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Page 1: Www.nhsdirect.nhs.uk. Dr Nicholas Robinson NHS Direct Online Adviser for eHealth & Telemedicine Telemedicine@wlon.nhsdirect.nhs.uk.

www.nhsdirect.nhs.uk

Page 2: Www.nhsdirect.nhs.uk. Dr Nicholas Robinson NHS Direct Online Adviser for eHealth & Telemedicine Telemedicine@wlon.nhsdirect.nhs.uk.

•Dr Nicholas Robinson

•NHS Direct Online

•Adviser for eHealth & Telemedicine

[email protected]

Page 3: Www.nhsdirect.nhs.uk. Dr Nicholas Robinson NHS Direct Online Adviser for eHealth & Telemedicine Telemedicine@wlon.nhsdirect.nhs.uk.

“The success of NHS Direct - the nationwide,

24-hour, nurse-led health advice service

means it is to be significantly expanded over

the next three years”

John Hutton, Health Minister - 14th April 2003

Strategic Context

Page 4: Www.nhsdirect.nhs.uk. Dr Nicholas Robinson NHS Direct Online Adviser for eHealth & Telemedicine Telemedicine@wlon.nhsdirect.nhs.uk.

As a result of the investment in the

service, NHS Direct Online will offer the

public a web-based personal health

organiser by the end of 2003

- My NHS HealthSpace

Strategic Context

Page 5: Www.nhsdirect.nhs.uk. Dr Nicholas Robinson NHS Direct Online Adviser for eHealth & Telemedicine Telemedicine@wlon.nhsdirect.nhs.uk.

My NHS HealthSpace is an

electronic record held by NHS

Online in a secure place on the

Internet.

What is it?

Page 6: Www.nhsdirect.nhs.uk. Dr Nicholas Robinson NHS Direct Online Adviser for eHealth & Telemedicine Telemedicine@wlon.nhsdirect.nhs.uk.

What’s in it?

My NHS HealthSpace contains:

• personal health status

• health appointments

• current medication

• SMS & email reminders

• health related news and information

• future secure gateway to NHS records

Page 7: Www.nhsdirect.nhs.uk. Dr Nicholas Robinson NHS Direct Online Adviser for eHealth & Telemedicine Telemedicine@wlon.nhsdirect.nhs.uk.

•Users can enter as much / little personal

information as they like into their own

HealthSpace.

•The service is designed so that users can

tailor their HealthSpace to their specific needs.

•The service can be used with complete

anonymity.

Designed for Users

Page 8: Www.nhsdirect.nhs.uk. Dr Nicholas Robinson NHS Direct Online Adviser for eHealth & Telemedicine Telemedicine@wlon.nhsdirect.nhs.uk.

Evolution of My HealthSpace

Page 9: Www.nhsdirect.nhs.uk. Dr Nicholas Robinson NHS Direct Online Adviser for eHealth & Telemedicine Telemedicine@wlon.nhsdirect.nhs.uk.

Phase 1 – Proof of Concept

Page 10: Www.nhsdirect.nhs.uk. Dr Nicholas Robinson NHS Direct Online Adviser for eHealth & Telemedicine Telemedicine@wlon.nhsdirect.nhs.uk.

Secure SSL area

(Using an SSL certificate means any information passed between the

server and the user is encrypted for viewing only between these two

machines)

Page 11: Www.nhsdirect.nhs.uk. Dr Nicholas Robinson NHS Direct Online Adviser for eHealth & Telemedicine Telemedicine@wlon.nhsdirect.nhs.uk.

•Calendar/Appointments

•Personal Details

•Personal Health Status

•Next of Kin

Secure SSL area

(Using an SSL certificate means any information passed between the

server and the user is encrypted for viewing only between these two

machines)

Phase 1 – Standalone HealthSpace

Page 12: Www.nhsdirect.nhs.uk. Dr Nicholas Robinson NHS Direct Online Adviser for eHealth & Telemedicine Telemedicine@wlon.nhsdirect.nhs.uk.

•Calendar/Appointments

•Personal Details

•Personal Health Status

•Next of Kin

•Patient Choice Project

•Owners Manual

Secure SSL area

(Using an SSL certificate means any information passed between the

server and the user is encrypted for viewing only between these two

machines)

Page 13: Www.nhsdirect.nhs.uk. Dr Nicholas Robinson NHS Direct Online Adviser for eHealth & Telemedicine Telemedicine@wlon.nhsdirect.nhs.uk.

