been part of the Sussex Community NHS Trust, which has overall management responsibility. Surrey and Sussex Healthcare NHS Trust also provides some services. The hospital is located in the West Green neighbourhood of Crawley, near the town centre.

Chelsea and Westminster Hospital NHS Foundation Trust operates Chelsea and Westminster Hospital and West Middlesex University Hospital. The Foundation Trust was created on 1 October 2006. The Trust's chief executive is Lesley Watts and its chairman is Sir Thomas Hughes-Hallett.

Berkshire Healthcare NHS Foundation Trust provides mental health services and other community based health services, primarily to the resident population of the Royal County of Berkshire, England, in the United Kingdom.

<span class="mw-page-title-main">University Hospitals Bristol and Weston NHS Foundation Trust</span> NHS hospital trust of hospitals in Bristol and Weston-super-Mare

The University Hospitals Bristol and Weston NHS Foundation Trust (UHBW) is a National Health Service foundation trust in Bristol and Weston-super-Mare, England. The trust runs Bristol Royal Infirmary, Bristol Heart Institute, Bristol Royal Hospital for Children, Bristol Eye Hospital, South Bristol Community Hospital, Bristol Haematology and Oncology Centre, St Michael's Hospital, University of Bristol Dental Hospital and, since 1 April 2020, Weston General Hospital.

Newcastle upon Tyne Hospitals NHS Foundation Trust is one of the Shelford Group of University Teaching Hospitals and an NHS Foundation Trust. It provides acute medical services in Newcastle upon Tyne, England, at Royal Victoria Infirmary and Freeman Hospital, the Campus for Ageing and Vitality, Newcastle Dental Hospital, Newcastle Fertility Centre and the Northern Genetics Service. The Great North Children's Hospital also is part of the trust and is located linked with RVI on the same site.

Oxford University Hospitals NHS Foundation Trust is an English teaching hospital and part of the Shelford Group. It is one of the UK's largest teaching hospitals and one of the largest hospitals in Europe. The trust is made up of four hospitals – the John Radcliffe Hospital, the Churchill Hospital and the Nuffield Orthopaedic Centre, all located in Oxford, and the Horton General Hospital in Banbury, north Oxfordshire.

Lorenzo was a controversial electronic health record platform (EHR) by DXC Technology, originally designed in the early 2010s as part of the National Programme for IT in the NHS. Lorenzo was deployed across more than 20 NHS trusts across the United Kingdom between 2010 and 2015, with most trusts progressing procurement activities to replace the system as of 2020.

Healthcare in Berkshire was the responsibility of five clinical commissioning groups until July 2022: Windsor, Ascot and Maidenhead, Slough, Bracknell and Ascot and Wokingham.

Healthcare in Buckinghamshire was the responsibility for the Aylesbury Vale, Chiltern, and Milton Keynes. clinical commissioning groups until July 2022.

