1.
Alan McDermott
Regional Director Patients & Information
NHS England

2.
Patients and Public
Will be able to:
a) more effectively share in the responsibility for their health and welfare
b) have more convenient access to NHS Services
Clinicians/Practices
Will be able to devote more of their time to supporting the clinical needs of patients rather than dealing with
administrative and support tasks that patients can carry out for themselves
NHS
Will benefit from improved health outcomes for patients, increased patient satisfaction and reduced
administrative costs

3.
Online appointment booking Online repeat prescriptions Online access to records

4.
647,560
866,465 819,144 890,480 893,268 977,331 888,314 1,022,8011,060,302
1,248,620
6,516,3686,656,527
7,003,498
7,392,2187,575,2157,758,2117,845,1897,973,649
8,290,5728,413,199
0
2,000,000
4,000,000
6,000,000
8,000,000
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
No. of appointments booked/cancelled online No. patients enabled for online appointment booking
Linear (No. of appointments booked/cancelled online) Linear (No. patients enabled for online appointment booking)
January 2016
• 8.4m patients enabled for online
appointment booking
• Increase from 6.5m in April 2015
– 29% increase
• 1.2m appointments booked/
cancelled online
• Increase from 0.6m in April 2015
– 92% increase
DNAs are lower with online
Appointments
% DNA
Appointments booked
conventionally
4.3%
Appointments booked online 2.5%
Number of Appointments Booked/Cancelled Online

5.
1,181,1871,252,3441,265,7511,322,0371,319,9011,340,6431,355,9781,399,2511,397,0881,491,463
6,222,877
6,496,386
6,839,541
7,221,6227,393,0077,564,3917,647,2677,777,473
8,096,6588,216,096
0
2,000,000
4,000,000
6,000,000
8,000,000
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Repeat Prescriptions Ordered Online No. Patients Enabled
Linear (Repeat Prescriptions Ordered Online) Linear (No. Patients Enabled)
January 2016
8.2m patients enabled for online
prescriptions ordering
Increase from 6.2m in April 2015 –
32% increase
1.5m repeat prescriptions ordered
online
Increase from 1.2m in April 2015 –
26% increase
Number of Repeat Prescriptions Ordered Online/Number
of Patients Enabled for Online Repeat Prescriptions

6.
5%
11% 12%
15%
20%
24%
29%
36%
44%
52%
60%
68%
78%
92%
0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
1-Jan 8-Jan 15-Jan 22-Jan 29-Jan 5-Feb 12-Feb 19-Feb 26-Feb 4-Mar 11-Mar 18-Mar 25-Mar 1-Apr
*Preliminary Statistics
%Enabledforonlineaccesstorecords
No.Practices

7.
• Minimum 10% of patients registered for online services at each GP Practice,
25% in transformation areas
• Minimum 20% of patients registered for online services at each GP Practice,
50% in transformation areas
• Patients able to view information from all clinical settings across the health system
• Patients able to write into their GP record
• 15% of patients using Apps / smartphones to access NHS services
• Patients able to view information from all health and social care settings
• Paper free at point of care

8.
18.5% Of activity takes
place at the weekend
On a typical weekday
47.1% of activity is either
before 08:00 or after 18:00
Every appointment booked and each prescription ordered is one less to deal with manually.

9.
Better audit
trials
Fewer
transcription
errors
Fewer
calls
Time
saving
Fewer
F2F
transactions

10.
Improve safety
Look up medical
jargon
Improve health
control
Improve
knowledge and
health literacy
Improve access and
convenience
Reduce errors and
duplications
Less pressure on
staff
Increase use of
SMS
Save phone calls
Increase patient
satisfaction
Improve
communication with
patients
Administrative time
saving
Source: http://goo.gl/49oD49
Saving time and resources

11.
www.england.nhs.uk
Under 40
In England 15 million people have a
long-term condition.
Most individual long-term conditions are more common
in people from lower socio-economic groups, and are
usually more severe even in conditions where
prevalence is lower.
GP
appointment
Outpatient
appointments
Inpatient
bed days
http://www.kingsfund.org.uk/time-to-think-differently/trends/disease-and-disability/long-term-conditions-multi-morbidity
AGE PATIENTS WITH LTC
Over 60
58%
14%
50%
64%
70%

