Health Insights London

Enabling Digital Transformation – Digital Maturity and Local Digital Roadmaps

Tim EllisSenior Programme LeadDigital TechnologyNHS England

6th July 2016

What success looks likeDigital maturity in secondary care providers is significantly increased • Patient information is recorded once, digitally, at or close to the point of care.• Clinicians alerted promptly to key patient events and changes in status, supported by knowledge

management and decision support tools.• Improved management, administration and optimisation of medicines, availability of assets and effective

staff- rostering.

Information is digital (paper-free) and flows between primary, secondary and social care providers seamlessly • Patient information at the point of care is available digitally (irrespective of where it was recorded), on a

secure, timely and accessible basis.• Transfers, referrals, bookings, orders, results, alerts, notices and clinical communications are passed digitally

between organisations.• Telehealth/collaborative technologies used to deliver care in new ways.

What success looks likePatients, carers and citizens use digital technologies to manage their health and wellbeing • Patients digitally book and manage their appointments, request and manage their prescriptions

and consent to share personal information.• Patients can view, understand and contribute to their digital record, and manage how this is made

available to family and carers.• Approved digital tools and applications used across care settings to facilitate: care planning and

shared decision making; education and access to resources; monitoring and feedback on health and wellbeing; and administration of personal budgets.

Commissioners providers and citizens increasingly use data (individually and at population level) to best effect• Rich data sets inform decision making, investment priorities, safety and quality assessments, and

outcome measurements.

READINESSAre providers set up effectively to deliver paper-free at the point of care?

CAPABILITIESDo providers have the digital capabilities they need to deliver paper-free at the point of care?

INFRASTRUCTUREAre the underpinning technical enablers in place to deliver paper-free at the point of care?

Digital Maturity Self-Assessment: Components

Key:

Red = Infrastructure score <40%

Amber = Infrastructure score 41 – 69%

Green = Infrastructure score 70 – 100%

Blue lines reflect the bandings applied in MyNHS

National Scores for Readiness, Capabilities & Infrastructure themes (all services).

Digital Maturity Self-Assessment: National Results

6

Digital Maturity Self-Assessment: National Results (Section-level)National averages for sections within the Readiness, Capability & Infrastructure themes (all services).

Strategic

Alignment

Leadersh

ip

Resourcing

Governance

Information Gove

rnance

Records, A

ssessm

ents & Plans

Transfers

of Care

Orders & Results

Management

Medicines M

anagement & O

ptimisation

Decision Su

pport

Remote & Assi

stive

Care

Asset &

Resource O

ptimisation

Standards

Enabling In

frastr

ucture

0

20

40

60

80

100

Readiness Sections Capabilities Sections Infrastructure

Readiness Sections scored higher than capabilities Medicines Management, Remote & Assistive Care and

Decision Support have lowest results across the self-assessment

Current context for ‘digital’• Overview of current maturity• Key recent achievements

• Key current initiatives• Rate limiting factors

Digital maturity assessments in primary care

The Digital Primary Care maturity assurance data can now be accessed through the

Primary Care Web Tool – https://www.primarycare.nhs.uk/. It will provide a

mechanism for CCGs and GP practices to review and benchmark current levels of

digital maturity against the requirements laid out in the GP IT Operating Model.

A series of upcoming webinars are being run to help people understand the tool –

details are available here:https://www.england.nhs.uk/events/upcoming-webinars/

Current context for ‘digital’• Overview of current maturity• Key recent achievements

• Key current initiatives• Rate limiting factors

Digital maturity assessments in social care

• Over half of Local Authorities have responded to date• Similar profile to secondary care• 37% of Local Authorities (adult social care) felt they

have electronic access to the information they need from other health providers;

• 42% of Local Authorities (both adult social care and children’s social care) felt that there were effective APIs enabling information sharing without manual intervention;

• 46% of Local Authorities felt there were effective technologies to support electronic collaboration between care professionals

Sustainability & Transformation Plans (STPs) and Local Digital Roadmaps (LDRs)

• Digital has been positioned within the STP guidance and resources

• Submission dates were aligned

• 83 LDR footprints declared, 44 STP footprints

• Signalling in LDR guidance

• In their LDRs, commissioners and providers should describe how, working collaboratively, they will underpin and transform service models, within and between care settings, with the necessary digital technology and capability.

