Local Digital Roadmaps

1. Health Insights London
Enabling Digital Transformation –
Digital Maturity and Local Digital
Roadmaps
Tim Ellis
Senior Programme Lead
Digital Technology
NHS England
6th July 2016

2. What success looks like
Digital maturity in secondary care providers is significantly increased
• Patient information is recorded once, digitally, at or close to the point of care.
• Clinicians alerted promptly to key patient events and changes in status, supported by knowledge
management and decision support tools.
• Improved management, administration and optimisation of medicines, availability of assets and effective
staff- rostering.
Information is digital (paper-free) and flows between primary, secondary and social care
providers seamlessly
• Patient information at the point of care is available digitally (irrespective of where it was recorded), on a
secure, timely and accessible basis.
• Transfers, referrals, bookings, orders, results, alerts, notices and clinical communications are passed digitally
between organisations.
• Telehealth/collaborative technologies used to deliver care in new ways.

3. What success looks like
Patients, carers and citizens use digital technologies to manage their health and
wellbeing
• Patients digitally book and manage their appointments, request and manage their prescriptions
and consent to share personal information.
• Patients can view, understand and contribute to their digital record, and manage how this is made
available to family and carers.
• Approved digital tools and applications used across care settings to facilitate: care planning and
shared decision making; education and access to resources; monitoring and feedback on health
and wellbeing; and administration of personal budgets.
Commissioners providers and citizens increasingly use data (individually and at
population level) to best effect
• Rich data sets inform decision making, investment priorities, safety and quality assessments, and
outcome measurements.

4. READINESS
Are providers set up effectively to deliver paper-free at the
point of care?
CAPABILITIES
Do providers have the digital capabilities they need to
deliver paper-free at the point of care?
INFRASTRUCTURE
Are the underpinning technical enablers in place to deliver
paper-free at the point of care?
Digital Maturity Self-Assessment: Components

5. Key:
Red = Infrastructure score <40%
Amber = Infrastructure score 41 – 69%
Green = Infrastructure score 70 – 100%
Blue lines reflect the bandings applied in
MyNHS
National Scores for Readiness, Capabilities & Infrastructure themes (all services).
Digital Maturity Self-Assessment: National Results

6. 6
Digital Maturity Self-Assessment: National Results (Section-level)
National averages for sections within the Readiness, Capability & Infrastructure themes (all services).
0
10
20
30
40
50
60
70
80
90
100
Readiness Sections Capabilities Sections Infrastructure
Readiness Sections scored higher than
capabilities Medicines Management, Remote & Assistive Care and
Decision Support have lowest results across the self-
assessment

7. Current context for ‘digital’
• Overview of current maturity
• Key recent achievements
• Key current initiatives
• Rate limiting factors
Digital maturity assessments in primary care
The Digital Primary Care maturity assurance data can now be accessed through the
Primary Care Web Tool – https://www.primarycare.nhs.uk/. It will provide a
mechanism for CCGs and GP practices to review and benchmark current levels of
digital maturity against the requirements laid out in the GP IT Operating Model.
A series of upcoming webinars are being run to help people understand the tool –
details are available here:
https://www.england.nhs.uk/events/upcoming-webinars/

8. Current context for ‘digital’
• Overview of current maturity
• Key recent achievements
• Key current initiatives
• Rate limiting factors
Digital maturity assessments in social care
• Over half of Local Authorities have responded to date
• Similar profile to secondary care
• 37% of Local Authorities (adult social care) felt they
have electronic access to the information they need
from other health providers;
• 42% of Local Authorities (both adult social care and
children’s social care) felt that there were effective
APIs enabling information sharing without manual
intervention;
• 46% of Local Authorities felt there were effective
technologies to support electronic collaboration
between care professionals

9. Sustainability & Transformation Plans (STPs) and Local
Digital Roadmaps (LDRs)
• Digital has been positioned within the STP guidance and resources
• Submission dates were aligned
• 83 LDR footprints declared, 44 STP footprints
• Signalling in LDR guidance
• In their LDRs, commissioners and providers should describe how,
working collaboratively, they will underpin and transform service
models, within and between care settings, with the necessary digital
technology and capability.
• Encouraged alignment of LDR and STP development processes

