Post on 18-Nov-2014
description
NHS Direct & Sitecore
Roger DonaldHead of Digital Delivery
08/04/2023 1
#SitecoreDT10
What is NHS Direct?
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What is NHS Direct?
A health information and advice line (0845 46 47)
14,000 calls a day. That’s over 5 million calls a year
Web site alone receives 1 million visits each month
3,400 staff
over 1,400 of whom are trained nurses (including dental nurses)
National infrastructure, but with regional/local engagement
Commissioned by the East of England Strategic Health Authority
on behalf of NHS
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The digital challenge
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“The internet has changed the way we shop, find information and
access services or all sorts, including health care. The revolutionary
effect of the web will continue to grow, and all organizations need to
understand how to harness this to achieve their goals.
Our patients currently think of NHS Direct as a telephone service. We
must, of course continue to be available to patients who just pick up the
phone as now. But to ensure we continue to give a service that is highly
valued, we need to think about patients who choose to access us
by looking on the web first, and then seek phone contact if that is
what they need. This needs our full attention.”
Nick Chapman - Chief Executive
5
Public access to health services?
Historically...
Face-to-face communication only
At a time that suits the health professional
Organised around geographic locations & communities
Some telephone based access (NHS Direct)
Our research demonstrated a public demand for digitally delivered
health services
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Delivering digital health services
The challenge...
40 health & symptom checkers (sometimes called SATs) that are
clinically safe
That are easily altered by our clinicians & content authors
From a single source of clinical algorithms
That meet Government accessibility standards
Delivered across multiple channels
That allow for patient / health professional interactive communication
Which capture and pass patient data securely to our systems08/04/2023 7
• Online self service• Web chat• Telephone support• Interactive television• Mobile web / app’s• Email• Proactive communications• Video chat• Secure transactions
NHS
Direct
Multi
Channel
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An NHS with accessible health services
Digital Self Service
Booking & changing appointments
Repeat prescriptions
Tests
Results
Care records
Self assessments
All done via
• net books
• PCs
• Mobile devices
• iTV
• Gaming consoles9
The Sitecore solution
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Sitecore was chosen because...
It integrates with other Microsoft platforms
Specifically Arezzo a clinical decision support tool from InferMed (Prime
Contractor to NHS Direct)
Easy to implement workflow
It versions our content
Inline editing out the box
An easily accessed web interface
An API to syndicate our services to other organisations
Delivery of content across multiple channels
A proven service used by major organisations08/04/2023 11
Over to Michael...
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Developing the Online Service
Michael EdwardsWeb Consultant
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Who is Eduserv?• 10 years experience providing information services to
public sector• Not-for-profit registered charity with commercial
approach• 1st UK Sitecore Partner • 7 years delivering Sitecore solutions• 14 Sitecore Certified Developers
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Features• Find Your Nearest• Job Search• Health Enquiries• SATs• Syndication
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What is a Health and Symptom Checker?• A series of questions that follow a NHS Direct clinically
developed pathway that lead to multiple dispositions.• Contains
– Questions– Information
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What is a Health and Symptom Checker?
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• A series of questions that follow a NHS Direct clinically developed pathway that lead to multiple dispositions.
• Contains– Questions– Information
What is a Health and Symptom Checker?
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What is a Health and Symptom Checker?
HaSC
CDE
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HaSC Process
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CDE
Website
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CDE
Website
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CDE
Website
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CDE
Website
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CDE
Website
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CDE
Website
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The Challenges
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The Challenge• Clinical Decision Engine uses a full object model• We use a full object model with Sitecore (in house
framework)• Sitecore XSLT Renderings can’t be used
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The Solution
SPARK
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What is Spark?• View engine for .NET• XHTML focused• Uses domain objects as content source• Open Source• Lives here: http://sparkviewengine.com/
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Why Spark?• Less code • Quicker development• Compiled rather than parsed• Very fast rendering• XHTML compliant
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Why Sitecore?• Fully extensible• Full integration• Flexibility • Simple• Uses Sitecore inbuilt caching• Accessible via the layout editor
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Spark in Sitecore
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The Challenge• A SAT is a hierarchy of many items• Versioning is typically per item• The whole SAT must be versioned• The ability to change SATs versions quickly
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The Solution
Workflow
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Why Sitecore?• Customisable• Full Control• Simple• Extensible
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The Challenge• SAT must be shown complete• Maintain clinical integrity• Multiple users, possibly on multiple versions
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Presentation split from Content
The Solution
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Why Sitecore?• Content and rendering split• Content always accessible• Fast and powerful query language
TimeVersion 1
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TimeVersion 1
Version 2
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TimeVersion 1
Version 2
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TimeVersion 1
Version 2
/liveguidelines/v001/c001/coldandflu
/liveguidelines/v001/c002/coldandflu
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Summary• Produced Health and Symptom Checkers• Provided a method to rapidly update HaSC• Updates don’t interfere with users already on the site• HaSC can be distributed through multiple channels
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Any Questions
?Michael.Edwards@Eduserv.org.uk Roger.Donald@NHSDirect.nhs.uk
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