NHS England is committed to five high impact digital changes in primary care by 2018: allowing patients to book appointments and order prescriptions online, access test results electronically, monitor long-term conditions remotely, control personal health records, and engage with professionals via text/email. NHS England also aims to make general practice paper-free by 2018 through initiatives like scanning historical paper records and receiving digital discharge summaries. Over 30 million patients in England will benefit from improved digital access and local transformational changes through the rollout of digital primary care programs.
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Digital Primary Care
1. www.ehilive.co.uk | 3-4 November 2015 | #ehilive
Tracey Grainger
Head of Digital Primary Care, NHS England
2. www.ehilive.co.uk | 3-4 November 2015 | #ehilive
NHS England commitments
โข Easier access to GPs/Primary Care for patients with urgent
needs
โข Strengthening primary care services - releasing time in general
practice
โข Increased patient satisfaction
โข Harnessing the information revolution
NHS England Digital Strategy and NIB (1.1 and 7)
โข Seven digital capabilities for GP access โ PMGP Access Call to
Action
โข Paper free at point of care by 2018
NHS England digital commitments
โข Five High Impact Changes
3. www.ehilive.co.uk | 3-4 November 2015 | #ehilive
NHS Englandโs digital commitments focus on five high impact changes. Leaders are expected to
become champions of digital enablement, and set the standard for modern customer service and
professional enablement.
4. www.ehilive.co.uk | 3-4 November 2015 | #ehilive
Book GP & secondary
care appointments online
Order repeat prescriptions
online
Access test results
electronically
Remotely monitor
& update long term
condition status
Have control of a
Personal Health Record
Engage with health
professionals via text, email
& webcam/chat
Find endorsed
pre-approved health and
care apps on nhs.uk
Have 24 hour access to
urgent and emergency care
through Digital 111
Access care records
remotely to enable
provision of care outside
GP practice
Register online with a GP Transfer medical records
electronically
Communicate
electronically across care
settings and professional
groups
5. www.ehilive.co.uk | 3-4 November 2015 | #ehilive
Scanning and attaching โLloyd Georgeโ
wallets as historical electronic records
Electronic referrals to secondary care
All clinical correspondence received
electronically and uploaded to patient record
Receipt of digital discharge summaries
from secondary and social care
Receiving test results electronically and
attaching them to the patient record
Processing and transfer of prescriptions
to community pharmacies via the
Electronic Prescription Service
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Brought together, the two cohorts total
covering over
(1/3 of the country) in over
that will benefit from improved access and transformational
change at local level.
Wave two
Wave one
8. www.ehilive.co.uk | 3-4 November 2015 | #ehilive
Single GP System
Technology โ No
Integration
23
Pilots
Urgent Care
Integration
18
Pilots
3rd Party
Integration
Products
13 Pilots Patients Online
Services
24
Pilots
Integrates 2 GP
Systems
8 Pilots Video Consultation 22
Pilots
Integrates 3 GP
Systems
4 Pilots e-Consultation 13
Pilots
Mobile Clinical
Access
9 Pilots
9. www.ehilive.co.uk | 3-4 November 2015 | #ehilive
SelfCareServiceModelAppointment
Booking
Channels
Consultation
Channels
Telehealth/Pre-referral
Sign-posting
Wellbeing Record
Care Record
Practice Based
Discrete Hub
Central Triage
Extra Hours at Practice
Web
Video
Supervised Video
Pharmacy
Walk-In
Telephone
Online
Telephone
Richmond
Windsor,Ascot7Maid.
Oxfordshire
TowerHamlets
NewForest
Islington
Southampton
Swindon
Lambeth
Gloucestershire
Bristol
Epsom
Worthing
Knowsley
WestLeeds
WestCheshire
SouthCheshire
Gateshead
Fleetwood
Blackburn
Halton
Sheffield
Barnsley
SouthTees
Wigan
Manchester
SouthWorcestershire
Coventry
Suffolk
Cannock
Peterborough
Stafford&Shropshire
Basildon
WestEssex
MiltonKeynes
Leicester
South
Birmingham
11. www.ehilive.co.uk | 3-4 November 2015 | #ehilive
โข Updated model
โข Wider list of Business as Usual/Core Services
โข Newly Retired Services
โข Financials under review
12. www.ehilive.co.uk | 3-4 November 2015 | #ehilive
System levers and incentives
Enablers and technical disruptors
Infrastructure
Market opportunities
and Value For Money
Digital
customer
interaction
Setting the service
specification -
accountabilities
Underpinning
Policy โ vision &
strategic direction
Commissioner
Development &
Support
Digital
Primary
Care
Service
Assurance
& Digital
Maturity
Financials
Digitally
Informed
Customer
Technical
Architecture
IT Systems
of Choice
Technologies
& Data
Analytics
13. www.ehilive.co.uk | 3-4 November 2015 | #ehilive
england.digitalprimarycare@nhs.net
http://www.england.nhs.uk/ourwork/qual-clin-lead/
calltoaction/pm-ext-access/resources/
#PMGPAccess
#DigitalPrimaryCare
https://youtu.be/YRApcMkeOS4
Join the conversation
Join the Digital Primary Care community network
Simply email england.digitalprimarycare@nhs.net
Editor's Notes
Hello
Iโm Mike Smith the technical programme manager for the prime ministers GP Access Fund
I want to talk about 8 interoperability capabilities which I think are required by health professionals working in multi disciplinary teams
Iโm going to describe a patient journey and then outline
Dora is 87 with a number of LTCโs
Stomach pains caused her to seek a GP appointment
Own GP didnโt have a spare slot.
