The document discusses digital transformation in the NHS, including: 1) It outlines a vision for digitally-enabled care including paperless records, improved information sharing, and greater patient engagement. 2) It summarizes results from digital maturity assessments that found secondary care providers lag in capabilities. 3) It explains that local digital roadmaps should describe how technology will underpin service models and plots a route to paperless care.

1. Health Insights Birmingham
Enabling Digital Transformation –
Digital Maturity and Local Digital
Roadmaps
Tim Ellis
Senior Programme Lead
Digital Technology
NHS England
15th June 2016

2. Meeting the Challenge
Improving health - closing the health and wellbeing gap
Transforming care – closing the care and quality gap
Controlling costs and enabling change – closing the finance and efficiency gap
Digitally Enabled:
Systematic high quality care
Proactive and targeted care
Better co-ordinated care
Improved access to specialist expertise
Greater patient engagement
Improved resource management
System improvement and learning

3. What success looks like
Digital 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.

4. What success looks like
Patients, 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.

5. READINESS
Are providers set up effectively to deliver paper-free at the
point of care?
CAPABILITIES
Do providers have the digital capabilities they need to
deliver paper-free at the point of care?
INFRASTRUCTURE
Are the underpinning technical enablers in place to deliver
paper-free at the point of care?
Digital Maturity Self-Assessment: Components

6. 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

7. 7
Digital Maturity Self-Assessment: National Results (Section-level)
National averages for sections within the Readiness, Capability & Infrastructure themes (all services).
0
10
20
30
40
50
60
70
80
90
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

8. 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 tool is due to be launched (i.e. results
available) on June 13th, through the Primary Care Web Tool. 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/

9. Current context for ‘digital’
• Overview of current maturity
• Key recent achievements
• Key current initiatives
• Rate limiting factors
Digital maturity assessments in social care
To support the development of the Local Digital Roadmaps, the LGA working with
Society of IT Managers (SOCITM), ADCS Performance and Information Management
Group and ADASS Informatics Network has developed a Social Care Digital Maturity
Self-Assessment to help local authorities in this area. Over half of local authorities
have responded to date. The LA leads are being encouraged to share the results with
LDR leads. Some of the key messages from this include:
• 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;
• The sections around governance and leadership were positive although understandably a
number of comments were made in terms of available resources for the sector

10. Current context for ‘digital’
• Overview of current maturity
• Key recent achievements
• Key current initiatives
• Rate limiting factors
Digital maturity assessments in social care
Overall, it was very noticeable that
most LAs were scoring high in the
readiness and infrastructure
sections, relative to the capabilities
section.
This was similar to NHS England self-
assessment.
Summary Pack has been produced
which provides headlines of the
national position against the
question set. Sent back to LAs
alongside their individual
submissions.

11. The STP guidance published on 16th February is clear that the content
and delivery of STPs should be underpinned by the harnessing of
technology.
Effectively deploying and optimising digital technology enables local
health and care systems to best address these challenges:
• 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.
• In their LDRs, commissioners and providers should plot their route to
the delivery of ‘paper-free at the point of care’ and outline how they
will exploit digital technology and data to support transformation and
secure sustainability more widely.
Sustainability & Transformation Plans and Local
Digital Roadmaps (LDRs)

12. Sustainability & Transformation Plans and Local
Digital Roadmaps (LDRs)
44:85

13. Where are we going
• A vision for digitally-enabled
transformation
System-wide Infrastructure
• Information sharing
• Mobile working
• Unified communications
Minimising risks arising from
technology
Readiness
• Leadership, clinical
engagement and governance
• Change management
approach
• Benefits management and
measurement
• Investment approach
• Programme structure
• Resources for change
Capabilities
• Capability deployment strategy
• Strategic narrative
• Deployment schedule
• Universal capabilities x 10 delivery
plan
e.g. Access to GP Record, ePs,
SCR (or equivalent), NHS
eReferrals
Where are we now
Current context for ‘digital’
• Overview of current maturity
• Key recent achievements
• Key current initiatives
• Rate limiting factors
The Core Content of a Local Digital Roadmap

14. • Roadmap documents should be submitted as attachments to an e-
mail sent to england.digitalroadmap@nhs.net.
• The e-mail should clearly identify the submitting LDR footprint.
• The submission deadline is 17.00 on 30th June.
• The templates provided on the website should be submitted as
standalone documents, and may optionally be included in an
overarching document. The Capability Deployment Schedule and
Capability Trajectory (Secondary Care) should be submitted as Excel
files (at least) to support their aggregation and analysis. The other
templates can be submitted in any file format.
Local Digital Roadmap Submission

15. 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.
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.

16. LDR Local Approach
Common
components
across LDRS
in the same
STP
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

17. https://bettercare.tibbr.com/tibbr/web/login
Local Digital Roadmaps - Examples
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

18. 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 - Transformation Support
Tripartite Delivery

19. Questions