Global Digital Exemplar Explained

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.

Programme elements

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]

Exemplars

Acute exemplars

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.

North

Midlands and East

London

South

Fast followers

There are eighteen acute "fast follower" trusts, each of which has been partnered with an acute GDE.

Global Digital ExemplarFast Follower[11] EPR provider
Alder Hey Children’s NHS Foundation TrustClatterbridge Cancer Centre NHS Foundation TrustMeditech[12]
Cambridge University Hospitals NHS Foundation TrustUniversity College London Hospitals NHS Foundation TrustEpic Systems[13]
City Hospitals Sunderland NHS Foundation TrustSouth Tyneside NHS Foundation TrustMeditech
Imperial College Healthcare NHS TrustChelsea and Westminster Hospital NHS Foundation Trust
Luton & Dunstable University Hospital NHS Foundation TrustBedford Hospital NHS Trust
Newcastle upon Tyne Hospitals NHS Foundation TrustGateshead Health NHS Foundation TrustCerner[14]
Oxford University Hospitals NHS Foundation TrustRoyal Berkshire NHS Foundation Trust
Royal Free London NHS Foundation TrustNorth Middlesex University Hospital NHS Trust
Royal Liverpool and Broadgreen University Hospitals NHS TrustInterSystems[15]
Salford Royal NHS Foundation TrustPennine Acute Hospitals NHS TrustAllscripts[16]
Taunton and Somerset NHS Foundation Trust
University Hospitals Birmingham NHS Foundation TrustHeart of England NHS Foundation Trust
University Hospitals Bristol NHS Foundation TrustThe Whittington Hospital
University Hospitals Southampton NHS Foundation TrustHampshire Hospitals NHS Foundation Trust
West Suffolk NHS Foundation TrustMilton Keynes University Hospital NHS Foundation Trust
Wirral University Teaching Hospital NHS Foundation TrustCountess of Chester Hospital NHS Foundation TrustCerner[17]

Ambulance exemplars

As of July 2018, there are three ambulance trust exemplars.[18]

Mental health exemplars

There are currently seven mental health trust GDEs.[19]