References

  1. ↑ Cresswell, Kathrin; Sheikh, Aziz; Krasuska, Marta; Heeney, Catherine; Franklin, Bryony Dean; Lane, Wendy; Mozaffar, Hajar; Mason, Kathy; Eason, Sally; Hinder, Susan; Potts, Henry W W; Williams, Robin (2019). "Reconceptualising the digital maturity of health systems". The Lancet Digital Health. 1 (5): e200–e201. doi: 10.1016/S2589-7500(19)30083-4 . hdl: 20.500.11820/61d2fa05-db65-4420-af50-f98b24330a2f . ISSN   2589-7500. PMID   33323267.
  2. ↑ "NHS England » Global Digital Exemplars". www.england.nhs.uk. 2 May 2018. Archived from the original on 9 July 2018. Retrieved 8 July 2018.
  3. 1 2 3 Swindells, Matthew; Smart, Will. "Progressing the acute Global Digital Exemplar". www.england.nhs.uk. NHS England. Archived from the original on 9 July 2018. Retrieved 8 July 2018.
  4. 1 2 "Eighteen NHS trusts confirmed as 'fast followers' to digital exemplars". British Journal of Healthcare Computing. 11 September 2017. Archived from the original on 9 July 2018. Retrieved 8 July 2018.
  5. ↑ Cresswell, Kathrin; Sheikh, Aziz; Dean Franklin, Bryony; Krasuska, Marta; Nguyen, Hung; Hinder, Susan; Lane, Wendy; Mozaffar, Hajar; Mason, Kathy; Eason, Sally; Potts, Henry; Williams, Robin (2020). "Formative independent evaluation of a digital change programme in the English National Health Service: Study protocol for a longitudinal qualitative study". BMJ Open. 10 (10): e041275. doi:10.1136/bmjopen-2020-041275. PMC   7545630 . PMID   33033100.
  6. ↑ Heather, Ben (3 July 2017). "Flagship digital fund finally reaches 'exemplar' trusts". Health Service Journal. Archived from the original on 8 July 2018. Retrieved 8 July 2018.
  7. ↑ Independent Evaluation of the Global Digital Exemplar (GDE) Programme: 30 month report, https://www.ed.ac.uk/files/atoms/files/30_month_gde_evaluation_report_0.pdf Archived 1 December 2020 at the Wayback Machine
  8. ↑ Williams, Robin; Sheikh, Aziz; Franklin, Bryony Dean; Krasuska, Marta; Nguyen, Hung The; Hinder, Susan; Lane, Wendy; Mozaffar, Hajar; Mason, Kathy; Eason, Sally; Potts, Henry W W; Cresswell, Kathrin (2021). "Using Blueprints to promote interorganizational knowledge transfer in digital health initiatives—a qualitative exploration of a national change program in English hospitals". Journal of the American Medical Informatics Association. 28 (7): 1431–1439. doi: 10.1093/jamia/ocab020 . ISSN   1067-5027. PMC   8480174 . PMID   33706378.
  9. ↑ "New plans to expand the use of digital technology across the NHS". gov.uk. Department of Health and The Rt Hon Jeremy Hunt MP. Archived from the original on 1 July 2018. Retrieved 2 July 2018.
  10. ↑ Stevens, Laura (31 March 2017). "Four more acute global digital exemplars confirmed by NHS England". Digital Health. Digital Health. Archived from the original on 23 June 2018. Retrieved 2 July 2018.
  11. ↑ "18 NHS hospital 'fast follower' trusts named | Digital Health". Digital Health. 11 September 2017. Archived from the original on 8 July 2018. Retrieved 8 July 2018.
  12. 1 2 "Press Release: MEDITECH's Global Digital Exemplar Customers Leading UK's Healthcare Revolution". www.ics.ie. Irish Computer Society. Archived from the original on 20 July 2018. Retrieved 20 July 2018.
  13. ↑ Mathieson, SA. "Cambridge University Hospitals NHS Foundation Trust completes £200m Epic and HP IT project". ComputerWeekly.com. Archived from the original on 20 July 2018. Retrieved 20 July 2018.
  14. ↑ "Four new digital exemplars expected, including Imperial". Digital Health. 21 November 2016. Archived from the original on 6 March 2019. Retrieved 5 March 2019.
  15. ↑ "Three Liverpool trusts approaching start of EPR deployment". www.bj-hc.co.uk. British Journal of Healthcare Computing. Archived from the original on 20 July 2018. Retrieved 20 July 2018.
  16. ↑ Stevens, Laura (16 August 2017). "Bolton picks Allscripts in £30 million EPR deal". Digital Health. Archived from the original on 20 July 2018. Retrieved 20 July 2018.
  17. ↑ Whitfield, Lyn (13 December 2010). "Wirral expands use of Cerner Millennium | Digital Health". Digital Health. Archived from the original on 20 July 2018. Retrieved 20 July 2018.
  18. ↑ "NHS England » Ambulance Global Digital Exemplars". www.england.nhs.uk. Archived from the original on 9 July 2018. Retrieved 2 July 2018.
  19. ↑ "NHS England » Mental Health Global Digital Exemplars". www.england.nhs.uk. Archived from the original on 9 July 2018. Retrieved 2 July 2018.
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