digital primary care maturity assurance model
TRANSCRIPT
Digital Primary Care Maturity Assurance ModelTracey Grainger, Head of Digital Primary Care Development
Jo Gander, Senior Programme Lead, Digital Primary Care Development
Lee HarrisonDigital Project Officer
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Section 1
Introduction and overview1. What will this module offer?2. As a commissioner, what do we need to know?3. Digital maturity views
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Driving digital adoption through assurance?
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What this module will offer?For General Practice For CCGs For NHSE (National & Regional)Can review progress against core GP IT requirements, as outlined in the GP IT Operating Model
Assurance that CCG meeting the requirements of the GPIT Operating Model and associated GMS/PMS/APMS requirements
Assurance that quality and value are being maintained and delivered consistently across primary care services
Can demonstrate service quality and standards in reviews with regulators e.g. CQC
Support CCGs in re-procurement of GP IT service provision via the Lead Provider Framework
Demonstrates value for money and effective use of NHS investment
Can inform federations identify areas for future collaboration and/or requiring CCG investment
Can be used as evidence within CCG Improvement and Assessment Framework reviews
A view on the quality of GP IT service provision and progress towards digital maturity across the GP IT estate
Can be used as evidence when applying for additional funds e.g. Estate and Technology Transformation Fund (ETTF)
To inform the development of Local Digital Roadmaps (LDRs) and Sustainability and Transformation Plans (STPs), helping to identify areas for further investment.
Provide an outcomes-based digital maturity assurance tool that will support CCGs, GPs and NHSE DCO/Regional Leads as promised in the GPIT Operating Model
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As a commissioner what do we need to know ?
• Can we demonstrate value for money?• Can we be assured that the services delivered are safe, are of the required quality and
meet our contractual arrangements?• Where do we need to invest in the future to meet the ambitions of the GPFV?• Can we easily identify areas for development and/or investment to support the
ambitions of our Local Digital Roadmaps(LDR’s) and Sustainability and Transformational Plans (STPs) across the CCG, learning from General Practice innovation?
• Are there opportunities for the CCG to share learning from General Practice across the wider Health and Care system to meet the ambitions of the 2020 vision, FYFV and the local CCG strategy?
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Digital maturity views:• Data can be interrogated/searched in a number of ways…..
• 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).
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Primary Care Digital maturityWhat does it tell us?
GP IT Operating Model – classification of services:
Core and Mandated GP ITTechnologies and systems required to deliver Primary Care Essential Services (ie registered list based) and (contractually) mandated services and compliance
Enhanced GP IT Technologies and systems which enable efficiency and effectiveness of general practice – supporting primary care at scale and optimising existing systems e.g. federated working
Transformed Primary Care Technologies and systems which enable new models of care, primary care at-scale, MCP & PACS organisational models – working across services and organisations i.e. primary, secondary and social care
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Section 2
Understanding the indicators1. Data Flows2. Data granularity and access3. Sourcing the data
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Data Flows:
26 indicators taken from HSCIC:• IGT
Toolkit• POMI• Daily
Booking Reports
• GP2GP Utilization report
31 indicators taken from eDEC
50 indicators asked to CCGs
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Data granularity and accessCCG level data (52 indicators)CCG level data is primarily gathered directly from CCGs and represents the services commissioned by the CCG for practices in their area.
Data gathered at this level is applied to each individual GP practice that falls within the CCGs remit.
Example: There is a comprehensive ongoing training and clinical system optimisation service to support GP Principal clinical systems and national clinical services available to all practices
GP Practice level data (55 indicators)GP practice level data is unique to each GP surgery and is gathered from the GP electronic declaration (eDEC) and from HSCIC.
Example: The practice is using Gp2GP to transfer patient records between practices (GMS Contract)
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Assessment Criteria and access• Questions are currently largely biased towards “capability”. However will move
towards “utilization” once assurance matures.
• Data is viewable by anyone registered on Primary Care Web Tool (NHS Staff). Therefore benchmarking is possible between different CCGs and practices
• Data is will be refreshed quarterly. Though some collections (e.g. eDEC and CCG questionnaire) are only undertaken annually.
• The purpose of this data set is to help guide and inform decision making. Therefore there is no pass/fail or minimum set standard.
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Section 3
Demonstration
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Digital Primary Care Maturity Assurance ModulePrimary Care Web Tool (PCWT)
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Future Plans
Section 4
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Future development opportunities• Commissioner training to optimise use of tool• Link or integrate with Trust DMI data to build a community picture• As we establish assurance confidence on “Core” shift emphasis to
enhanced and transformation enablers• Shift from Capability bias to Utilisation (consumption) focus• Seek utilisation data feeds from clinical systems/routine data feeds• Key component of a future DPC Operating Framework ie providing
central assurance, supporting local autonomy, linking to innovation, incentives & levers
• Reflect new models of care and wider primary care
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Thanks for listening. Any questions ?Jo GanderSenior Systems Commissioning [email protected]
Sue CookeGPIT Programme [email protected]
Lee HarrisonDigital Project [email protected]
Digital Primary Care [email protected]