• Encouraged alignment of LDR and STP development processes

LDR Local Approach

Some LDRs consolidated

Peer Review and

Challenge Process

Locality Plans use digital maturity to

prioritise investment

CCG, DCO, P&I DT draft review and feedback

Frame digital capabilities against STP

aid memoires

Do once, Do at locality

Level, Do at an

Organisation Level

The Core Content of a Local Digital Roadmap

A vision for digitally-enabled transformation

Information sharing• Approach• Information sharing agreement• Adoption of NHS number and

standards

Readiness• Leadership, clinical

engagement and governance• Change management

approach• Benefits management and

measurement• Investment approach• Programme structure• Resources for change

Capability deployment• Schedule• Trajectory

System-wide Infrastructure• Mobile working • Unified communications • Shared infrastructure initiatives

Where are we now• Overview of current maturity• Key recent achievements• Key current initiatives• Rate limiting factors

Universal capabilities delivery plan

• Baseline• Ambition• Activities• National services /

infrastructure / standards• Evidencing progress

All LDRs now submitted

Local Digital Roadmap Alignment

June 30th LDR & STP Submissions

July LDR and STPs reviewed. Regional Lead.

Highlighted issues addressed in LDRs. Configuration. Support Offer.

Autumn Investment readiness.Process to access 17/18 funding.The aspiration is for all LDRs to be investment ready by November.

Completeness & Contribution

Alignment & Endorsement

Capabilities & Interoperability

• The assessment of individual LDRs and subsequent targeting of support to improve / develop them further will be regionally-led.

• The assessment for investment readiness (and any subsequent support to get footprints to the threshold) should be seen as the start of a broader cycle of ‘assess / targeted support / develop’ to produce richer and deeper LDRs, increasingly aligned with STPs. (Additional regional DT resource should be in place soon to support this).

• Having an investment ready Local Digital Roadmap will be one requirement to access the funding available from 17/18, but not the only requirement. The aspiration is for all LDRs to be investment ready by November.

The process going forward

https://bettercare.tibbr.com/tibbr/web/login

Local Digital Roadmaps – collaborative platform

We are pleased to announce the launch of a collaboration platform to support Local Digital Roadmap development. It is hosted on the Better Care Exchange, where a new subject has been added entitled ‘Local_Digital_Roadmap_Development’. It is available for you to post, access or comment upon resources, post or respond to requests for information, or participate in online discussions, and takes ‘seconds’ to register and gain access – go to

Local Digital Roadmaps

Digital Maturity Assessment &

Analysis

Tech Funds & Benefits

Optimisation

Transformation & Leadership

Support

Market Management &

Supplier Accreditation

Commissioning and regulatory

Levers

• LDR Guidance• Footprint Digital

Milestones

• STP Alignment• Investment Portfolio

& allocation rules

DMA• Capability• Readiness• Infrastructure

• “Digitised System” Metrics

• Research and Devt

• Distribute Staged Funding

• Benefit Reporting

• Evidence Base• Knowledge Networks• Benefits Realisation

• Support for Providers, CCGs & DCOs

• Peer Network

• Health Checks• Leadership Summits• Peer Networks• Learning Resources

• Intelligent Customer• Price Benchmarks

• Dynamic Purchasing• Relational Contracts• Strategic Supply

Management• Accreditation &

Assurance

• Standard Contract• CCG and Provider

contract levers• CQUIN

• NHSI Performance Framework

• CQC Digital Indicators

Driving Digital Maturity – Programme Structure

Transformation & Leadership SupportFor Commissioners & Providers

Driving Digital Maturity – Programme Structure

Leadership Development

Analytical Insight

Digital Strategy Support

Health ChecksSubject Matter Experts

Change Management

Planning

Peer Networks

Knowledge Resources

Commercial Terms Review

Digital Struggle

rs

DigitalExplorer

s

Digital Strivers

Digital Highflier

s

NHS EnglandNHS ImprovementNHS Digital

Questions