1. Technology Enabled Innovation
Using data and digital technology
to improve the quality and
efficiency of patient care
Dr Simon Eccles, Chief Clinical Information Officer
11 July 2018
2. Jam tomorrow
2
“Some of the jam we
thought was for
tomorrow, we've already
eaten.”
– Tony Benn MP (1925 – 2014)
3. 3
The solution
The one thing the NHS cannot
afford to do is to remain a largely
non digital system…
…it’s time to get on with IT
Wachter Review September 2016
4. NHS App trialled across
the country
Local Health and Care Records to
join up data for safer care
Apps library and developer
network in operation
Artificial Intelligence becoming
part of clinical triage systems
Nearly 14 million people
registered for online services
Great progress
Supporting trusts to become
Global Digital Exemplars and
fast followers
6. Business intelligence to focus
resources and drive efficiency
‘Just in time’ decision support
Intuitive apps as therapy,
especially in mental health
Artificial Intelligence as a
clinical adjunct
Big data to replace slow pace
of research and drive ‘real world’ knowledge
Opportunities
Genomics and truly
personalised care
GP Online Consultation Fund
Information and technology as the solution
Better use of technology and information is fundamental to this transformation as it is the only way we can modernise and join up the health and care system to deliver better health care, better patient experience and better sustainability.
Our digital transformation initiatives will put information and technology to work to achieve this and ensure we have a modern, information powered health and care system.
We’ve made great progress already
Apps
We’ve launched a library of trusted apps which have passed our rigorous assessment, meaning patients can use them with confidence.
We’ve also launched the Health Developer Network which opens up the NHS to developers outside the NHS to ensure we have the very best expertise working on digital health and care tools. It provides access to information on NHS assessment criteria for safety, usability and effectiveness, and access to health data so that they can build the digital tools we know will work and make the biggest difference to patients.
Artificial Intelligence
A number of technologies, which use machine learning and artificial intelligence (AI) to triage patients, are already being trialled across the NHS and will be surfaced through a single trusted NHS App
Local Health and Care Records
Local Health and Care Records aim to interconnect the record systems of different NHS and partner organisations, enabling information to be shared safely and securely. On 23 May 2018, the first ever Local Health and Care Record Exemplars were announced: Greater Manchester, Wessex and One London. These are areas of the country serving 3-5million people whose excellent local health and care record systems comply with a consistent set of national technical, clinical, governance and security standards to allow them to provide high quality, safe and efficient care. Exemplars will share their expertise by providing the blueprints for the extension of local health and care records into new areas of the country.
NHS England will work with the other sites that bid to join the programme over the next few weeks to understand more about their plans and how we can work with them to help realise their ambitions. Each Local Health and Care Record Exemplar will work on a larger scale than existing local projects, providing healthcare staff who need it access to the information they need for people’s individual care. Each Local Health and Care Record Exemplar is made up of either one or multiple Sustainability Transformation Partnerships (STPs), and the new partnerships will also work to better understand demand for local services and to plan effectively for future demand.
How are we going to accelerate and advance this great work?
Our plan is broad and holistic: from digitising systems and getting rid of slow paper based ways of working, to ensuring clinicians can access the insight and information they need to make the best decisions for patients wherever they are, to ensuring we have the very best patient tools and services.
Genomics
Through the 100,000 Genomes Project, Genomic medicine is already helping to improve the lives of many rare disease patients providing answers to previously undiagnosed conditions - for some patients ending diagnostic journeys that have lasted years.
We are now in the evaluation process following tenders for the genomic testing service. The ambition is that from the autumn the use of whole genome sequencing will be embedded in routine NHS clinical care, as part of the new Genomic Medicine Service, where there is evidence that there will be real benefits for children and adults with rare diseases and healthcare delivery.
GP Online Consultation Fund
The GP Online Consultation Fund is £45 million allocated by NHS England to support the implementation of digital systems over three years which allow patients to consult their GP practice remotely, through a website or app.
Through a series of intelligent clinical questions online consultation systems prompt patients to think about and input their symptoms, history and treatment desires.
This provides practices with the information they need to direct patients to the most appropriate care for them, whether that be a pharmacist, nurse, GP or self care support.
This offers patients a quicker and more convenient alternative to seeking initial health advice through a GP appointment, while ensuring that they are able to access a clinician face-to-face where necessary.
This will reduce unnecessary burden on clinicians by ensuring appointments are used by those who really need them and reducing the time clinicians need to spend asking questions to understand the issue at hand.
NHS England are developing resources to help CCGs implement and promote Online Consultations and, through Patient Online’s network of local implementation leads and digital clinical champions, will offer advice to CCGs, primary care networks and GP practices.
Brief overview to show how we are integrating and connecting care for people using the NHS – Juliet will be presenting at 2pm on the same stage on ‘Digital tools and services; how we’re putting people in charge of their health and care.’
NHS App - By the end of this year we will be launching one easy-to-use, national mobile NHS App. It will provide patients with a joined-up, single point of access to a core set of digital health services. At launch in 2018 the app will offer a range of services including symptom checking and appointment booking. Subsequently it will extend to include other apps from the NHS apps library.
NHS Website - The NHS Choices website receives around 1.5 million visits every day. In response to extensive and ongoing research and testing, we are transforming the site to become the NHS Website which will offer better, more accessible information, tools and services to help people manage their health and care online.
PHRs - Patient information, such as test results, prescriptions and care plans, is held in a variety of different records across the health and care system, including GP, hospital and Summary Care Records. We want to bring together each patient’s information in one place, known as a Personal Health Record, and give them access, so that they have the insight and understanding they need to take better control of their health. Systems that enable this will be developed and implemented locally to ensure they work with each area’s unique mixture of health and care record systems.
Transparency; we will let you see your NHS like never before
Substitution; giving you better tools and services that get you the info and care you need quicker
Change of culture; you can take responsibility back for your health - more convenient for you and will relieve pressure from staff
Digitized providers as a foundation
Integrated care enabled by Local Health and Care Records
Data available changes to business intelligence
GDES, Fast followers and blue printings
Local health and care record exemplars and integrated care
We need to ensure that data is available at the time and place it is needed so we have the business intelligence we need to make the best decisions for patients
Future challenges are also future opportunities.
So what will it mean to be a CCIO in the future?
Digital will be so baked into everything we do, that info and tech competence will no longer be seen as a ‘nice to have’ or specialist knowledge, instead it will be recognised as a fundamental skill of all clinical leaders
Non Clinical and Clinical Leaders alike, and CEOs will not be able to work effectively in the healthcare world to come without a deep and thorough understanding of the benefits and use of data, digital health tools, cyber security threat and defences.