Secure SSL area

(Using an SSL certificate means any information passed between the

server and the user is encrypted for viewing only between these two

machines)

•Calendar/Appointments

•Personal Details

•Personal Health Status

•Next of Kin

•Patient Choice Project

•Owners Manual

Page 14: Www.nhsdirect.nhs.uk. Dr Nicholas Robinson NHS Direct Online Adviser for eHealth & Telemedicine Telemedicine@wlon.nhsdirect.nhs.uk.

Secure SSL area

(Using an SSL certificate means any information passed between the

server and the user is encrypted for viewing only between these two

machines)

•Calendar/Appointments

•Personal Details

•Personal Health Status

•Next of Kin

•Patient Choice Project

•Owners Manual

Page 15: Www.nhsdirect.nhs.uk. Dr Nicholas Robinson NHS Direct Online Adviser for eHealth & Telemedicine Telemedicine@wlon.nhsdirect.nhs.uk.

Secure SSL area

(Using an SSL certificate means any information passed between the

server and the user is encrypted for viewing only between these two

machines)

•Calendar/Appointments

•Personal Details

•Personal Health Status

•Next of Kin

•Patient Choice Project

•Owners Manual

GP e-Records - HRI Process

Phase 2 - Gateway to NHS records

Page 16: Www.nhsdirect.nhs.uk. Dr Nicholas Robinson NHS Direct Online Adviser for eHealth & Telemedicine Telemedicine@wlon.nhsdirect.nhs.uk.

Secure SSL area

(Using an SSL certificate means any information passed between the

server and the user is encrypted for viewing only between these two

machines)

•Calendar/Appointments

•Personal Details

•Personal Health Status

•Next of Kin

•Patient Choice Project

•Owners Manual

GP e-Records - HRI Process

Page 17: Www.nhsdirect.nhs.uk. Dr Nicholas Robinson NHS Direct Online Adviser for eHealth & Telemedicine Telemedicine@wlon.nhsdirect.nhs.uk.

Internet (XHTML)

Secure SSL area

(Using an SSL certificate means any information passed between the

server and the user is encrypted for viewing only between these two

machines)

•Calendar/Appointments

•Personal Details

•Personal Health Status

•Next of Kin

•Patient Choice Project

•Owners Manual

GP e-Records - HRI Process

Page 18: Www.nhsdirect.nhs.uk. Dr Nicholas Robinson NHS Direct Online Adviser for eHealth & Telemedicine Telemedicine@wlon.nhsdirect.nhs.uk.

Internet (XHTML)

Kiosk

PDA

WAP

DTV

GP e-Records - HRI Process

Secure SSL area

(Using an SSL certificate means any information passed between the

server and the user is encrypted for viewing only between these two

machines)

•Calendar/Appointments

•Personal Details

•Personal Health Status

•Next of Kin

•Patient Choice Project

•Owners Manual

Page 19: Www.nhsdirect.nhs.uk. Dr Nicholas Robinson NHS Direct Online Adviser for eHealth & Telemedicine Telemedicine@wlon.nhsdirect.nhs.uk.

NHS e-Records

Secure SSL area

(Using an SSL certificate means any information passed between the

server and the user is encrypted for viewing only between these two

machines)

•Calendar/Appointments

•Personal Details

•Personal Health Status

•Next of Kin

•Patient Choice Project

•Owners Manual

GP e-Records - HRI Process

Internet (XHTML)

Kiosk

PDA

WAP

DTV

Page 20: Www.nhsdirect.nhs.uk. Dr Nicholas Robinson NHS Direct Online Adviser for eHealth & Telemedicine Telemedicine@wlon.nhsdirect.nhs.uk.

•Patients at Bury Knowle GP practice in Oxford had live

access to their GP records via My NHS HealthSpace

•NHS Direct Online Enquiry Service users piloted real time

access to their own HealthSpace on the web

My NHS HealthSpace – Pilot sites

Page 21: Www.nhsdirect.nhs.uk. Dr Nicholas Robinson NHS Direct Online Adviser for eHealth & Telemedicine Telemedicine@wlon.nhsdirect.nhs.uk.

