Care in the Digital Age: delivery plan 2022 to 2023
The national delivery plan describes activities supporting Health Boards, HSCPs, local authorities, primary care, social care, social work, and care providers to offer new or improved services, whether through improved systems and infrastructure, or access to digital services.
Digital Foundations
Priority Three: The infrastructure, systems, regulation, standards and governance are in place to ensure robust and secure delivery.
Alongside our people and our services, digital technology provides the foundation on which our health and care system is built. Some of what we have needs modernising or improving. Addressing these issues means investing in the development of modern cloud-based infrastructure that adheres to today's standards, and is as secure and as resilient as possible. We also need to make sure our systems comply with legislative standards. This covers a huge amount of work 'behind the scenes' that is needed to modernise our health and care systems. From providing over 160,000 staff with up-to-date Microsoft Office software, to exploring the use of ultra-high definition medical images for diagnosis and treatment of diseases such as cancer, this work is critical to safe and effective delivery of care. Ultimately, better systems can lead to faster diagnosis and more targeted treatment, improving life chances. An Enabling Technology Board oversees these large technical programmes.
What we will deliver
Conduct second national Digital Maturity exercise with health and care organisations
Why we are doing this
Building on understanding of baseline exercise in 2019, to contribute to identifying priorities and areas requiring additional support and development.
Who is leading this work
Scottish Government
When it will be delivered by
Snapshot of priority areas by March 2023
Full exercise by June 2023
What we will deliver
A Cyber Centre of Excellence (CCoE) to continue to improve the security of NHS systems and grow our specialist cyber workforce – helping to protect people's data and services.
Why we are doing this
To enhance the response to security threats and drive excellence through continuous improvements by focusing on key enablement pillars including Centralised Security, 24/7 Monitoring, Threat Hunting, Incident Response and Training and Awareness.
Who is leading this work
NHS National Services Scotland
When it will be delivered by
Operational charter to be completed by end of 2022.
What we will deliver
The Security of Network and Information Systems (NIS) Regulations audit lifecycle, which will continue to assess on a yearly basis all NHS Scotland health boards, cyber resilience practices and improvements. The findings from the yearly audits/reviews help to inform the strategic direction by focusing on mitigating practices for the areas of greatest risk.
Why we are doing this
To protect our critical infrastructure and the data held within it, and to comply with the NIS Regulations 2018. These set out standards which all NHS Scotland health boards (Operators of Essential Services) must comply with. These standards cover managing security risk, defending systems against cyber-attack, detecting cyber security events, and minimising the impact of cyber security incidents. These are all currently assessed against the Scottish Public Sector Cyber Resilience Framework (PSCRF).
Who is leading this work
Scottish Health Competent Authority, which is a Scottish Government function on behalf of the Scottish Ministers
PSCRF – Scottish Government Cyber Resilience Unit
When it will be delivered by
Ongoing audit lifecycle programme of work which commenced 2020
PSCRF revised version due November 2022
What we will deliver
The ability for Health Boards to offer new, more advanced systems for GP practices through the national 'GP IT' programme.
Why we are doing this
These will speed up some admin tasks, lead to better recording of health information and allow different teams to work more closely thanks to greater ability to share patient records, and remote and mobile access. It introduces more features designed to support patients, such as advanced appointment functionality.
Who is leading this work
NHS National Services Scotland
When it will be delivered by
First deployment from July 2022
All Health Boards have selected an accredited system by end January 2024
Rollout to all GP practices targeted for June 2026
What we will deliver
An improved hospital bed management system in critical care.
Why we are doing this
This will allow for better planning and co-ordination of critical care capacity, including efficiency gains through automated and timely reporting to Public Health Scotland.
Who is leading this work
Public Health Scotland
When it will be delivered by
Deployed September 2022
What we will deliver
Expanding our National Clinical Data Store.
Why we are doing this
Enhancing the ability to capture data once and share it many times, building on work on COVID-19 vaccination records through adding further data such as different vaccinations or medicines taken.
Who is leading this work
NHS Education for Scotland
When it will be delivered by
Continuous expansion, with travel vaccinations included from September 2022
What we will deliver
Implement a new Inventory Management System (IMS) as part of the wider 'Scan for Safety in Scotland' programme.
Why we are doing this
To improve tracking of medical equipment and medical devices across Scotland.
Who is leading this work
National Services Scotland
When it will be delivered by
Inventory Management System (IMS) rollout completed March 2023. Medical Device Data Hub designed March 2023.
What we will deliver
Fully implement Hospital Electronic Prescribing and Management Administration (HEPMA) systems across Health Boards.
Why we are doing this
Digital approach to prescribing within Acute Care to improve patient safety, better manage drug stocks, and reduce paper.
Who is leading this work
Health Boards
When it will be delivered by
December 2025
What we will deliver
Enhanced diagnostic capability. This includes replacing Scotland's Picture and Archiving Communications System (PACS), which stores all radiography images so that they can be viewed from anywhere, in any hospital, in any Health Board.
