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Update from the HSCIC: Setting the standards for Electronic Documents and Records

Dr Peter Short Directorate Clinical Lead Health and Social Care Information Centre spoke at today’s Electronic Document Management conference on

  • standardisation as a fundamental foundation for EDM and information sharing
  • core and additional requirements of electronic documents
  • moving towards paperless practice
  • information standards & national developments


In his presentation Dr Short made the following points:

- how do we use electronic communications to make it safer for patients and cut down work

- what is your potential exit plan for a new system in the future?

- set your own believable standards until national standards come in

- EDM can open up some good team discussions

- paperless practice is a fantastic aspiration and worth learning from other organisations


2015-2020 will see constant change in how Health & Social Care services are delivered, in response to a multitude of pressures and technological developments. It is well recognized that Health & Care environments have often lagged behind other commercial and personal sectors in the uptake of new technology. But this is changing with pressure on efficiency of service delivery, information sharing expectations, citizen demand and broad political support.

Health and Social care delivery challenges are both universal and locally peculiar, crossing organizational, geographic and country boundaries. This increasing complexity has focused attention on technology and solutions to share information safely that are unbounded by organisation, system provider or physical location – generically described as ‘inter-operability’ and increasingly citizen centric. But such aspiration needs consistency of rules and governance to work in this complex and security & confidentiality conscious area.

So what are the standards currently in place to support and guide (or manage) this process? What standards are missing or needed, and where could standardization potentially impede innovation and development?

This presentation will cover a patient and clinician partnership view of what could and should happen, delivered by a clinician for whom the use of electronic records and document management has been essential to safety, quality and continuity of care for many years. It will demonstrate how the electronic record and efficient document handling contributes from the perspective of the patient, the clinician and the organization. Whatever the differences in complexity and scale between different Heath and Care providing organisations, the majority of requirements and lessons are common.

The rest of Health & Social Care cannot afford to take as long as the pioneer organization in making a transition to electronic records and document management, or to ignore lessons from the past or the future articulated ambition.

Peter Short‘s full presentation is available for download at the end of this page.

Peter Short‘s Biography:

My clinical background and current practice is based in the field of General Practice, having been a GP principal for 26 years in Buxton, Derbyshire, and a clinical assistant in elderly and rehabilitation medicine for more than 20 years. I developed an interest in Health Informatics over 20 years ago, developing through local and regional introduction of systems, to work with CfH and currently HSCIC. This has included the GP system providers, LSP systems including Lorenzo, and involvement with National projects such at SCR and Patient Online.

On a personal basis I have been through the joy and pain of moving to virtual paperless work, including several iterations of electronic document management systems.

I am now the Directorate Professional Lead to HSCIC Directorates covering Information & Analytics, and Programme Support, and working as a portfolio locum GP.

Future conferences of interest:

Electronic Prescribing In Hospitals: Moving Forward
Tuesday 6 October 2015
Colmore Conference Centre, Birmingham

Developing Patient Accessible Electronic Patient Records
Tuesday 24 November 2015
ICO Conference Centre, London

Electronic Document Management in Healthcare: Delivering a Paperless NHS
Wednesday 9 December 2015
ICO Conference Centre, London

Download: Peter Short's full presentation

1 July 2015


    Partner Organisations

    The Tavistock and Portman NHS Foundation TrustInPracticeClinical Audit Support CentrePlayoutJust For Nurses
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