6. Telehealth system integration with GP systems

One of the perceived obstacles to the widespread deployment of telehealth systems is the lack of integration between the telehealth system and the clinical information system used by GPs (and hospital consultants). This work area is focussed around removing or minimising any such obstacle, be it real or perceived. In an ideal world, it would be as easy for a GP to refer a patient onto a telehealth programme as it is to refer him/her to a hospital for diagnosis. From within his existing records system, the GP should be able to select the telehealth service, and define the parameters

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8. Data security and information governance

This work area is focussed on the data security and information governance issues that are necessary and/or appropriate given the increased use of electronic health records, both within the statutory sector and the consumer space. Issues such as what encryption algorithms are appropriate for the storage and transmission of data, and what information can be made available for viewing or editing by which people under what circumstances are expected to be key to this work.

Interoperability Initiatives

4. Shared services (shared calendar, messaging, etc)

Creating informal social care networks is a fundamental requirement for reducing health and social care costs in the future. These social care networks are facilitated by IT and communication services that help people interact and support elderly and needy relatives and friends.

Interoperability Initiatives

2. Streaming multimedia

This work area is focussed around the use of streamed multimedia content within applications. This could be simultaneous two-way multimedia streaming, as used for a video call, or it could be one-way on-demand or broadcast multimedia used for education / coaching, for example. Different qualities of service and levels of security are likely to be required for different applications. For example, a “consumer-grade” service such as Skype may be adequate for interactions between family members or informal carers, but a high fidelity, higher-security system might be required if a consultation with a health professional is necessary. Ideally, it would be

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9. Personal Health Records and statutory systems

With increased emphasis being placed on self-management of health and well-being, it is important that a patient can import data from his/her statutory health record into his/her personal health record, and also for him/her to be able to share this data with health professionals if he/she so desires. This work area will focus on addressing the barriers to this interfacing between PHRs and statutory systems.

Interoperability Initiatives

7. Identity and consent

This work area is focussed on the related issues of proving one’s identity in an electronic, online world, and the provision of consent by the patient to different people to access various data sets are addressed in a co-ordinated manner. Initiatives such as the Cabinet Office’s Identity Assurance Programme are clearly important in this area, but for certain applications and in certain circumstances, other means of identification may be appropriate / acceptable, for example a Facebook login account or an account with a federated identify system such as OpenID.

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1. Multi-platform service delivery

This work area is focused around how best to solve the problem of delivering applications on / content to a disparate collection of consumer client devices, from TVs (Sky, Virgin, Freesat, BT Vision, YouView STBs, Freeview & Freeview HD TVs, various brands of Connected TV, …) to computers (Windows, Mac, Linux) to smartphones and tablets (iOS, Android, Blackberry, Windows Phone, …). It may be that the best that can be achieved is to document what each platform can and cannot do, compiling lists of the specifications and standards that they comply with. However, it is to be hoped that system

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3. Use of Consumers’ Existing Devices

With the intent of deploying consumer-space health and well-being services, and the financial constraints on statutory service provision, it is increasingly important that consumers’ existing devices (TVs, computers, smart phones, tablets, …) are able to be used as the application platform. One of the key issues in this area is the applicability of the Medical Devices Directive, and the implications of this Directive on the aspirations to run health and well-being related applications on devices that are inherently open.

The resulting Profile document is available Continue reading