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]
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]
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]
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.
There are eighteen acute "fast follower" trusts, each of which has been partnered with an acute GDE. [4]
Global Digital Exemplar | Fast 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] |
As of July 2018, there are three ambulance trust exemplars. [18]
There are currently seven mental health trust GDEs. [19]
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.
Salford Royal NHS Foundation Trust operated Salford Royal Hospital in Greater Manchester until 2017. Its chief executive is Raj Jain.
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 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.
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. The NHS commissions most emergency medical services through the 14 NHS organisations with ambulance responsibility across the UK.
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.
System C Healthcare Limited is a British supplier of health information technology systems and services, based in Maidstone, Kent, specialising in the health and social care sectors. It employs about 525 staff.
NHS London was a strategic health authority of the National Health Service in England. It operated in the London region, which is coterminous with the local government office region. The authority closed as part of the Health and Social Care Act 2012 on 31 March 2013.
Pennine Acute Hospitals NHS Trust is 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 Foundation Trust on April 1st 2021.
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.
West Suffolk NHS Foundation Trust is an NHS foundation trust which runs West Suffolk Hospital, a large district general hospital in Bury St Edmunds, Suffolk, England. The Trust provides a wide range of services to the population of west Suffolk and serves a catchment area of approximately 600 square miles with a population of around 280,000 people.
The University Hospitals Bristol and Weston NHS Foundation Trust 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.
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 patient record systems are a type of Electronic health record provided by DXC Technology, originally as part of the United Kingdom government’s National Programme for IT in the NHS.
IMS MAXIMS is a supplier of electronic health record software to the public and private sectors in UK and the Republic of Ireland.
Healthcare in Berkshire is now the responsibility of five clinical commissioning groups: Windsor, Ascot and Maidenhead, Slough, Bracknell and Ascot and Wokingham
Healthcare in Buckinghamshire is now the responsibility of Aylesbury Vale, Chiltern and Milton Keynes clinical commissioning groups.