Professor Martin Severs gives keynote speech at Clinical Informatics Congress 2017

delighted that you've all come got a big audience today it will get bigger during the day I think we've reached a tipping point so it's a overuse managerial word but what what I is in my clinical career has been about ism here's a digital solution what's your clinical problem and I think we've now moving the other way around – what's the clinical and business problem and what can we do with digital technologies to help you and I think that's a big shift it's a big shift in where we start thinking as clinicians and we need to start moving around and embracing the whole of the digital technologies to solve our problems as opposed to people designing solutions that we might not need so and where are we we you supposed to have gone through those ere we are good so I want to thank right Raj KT cussed and the comms team for organizing today the objectives of today from my perspective to start generating a conference on an annual basis by which the agenda is driven by clinicians so your feedback today is going to be really key in terms of how we evolved this conference because it should be about your learning and it should be about us having a conference which meets your learning aspirations so I think I think I think that's really really important for us I think there are different groups of clinical informatics specialists emerging and clinician in sorry different groups of clinicians emerging in the clinical informatics world I think there are those like me I give up my clinical practice in terms of touching patients about just over a year and a half ago and people say oh you've given up clinical you're no longer a clinician well you can't work in NHS digital and yet unless you have a license to practice and the reason is my answer to people is if I get it wrong I could kill up to 30,000 people a day 60,000 on a weekend if even at the worst is a clinician I might damage 20 people a day so when we talk about clinical and digital clinical informatics has a massive impact for good but if it goes wrong it can have a massive impact for bad so it's quite important that we see clinical informatics as clinical not as techie or whatever it is a clinical subspecialty and we'll learn more about that as we go today so broadly there's the full-time specialist as those leaders who are often called C CIOs or medical directors and as a combination of both this is about this confidence of is to help clinicians use digital tools effectively this our main audience yes we might be able to facilitate you becoming a CE CIO or or a specialist this is we're going to evolve and become a mechanism for CPD and informatics for a mainstream clinician when I still say clinician I'm a doctor you know I have to live with that but I'm talking about nurses I'm talking about physiotherapists I'm talking about social workers okay this is this is this is not a closed community it's an orphan community for those who are registered and regulated you are the participant and you'll drive the agenda as we move forward so it it's quite an important difference for this conference so you'll see in a session later on where we have a panel we've already got 50 questions from you sent in we can't do 50 but we will answer them all but I will draw on an interactive session based on what you see in the auditorium and if you don't see anything I'll use the questions you sent in so that's what I mean about you driving the agenda so what's the stair to play we've got a lot to be proud of in this country we've got an awful lot to be proud of we've got paperless general practice with structured records quite a lot of general I go around the world and they say all we've got electronic GP record sandwiches structured what analysis can you do how much can you use that information to improve care quite often the card we've got a unique number across the NHS so we can link records we can start to give patients access to all of their debts through there and it's just number we've got electronic prescribing I've just been to Canada where they're struggling with a Vivaan the concept of electronic prescribing at national level because we've got a regional government structure we've got a national spine it processes 2000 messages per second you know that's up there with the big big digital technologies of visa we have a national patient demographic system which interacts with systems in providers across the country keeps a simple demographic data up-to-date sends a message about informal death so that people are not getting appointments after the death and distraught families it's the soft side of technology as well as the hard side of technology which we as clinicians can start to understand to improve the patient experience we've got a massive modernisation programme 4.2 billion we've got our strategic clinical reference group which for the first time has published what we require as clinicians from information technology as we go forward now that will be refined it will become more important but we're now starting to put markers down as a clinical community of what we require to do our jobs better but we've got a long way to go the key message I want to give is clinicians as a driver for change and I'm talking about driving improvement in our adoption of digital technologies it doesn't have to be new there's something wrong in a system where between 20 and 60 percent of test results are never looked at surely digital should be able to help us improve on that we've just had a wanna cry incident in which we're looking at technical solutions which is good absolutely right what I would but how do we as clinicians maintain the continuity of care if if the NHS systems go down or that or the GP systems go down well what would happen if the patient had all their data separately start and they brought their data to the consultation we could still work so there are unique opportunities to think differently using digital technologies and we as clinicians should be starting to drive the change I think my business process can change in the way I handle clinical practice so is there a digital technology there available to us does it work does it work for me with my patients on my clients is it safe and secure and why can't we use it I recently saw a very nice app presentation I won't say which one and I said but it was about mental health and I said well where's the data nobody knew we've got to we've got to think about problems as clinicians downstream and we've got to think through how we can help our patients so this is a simple example of a medical device that if we don't get this right we can get ourselves into trouble so we've got great machine learning and we do it in center air with digital technologies air and clinician group a the machines do fantastic will it work anywhere so with digital we need to start thinking about extensibility as well as generalizability in the way we go forward and we need to think about registration of apps devices in the way we go forward so that any machine can work in any clinical setting with any digital infrastructure not just the one setting and we need to think about safety and how we do that and we need to think about how we deploy that safely across the state that brings me neatly into the whole area of safety in security and trustworthy so as clinicians we can ask the question where's the data and if somebody cut answer where's the data you've got to start to just get slightly anxious well I think it's somewhere in Asia hmm would would your mum would your sisters would your family would your partner all think that's good so we need to start thinking about some simple questions we can ask clinically has it been affected by a cyber attack what's our security have you got on it we've got a password is it password one as the password as it got a virtual private network has it got any antivirus software as the clinician turned off or has them as the administrator turned off the antivirus software does it comply with safety standard and probably most important as we go forward we as clinicians said to patients I'm going to do this is this okay with you we share with our patients so one of the big areas is I was sharing with patients what's happening to their data so in conclusion I think the most important intervention in digital is you taking ownership can we that's clinicians technologists of all the various subtypes work together to help you do your job better quicker makers may have less mistakes improve outcomes for patients our key enabler and enable patients to take more responsibility if they want to not force it on them but I never loved to take more responsibility

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