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The gaps are exacerbated by the lack of integration across care services – hospital, community and home, clinical and social care, formal and informal settings.This framework addresses the challenge of how to exploit the potential of information technology and data to help bridge these gaps.The proposals in this framework are not comprehensive but they represent the core and immediate priorities for delivery of modern digital health and care services.
Those using services can suffer harm when it could be avoided, could live in greater pain and distress than they need to, and are less likely than expected to experience a full recovery.Where we have identified any third party copyright information you will need to obtain permission from the copyright holders concerned.This publication is available at https://uk/government/publications/personalised-health-and-care-2020/using-data-and-technology-to-transform-outcomes-for-patients-and-citizens Better use of data and technology has the power to improve health, transforming the quality and reducing the cost of health and care services.The job of the National Information Board (NIB) is to put data and technology safely to work for patients, service users, citizens and the caring professionals who serve them, to help ensure that health and care in this country is improving and sustainable.The urgency of this is increasingly evident: the health and care system faces unprecedented financial constraint at a time of rising demand for its services.For care professionals, from social workers to doctors and nurses, the arrival of the digital age has often been experienced not as a force for good but rather as an intrusive additional burden in an already pressured existence.At the same time the technology industry is investing massively in consumer health products but these are not comprehensively linked to the formal health and care sector.This framework has been developed based on evidence from many sources, including civil society and patient organisations, as well as directly from service users.As NIB moves to more detailed work on implementation, it will prioritise co-production with citizens, and partnership with initiatives like NHS Citizen.The Five Year Forward View identified 3 key challenges for health and care: 1.The health and wellbeing gap: If the nation fails to get serious about prevention then recent progress in healthy life expectancies will stall, health inequalities will widen, and our ability to fund beneficial new treatments will be crowded out by the need to spend billions of pounds on wholly avoidable illness. The care and quality gap: Unless we reshape care delivery, harness technology and drive down variations in quality and safety of care, patients’ changing needs will go unmet, people will be harmed who should have been cured, and unacceptable variations in outcomes will persist. The funding and efficiency gap: If we fail to match reasonable funding levels with wide-ranging and sometimes controversial system efficiencies, the result will be some combination of poorer services, fewer staff, deficits, and restrictions on new treatments.