This document provides an overview of a presentation on how digital technology can enable transformation in primary care. It discusses the national policy drivers supporting digital innovation, resources available to practices, and initial progress and plans to improve patient access through the seven digital capabilities piloted in the Prime Minister's GP Access Fund. The presentation aims to gather feedback on local priorities and needs to help refine the GP IT Operating Model, maturity assurance framework, and plans for further digital transformation.
Chandigarh Escorts, 😋9988299661 😋50% off at Escort Service in Chandigarh
Digital – A Key Enabler?
1. www.england.nhs.uk
Digital –
A Key
Enabler?
Sue Cooke
GP IT Programme Lead
NHS England
Michael Curtis
Supplier Engagement Manager,
NHS England
Lee Harrison
Project Officer,
NHS England
9 June 2016
2. www.england.nhs.uk
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
3. www.england.nhs.uk
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
5. www.england.nhs.uk
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 Online
Increased uptake –
Integrated Care /
interoperability
E-consultation
Self care &
Prevention
NHS
England
GMS
PMS
APMS
GP Plus
National
Frameworks/
Models
GPIT
Operating
Model
GPSoC
CCG Practice
Agreement
Vanguards
New Models
of care
MCP/PACs
Standards/
Assurance
CCG IAF
Maturity
Assurance
6. www.england.nhs.uk
Standards and Assurance Controls
Standards
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)
8. www.england.nhs.uk
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
10. www.england.nhs.uk
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
11. www.england.nhs.uk
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
12. www.england.nhs.uk
The Model
Assurance
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
14. www.england.nhs.uk
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
19. www.england.nhs.uk
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
GMS
PMS
APMS
GPIT
GPSoC
Vanguards
New
Models of
care
GP Plus
MCP
PACS
20. www.england.nhs.uk
Drivers & Trends
Primary 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
21. www.england.nhs.uk
Key Challenges
Primary Care
Ageing population
Increasingly complex patient diagnoses
Slower than required growth in numbers of healthcare
professionals
Variations in outcomes
Changing user expectations
22. www.england.nhs.uk
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
23. www.england.nhs.uk
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
24. www.england.nhs.uk
How do we achieve the vision?
Continued
Prime Minister’s GP Access Fund – Seven
Digital Capabilities
25. www.england.nhs.uk
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.
26. www.england.nhs.uk
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
28. www.england.nhs.uk
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?
a. Further revisions to the GP IT Operating Model
b. Development Digital Primary Care Maturity Assurance indicators
c. Digital Transformation
29. www.england.nhs.uk
Feedback & Reflection
• Key themes/trends:
• Improving patient care
• Improving ways of working/work life balance
• What is needed to support this work further?
• Conclusion