10. LDR Local Approach
Some LDRs
consolidated
Peer Review
and
Challenge
Process
Locality Plans
use digital
maturity to
prioritise
investment
CCG, DCO,
P&I DT draft
review and
feedback
Frame digital
capabilities
against STP
aid memoires
Do once, Do
at locality
Level, Do at
an
Organisation
Level

11. The Core Content of a Local Digital Roadmap
A vision for digitally-enabled
transformation
Information sharing
• Approach
• Information sharing agreement
• Adoption of NHS number and
standards
Readiness
• Leadership, clinical
engagement and governance
• Change management
approach
• Benefits management and
measurement
• Investment approach
• Programme structure
• Resources for change
Capability deployment
• Schedule
• Trajectory
System-wide Infrastructure
• Mobile working
• Unified communications
• Shared infrastructure initiatives
Where are we now
• Overview of current maturity
• Key recent achievements
• Key current initiatives
• Rate limiting factors
Universal capabilities delivery
plan
• Baseline
• Ambition
• Activities
• National services /
infrastructure / standards
• Evidencing progress
All LDRs now
submitted

12. Local Digital Roadmap Alignment
June 30th LDR
& STP
Submissions
July LDR and
STPs reviewed.
Regional Lead.
Highlighted
issues
addressed in
LDRs.
Configuration.
Support Offer.
Autumn
Investment
readiness.
Process to
access 17/18
funding.
The aspiration
is for all LDRs
to be
investment
ready by
November.
Completeness &
Contribution
Alignment &
Endorsement
Capabilities &
Interoperability
• The assessment of individual LDRs and subsequent targeting of support to improve / develop them further will be
regionally-led.
• The assessment for investment readiness (and any subsequent support to get footprints to the threshold) should
be seen as the start of a broader cycle of ‘assess / targeted support / develop’ to produce richer and deeper LDRs,
increasingly aligned with STPs. (Additional regional DT resource should be in place soon to support this).
• Having an investment ready Local Digital Roadmap will be one requirement to access the funding available from
17/18, but not the only requirement. The aspiration is for all LDRs to be investment ready by November.

13. The process going forward

14. https://bettercare.tibbr.com/tibbr/web/login
Local Digital Roadmaps – collaborative platform
We are pleased to announce the launch of a collaboration platform to
support Local Digital Roadmap development. It is hosted on the
Better Care Exchange, where a new subject has been added entitled
‘Local_Digital_Roadmap_Development’. It is available for you to post,
access or comment upon resources, post or respond to requests for
information, or participate in online discussions, and takes ‘seconds’
to register and gain access – go to

15. Local Digital
Roadmaps
Digital Maturity
Assessment &
Analysis
Tech Funds &
Benefits
Optimisation
Transformation &
Leadership
Support
Market
Management &
Supplier
Accreditation
Commissioning
and regulatory
Levers
• LDR Guidance
• Footprint Digital
Milestones
• STP Alignment
• Investment Portfolio
& allocation rules
DMA
• Capability
• Readiness
• Infrastructure
• “Digitised System”
Metrics
• Research and Devt
• Distribute Staged
Funding
• Benefit Reporting
• Evidence Base
• Knowledge Networks
• Benefits Realisation
• Support for Providers,
CCGs & DCOs
• Peer Network
• Health Checks
• Leadership Summits
• Peer Networks
• Learning Resources
• Intelligent Customer
• Price Benchmarks
• Dynamic Purchasing
• Relational Contracts
• Strategic Supply
Management
• Accreditation &
Assurance
• Standard Contract
• CCG and Provider
contract levers
• CQUIN
• NHSI Performance
Framework
• CQC Digital Indicators
Driving Digital Maturity – Programme Structure

16. Transformation & Leadership Support
For Commissioners & Providers
Driving Digital Maturity – Programme Structure
Leadership
Development
Analytical
Insight
Digital
Strategy
Support
Health Checks
Subject
Matter
Experts
Change
Management
Planning
Peer
Networks
Knowledge
Resources
Commercial
Terms Review
DigitalStrugglers
Digital
Explorers
DigitalStrivers
DigitalHighfliers
NHS England
NHS Improvement
NHS Digital

17. Questions