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Digital – A Key Enabler?


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A Masterclass showcasing digital tools to support transformation of care.

Published in: Healthcare
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Digital – A Key Enabler?

  1. 1. Digital – A Key Enabler? Sue Cooke GP IT Programme Lead NHS England Michael Curtis Supplier Engagement Manager, NHS England Lee Harrison Project Officer, NHS England 9 June 2016
  2. 2. Content: • Introductions /Key Aims for the session • Scene setting/national context • Digital as an ‘enabler’ • Supporting Mechanisms: • Revised GP IT Operating Model • Prime Ministers GP Access Fund – learnings • Resources available • Sharing progress to date/plans for the future • Reflection/feedback • Conclusion
  3. 3. Introductions/Key Aims: • Digital Primary Care – what is our remit? • Digital technology for GP transformation • Improving access for patients and citizens • Reducing bureaucracy across General Practice • Key aims for today’s session: • How can digital…. • Improve patient care? • Improve ways of working/work life balance? • Format Todays Session: • Presentation • Interactive session & feedback/reflections
  4. 4. Key Policy Drivers
  5. 5. General Practice Forward View –Digital Ambitions: What does this mean for practices? Key Policy Drivers: 5YFV Personalised Health and Care 2020 GPFV Transforming General Practice GPFV - Digital: Paper Free at the Point of Care – EPS2, GP2GP, ERS, e-discharge Access to clinical record point of care Patient Online Increased uptake – Integrated Care / interoperability E-consultation Self care & Prevention NHS England GMS PMS APMS GP Plus National Frameworks/ Models GPIT Operating Model GPSoC CCG Practice Agreement Vanguards New Models of care MCP/PACs Standards/ Assurance CCG IAF Maturity Assurance
  6. 6. Standards and Assurance Controls Standards Central Technical Standards Datasets – including core clinical record dataset Standard Primary Care Provider Contract Requirements Primary Care IT support Contract specification and KPIs Accreditation Standards for Primary Care Clinical Systems ISB Mandatory Standards Assurance Controls Digital Primary Care Systems Catalogue Digital Primary Care Maturity Assurance Information Governance Toolkit Accreditation & Assurance for Primary Care Clinical Systems Framework Contracts Environment (Assurance) Capabilities Utilisation Benefits (Future)
  7. 7. Commissioner Responsibilities – digital?
  8. 8. Commissioning Digital Services: Sources for commissioning of digital services - main determinant is the provider contract. National Commissioner (NHS England) Local Commissioner (CCG) Vendor Provider/Contractor Citizen (patient) Value Chain
  9. 9. Resources/Support Available: Estates and Technology Transformation Fund (ETTF): GPIT Funding Arrangements Regional Digital support
  10. 10. GP IT Operating Model 2014-16: Provides a supportive framework – effective GP IT services • Recently revised: – Better align with changing landscape/transformation – Increased local flexibility – Protect & improve ‘core’ – Underpinning assurance mechanism • Key Revisions – Funding Model Review – Schedule of services • Core & Mandated • Enhanced & Transformational – Digital Assurance Model
  11. 11. Digital Maturity Assurance Model – Primary Care: Investment in GP IT, GP Clinical Systems and National Digital Assets Mandated (Contractual) Obligations for GP IT Improving Primary Care Efficiency and Effectiveness (incl. Access) Transforming Primary Care NHS England (National & Regions) Assurance on use of central and delegated funds Assurance on NHS obligations Tracking strategic delivery and managing levers and incentives Tracking strategic delivery and managing levers and incentives CCGs Supports local accountability for use of GPIT funds Supports discharge of local accountability for GPIT > and supports CCG responsibility for GP service quality > and support planning & delivery tracking of local digital roadmaps General Practice (Individual & Federations) Assurance and clarification of expectations and delivery Supports practice businesses inc. primary care At Scale and Access trends Supports new care model development and engagement local digital investments
  12. 12. The Model Assurance Maturity Core GPIT & Mandated Requirements Enhanced Primary Care IT Transformation in Primary Care IT Efficiency Effectiveness Transformation Poor VFM High Risk Business as Usual Transitional Transformational
  13. 13. Data Flows:
  14. 14. Digital Maturity Views • The data can be cut in multiple ways in order to provide different views depending on individual need. • This helps pinpoint data pertinent to different national programmes (e.g. GP2GP) and on national objectives (e.g. Paper-free at the point of care 2020). For further information about the different functions and applications of the digital maturity assurance module, please sign up to our forthcoming webinars at: Website link to upcoming webinars
  15. 15. Sample Data
  16. 16. Sample Data continued
  17. 17. Prime Ministers GP Access Fund - Learning Michael Curtis Digital Primary Care, NHS England
  18. 18. This session: • Digital Capabilities • Learning from the PM GP Access Fund • Supporting the future objectives • Short table exercise
  19. 19. GP Forward View –Digital Ambitions: What does this mean for practices? 5YFV Personalised Health and Care 2020 GPFV Transforming General Practice Paper Free at the Point of Care Digital Medicines Integrated Care Elective care Self care & Prevention NHS England GMS PMS APMS GPIT GPSoC Vanguards New Models of care GP Plus MCP PACS
  20. 20. Drivers & Trends Primary care access Primary care at-scale Primary care in new models of care Primary care widening scope (e.g. prevention, commissioning, provision) Virtual primary care Quality variations in primary care
  21. 21. Key Challenges Primary Care Ageing population Increasingly complex patient diagnoses Slower than required growth in numbers of healthcare professionals Variations in outcomes Changing user expectations
  22. 22. Digital Basics Access to patient data at the point of care eg GP accessing the medical record in patient home or care home setting Interoperability to allow data sharing between health and care professionals eg clinical having access to the full medical record Patient empowerment through the use of endorsed apps and other digital tools eg ‘fit bit’, diabetes monitoring/self care
  23. 23. How do we Achieve the Vision? Prime Minister’s GP Access Fund – Seven Digital Capabilities Patient records Practice infrastructure Consultation access Online appointment booking Online repeat prescriptions Pre-referral diagnosis Telehealth, telecare and health living apps
  24. 24. How do we achieve the vision? Continued Prime Minister’s GP Access Fund – Seven Digital Capabilities
  25. 25. Current GP Services Offered Online Online Appointment Booking 98.7 percent of practices offering 8.5 million patients signed up 12 percent of all appointments are available online Online Repeat Prescriptions 97.4 percent of practices offering 8.3 million patients signed up 4 percent of all repeat prescriptions requested online Online Access to Records 97 percent of practices offer patients online access to their Summary Care Record AND 5 percent to their Detailed Care Record ?????? Over 6.6m people are registered for one or more of these services.
  26. 26. The Roadmap Primary care at scale Interoperability through standards and open interfaces Information governance, patient consent, identity verification and cybersecurity Patient empowerment Paper-free at the point of care
  27. 27. Interoperability: Dot’s story
  28. 28. What is happening locally? Looking at the Enhanced & Transformational areas & GPFV digital ambitions (on your table) and thinking through the key aims for this session: 1. Share what you are doing already – how far are you on that paperless 2020 vision/journey? 2. What are you planning to do next? a. How do you think the digital revolution could help improve the delivery of local services in GP? b. What are the priorities locally – LDRs/STPs? c. Investment available – BUT what is needed practically on the ground? d. Which digital capabilities do you consider will have the greatest impact on your practices? e. What key functions could digital technology deliver that will improve patient access to services within your practices? NB: Capture each of these points and we will have a quick round the room summary – pick out the key themes & golden threads that run through these – look at what could be needed for the future to inform? a. Further revisions to the GP IT Operating Model b. Development Digital Primary Care Maturity Assurance indicators c. Digital Transformation
  29. 29. Feedback & Reflection • Key themes/trends: • Improving patient care • Improving ways of working/work life balance • What is needed to support this work further? • Conclusion
  30. 30. Get in Touch #PMGPAccess #DigitalPrimaryCare #FutureNHS primary-care/