12.
www.england.nhs.uk
This is an example of categories of information that patients may see. This may be presented
differently by each supplier.
Demographics
Allergies/Adverse
Reactions
Medication
(dose, quantity and last
issued date)
Immunisations
Results
(numerical values and
normal range)
Values (BP, PEFR)
Problems/Diagnoses
Procedure Codes
(medical or surgical) and
codes in consultation
(signs, symptoms)
Codes showing referral made
or letters received
(no attachments)
Other Codes (ethnicity, QOF)
Some of the information in list above will depend on what your clinical system is able to routinely display.

13.
www.england.nhs.uk
Free Text Letters and
Attachments
Administrative
Items
• Diary Entries/Recalls
• Special Notes/Warnings
• Tasks/Emails/Internal Messages
The following categories are examples of items that are not required to be displayed. However, you
may choose to make them available.

14.
www.england.nhs.uk
New practice
baselines
Detailed interviews
with patients
Promotion to the
public
Building benefits
evidence
Case studies and videos
preparation
For other suppliers focus
on preparation
Focus on enabling
record access where
system in place
Answering practice
and patients queries
Developing
guidance & policies
Engagement (CCG and
LMC engagement, workshops
for practice managers, training
for CSUs/HISs)

15.
A patient’s experience of using
Patient Online
Trevor Fossey
Member of the Patients Working Together Group (PWTG)
Twitter: @Trevor Fossey
Email:Trevor.Fossey@Outlook.com

16.
Power of
Information
• On PPG
agenda/
engaged
• Easy read
version
Personal access to GP Records
My personal journey to access to my personal records at:
Regis Medical Centre, West Midlands
Access to
GP record
• Jan 2014
• Experience
Benefits
20152014
Transactions
available
• Online
Medication
• Online
Booking
Promote
benefits
• PPG to
support
• Share
benefits at
workshops &
via Social
Media
2016
Support
others & GP
• Including via
LCGs &
C4CC
• Demonstrate
benefits
• Overcome
Barriers
2017
Embed in
culture
• Encourage
CCG to
support
• Online
access as
‘the norm’
for all
citizens
20132012

17.
Personal experience since Jan 2014
Three main benefits
Outcome: Able to review note at home, and contemplate – and take self-help action
Issue fully resolved, no medication or GP time required
• Proxy access – since November 2015 (current)
• Blood Test results – February 2015
Outcome:
Outcome:
30 minute diabetes annual review completed within 10 minutes, & more value
Time saving & better control of diabetes  reduction in Hb1Ac level
Able to review notes at home, and contemplate – and share when appropriate
Enhanced Integrated care provided, with benefits of all being ‘in the loop’
Able to ‘take time’ to review blood test results at home, using resources available online
Identify issues  more focused consultation. Saved time & more value
Health of partner deteriorated and regular home visits & ongoing treatment
Visits include from various agencies, clinicians/nurses and specialists
• Mental Health – March 2014

18.
View GP records online
Overview/summary of experience
• Greater involvement in own wellbeing
• Feel more in control & engaged with my own health
• Less risk if I have future issues  peace of mind and ‘at ease’
• More inclined to visit doctor if required, because I can then see and
review what has been put in the records (‘man thing’?!)
• Now feel that Physical Health is on a more equal footing with Financial
Health
• Good foundation for the future & easy to access
Personal experience: Summary
Records online “has first enhanced the relationship that I have with my GP practice - and
I am confident that it will improve my health & wellbeing and the person for whom I care”

19.
Vision and scope workshop – Summary
(which identifies barriers to wider engagement?)

20.
Trevor Fossey
• Patient representative on the PWTG
• Co-Production member & Shadow Co-Chair
• Coalition for Collaborative Care
• Lay member of Black Country LCG
• Member of Regis Medical Centre PPG
Mobile: +44 7932 223 449
Email: Trevor.Fossey@Outlook.com
Twitter: @TrevorFossey#PatientOnline
LinkedIn: http://www.linkedin.com/pub/trevor-fossey/15/b44/10a
Thank you for your attention
Questions?