Career Pathways in Career Pathways in Health InformaticsHealth Informatics

Mik HorswellMik Horswell

UKCHIPUKCHIP

Subtitle - ObjectivesSubtitle - Objectives

What education, training, development What education, training, development pathways to follow for different HI jobspathways to follow for different HI jobs

Practical advice about available choicesPractical advice about available choices

How to choose the right CPDHow to choose the right CPD

What is Health InformaticsWhat is Health Informatics

““The knowledge, skills and tools which The knowledge, skills and tools which enable information to be collected, enable information to be collected, managed, used and shared to managed, used and shared to support the delivery of healthcare support the delivery of healthcare and to provide health and wellbeing.”and to provide health and wellbeing.”

- Making Information Count, DH 2002- Making Information Count, DH 2002

What HI careers are there?What HI careers are there?

NHS Careers ( NHS Careers ( www.nhs.ukwww.nhs.uk/careers/careers ) )

ASSIST ( ASSIST ( www.assist.org.ukwww.assist.org.uk ) )

UKCHIP ( www.ukchip.org )UKCHIP ( www.ukchip.org )

British Computer Society British Computer Society ( www.bcs.org.uk )( www.bcs.org.uk )

What’s in a name?What’s in a name?CIOCIO

Clinical AuditorClinical Auditor

Clinical CoderClinical Coder

Clinical ResearcherClinical Researcher

Data AnalystData Analyst

Director of InformationDirector of Information

Health Records ClerkHealth Records Clerk

Help Desk SupportHelp Desk Support

ICT TrainerICT Trainer

Information ManagerInformation Manager

LibrarianLibrarian

Knowledge ManagerKnowledge Manager

Network ManagerNetwork Manager

Patient Services Patient Services AdministratorAdministrator

Project ManagerProject Manager

ReceptionistReceptionist

StatisticianStatistician

System security ManagerSystem security Manager

Telecommunications Telecommunications ManagerManager

Ward ClerkWard Clerk

……………………………………………………………………..

..fill in your job here…....fill in your job here…..

Grouping HI Careers?Grouping HI Careers?

Managerial Managerial

TechnicalTechnical

Informatics/InformationInformatics/Information

SpecialisedSpecialised

ManagementManagement

Don’t have to know how to do it!Don’t have to know how to do it!

But must know lots of stuffBut must know lots of stuff

Can come from any of the disciplinesCan come from any of the disciplines

Strategy and planningStrategy and planning

Operational, financialOperational, financial

CIO, HIS lead, Trust lead, Shared CIO, HIS lead, Trust lead, Shared Services leadServices lead

Technical or ICTTechnical or ICT

ProgrammingProgramming

Desktop supportDesktop support

SoftwareSoftware

HardwareHardware

NetworkingNetworking

TelecommunicationsTelecommunications

Help desk, trainingHelp desk, training

Information - InformaticsInformation - Informatics

Data Quality managementData Quality management

Data/information analysisData/information analysis

Performance monitoringPerformance monitoring

Audit and researchAudit and research

Public Health and Health PromotionPublic Health and Health Promotion

StatisticsStatistics

SpecialisedSpecialised

Library/Knowledge ManagementLibrary/Knowledge Management

Clinical CodingClinical Coding

Health Records Health Records

Clinical informaticsClinical informatics

Information GovernanceInformation Governance

Training, Education and Training, Education and Development PathwaysDevelopment Pathways

ManagementManagement – Masters, BCS, IHM, IOD, ILM, – Masters, BCS, IHM, IOD, ILM, PRINCE2, etcPRINCE2, etcTechnicalTechnical – ITIL, Microsoft (MCSA, MCSE, – ITIL, Microsoft (MCSA, MCSE, MCTS, MCPD), Cisco CCNA, CompTIA, Novell, MCTS, MCPD), Cisco CCNA, CompTIA, Novell, etcetcInformaticsInformatics – SQL, databasing, ISEB(BCS), MSc – SQL, databasing, ISEB(BCS), MSc Informatics/statistics, IM&T Professional Informatics/statistics, IM&T Professional AwardsAwardsSpecialisedSpecialised – CILIP, IHRIM (Cert. + Diploma, – CILIP, IHRIM (Cert. + Diploma, National Clinical Coding Qual.)National Clinical Coding Qual.)GeneralGeneral – ECDL, ITQ (NVQ level) from E-skills – ECDL, ITQ (NVQ level) from E-skills and Learning Skills Counciland Learning Skills Council

Skills shortagesSkills shortages

0% 5% 10% 15% 20% 25% 30% 35% 40%

IT Networks

Systems/business analysis

Programming

Systems support and operations

Database design and management

Project/programme management

Help desk

Web design

Clinical coding

Information analysis

Librarian/knowledge management

Health Records Management

IT and System Trainers

Future Shortage

Current Shortage

Perceptions of HI Perceptions of HI -1-1““Still poorly understood & appreciated as a Still poorly understood & appreciated as a profession”profession”““ICT is not taken seriously by the NHS”ICT is not taken seriously by the NHS”Organisational change & financial position Organisational change & financial position means no development & no recruitment”means no development & no recruitment”Not enough staff to support national roll Not enough staff to support national roll outs & implementations”outs & implementations”Staff are starting to leave the NHS in the Staff are starting to leave the NHS in the hope of more security & better paid jobs hope of more security & better paid jobs elsewhere” elsewhere”

Perceptions of HI Perceptions of HI -2-2

““Shortages are ever present - not Shortages are ever present - not seen as an essential requirement as seen as an essential requirement as they do not provide patient care”they do not provide patient care”

““What is this nonsense about What is this nonsense about mandatory professional qualifications mandatory professional qualifications – it smacks of protectionism & self-– it smacks of protectionism & self-interest” .interest” .

