In April 2019, Kettering General Hospital (KGH) commenced on an ambitious journey to be the most digital hospital in England by July 2023. One component of this journey is the aim to decommission all on-site data centres, and move to the cloud, particularly in the light of our forthcoming rebuild as part of the HIP2 programme in the next 3–5 years. Achieving this move is a multi-year project, so putting steps in place to achieve this now is critical.
As we begin to formulate the cloud-first policy/strategy for KGH, I wanted to see what others in the NHS were doing. Over the course of a few hours over a weekend I attempted to summarise the state of play across the NHS, based on publically available documents and my patience with the number of Google results I was willing to click through. …
TL;DR: In the flow researching bed scheduling some more. Tactical solutions vs the main goal.
[week ending 22/01/2021]
Who did you talk to outside of your organisation? A call with Graphnet regarding the Northamptonshire Care Record (NCR). It was good to hear in a bit more detail about the roadmap and also how this tool has been used effectively in other systems around the country.
I also had a quick chat with Bernadette to record a soundbite to accompany the interview I did with her the other weekend.
Josh (one of the new NGH EPR programme team) and I talked to Ian from NHS Digital several times this week as part of a funding application. Josh did a great job of turning round the documentation to keep to the challenging timelines. …
I’ve heard a lot of people describe themselves as “lurkers” rather than Tweeters on Twitter. Whilst this is fine and there’s a lot to be gained by absorbing information in our professional spheres, I think it misses a massive opportunity to be more interactive and discover things that aren’t necessarily being shared. I’d like to illustrate this with a timeline of a recent Tweet.
From an initial tweet, to having 9 potential avenues to explore in 269 minutes, and quite a few responses from people I don’t know at all. Here’s the detail.
9 Jan 2021, 16:46: I reached out to Twitter with a challenge that affects all Acute hospitals — admission scheduling. I wrote a thread, setting out the challenge and then tagged a few people that I thought might help. …
TL;DR: Appointing NGH CCIOs! Brain dumping to everyone.
[week ending 15/01/2021]
Who did you talk to outside of your organisation? Brief catch up with System C on Vitals upgrade and Maternity reporting for KGH.
I was humbled to be asked to join Andy Kineer and James Freed (HEE) from around the country to talk with Sonia Patel (NHSX CIO) about the role of technology in the ICS. A really well facilitated session where we actually spent a lot of time typing into shared Google docs rather than talking — which worked great.
What would you have liked to do more of? Talking about the admission challenge I tweeted about this weekend. I had a chat with John from Google who’d picked up on the Tweet. I was impressed at his knowledge of the ways hospitals work. Less impressed by his choice of lunch omelette. I’ve had a couple of other good responses to the Tweet that I’m following up, but would have loved to have managed to spend more time on this. …
TL;DR: Kicking off the year with a provoking blog about Trust CIOs. Making a start on the Group Digital Strategy.
[week ending 08/01/2001]
Who did you talk to outside of your organisation?.
I kicked off the week by publishing a blog that I’ve been working on for a couple of weeks. …
Over the course of a couple of months I’ve been researching the state of the NHS Trust CIO community and their representation on Boards. It is a concerning picture. If we are the body that represents the use of technology in the NHS, then collectively we are failing.
This has turned into a long piece as I’ve drilled into more data, so deserves a high level summary.
I’ve been doing this annual goal setting for a few years now. I’ve found it good way to keep track and more effective than New Years Resolutions.
TL;DR: All targets from 2020 rolled forward and three new ones added.
>> Read 50 books. [No change in target]. Last year I read 70 books, which was driven to some extent by covid-19, with spending more time at home and sneaking in a hour of reading during the day at a weekend all added up. However, I’m keeping the target the same. Reading a book a week on average still feels like the right balance between an achievable target vs making it another burden. …
At the end of 2019, I set out some personal goals for 2020. This is the second year I’ve done this in this form, including reviewing 4 times a year. Links to previous reviews in 2020… #1, #2, #3. Here goes for the end of year review.
Here’s the TL;DR summary from the spreadsheet I’ve set up. I achieved 4 goals and missed 3 which were related to my weight and distance to cycle.
>> Read 50 books. Achieved. I read 70 books this year. An all time personal best since records began (in 1996).
TL;DR: Finally I can reveal I got the Group CDIO job! Experiencing reverse mentoring and discussing unconcious bias training.
[week ending 24/12/2020]
Short one this week due to only working 3 days. Last weeknote for the year — 48 this year, 46 last year. Season 3 ahoy!
Who did you talk to outside of your organisation? The good folk from EMIS, talking about the forthcoming NGH EPMA implementation.
What was notable? It was confirmed this week that I’ve been appointed to the Group Chief Digital Information Officer role, with Debbie being appointed as the CEO for Kettering. I’m really chuffed to continue the work I’ve made a start on over the past few weeks whilst acting up into the role. I’ve had some lovely comments and some great ideas fed to me already. I put a lot of effort into the prep for the interview, but took more out of me that I realised, so I’m looking forward to a bit of a rest over Christmas and then kick things off in the New Year. …
TL;DR: Talking to the Boards about the Northamptonshire Care Record and discovering the Beckhard and Harris Change Equation.
[week ending 18/12/2020]
Who did you talk to outside of your organisation? A couple of chats with System C — including a really encouraging one about the future plans. The one that got me most exciting was the concept of an in-house hack week that we’ll look at doing in Autumn 2021 when we have a lot more of the KGH EPR in place.
What did you learn? In relation to organisational change, I came across the Beckhard and Harris’ Change Equation:
Dissatisfaction x Desirability x Practicality > Resistance to…