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Neil Calland - Senior Programme Manager, Digital Technology NHS England
This document summarizes Neil Calland's presentation on digital maturity and local digital roadmaps in the NHS. The key points are: 1) Calland outlines what success in digital transformation would look like, including patient records being digital, information flowing seamlessly between providers, and patients managing their health digitally. 2) He shows results from digital maturity self-assessments, finding secondary care providers score lowest in areas like medicines management and decision support. 3) Local Digital Roadmaps are being developed by 83 footprints to describe how digital technology will transform services within and between settings. 4) The process going forward involves assessing roadmaps, targeting support to improve investment readiness, and aligning road
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Neil Calland - Senior Programme Manager, Digital Technology NHS England
- 1. Health Insights Manchester EnablingDigital Transformation – Digital Maturity and Local Digital Roadmaps Neil Calland Senior Programme Lead Digital Technology NHS England 22nd June 2016
- 2. What success lookslike 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.
- 3. What success lookslike 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.
- 4. READINESS Are providers setup 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
- 5. Key: Red = Infrastructurescore <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
- 6. 6 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
- 7. 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 data can now be accessed through the Primary Care Web Tool – https://www.primarycare.nhs.uk/. 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/
- 8. Current context for‘digital’ • Overview of current maturity • Key recent achievements • Key current initiatives • Rate limiting factors Digital maturity assessments in social care • Over half of Local Authorities have responded to date • Similar profile to secondary care • 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
- 9. Sustainability & TransformationPlans (STPs) and Local Digital Roadmaps (LDRs) • Digital has been positioned within the STP guidance and resources • Submission dates were aligned • 83 LDR footprints, 44 STP footprints • Signalling in LDR guidance • 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. • Encouraged alignment of LDR and STP development processes
- 10. The Core Contentof a Local Digital Roadmap A vision for digitally-enabled transformation Information sharing • Approach • Information sharing agreement • Adoption of NHS number and standards Readiness • Leadership, clinical engagement and governance • Change management approach • Benefits management and measurement • Investment approach • Programme structure • Resources for change Capability deployment • Schedule • Trajectory System-wide Infrastructure • Mobile working • Unified communications • Shared infrastructure initiatives Where are we now • Overview of current maturity • Key recent achievements • Key current initiatives • Rate limiting factors Universal capabilities delivery plan • Baseline • Ambition • Activities • National services / infrastructure / standards • Evidencing progress
- 11. The process goingforward • 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. • 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.
- 12. https://bettercare.tibbr.com/tibbr/web/login Local Digital Roadmaps– collaborative platform 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
- 13. 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 – Programme Structure
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