digital – a key enabler?
TRANSCRIPT
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Digital – A Key Enabler?Sue CookeGP IT Programme LeadNHS England
Michael CurtisSupplier Engagement Manager, NHS England
Lee HarrisonProject Officer, NHS England
9 June 2016
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Content:• Introductions /Key Aims for the session• Scene setting/national context
• Digital as an ‘enabler’• Supporting Mechanisms:
• Revised GP IT Operating Model • Prime Ministers GP Access Fund – learnings• Resources available
• Sharing progress to date/plans for the future• Reflection/feedback• Conclusion
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Introductions/Key Aims:• Digital Primary Care – what is our remit?
• Digital technology for GP transformation• Improving access for patients and citizens• Reducing bureaucracy across General Practice
• Key aims for today’s session:• How can digital….
• Improve patient care?• Improve ways of working/work life balance?
• Format Todays Session:• Presentation• Interactive session & feedback/reflections
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Key Policy Drivers
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General Practice Forward View –Digital Ambitions: What does this mean for practices?
Key Policy Drivers:
5YFV
Personalised Health and Care 2020
GPFV
Transforming General Practice
GPFV - Digital:
Paper Free at the Point of Care – EPS2, GP2GP, ERS, e-discharge
Access to clinical record point of care
Patient OnlineIncreased uptake –
Integrated Care / interoperability
E-consultation
Self care & Prevention
NHS England
GMSPMS
APMSGP Plus
National Frameworks/
Models
GPIT Operating
ModelGPSoC
CCG Practice Agreement
VanguardsNew Models
of care MCP/PACs
Standards/AssuranceCCG IAFMaturity
Assurance
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Standards and Assurance ControlsStandards
Central Technical Standards
Datasets – including core clinical record dataset
Standard Primary Care Provider Contract Requirements
Primary Care IT support Contract specification and KPIs
Accreditation Standards for Primary Care Clinical Systems
ISB Mandatory Standards
Assurance Controls
Digital Primary Care Systems Catalogue
Digital Primary Care Maturity Assurance
Information Governance Toolkit
Accreditation & Assurance for Primary Care Clinical Systems
Framework Contracts
Environment (Assurance)
Capabilities
Utilisation
Benefits (Future)
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Commissioner Responsibilities – digital?
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Commissioning Digital Services:Sources for commissioning of digital services - main determinant is the provider contract.
National Commissioner (NHS England)
Local Commissioner (CCG)
Vendor
Provider/Contractor
Citizen (patient) Value Chain
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Resources/Support Available:
Estates and Technology Transformation Fund (ETTF):
GPIT Funding Arrangements
Regional Digital support
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GP IT Operating Model 2014-16:Provides a supportive framework – effective GP IT services
• Recently revised:– Better align with changing
landscape/transformation– Increased local flexibility– Protect & improve ‘core’– Underpinning assurance mechanism
• Key Revisions– Funding Model Review– Schedule of services
• Core & Mandated• Enhanced & Transformational
– Digital Assurance Model
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Digital Maturity Assurance Model – Primary Care:
Investment in GP IT, GP Clinical Systems and National Digital Assets
Mandated (Contractual) Obligations for
GP IT
Improving Primary Care Efficiency and Effectiveness (incl. Access)
Transforming Primary Care
NHS England(National & Regions)
Assurance on use of central and delegated funds
Assurance on NHS obligations
Tracking strategic delivery and managing levers and incentives
Tracking strategic delivery and managing levers and incentives
CCGs Supports local accountability for use of GPIT funds
Supports discharge of local accountability for GPIT
> and supports CCG responsibility for GP service quality
> and support planning & delivery tracking of local digital roadmaps
General Practice
(Individual & Federations)
Assurance and clarification of expectations and delivery
Supports practice businesses inc. primary care At Scale and Access trends
Supports new care model development and engagement local digital investments
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The ModelA
ssur
ance
Maturity
Core GPIT & Mandated
Requirements
Enhanced Primary Care IT
Transformation in Primary Care IT
Efficiency Effectiveness Transformation
Poor VFM High Risk
Business as Usual
Transitional Transformational
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Data Flows:
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Digital Maturity Views
• 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).
For further information about the different functions and applications of the digital maturity assurance module, please sign up to our forthcoming webinars at:
Website link to upcoming webinars
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Sample Data
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Sample Data continued
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Prime Ministers GP Access Fund - Learning
Michael CurtisDigital Primary Care, NHS England
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This session:
• Digital Capabilities• Learning from the PM GP
Access Fund• Supporting the future
objectives• Short table exercise
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GP Forward View –Digital Ambitions: What does this mean for practices?
5YFV
Personalised Health and Care 2020
GPFV
Transforming General Practice
Paper Free at the Point of Care
Digital Medicines
Integrated Care
Elective care
Self care & Prevention
NHS England
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Drivers & TrendsPrimary care access
Primary care at-scale
Primary care in new models of care
Primary care widening scope (e.g. prevention, commissioning, provision)
Virtual primary care
Quality variations in primary care
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Key ChallengesPrimary Care
Ageing population
Increasingly complex patient diagnoses
Slower than required growth in numbers of healthcare professionals
Variations in outcomes
Changing user expectations
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Digital Basics
Access to patient data at the point of care eg GP accessing the medical record in patient home or care home setting
Interoperability to allow data sharing between health and care professionals eg clinical having access to the full medical record
Patient empowerment through the use of endorsed apps and other digital tools eg ‘fit bit’, diabetes monitoring/self care
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How do we Achieve the Vision?Prime Minister’s GP Access Fund – Seven Digital Capabilities
Patient records
Practice infrastructure
Consultation access
Online appointment booking
Online repeat prescriptions
Pre-referral diagnosis
Telehealth, telecare and health living apps
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How do we achieve the vision? Continued
Prime Minister’s GP Access Fund – Seven Digital Capabilities
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Current GP Services Offered Online
Online Appointment Booking
98.7 percent of practices offering
8.5 million patients signed up
12 percent of all appointments are available online
Online Repeat Prescriptions
97.4 percent of practices offering
8.3 million patients signed up
4 percent of all repeat prescriptions requested online
Online Access to Records
97 percent of practices offer patients online access to their Summary Care Record
AND 5 percent to their Detailed Care Record ??????
Over 6.6m people are registered for one or more of these services.
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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
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Interoperability: Dot’s story
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What is happening locally?Looking at the Enhanced & Transformational areas & GPFV digital ambitions (on your table) and thinking through the key aims for this session:
1. Share what you are doing already – how far are you on that paperless 2020 vision/journey?2. What are you planning to do next?
a. How do you think the digital revolution could help improve the delivery of local services in GP?
b. What are the priorities locally – LDRs/STPs?c. Investment available – BUT what is needed practically on the ground?d. Which digital capabilities do you consider will have the greatest impact on your
practices?e. What key functions could digital technology deliver that will improve patient access to
services within your practices?
NB: Capture each of these points and we will have a quick round the room summary – pick out the key themes & golden threads that run through these – look at what could be needed for the future to inform?
f. Further revisions to the GP IT Operating Modelg. Development Digital Primary Care Maturity Assurance indicatorsh. Digital Transformation
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Feedback & Reflection• Key themes/trends:
• Improving patient care• Improving ways of working/work life balance
• What is needed to support this work further?
• Conclusion
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Get in Touch
#PMGPAccess#DigitalPrimaryCare#FutureNHS
https://www.england.nhs.uk/digitaltechnology/info-revolution/digital-primary-care/