Is Primary Care Technology Enabled to meet the Primary Care Challenges Ahead? Sue Cooke GP IT Programme Lead NHS England

1. www.england.nhs.uk
Is Primary Care
Technology
Enabled to meet
the Primary Care
Challenges Ahead?
Sue Cooke
GP IT Programme Lead
NHS England
Health+Care, 29 June 2016

2. www.england.nhs.uk
What tools and resources are available to
support primary care meet the challenges
ahead ?
• Revised GPIT Operating Model published in May ‘16
• Digital Maturity Assurance model for Primary Care launched June ‘16
• Regional Digital Support

3. www.england.nhs.uk
Revised GP IT Operating Model 2016-18
Why Refresh?
• Ensure fit for purpose:
• 2nd Edition 2014/16 – need to build on this, address challenges
• Changing environment – 5YFV, PHC2020, GPFV, Transformation
• Responsive to changing Primary Care landscape:
• Confederated working
• Evolving models of primary care
• Broader integration of health & care
• Local Digital Roadmaps requirements - Paperless 2020
• Better align with ‘Transformation’ agenda
• Increase local flexibility – enable local solutions to meet local requirements
• Provide underpinning assurance mechanism

4. www.england.nhs.uk
Revised Classifications:
Core and Mandated GP IT
Technologies, systems & support services required to deliver Primary Care Essential Services (i.e.
registered list based) and (contractually) mandated services and compliance.
Also enablement of mandated requirements beyond General Practice where general practice is
essential component of mandated solution.
Enhanced GP IT
Technologies, systems & support services which enable & improve efficiency and effectiveness of
general practice including primary care at scale.
Transformational Primary Care
Technologies, systems & support services which enable new models of care, service integration,
wider GP functions, MCP & PACS organisational models.

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Revised Funding Arrangements – GP IT:
Increased funding provision delegated to local commissioner
level:
• To support effective commissioning and delivery of digital services
for general practice
• Able to reflect and meet local needs
• Aligned with local strategy, Local Digital Roadmaps and
Sustainability & Transformation Plans

6. www.england.nhs.uk
Digital Maturity Assurance model for
Primary Care
Background
• Launched 13th June 2016
• Available as a module on the Primary Care Web Tool
• Web address: www.primarycare.nhs.uk
• Restricted access NHS facing website
• Automated registration and access processes for anyone with an NHS email address.
• Stakeholders and strategic partners can seek access which will be considered under
existing due diligence.
• 21,027 users including: all GP practices, CCGs and NHS England Regional Teams in
England.
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Digital Maturity Assurance model for Primary Care

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What this module will offer?
For General Practice For CCGs For NHSE (National & Regional)
Can review progress against core GP
IT requirements, as outlined in the GP
IT Operating Model
Assurance that CCG meeting the
requirements of the GPIT Operating
Model and associated GMS/PMS/APMS
requirements
Assurance that quality and value are
being maintained and delivered
consistently across primary care
services
Can demonstrate service quality and
standards in reviews with regulators
e.g. CQC
Support CCGs in re-procurement of GP IT
service provision via the Lead Provider
Framework
Demonstrates value for money and
effective use of NHS investment
Can inform federations identify areas
for future collaboration and/or requiring
CCG investment
Can be used as evidence within CCG
Improvement and Assessment
Framework reviews
A view on the quality of GP IT service
provision and progress towards digital
maturity across the GP IT estate
Can be used as evidence when
applying for additional funds e.g.
Estate and Technology Transformation
Fund (ETTF)
To inform the development of Local Digital
Roadmaps (LDRs) and Sustainability and
Transformation Plans (STPs), helping to
identify areas for further investment.
Provide an outcomes-based digital
maturity assurance tool that will
support CCGs, GPs and NHSE
DCO/Regional Leads as promised in
the GPIT Operating Model

9. www.england.nhs.uk
Digital maturity views:
• Data can be interrogated/searched in a number of ways…..
• 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).

10. www.england.nhs.uk
Data Flows: 31 indicators taken
from eDEC
26 indicators
taken from
HSCIC:
• IGT
Toolkit
• POMI
• Daily
Booking
Reports
• GP2GP
Utilization
report
50 indicators
asked to
CCGs
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What do we know to date ?
• National compliance with Core GP IT & Centrally Mandated
Requirements: 88.77% (With a data quality of 74.8%).
• National overall compliance: 84.86% (Data quality 63.48%)
• 95.52% of practices nationally have the EPS2 system embedded and
live (Data quality 82.63%)
• 97.67% of practices have completed their IGT to Level 2 or above
(Data quality 83.7%)
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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

13. www.england.nhs.uk
Get in Touch
england.digitalprimarycare@nhs.net
#DigitalPrimaryCare
#FutureNHS
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