Post on 11-Apr-2017
Alan McDermottRegional Director Patients & InformationNHS England
Patients and PublicWill be able to:
a) more effectively share in the responsibility for their health and welfareb) have more convenient access to NHS Services
Clinicians/PracticesWill be able to devote more of their time to supporting the clinical needs of patients rather than dealing with administrative and support tasks that patients can carry out for themselves
NHSWill benefit from improved health outcomes for patients, increased patient satisfaction and reduced administrative costs
Online appointment booking Online repeat prescriptions Online access to records
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar0
2,000,000
4,000,000
6,000,000
8,000,000
647,560 866,465 819,144 890,480 893,268 977,331 888,314 1,022,8011,060,3021,248,620
6,516,3686,656,5277,003,498
7,392,2187,575,2157,758,2117,845,1897,973,6498,290,5728,413,199
No. of appointments booked/cancelled online Linear (No. of appointments booked/cancelled online)No. patients enabled for online appointment booking Linear (No. patients enabled for online appointment booking)
January 2016• 8.4m patients enabled for online
appointment booking• Increase from 6.5m in April 2015
– 29% increase• 1.2m appointments booked/
cancelled online• Increase from 0.6m in April 2015
– 92% increaseDNAs are lower with online Appointments
% DNA
Appointments booked conventionally
4.3%
Appointments booked online 2.5%
Number of Appointments Booked/Cancelled Online
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar0
2,000,000
4,000,000
6,000,000
8,000,000
1,181,1871,252,3441,265,7511,322,0371,319,9011,340,6431,355,9781,399,2511,397,0881,491,463
6,222,8776,496,386
6,839,5417,221,6227,393,0077,564,3917,647,2677,777,473
8,096,6588,216,096
Repeat Prescriptions Ordered Online Linear (Repeat Prescriptions Ordered Online) No. Patients EnabledLinear (No. Patients Enabled)
January 20168.2m patients enabled for online prescriptions ordering
Increase from 6.2m in April 2015 – 32% increase1.5m repeat prescriptions ordered online
Increase from 1.2m in April 2015 – 26% increase
Number of Repeat Prescriptions Ordered Online/Number of Patients Enabled for Online Repeat Prescriptions
1-Jan 8-Jan 15-Jan 22-Jan 29-Jan 5-Feb 12-Feb 19-Feb 26-Feb 4-Mar 11-Mar 18-Mar 25-Mar 1-Apr0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
-4%
4%
12%
20%
28%
36%
44%
52%
60%
68%
76%
84%
92%
5%11% 12%
15%20%
24%29%
36%
44%
52%
60%
68%
78%
92%
*Preliminary Statistics
% Enabled for online access to records
No.
Pra
ctic
es
• Minimum 10% of patients registered for online services at each GP Practice, 25% in transformation areas
• Minimum 20% of patients registered for online services at each GP Practice, 50% in transformation areas
• Patients able to view information from all clinical settings across the health system
• Patients able to write into their GP record
• 15% of patients using Apps / smartphones to access NHS services
• Patients able to view information from all health and social care settings
• Paper free at point of care
18.5% Of activity takes place at the weekend
On a typical weekday 47.1% of activity is either
before 08:00 or after 18:00
Every appointment booked and each prescription ordered is one less to deal with manually.
Better audit trials
Fewer transcription
errors
Fewer calls
Time saving
Fewer F2F
transactions
Improve safety
Look up medical jargon
Improve health control
Improveknowledge and health literacy
Improve access and convenience
Reduce errors and duplications
Less pressure onstaff
Increase use of SMS
Save phone calls
Increase patient satisfaction
Improve communication with
patients
Administrative time saving
Source: http://goo.gl/49oD49
Saving time and resources
www.england.nhs.uk
Under 40
In England 15 million people have a long-term condition.
Most individual long-term conditions are more common
in people from lower socio-economic groups, and are
usually more severe even in conditions where
prevalence is lower.