Why we are doing this
The new PACS will support fast access to images from any location, providing opportunities for improved utilisation of scarce radiology resources, making images accessible for safe patient care and supporting the development of innovations such as artificial intelligence.
Who is leading this work
National Services Scotland
When it will be delivered by
Procurement to conclude December 2022, contract award May 2023
What we will deliver
A new, faster, private, and secure public sector broadband service via the 'Scottish Wide Area Network' (SWAN) will start rollout in April 2023, with full coverage complete by 2026.
Why we are doing this
This will support increasing use of online services, the transfer of greater amounts of data for better patient care, and provide greater resilience in our systems across the public sector.
Who is leading this work
National Services Scotland
When it will be delivered by
April 2023 onwards
What we will deliver
A modern master patient management system to hold and protect data that identifies individuals – known as the Community Health Index (CHI) – that provides individual patients with their unique CHI number, used by all parts of the health service.
Why we are doing this
To upgrade and modernise our core patient demographics infrastructure, so that services always know who an individual patient is, and can match their health information to their core health record.
Who is leading this work
National Services Scotland
When it will be delivered by
June 2023 onwards
What we will deliver
Supporting the transition and rollout of Analogue to Digital Telecare.
Why we are doing this
To mitigate the risk to citizens with analogue telephony switch off and ensure response services remain resilient.
Who is leading this work
Local Government Digital Office
When it will be delivered by
To be achieved nationally by 2025
What we will deliver
National procurement of a shared cloud-based Alarm Receiving Centre technology solution to expedite Telecare service providers' transition to digital telecare, and drive innovation.
Why we are doing this
This solution will increase resilience, allow adopting providers to take advantage of shared routes to implementation of new technologies, improve access to data, and open new service delivery models.
Who is leading this work
Scottish Government, Local Government Digital Office and Scotland Excel
When it will be delivered by
June 2023 Onwards
What we will deliver
'Federated' collaboration of Microsoft 365 across health and social care (local government) systems.
Why we are doing this
By making it easier for health and local government-employed social work and social care staff to collaborate and share information, enhancing use of Microsoft Office 365 will increase efficiency and working experience.
Who is leading this work
Local Government Digital Office, with NHS National Services Scotland
When it will be delivered by
October 2022 onwards – Phase 1 complete
What we will deliver
Infrastructure in place to support the delivery of Scotland's Scottish Vaccination Immunisation Programme.
Why we are doing this
This SVIP digital infrastructure will support the delivery of Scotland's ambition to have a world class vaccination and immunisation programme and the creation of single vaccination record.
Who is leading this work
Public Health Scotland
When it will be delivered by
April 2023 onwards
What we will deliver
Enhanced information sharing between Primary Care and the Scottish Ambulance Service for patients treated but not transferred to secondary care by deploying Ensemble to all Health Boards.
Why we are doing this
By making it easier for information to be shared with SAS, Primary Care and Flow Navigation Centres, this will support with supply and demand for unscheduled care, helping to ease winter pressures and support continuity of care.
Who is leading this work
National Services Scotland
When it will be delivered by
October 2022
What we will deliver
Establish a new National Information Governance Programme to address the recommendations of the Information Governance Review executive summary which sets out a number of key challenges around access to and sharing of data across health and social care.
Why we are doing this
Key challenges to be addressed by the National Information Governance Programme include:
- enhanced transparency and trust by citizens through transformative-participatory public engagement
- scoping a proposal for a national IG body that promotes a federated national approach to IG across health and social care
- carrying out an IG maturity review across our partners and ensuring the right IG tools are in place to support the right IG task
- empowering people through training and career paths to be confident in data and digital
Progressing these challenges will be fundamental to the success of the Data Strategy.
Who is leading this work
Led by Scottish Government Digital Health and Care National Information Governance Programme team
When it will be delivered by
April 2022 onwards with the initiation of the National IG Programme Board and governance structures by end 2022
What we will deliver
Enhancing our cyber security tools and responses.
Why we are doing this
To actively promote security controls, regulatory requirements and best practices that include infrastructure security, end-user behaviour, organisational policies, network security, information security, and cloud security.
Who is leading this work
National Services Scotland
When it will be delivered by
Ongoing
What we will deliver
Options appraisal for a new national approach to Radiology Information Systems (RIS).
Why we are doing this
A new national approach to RIS is anticipated to result in better co-ordination and management of radiology services, including tracking and issuing results to patients.
Who is leading this work
Digital Diagnostics Group, supported by National Services Scotland
When it will be delivered by
April 2023
What we will deliver
Further developed tools to support safer staffing and more flexible workforce arrangements.
Why we are doing this
A national eRostering solution is to be deployed on a 'Once for Scotland' basis that will provide a single source of real-time workforce demand and fulfilment data.
Who is leading this work
National Services Scotland
What we will deliver
A digital prescribing system for GPs and citizens in Scotland.
Why we are doing this
To remove "wet ink" signatures from GP Prescriptions
Enable electronic prescribing and dispensing without paper.
Who is leading this work
Scottish Government, National Services Scotland and NHS Education for Scotland
When it will be delivered by
December 2025
Contact
Email: DHCPolicyHub@gov.scot
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