Why?...professionaliseWhy?...professionalise

““Capability & Capacity” (C&C)Capability & Capacity” (C&C)

IM&T Planning Guidance 2006/7:IM&T Planning Guidance 2006/7:– PCT CEOs now NPfIT “Senior Responsible PCT CEOs now NPfIT “Senior Responsible

Officers”Officers”– SHA & PCT assessment of C&CSHA & PCT assessment of C&C

But really why?But really why?

Informatics is core to the NHSInformatics is core to the NHS

Informatics is more business-critical Informatics is more business-critical every yearevery year

Done well: key contribution to Done well: key contribution to delivering healthcare and NHS policy delivering healthcare and NHS policy objectivesobjectives

Done badly: can kill.Done badly: can kill.

Where & why does the public Where & why does the public value professionals?value professionals?

Medicine?Medicine?

The Law?The Law?

Architecture and Architecture and building?building?

Engineering?Engineering?

Accountants?Accountants?

Agriculture?Agriculture?

Economists?Economists?

Aerospace?Aerospace?

Nuclear physics?Nuclear physics?

Football Football managers?managers?

Statistics?Statistics?

Software?Software?

Elements of Elements of professionalismprofessionalism

RegistrationRegistration

QualificationsQualifications

Standards - professional & ethicalStandards - professional & ethical

RegulationRegulation

IndependenceIndependence

Continuing professional developmentContinuing professional development

Gives leadership in a field of learningGives leadership in a field of learning

Ref: Council for Professions Supplementary to Medicine, ‘Criteria for a Group to be Considered a Ref: Council for Professions Supplementary to Medicine, ‘Criteria for a Group to be Considered a Profession’, (1992), Lord BensonProfession’, (1992), Lord Benson

Case for HI professionalisationCase for HI professionalisation

Protects patientsProtects patients

Benefits to organisationsBenefits to organisations

RecognitionRecognition

Investment in CPDInvestment in CPD

Career structuresCareer structures

Capacity, capability and morale. Capacity, capability and morale.

……Yes but no!Yes but no!

62%

69%

58%

70%

52%

64%

38%

58%

50%

39%

38%

41%

0% 10% 20% 30% 40% 50% 60% 70% 80%

HIS

MH Trust

SHA

PCT

Acute Trust

All

No - mandatoryregistration & regulationYes HI Profession

Transformational GovernmentTransformational Government

VisionVision““The future of public services has to The future of public services has to

use technology to give citizens use technology to give citizens choicechoice””

““We are stronger and more effective We are stronger and more effective when we work when we work togethertogether than apart” than apart”

““We have to have the right We have to have the right peoplepeople… … to plan, deliver and manage to plan, deliver and manage technology-based change”technology-based change”

Transformational GovernmentTransformational GovernmentThree key transformations:Three key transformations:

1.1. Design services around citizens and businessesDesign services around citizens and businesses– Meet rising customer expectationsMeet rising customer expectations– Give whole customer view to front-line staffGive whole customer view to front-line staff– Ensure better policy and social outcomesEnsure better policy and social outcomes

2.2. Move to shared services cultureMove to shared services culture– Standardise, simplify, shareStandardise, simplify, share– Release resources for front-line deliveryRelease resources for front-line delivery

3.3. ProfessionalismProfessionalism in planning, delivery, in planning, delivery, management, skills and governancemanagement, skills and governance

Tempora mutantur, et nos Tempora mutantur, et nos mutamur in illismutamur in illis

Times are changing and we Times are changing and we are changing with themare changing with them

-Ovid-Ovid

Continuing Professional Continuing Professional DevelopmentDevelopment

Degree, MastersDegree, Masters

Management skills trainingManagement skills training

Specialist skills training coursesSpecialist skills training courses

ConferencesConferences

Non work relatedNon work related

Networking eventsNetworking events

Professional organisationsProfessional organisations

More CPDMore CPDProfessional registration – UKCHIPProfessional registration – UKCHIPSelf publicity Self publicity – Writing articlesWriting articles– Speaking at conferencesSpeaking at conferences

VolunteeringVolunteeringCV sharpeningCV sharpening– PositivePositive– BriefBrief– Successes Successes

What one piece of careers advice What one piece of careers advice would you give to someone going would you give to someone going

into the industry?into the industry?

“ “ If you don’t enjoy doing it you’ll If you don’t enjoy doing it you’ll never be as good as someone who never be as good as someone who does. So you will be second rate and does. So you will be second rate and unhappy. unhappy. That applies to anything. You need to That applies to anything. You need to like what you’re doing.”like what you’re doing.”

- Linus Torvalds- Linus Torvalds

Where else to lookWhere else to look

www.hinos.org.uk www.hinos.org.uk

www.skillsforhealth.org.uk www.skillsforhealth.org.uk

www.ic.nhs.uk/informatics www.ic.nhs.uk/informatics

www.bcs.org/hif/pdb www.bcs.org/hif/pdb

www.health-informatics.org www.health-informatics.org

www.hpc-uk.org www.hpc-uk.org

www.cio.gov.uk/itprofession/index www.cio.gov.uk/itprofession/index

www.espace.connectingforhealth.nhs.uk/hic www.espace.connectingforhealth.nhs.uk/hic