Patient of the future: a personal viewMarlene Winfield

marlene.winfield@nhs.net

By 2020, major changes

•The site of primary care is the home

•The objective of care has been redefined

•Records are jointly held by individual and professionals

•Much routine care is delivered remotely

Digital drivers

• Electronic record at birth, customised to needs

• Wellness aids

• Self-diagnosis tools

• Decision-aids

• Digital therapies

Digital drivers continued• Transaction tools

– Booking

– Medicines management

– Test ordering and interpretation

– Interactive care planning

– Self-monitoring and auto-feedback

– Secure communications

• Record management tools– Record entry

– Access controls

– Audit trails

Human drivers

• Expectations of digital generations

• Demographic time bomb

• Changes to professional education

• Changes to public education

• Power of social networks

• Incentives– Payment for achieving goals set by patient

– Influence of patient feedback on individual performance assessment and commissioning

Benefits in 2020

• Technology is helping defuse the demographic time bomb.

• Although people spend less time face-to-face with health professionals, they still feel touched by health services and support feels continuous.

• More face-to-face time is available when needed for those who prefer it and for non-routine care, care planning, and key consultations.

• People generally feel more confident about managing their health.

• We know what patient-led really means!