latest health care news

05.05.17

‘Paperless 2020’ ambition possible but improbable, experts say

The ambition of harnessing the information revolution and making the NHS ‘paperless by 2020’, while a laudable aim, is improbable as an outcome, according to a panel of experts at e-Health Week.

During the lively debate, chaired by Keith McNeil, NHS chief clinical information officer, Dr Afzal Chaudhry, chief medical information officer at Cambridge University Hospitals FT, who has led his organisation’s eHospital work, told delegates the opportunity is a very simple one, which “is transforming patient care with the effective use of information technology”.

“The challenges is that there is so much pressure on service in hospitals and other primary organisations that finding the bandwidth to do this needs to be properly backed, otherwise it is impossible to do,” he argued.

Paul Walsh, chief operating officer of The HCI Group, added that there is a massive opportunity for the system to learn from some of the experiences of pioneers like Cambridge and Salford, “but some organisations really are struggling”.

“In terms of the challenges, for some organisations, it will be a timeline challenge. Whilst 2020 is three years away, even if you are live with an EPR now, achieving paperless or heavily paperlight is a challenge,” explained Walsh.

“There are lots of change management, content redesign and cultural changes. And then there is the elephant in the room: there is a significant financial challenge in the NHS and some of this work takes time and patience.”

Last year, the Wachter Review stated that the target of ‘paperless by 2020’ should be discarded as “unrealistic”. It said: “The goal is not paperless – it is improvement, facilitated by having information where it’s needed, when it’s needed.”

Saduf Ali-Drakesmith, visualisation specialist at Kofax, told the audience at e-Health Week that the financial squeeze shouldn’t be underestimated, but also getting staff engaged was also a challenge.

“Is it possible to do this? Yes,” she said. “Paperless is possible, but will it happen by 2020? Probably not.”

Anne Cooper, chief nurse at NHS Digital, added that while things have moved on, there still needs to be work to make the system paperlight – not just for the professionals, but also with patients.

Everybody is at a different stage, every trust is different, there is no magic bullet that is going to fix this quickly, argued Ryan Reed, digital transformation director at Xerox Health.

“In terms of opportunity, there are a huge number of trusts who have done different things and delivered paperless – in whatever form – whether it is paperless communication, records or everything. It is about sharing that knowledge and working together,” he said.

Jonathan McKee, governance manager at Tavistock and Portman NHS FT, and a co-chair of the London IG Forum, recently told NHE that “it is all a matter of will” with regards to the paperless agenda.

“It started off as 2018, then 2020 and then 2023; why not 2025? Why bother at all?” he said. “If this this is the direction of travel, then it is the direction of travel – we can do it in our own good time.

“If it is imperative that we do it by a certain date then we should stick to the first date. There is no point in having a moving deadline for something that isn’t business critical or a patient safety issue.”

Have you got a story to tell? Would you like to become an NHE columnist? If so, click here.

Comments

Walter   08/05/2017 at 18:08

Sometimes the 'experts' picked up to study and resolve a major problem seem to have no clue of what is going on beyond their noses, so that they tend to 're-invent the wheel' but without the genius brain that did it originally! The paperless (or near paperless) hospital is already a well established reality in a number of other Countries. Interesting enough not the ones one would expect: for example one of the best PMS in the world is actually produced by a South Korean Company and is already proving itself excellent beyond expectations and capable or doing all the actions indicated on the side of this article and much more. The problem has to be how to reconcile the - much - longer time spent in filling every data required or requested without severely impacting on the amount dedicated to direct patient clinical care. The obvious solution is to drastically prune out the immense amount of non-clinical data which - albeit very useful for administrators - should not be input(ted) by clinical staff, but extracted by the multitude of micro- or macro-managers, who could in this way get away from our backs and do a useful job for once.

Add your comment

 

national health executive tv

more videos >

featured articles

View all News

last word

The Refugee Doctor Initiative

The Refugee Doctor Initiative

Terry John, co-chair of the BMA & BDA Refugee Doctors and Dentists Liaison Group and chair of the union’s international committee, talks about a brilliant initiative that is proving mutual more > more last word articles >

health service focus

View all News

comment

Make doing the right thing easy

11/10/2017Make doing the right thing easy

Kay Currie, professor of Nursing & Applied Healthcare Research, ‘... more >
STAR: an innovative app for speech therapy

11/10/2017STAR: an innovative app for speech therapy

Dr Stuart Cunningham, a senior lecturer in Human Communication Sciences at ... more >

interviews

Tackling infection prevention locally

04/10/2017Tackling infection prevention locally

Dr Emma Burnett, a lecturer and researcher in infection prevention at the U... more >
681 149x260 NHE Subscribe button

the scalpel's daily blog

A new paradigm for public health

10/11/2017A new paradigm for public health

Heather Henry RN MBA, Queens nurse and chair of the New NHS Alliance looks into the issue of health inequality in the NHS. Health inequality is like the many-headed hydr... more >
read more blog posts from 'the scalpel' >

healthcare events

events calendar

back

November 2017

forward
mon tue wed thu fri sat sun
30 31 1 2 3 4 5
6 7 8 9 10 11 12
13 14 15 16 17 18 19
20 21 22 23 24 25 26
27 28 29 30 1 2 3
4 5 6 7 8 9 10

editor's comment

25/09/2017A hotbed of innovation

This edition of NHE comes hot on the heels of this year’s NHS Expo which, once again, proved to be a huge success at Manchester Central. A number of announcements were made during the event, with the health secretary naming the second wave of NHS digital pioneers, or ‘fast followers’, which follow the initial global digital exemplars who were revealed at the same show 12 months earlier.  Jeremy Hunt also stated that by the end of 2018 – the 70th birthday... read more >