Global Digital Exemplar

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.[3]

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][3]

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
  • Alder Hey Children's Hospital NHS Foundation Trust
  • City Hospitals Sunderland NHS Foundation Trust
  • Newcastle upon Tyne Hospitals NHS Foundation Trust
  • Royal Liverpool and Broadgreen University Hospitals NHS Trust
  • Salford Royal NHS Foundation Trust
  • Wirral University Teaching Hospital NHS Foundation Trust

Midlands and East
  • Cambridge University Hospitals NHS Foundation Trust
  • University Hospitals Birmingham NHS Foundation Trust
  • Luton and Dunstable University Hospital NHS Foundation Trust
  • West Suffolk NHS Foundation Trust

London

South
  • Oxford University Hospitals NHS Foundation Trust
  • Taunton and Somerset NHS Foundation Trust
  • University Hospitals Bristol NHS Foundation Trust
  • University Hospital Southampton NHS Foundation Trust

Fast followers

There are eighteen acute "fast follower" trusts, each of which has been partnered with an acute GDE.[4]

Global Digital Exemplar Fast Follower[11] EPR provider
Alder Hey Children’s NHS Foundation Trust Clatterbridge Cancer Centre NHS Foundation Trust Meditech[12]
Cambridge University Hospitals NHS Foundation Trust University College London Hospitals NHS Foundation Trust Epic Systems[13]
City Hospitals Sunderland NHS Foundation Trust South Tyneside NHS Foundation Trust Meditech[12]
Imperial College Healthcare NHS Trust Chelsea and Westminster Hospital NHS Foundation Trust
Luton & Dunstable University Hospital NHS Foundation Trust Bedford Hospital NHS Trust
Newcastle upon Tyne Hospitals NHS Foundation Trust Gateshead Health NHS Foundation Trust Cerner[14]
Oxford University Hospitals NHS Foundation Trust Royal Berkshire NHS Foundation Trust
Royal Free London NHS Foundation Trust North Middlesex University Hospital NHS Trust
Royal Liverpool and Broadgreen University Hospitals NHS Trust
InterSystems[15]
Salford Royal NHS Foundation Trust Pennine Acute Hospitals NHS Trust Allscripts[16]
Taunton and Somerset NHS Foundation Trust
  • Blackpool Teaching Hospitals NHS Foundation Trust
  • Wye Valley NHS Trust
University Hospitals Birmingham NHS Foundation Trust Heart of England NHS Foundation Trust
University Hospitals Bristol NHS Foundation Trust The Whittington Hospital
University Hospitals Southampton NHS Foundation Trust Hampshire Hospitals NHS Foundation Trust
West Suffolk NHS Foundation Trust Milton Keynes University Hospital NHS Foundation Trust
Wirral University Teaching Hospital NHS Foundation Trust Countess of Chester Hospital NHS Foundation Trust Cerner[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

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 (2019). "Reconceptualising the digital maturity of health systems". The Lancet Digital Health. 1 (5): e200–e201. doi:10.1016/S2589-7500(19)30083-4. ISSN 2589-7500. PMID 33323267.
  2. "NHS England » Global Digital Exemplars". www.england.nhs.uk. 2 May 2018. Retrieved 8 July 2018.
  3. Swindells, Matthew; Smart, Will. "Progressing the acute Global Digital Exemplar". www.england.nhs.uk. NHS England. Retrieved 8 July 2018.
  4. "Eighteen NHS trusts confirmed as 'fast followers' to digital exemplars". British Journal of Healthcare Computing. 11 September 2017. Archived from the original on 9 July 2018. Retrieved 8 July 2018.
  5. 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 (2020). "Formative independent evaluation of a digital change programme in the English National Health Service: Study protocol for a longitudinal qualitative study". BMJ Open. 10 (10): e041275. doi:10.1136/bmjopen-2020-041275. PMC 7545630. PMID 33033100.
  6. Heather, Ben (3 July 2017). "Flagship digital fund finally reaches 'exemplar' trusts". Health Service Journal. Retrieved 8 July 2018.
  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 (2021). "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. 28 (7): 1431–1439. doi:10.1093/jamia/ocab020. ISSN 1067-5027. PMC 8480174. PMID 33706378.
  9. "New plans to expand the use of digital technology across the NHS". gov.uk. Department of Health and The Rt Hon Jeremy Hunt MP. Retrieved 2 July 2018.
  10. Stevens, Laura (31 March 2017). "Four more acute global digital exemplars confirmed by NHS England". Digital Health. Digital Health. Retrieved 2 July 2018.
  11. "18 NHS hospital 'fast follower' trusts named | Digital Health". Digital Health. 11 September 2017. Retrieved 8 July 2018.
  12. "Press Release: MEDITECH's Global Digital Exemplar Customers Leading UK's Healthcare Revolution". www.ics.ie. Irish Computer Society. Retrieved 20 July 2018.
  13. Mathieson, SA. "Cambridge University Hospitals NHS Foundation Trust completes £200m Epic and HP IT project". ComputerWeekly.com. Retrieved 20 July 2018.
  14. "Four new digital exemplars expected, including Imperial". Digital Health. 21 November 2016. Retrieved 5 March 2019.
  15. "Three Liverpool trusts approaching start of EPR deployment". www.bj-hc.co.uk. British Journal of Healthcare Computing. Archived from the original on 20 July 2018. Retrieved 20 July 2018.
  16. Stevens, Laura (16 August 2017). "Bolton picks Allscripts in £30 million EPR deal". Digital Health. Retrieved 20 July 2018.
  17. Whitfield, Lyn (13 December 2010). "Wirral expands use of Cerner Millennium | Digital Health". Digital Health. Retrieved 20 July 2018.
  18. "NHS England » Ambulance Global Digital Exemplars". www.england.nhs.uk. Retrieved 2 July 2018.
  19. "NHS England » Mental Health Global Digital Exemplars". www.england.nhs.uk. Retrieved 2 July 2018.
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