Technology in The nhS

Technology in the NHS

Transforming the patient's experience of care

Alasdair Liddell, Stephen Adshead and Ellen Burgess

The King's Fund seeks to understand how the health system in England can be improved. Using that insight, we help to shape policy, transform services and bring about behaviour change. Our work includes research, analysis, leadership development and service improvement. We also offer a wide range of resources to help everyone working in health to share knowledge, learning and ideas.

? The King's Fund 2008

First published 2008 by The King's Fund

Charity registration number: 207401

All rights reserved, including the right of reproduction in whole or in part in any form

ISBN: 978 1 8571 75745

A catalogue record for this publication is available from the British Library

Available from: The King's Fund 11?13 Cavendish Square London W1G 0AN Tel: 020 7307 2591 Fax: 020 7307 2801 Email: publications@.uk .uk/publications

Edited by Fiona Weston

Typeset by Andrew Haig & Associates

Printed in the UK by The King's Fund

Contents

List of figures and tables

v

About the authors and acknowledgements

vi

Summary

vii

1 Introduction

1

Context

1

Objectives and structure of the report

3

Our approach

3

Scope and definitions

3

2 The ideal scenario

5

The `age of abundance' scenario

6

Consumer health care needs

7

The supply of health care technologies

10

The impact of the use of technology in health care

10

3 The adoption of technology in health care

14

The framework of factors influencing the adoption of technology

14

External supply-side factors

15

External demand-side factors

17

Factors internal to the health service

19

4 Technology adoption models

25

Top-down, policy-led uptake

25

Uptake within local management

27

Uptake by professionals within the NHS

29

Uptake by consumers

30

Conclusion ? the key barriers to adoption

31

5 Recommendations ? how to achieve the ideal vision

33

Introduction

33

National leadership

33

Local performance

34

Funding mechanisms

34

Better management of the trial process

35

Better communication with consumers

35

? The King's Fund 2008

Strengthening the NHS/industry partnership

35

Appendix A Learning from other sectors

36

Appendix B Technologies in the ideal scenario, 2018

40

Appendix C Workshop participants and interviewees

46

References

47

? The King's Fund 2008

List of figures and tables

Figure 1 Scenario development methodology (Ofcom study)

6

Figure 2 Simplified model of the adoption of technology

14

Figure 3 Factors affecting the adoption of technology in health care

15

Figure 4 Simplified model of key factors within the NHS that influence the

adoption of technology

19

Figure 5 Technology adoption model 1 ? top-down, policy-led uptake

26

Figure 6 Technology adoption model 2 ? uptake within local management

27

Figure 7 Technology adoption model 3 ? uptake by professionals within the NHS 29

Figure 8 Technology adoption model 4 ? uptake by consumers

31

Table 1 Consumer needs

8

Table 2 Examples of health care technologies in the ideal scenario

9

Table A1 Comparison of technology uptake across sectors

37

Table B1 Technology to provide information and advice in the ideal scenario

41

Table B2 Technology to cater for administration and transactions in the

ideal scenario

41

Table B3 Technology to meet the need for diagnosis in the ideal scenario

42

Table B4 Technology to meet the need for consultations and clinical care in the

ideal scenario

42

Table B5 Technology to meet the need for monitoring in the ideal scenario

44

? The King's Fund 2008

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