See also

External links

Notes and References

  1. Cresswell. Kathrin. Sheikh. Aziz. Krasuska. Marta. Heeney. Catherine. Franklin. Bryony Dean. Lane. Wendy. Mozaffar. Hajar. Mason. Kathy. Eason. Sally. Hinder. Susan. Potts. Henry W W. Williams. Robin. Reconceptualising the digital maturity of health systems. The Lancet Digital Health. 1. 5. 2019. e200–e201. 2589-7500. 10.1016/S2589-7500(19)30083-4. 33323267. free. 20.500.11820/61d2fa05-db65-4420-af50-f98b24330a2f. free.
  2. Web site: NHS England » Global Digital Exemplars . www.england.nhs.uk . 8 July 2018 . 2 May 2018 . 9 July 2018 . https://web.archive.org/web/20180709010053/https://www.england.nhs.uk/digitaltechnology/info-revolution/exemplars/ . live .
  3. Web site: Swindells . Matthew . Smart . Will . Progressing the acute Global Digital Exemplar . www.england.nhs.uk . NHS England . 8 July 2018 . 9 July 2018 . https://web.archive.org/web/20180709010219/https://www.england.nhs.uk/blog/progressing-the-acute-global-digital-exemplar/ . live .
  4. News: Eighteen NHS trusts confirmed as 'fast followers' to digital exemplars . British Journal of Healthcare Computing . 11 September 2017 . 8 July 2018 . 9 July 2018 . https://web.archive.org/web/20180709010232/https://www.bj-hc.co.uk/eighteen-nhs-trusts-confirmed-fast-followers-digital-exemplars . dead .
  5. 10.1136/bmjopen-2020-041275. Formative independent evaluation of a digital change programme in the English National Health Service: Study protocol for a longitudinal qualitative study. 2020. Cresswell. Kathrin. Sheikh. Aziz. Dean Franklin. Bryony. Krasuska. Marta. Nguyen. Hung. Hinder. Susan. Lane. Wendy. Mozaffar. Hajar. Mason. Kathy. Eason. Sally. Potts. Henry. Williams. Robin. BMJ Open. 10. 10. e041275. 33033100. 7545630.
  6. News: Heather . Ben . Flagship digital fund finally reaches 'exemplar' trusts . Health Service Journal . 3 July 2017 . 8 July 2018 . en . 8 July 2018 . https://web.archive.org/web/20180708221035/https://www.hsj.co.uk/technology-and-innovation/flagship-digital-fund-finally-reaches-exemplar-trusts/7019136.article . live .
  7. Independent Evaluation of the Global Digital Exemplar (GDE) Programme: 30 month report, https://www.ed.ac.uk/files/atoms/files/30_month_gde_evaluation_report_0.pdf
  8. Williams. Robin. Sheikh. Aziz. Franklin. Bryony Dean. Krasuska. Marta. Nguyen. Hung The. Hinder. Susan. Lane. Wendy. Mozaffar. Hajar. Mason. Kathy. Eason. Sally. Potts. Henry W W. Cresswell. Kathrin. Using Blueprints to promote interorganizational knowledge transfer in digital health initiatives—a qualitative exploration of a national change program in English hospitals. Journal of the American Medical Informatics Association. 2021. 28. 7. 1431–1439. 1067-5027. 10.1093/jamia/ocab020. 8480174 . 33706378. free.
  9. News: New plans to expand the use of digital technology across the NHS. 2 July 2018. gov.uk. Department of Health and The Rt Hon Jeremy Hunt MP. GDE. 1 July 2018. https://web.archive.org/web/20180701030503/https://www.gov.uk/government/news/new-plans-to-expand-the-use-of-digital-technology-across-the-nhs. live.
  10. News: Stevens. Laura. Four more acute global digital exemplars confirmed by NHS England. 2 July 2018. Digital Health. Digital Health. 31 March 2017. 23 June 2018. https://web.archive.org/web/20180623170258/https://www.digitalhealth.net/2017/03/four-more-acute-global-digital-exemplars-confirmed-by-nhs-england/. live.
  11. News: 18 NHS hospital 'fast follower' trusts named Digital Health . 8 July 2018 . Digital Health . 11 September 2017 . 8 July 2018 . https://web.archive.org/web/20180708221011/https://www.digitalhealth.net/2017/09/18-nhs-hospital-fast-followers-named/ . live .
  12. Web site: Press Release: MEDITECH's Global Digital Exemplar Customers Leading UK's Healthcare Revolution . www.ics.ie . Irish Computer Society . 20 July 2018 . en . 20 July 2018 . https://web.archive.org/web/20180720165906/https://www.ics.ie/news/press-release-meditechs-global-digital-exemplar-customers-leading-uks-healthcare-revolution . live .
  13. News: Mathieson . SA . Cambridge University Hospitals NHS Foundation Trust completes £200m Epic and HP IT project . 20 July 2018 . ComputerWeekly.com . 20 July 2018 . https://web.archive.org/web/20180720165731/https://www.computerweekly.com/feature/Cambridge-University-Hospitals-NHS-Foundation-Trust-completes-200m-Epic-and-HP-IT-project . live .
  14. Web site: Four new digital exemplars expected, including Imperial. 2016-11-21. Digital Health. en-GB. 2019-03-05. 6 March 2019. https://web.archive.org/web/20190306043623/https://www.digitalhealth.net/2016/11/four-new-digital-exemplars-expected-including-imperial/. live.
  15. Web site: Three Liverpool trusts approaching start of EPR deployment . www.bj-hc.co.uk . British Journal of Healthcare Computing . 20 July 2018 . 20 July 2018 . https://web.archive.org/web/20180720165742/https://www.bj-hc.co.uk/three-liverpool-trusts-approaching-start-epr-deployment . dead .
  16. News: Stevens . Laura . Bolton picks Allscripts in £30 million EPR deal . 20 July 2018 . Digital Health . 16 August 2017 . 20 July 2018 . https://web.archive.org/web/20180720165557/https://www.digitalhealth.net/2017/08/boltons-picks-allscripts-as-preferred-supplier-for-epr/ . live .
  17. News: Whitfield . Lyn . Wirral expands use of Cerner Millennium Digital Health . 20 July 2018 . Digital Health . 13 December 2010 . 20 July 2018 . https://web.archive.org/web/20180720165645/https://www.digitalhealth.net/2010/12/wirral-expands-use-of-cerner-millennium/ . live .
  18. Web site: NHS England » Ambulance Global Digital Exemplars . www.england.nhs.uk . 2 July 2018 . 9 July 2018 . https://web.archive.org/web/20180709010029/https://www.england.nhs.uk/digitaltechnology/info-revolution/exemplars/ambulance-global-digital-exemplars/ . live .
  19. Web site: NHS England » Mental Health Global Digital Exemplars . www.england.nhs.uk . 2 July 2018 . 9 July 2018 . https://web.archive.org/web/20180709010126/https://www.england.nhs.uk/digitaltechnology/info-revolution/exemplars/mental-health-global-digital-exemplars/ . live .

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