GP appointment
Outpatient appointments
Inpatient bed days
http://www.kingsfund.org.uk/time-to-think-differently/trends/disease-and-disability/long-term-conditions-multi-morbidity
AGE PATIENTS WITH LTC
Over 60
58%
14%
50%
64%
70%
www.england.nhs.uk
This is an example of categories of information that patients may see. This may be presented differently by each supplier.
Demographics
Allergies/Adverse Reactions
Medication (dose, quantity and last issued date)
Immunisations
Results (numerical values and normal range)
Values (BP, PEFR)
Problems/Diagnoses
Procedure Codes (medical or surgical) and codes in consultation (signs, symptoms)
Codes showing referral made
or letters received (no attachments)
Other Codes (ethnicity, QOF)
Some of the information in list above will depend on what your clinical system is able to routinely display.
www.england.nhs.uk
Free Text Letters and Attachments
Administrative Items
• Diary Entries/Recalls
• Special Notes/Warnings
• Tasks/Emails/Internal Messages
The following categories are examples of items that are not required to be displayed. However, you may choose to make them available.
www.england.nhs.uk
New practice baselines
Detailed interviews with patients
Promotion to the public
Building benefits evidence
Case studies and videos preparation
For other suppliers focus on preparation
Focus on enabling record access where system in place
Answering practice and patients queries
Developing guidance & policies
Engagement (CCG and LMC engagement, workshops for practice managers, training for CSUs/HISs)
A patient’s experience of using Patient Online
Trevor FosseyMember of the Patients Working Together Group (PWTG)
Twitter: @Trevor FosseyEmail:Trevor.Fossey@Outlook.com
Power of Information• On PPG
agenda/ engaged
• Easy read version
Personal access to GP Records
My personal journey to access to my personal records at:Regis Medical Centre, West Midlands
Access to GP record• Jan 2014
• Experience Benefits
20152014
Transactions available
• Online Medication
• Online Booking
Promote benefits
• PPG to support
• Share benefits at workshops & via Social Media
2016
Support others & GP• Including via
LCGs & C4CC
• Demonstrate benefits
• Overcome Barriers
2017
Embed in culture
• Encourage CCG to support
• Online access as ‘the norm’ for all citizens
20132012
Personal experience since Jan 2014Three main benefits
Outcome: Able to review note at home, and contemplate – and take self-help actionIssue fully resolved, no medication or GP time required
• Proxy access – since November 2015 (current)
• Blood Test results – February 2015
Outcome:
Outcome:
30 minute diabetes annual review completed within 10 minutes, & more valueTime saving & better control of diabetes reduction in Hb1Ac level
Able to review notes at home, and contemplate – and share when appropriateEnhanced Integrated care provided, with benefits of all being ‘in the loop’
Able to ‘take time’ to review blood test results at home, using resources available online Identify issues more focused consultation. Saved time & more value
Health of partner deteriorated and regular home visits & ongoing treatmentVisits include from various agencies, clinicians/nurses and specialists
• Mental Health – March 2014
View GP records online
Overview/summary of experience• Greater involvement in own wellbeing
• Feel more in control & engaged with my own health
• Less risk if I have future issues peace of mind and ‘at ease’
• More inclined to visit doctor if required, because I can then see and review what has been put in the records (‘man thing’?!)
• Now feel that Physical Health is on a more equal footing with Financial Health
• Good foundation for the future & easy to access
Personal experience: Summary
Records online “has first enhanced the relationship that I have with my GP practice - and I am confident that it will improve my health & wellbeing and the person for whom I care”
Vision and scope workshop – Summary(which identifies barriers to wider engagement?)
Trevor Fossey• Patient representative on the PWTG
• Co-Production member & Shadow Co-Chair
• Coalition for Collaborative Care
• Lay member of Black Country LCG
• Member of Regis Medical Centre PPG
Mobile: +44 7932 223 449Email: Trevor.Fossey@Outlook.comTwitter: @TrevorFossey#PatientOnlineLinkedIn: http://www.linkedin.com/pub/trevor-fossey/15/b44/10a
Thank you for your attention
Questions?