The pushmi-pullyu: Integrating apps with mainstream NHS IT

'Using apps to transform healthcare delivery'Royal Society of Medicine, London 18 April 2013

Rob Dyke – Co-founder, HANDIHealth (CIC)

Hello HANDI

• We are• Not - For - Profit• Community Interest Company

• Here to support:• Developers• Health and care professionals• Patients, service users and carers

The HANDI Vision

• Giving everyone the tools they need to manage health, care and well-being

Why HANDI?

• Because we believe apps and the app paradigm can transform health and care

What’s an App?

• Not just about mobile• A “connected thing” • Makes heavy use of pre-existing components

and services• Built using a well defined development and

deployment framework• Order of magnitude(s) faster and cheaper to

develop and deploy• Allows niche solutions and “fail fast”

We are here

Amara's Law

"We tend to overestimate the effect of a technology in the short run and

underestimate the effect in the long run."

http://en.wikipedia.org/wiki/Roy_Amara

The Challenges

Getting apps and mainstream NHS IT to play nicely with each other....

• Ecosystem

• Interoperable

• Orchestrated

• Platform and form factor agility

Health and Care IT Ecosystem

Enterprise Service Bus (ESB)

User interface components (Apps)

Web Services – SMART Wrapper – ITK - API Business Services

Ecosystem Services - Data Persistence, Knowledge, Other Services PDS, EHR, EPR, Decision Support, Identity Management, Consent Management

Choose & Book, EPS, Security Broker – Some/all could be duplicated

Link toOther ESBs

Link toOther ESBs

The pushmi-pullyu

Some examples

• Choose and Book 2● ...DrDoctor App

• GP SoC 2● ...HowAreYou

• N3/PSN● ...4G & 'Cloud'

What Will HANDI do?

• Lobby for an environment (technical, cultural and commercial) in which apps can flourish, interoperate and be orchestrated

Networking and Partnerships

• Building links with all of the community:• Carers, patients and public• Health and Care Professionals• App Developers• Academia• Industry• Government• NHS• Investors

What can we help with?

• Finding partners• App development and design – Platforms, tool,

approaches• Interoperability and standards• Information governance• Legal issues• APIs• Test environments and experimentation • Business models and funding• App promotion and deployment

Proving our value

HANDI have worked extensively with @NHSCB on developing the Review & Acceptance process for the NHS Apps Store

Proving our value

Working with @NHSCB on the emerging developer.nhs.uk site

Extending access to interoperability resource

Join Us

• Come and help us• Join a local cluster• Follow us @handihealth• Watch #handihealth• Come and talk after

www.handihealth.orginfo@handihealth.org

@handihealth

Handi Health Community Interest Company - limited by guarantee registered in England number 07999302

Registered Office: The Oakley, Kidderminster Rd, Droitwich, Worcestershire. WR9 9AY

Correspondence address: PO Box 5309 Leamington Spa, CV31 9GT