Appointment booked in Extended Hours.
Dora asked that her phone number be updated
Extended Hours GP, sees contraindication, gives prescription and suggests prescription review at registered GP.
GP suggests referral to Frailty Team.
Dora is 87 with a number of LTCโs
Stomach pains caused her to seek a GP appointment
Own GP didnโt have a spare slot.
Appointment booked in Extended Hours.
Dora asked that her phone number be updated
Extended Hours GP, sees contraindication, gives prescription and suggests prescription review at registered GP.
GP suggests referral to Frailty Team.
Dora is 87 with a number of LTCโs
Stomach pains caused her to seek a GP appointment
Own GP didnโt have a spare slot.
Appointment booked in Extended Hours.
Dora asked that her phone number be updated
Extended Hours GP, sees contraindication, gives prescription and suggests prescription review at registered GP.
GP suggests referral to Frailty Team.
Dora is 87 with a number of LTCโs
Stomach pains caused her to seek a GP appointment
Own GP didnโt have a spare slot.
Appointment booked in Extended Hours.
Dora asked that her phone number be updated
Extended Hours GP, sees contraindication, gives prescription and suggests prescription review at registered GP.
GP suggests referral to Frailty Team.
Dora is 87 with a number of LTCโs
Stomach pains caused her to seek a GP appointment
Own GP didnโt have a spare slot.
Appointment booked in Extended Hours.
Dora asked that her phone number be updated
Extended Hours GP, sees contraindication, gives prescription and suggests prescription review at registered GP.
GP suggests referral to Frailty Team.
Dora is 87 with a number of LTCโs
Stomach pains caused her to seek a GP appointment
Own GP didnโt have a spare slot.
Appointment booked in Extended Hours.
Dora asked that her phone number be updated
Extended Hours GP, sees contraindication, gives prescription and suggests prescription review at registered GP.
GP suggests referral to Frailty Team.
Dora is 87 with a number of LTCโs
Stomach pains caused her to seek a GP appointment
Own GP didnโt have a spare slot.
Appointment booked in Extended Hours.
Dora asked that her phone number be updated
Extended Hours GP, sees contraindication, gives prescription and suggests prescription review at registered GP.
GP suggests referral to Frailty Team.
Dora is 87 with a number of LTCโs
Stomach pains caused her to seek a GP appointment
Own GP didnโt have a spare slot.
Appointment booked in Extended Hours.
Dora asked that her phone number be updated
Extended Hours GP, sees contraindication, gives prescription and suggests prescription review at registered GP.
GP suggests referral to Frailty Team.
Dora is 87 with a number of LTCโs
Stomach pains caused her to seek a GP appointment
Own GP didnโt have a spare slot.
Appointment booked in Extended Hours.
Dora asked that her phone number be updated
Extended Hours GP, sees contraindication, gives prescription and suggests prescription review at registered GP.
GP suggests referral to Frailty Team.
Dora is 87 with a number of LTCโs
Stomach pains caused her to seek a GP appointment
Own GP didnโt have a spare slot.
Appointment booked in Extended Hours.
Dora asked that her phone number be updated
Extended Hours GP, sees contraindication, gives prescription and suggests prescription review at registered GP.
GP suggests referral to Frailty Team.
Dora is 87 with a number of LTCโs
Stomach pains caused her to seek a GP appointment
Own GP didnโt have a spare slot.
Appointment booked in Extended Hours.
Dora asked that her phone number be updated
Extended Hours GP, sees contraindication, gives prescription and suggests prescription review at registered GP.
GP suggests referral to Frailty Team.