Digital Primary Care

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Transcript of Digital Primary Care

Notes for EHI Presentation

www.ehilive.co.uk | 3-4 November 2015 | #ehilive

Tracey Grainger Head of Digital Primary Care, NHS England

Hello

Im Mike Smith the technical programme manager for the prime ministers GP Access Fund

I want to talk about 8 interoperability capabilities which I think are required by health professionals working in multi disciplinary teams

Im going to describe a patient journey and then outline 1

www.ehilive.co.uk | 3-4 November 2015 | #ehiliveNHS England commitmentsEasier access to GPs/Primary Care for patients with urgent needsStrengthening primary care services - releasing time in general practice Increased patient satisfactionHarnessing the information revolution

NHS England Digital Strategy and NIB (1.1 and 7)Seven digital capabilities for GP access PMGP Access Call to ActionPaper free at point of care by 2018

NHS England digital commitmentsFive High Impact Changes

Dora is 87 with a number of LTCs

Stomach pains caused her to seek a GP appointment

Own GP didnt have a spare slot.

Appointment booked in Extended Hours.

Dora asked that her phone number be updated

Extended Hours GP, sees contraindication, gives prescription and suggests prescription review at registered GP.

GP suggests referral to Frailty Team.

2

www.ehilive.co.uk | 3-4 November 2015 | #ehilive

NHS Englands digital commitments focus on five high impact changes. Leaders are expected to become champions of digital enablement, and set the standard for modern customer service and professional enablement.

Dora is 87 with a number of LTCs

Stomach pains caused her to seek a GP appointment

Own GP didnt have a spare slot.

Appointment booked in Extended Hours.

Dora asked that her phone number be updated

Extended Hours GP, sees contraindication, gives prescription and suggests prescription review at registered GP.

GP suggests referral to Frailty Team.

3

www.ehilive.co.uk | 3-4 November 2015 | #ehilive

Book GP & secondary care appointments online

Order repeat prescriptions online

Access test results electronicallyRemotely monitor & update long term condition status

Have control of a Personal Health Record

Engage with health professionals via text, email & webcam/chat

Find endorsed pre-approved health and care apps on nhs.ukHave 24 hour access to urgent and emergency care through Digital 111

Access care records remotely to enable provision of care outside GP practice

Register online with a GP

Transfer medical records electronically

Communicate electronically across care settings and professional groups

Dora is 87 with a number of LTCs

Stomach pains caused her to seek a GP appointment

Own GP didnt have a spare slot.

Appointment booked in Extended Hours.

Dora asked that her phone number be updated

Extended Hours GP, sees contraindication, gives prescription and suggests prescription review at registered GP.

GP suggests referral to Frailty Team.

4

www.ehilive.co.uk | 3-4 November 2015 | #ehilive

Scanning and attaching Lloyd George wallets as historical electronic recordsElectronic referrals to secondary careAll clinical correspondence received electronically and uploaded to patient recordReceipt of digital discharge summaries from secondary and social careReceiving test results electronically and attaching them to the patient recordProcessing and transfer of prescriptions to community pharmacies via the Electronic Prescription Service

www.ehilive.co.uk | 3-4 November 2015 | #ehiliveBrought together, the two cohorts total covering over (1/3 of the country) in overthat will benefit from improved access and transformational change at local level.

Wave twoWave one

Dora is 87 with a number of LTCs

Stomach pains caused her to seek a GP appointment

Own GP didnt have a spare slot.

Appointment booked in Extended Hours.

Dora asked that her phone number be updated

Extended Hours GP, sees contraindication, gives prescription and suggests prescription review at registered GP.

GP suggests referral to Frailty Team.

6

www.ehilive.co.uk | 3-4 November 2015 | #ehilive

Dora is 87 with a number of LTCs

Stomach pains caused her to seek a GP appointment

Own GP didnt have a spare slot.

Appointment booked in Extended Hours.

Dora asked that her phone number be updated

Extended Hours GP, sees contraindication, gives prescription and suggests prescription review at registered GP.

GP suggests referral to Frailty Team.