Key issues for pilot stages

Location Ease of access

Understandability Governance

Technical Satisfaction

Healthy Impact Stickiness

Page 22: Www.nhsdirect.nhs.uk. Dr Nicholas Robinson NHS Direct Online Adviser for eHealth & Telemedicine Telemedicine@wlon.nhsdirect.nhs.uk.

www.nhsdirect.nhs.uk

Page 23: Www.nhsdirect.nhs.uk. Dr Nicholas Robinson NHS Direct Online Adviser for eHealth & Telemedicine Telemedicine@wlon.nhsdirect.nhs.uk.

What we asked the public!

Does the look & feel work for you?

Do you understand what HealthSpace is all about?

Does access to your NHS records work for you?

Is there anything we have missed?

Page 24: Www.nhsdirect.nhs.uk. Dr Nicholas Robinson NHS Direct Online Adviser for eHealth & Telemedicine Telemedicine@wlon.nhsdirect.nhs.uk.

What did we change as a result?

Look & Feel Logging On

Terms & Conditions Personal Details

Calendar Health Status

NHS Records Help function

Page 25: Www.nhsdirect.nhs.uk. Dr Nicholas Robinson NHS Direct Online Adviser for eHealth & Telemedicine Telemedicine@wlon.nhsdirect.nhs.uk.

www.nhsdirect.nhs.uk

Page 26: Www.nhsdirect.nhs.uk. Dr Nicholas Robinson NHS Direct Online Adviser for eHealth & Telemedicine Telemedicine@wlon.nhsdirect.nhs.uk.

www.nhsdirect.nhs.uk

Page 27: Www.nhsdirect.nhs.uk. Dr Nicholas Robinson NHS Direct Online Adviser for eHealth & Telemedicine Telemedicine@wlon.nhsdirect.nhs.uk.

www.nhsdirect.nhs.uk

Page 28: Www.nhsdirect.nhs.uk. Dr Nicholas Robinson NHS Direct Online Adviser for eHealth & Telemedicine Telemedicine@wlon.nhsdirect.nhs.uk.

www.nhsdirect.nhs.uk

Page 29: Www.nhsdirect.nhs.uk. Dr Nicholas Robinson NHS Direct Online Adviser for eHealth & Telemedicine Telemedicine@wlon.nhsdirect.nhs.uk.

Why use HealthSpace?

•Get the information you want, in the format you want

•Be better informed & less anxious with NHS health professionals

•Record your health care wishes & alert health professionals to them

•NHS health professionals will contact you – discretely, safely & securely

•Remember appointments & when to take pills – HealthSpace reminds you

•Access whatever you want, whenever you want, for as long as you want

•End result: HealthSpace puts you more in control of your own health care

Page 30: Www.nhsdirect.nhs.uk. Dr Nicholas Robinson NHS Direct Online Adviser for eHealth & Telemedicine Telemedicine@wlon.nhsdirect.nhs.uk.

Next Steps for HealthSpace?

• Deliver standalone My NHS HealthSpace to NHS

Direct Online users by December 2003

• Work within National Programme for IT to deliver

the secure patient portal to NHS electronic records

by December 2004

Page 31: Www.nhsdirect.nhs.uk. Dr Nicholas Robinson NHS Direct Online Adviser for eHealth & Telemedicine Telemedicine@wlon.nhsdirect.nhs.uk.

What will the next generation

My NHS HealthSpace

look and feel like?

Page 32: Www.nhsdirect.nhs.uk. Dr Nicholas Robinson NHS Direct Online Adviser for eHealth & Telemedicine Telemedicine@wlon.nhsdirect.nhs.uk.

www.nhsdirect.nhs.uk

Page 33: Www.nhsdirect.nhs.uk. Dr Nicholas Robinson NHS Direct Online Adviser for eHealth & Telemedicine Telemedicine@wlon.nhsdirect.nhs.uk.

www.nhsdirect.nhs.uk

Page 34: Www.nhsdirect.nhs.uk. Dr Nicholas Robinson NHS Direct Online Adviser for eHealth & Telemedicine Telemedicine@wlon.nhsdirect.nhs.uk.

What next?What next?

•Watch the web!

•www.nhsdirect.nhs.uk