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www.england.nhs.uk Tracey Grainger Head of Digital Primary Care, NHS England 16 September 2015 Lessons from primary care – how digital health can enable new ways of working
Transcript of Lessons from primary care how digital health can enable ... Grainger... · Lessons from primary...
www.england.nhs.uk
Tracey Grainger
Head of Digital Primary Care,
NHS England
16 September 2015
Lessons from primary care –
how digital health can enable
new ways of working
www.england.nhs.uk
Wider NHS England objectives (cross directorate priorities and leadership)
• Easier access to GPs/Primary care for patients with urgent needs
• Strengthening primary care services - seven day services
• Increased patient satisfaction
• Harnessing the information revolution
NHS England Digital Strategy and NIB (1.1 and 7)
• Seven digital capabilities for GP access – PMCF Call to Action
NHS England digital commitments
• Five High Impact Changes
Introduction
• Wave 1 and Wave 2 schemes
• Associate network
• Test bed for innovation and
feeder into GPIT
• Interoperability
• Informed client capability and
insight
www.england.nhs.uk
NHS England’s digital commitments focus on five high impact changes. Leaders are expected to become
champions of digital enablement, and set the standard for modern customer service and professional enablement.
Five High Impact Changes
Offering digital services for
professionals
Offering digital services for the public &
patients
Achieving excellent data
quality
Adhering to best practice in
Information Governance
Adopting core standards for data sharing
3
Primary Care Digital Ambitions
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Bringing together, the two cohorts gives
57 pilots covering over 18m population
(1/3 of the country) in over 2,500
practices that will benefit from improved
access and transformational change at
local level.
Wave 1 & 2 Schemes at a Glance
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Single Technology, No
Interoperability
Multiple Technology Integration TechnologyMobile & Online
Single GP System
Technology – No
Integration
23
Pilots
Urgent Care
Integration
18
Pilots
3rd Party
Integration
Products
13 Pilots Patients Online
Services
24
Pilots
Integrates 2 GP
Systems
8 Pilots Video Consultation 22
Pilots
Integrates 3 GP
Systems
4 Pilots e-Consultation 13
Pilots
Mobile Clinical
Access
9 Pilots
SchemeTypes
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Pilots & SchemesS
elf C
are
Se
rvic
e M
od
el
Ap
po
intm
ent
Bo
okin
g
Cha
nn
els
Con
su
ltatio
n
Ch
an
nels
Telehealth/Pre-referral
Sign-posting
Wellbeing Record
Care Record
Practice Based
Discrete Hub
Central Triage
Extra Hours at Practice
Web
Video
Supervised Video
Pharmacy
Walk-In
Telephone
Online
Telephone
Ric
hm
ond
Win
dsor, A
scot 7
Maid
.
Oxfo
rdshire
Tow
er H
am
lets
New
Fore
st
Islin
gto
n
South
am
pto
n
Sw
indon
Lam
beth
Glo
uceste
rshire
Bris
tol
Epsom
Worth
ing
Know
sle
y
West L
eeds
West C
heshire
South
Cheshire
Gate
shead
Fle
etw
ood
Bla
ckburn
Halto
n
Sheffie
ld
Barn
sle
y
South
Tees
Wig
an
Mancheste
r
South
Worc
este
rshire
Coventry
Suffo
lk
Cannock
Pete
rboro
ugh
Sta
fford
& S
hro
pshire
Basild
on
West E
ssex
Milto
n K
eyn
es
Leic
este
r
South
Birm
ingham
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• Digital innovation limited – integration for sharing and managing information across care settings
• Appointment sharing across care settings
• Exploiting integration between products is not possible or cumbersome
• IG approach to reflect the demand of new technology – single consent to share model
• Use of business intelligence, understand the impact of new models of care
Challenges from Schemes
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1. Technical assessment prior to
selection process
2. Technical due diligence on selection
of scheme
3. Quarterly due diligence assessments
through technical lead
Due diligence process being developed
to enable online self-assessment
Assurance to Maximise Value
1
• Listening to schemes and understand what they propose to deliver
2
• Evaluating appropriate plans are in place and adequate resources allocated to the task at hand
3• Flagging up weaknesses or risks to the delivery
4
• Providing technical guidance and an escalation point for hard to resolve issues
5
• Establish a score level to provide a high level indicator of risk
6• Recommending follow up steps, allocating support
7• Sharing lessons
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Next Step: ‘Primary Care at Scale’
Securing Excellence in GPIT Services
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Digital Primary Care
Operating Model
System levers and incentives
Enablers and technical disruptors
Infrastructure
Market opportunities
and VFM
Digital
customer
interaction
Setting the service
specification -
accountabilities
Underpinning
Policy – vision &
strategic direction
Commissioner
Development &
Support
Digital
Primary
Care
Service
Assurance
& Digital
Maturity
Financials
Digitally
Informed
Customer
Technical
Architecture
IT Systems
of Choice
Technologies
& Data
Analytics
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How do we keep in touch
http://www.england.nhs.uk/ourwork/qual-clin-lead/
calltoaction/pm-ext-access/resources/
#PMCF
#DigitalPrimaryCare
Join the Digital Primary Care community network
Simply email [email protected]
https://youtu.be/YRApcMkeOS4
Join the conversation
www.england.nhs.uk
http://www.england.nhs.uk/ourwork/qual-clin-lead/
calltoaction/pm-ext-access/resources/
#PMCF
#DigitalPrimaryCare