7

www.ehilive.co.uk | 3-4 November 2015 | #ehilive

Single GP System Technology No Integration23 PilotsUrgent Care Integration18 Pilots3rd Party Integration Products13 PilotsPatients Online Services24 PilotsIntegrates 2 GP Systems8 PilotsVideo Consultation22 PilotsIntegrates 3 GP Systems4 Pilotse-Consultation13 PilotsMobile Clinical Access9 Pilots

Dora is 87 with a number of LTCs

Stomach pains caused her to seek a GP appointment

Own GP didnt have a spare slot.

Appointment booked in Extended Hours.

Dora asked that her phone number be updated

Extended Hours GP, sees contraindication, gives prescription and suggests prescription review at registered GP.

GP suggests referral to Frailty Team.

8

www.ehilive.co.uk | 3-4 November 2015 | #ehilive

Self CareService ModelAppointment Booking ChannelsConsultation ChannelsTelehealth/Pre-referralSign-postingWellbeing RecordCare RecordPractice BasedDiscrete HubCentral TriageExtra Hours at PracticeWebVideoSupervised VideoPharmacyWalk-InTelephoneOnlineTelephoneRichmondWindsor, Ascot 7 Maid.OxfordshireTower HamletsNew ForestIslingtonSouthamptonSwindonLambethGloucestershireBristolEpsomWorthingKnowsleyWest LeedsWest CheshireSouth CheshireGatesheadFleetwoodBlackburnHaltonSheffieldBarnsleySouth TeesWiganManchesterSouth WorcestershireCoventrySuffolkCannockPeterboroughStafford & ShropshireBasildonWest EssexMilton KeynesLeicesterSouth Birmingham

Dora is 87 with a number of LTCs

Stomach pains caused her to seek a GP appointment

Own GP didnt have a spare slot.

Appointment booked in Extended Hours.

Dora asked that her phone number be updated

Extended Hours GP, sees contraindication, gives prescription and suggests prescription review at registered GP.

GP suggests referral to Frailty Team.

9

www.ehilive.co.uk | 3-4 November 2015 | #ehilive

Dora is 87 with a number of LTCs

Stomach pains caused her to seek a GP appointment

Own GP didnt have a spare slot.

Appointment booked in Extended Hours.

Dora asked that her phone number be updated

Extended Hours GP, sees contraindication, gives prescription and suggests prescription review at registered GP.

GP suggests referral to Frailty Team.

10

www.ehilive.co.uk | 3-4 November 2015 | #ehilive

Updated modelWider list of Business as Usual/Core ServicesNewly Retired ServicesFinancials under review

Dora is 87 with a number of LTCs

Stomach pains caused her to seek a GP appointment

Own GP didnt have a spare slot.

Appointment booked in Extended Hours.

Dora asked that her phone number be updated

Extended Hours GP, sees contraindication, gives prescription and suggests prescription review at registered GP.

GP suggests referral to Frailty Team.

11

www.ehilive.co.uk | 3-4 November 2015 | #ehiliveSystem levers and incentivesEnablers and technical disruptors

InfrastructureMarket opportunities and Value For MoneyDigital customer interactionSetting the service specification - accountabilitiesUnderpinning Policy vision & strategic directionCommissioner Development & SupportDigital Primary Care ServiceAssurance & Digital MaturityFinancialsDigitally Informed CustomerTechnical ArchitectureIT Systems of ChoiceTechnologies & Data Analytics

Dora is 87 with a number of LTCs

Stomach pains caused her to seek a GP appointment

Own GP didnt have a spare slot.

Appointment booked in Extended Hours.

Dora asked that her phone number be updated

Extended Hours GP, sees contraindication, gives prescription and suggests prescription review at registered GP.

GP suggests referral to Frailty Team.

12

www.ehilive.co.uk | 3-4 November 2015 | #ehilive

[email protected]://www.england.nhs.uk/ourwork/qual-clin-lead/calltoaction/pm-ext-access/resources/ #PMGPAccess#DigitalPrimaryCare

https://youtu.be/YRApcMkeOS4 Join the conversation

Join the Digital Primary Care community networkSimply email [email protected]

Dora is 87 with a number of LTCs

Stomach pains caused her to seek a GP appointment

Own GP didnt have a spare slot.

Appointment booked in Extended Hours.

Dora asked that her phone number be updated

Extended Hours GP, sees contraindication, gives prescription and suggests prescription review at registered GP.

GP suggests referral to Frailty Team.

13