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www.england.nhs.uk
Patient Online Programme
Dr Phil Koczan
Digital Clinical Champion - London
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Towards a digital revolutionOnline access has transformed many industries, including:
music, retail, travel and banking
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What is Patient Online?
GP Appointments
Online
Repeat Prescriptions
Online
View Your GP Records Online
Patient Online will empower patients to take greater control of their health and wellbeing by increasing online access to
services
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What are the benefits?
• Time saving in phone calls and car journeys
• Improved access and convenience
• Improved communication with the practice
• Increased patient safety, reduction in errors and duplications
• Improved health knowledge and health literacy
• Improved patient experience and control of their care
• Administrative time savings on repeat prescription
• Receptionist time release on appointment booking
• Fewer missed appointments
• Increased patient safety, reduction in errors and duplications
• Improved communication with the patient
• Improved patient satisfaction
PATIENTS GENERAL PRACTICES
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GMS/PMS contract
PATIENTS
online booking of appointments
online cancelation of appointments
online ordering of repeat prescriptions
online access to summary information within patient
records (allergies, medications, adverse reactions)
And promote these services to patients
Possible for practices to offer online access to test results, letters and consultation notes and more.
Full details of the 2014/15 GMS contract
Full details of the 2014/15 PMS contract
To meet the Patient Online requirements by March 2015 practices must offer:
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What we have learnt so far…
Empowering patients
Delivering transparency
Integrating and personalising
Supporting better patient / clinician decisions
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Governance: how we are managed
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Patient Online – building each layer
Access to summary of information
Access to coded data
in GP record
Appointmentsand
prescriptions
Support and guidance required – evidence and case studies
Guidance and support
Simple guide and support
OFFER TO PATIENTS
SUPPORT & RESOURCES
GMS/PMS Contract
2015/2016
GMS/PMS Contract
2014/2015
Enhanced Service
2013/2014
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Hitting the headlines
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Overcoming challenges
Security and confidentiality
Helping patients to understand how to use their
records
Issues relating to agreement, consent and
protection
Equality issues
Adequate resourcing
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Patients will see my spelling mistakes
It will create more consultations
This is going to cause me more work
Patients will look at test results and will contact me more
GP concerns
I am no longer in charge
I am uncomfortable with this
Do I need to quality check my records?
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Comments from existing patients online
“As a man, it is less embarrassing! It can be easier to ask questions online than face to face”.
“Don’t have to use a PC, can book appointments and view my test results on my iPad or iPhone”. “No more calling
GP’s at 8.30 am for appointments”.
“Online services will free-up clinicians and patients time”.
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Comments from existing patients online
“I can receive much quicker, more efficient care”.
It's really helpful to be able to remind yourself what was said to you by your GP”.
“Easier for me to keep track of my medication”.
“I want the face to face contact. It could be Skype!”
“I'm impressed how quickly my blood tests are on there”.
“It is good to have the choice”.
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Resources – Patient Online support and resources
The guide can be accessed on the NHS England website
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Resources – Patient Online support and resources
The guide can be accessed on the NHS England website
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Resources – Patient Online support and resources
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Resources – RGCP guidance and training
PATIENTSGuidance example forms and checklists
Identity verification
This guidance and other supporting materials can be found on the
RCGP website
Getting started with record access
Coercion
Proxy access
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RGCP Toolkit –Resources under development
Getting started with Repeat prescriptions
Encouraging patient take-up
Patient consent and responsibilities
Information governance
Identity verification
Coercion
Proxy access (including carers and other professionals)
Children
Getting started with online appointments
Guidance eLearning courses
Practical usefulness of online access for GPs
General overview and benefits
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Resources - Patient Online Community
Community for Network with Access to
anyone interested in online services in primary care
other CCGs, CSUs, practice managers, GPs, patients
resources, case studies, toolkits
To register email: [email protected]
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Support: where are we based
North
Midlands and East
South
London
North
Fiona McDonaldRose Curry Taz Aldawoud
Kay Renwick Pam JenkinsRichard Ince
Digital Clinical Champions Implementation LeadsMidlands and EastDigital clinical champions Implementation leads
Adam Paxton Chris FrithClive PrinceDamian Williams
John BirdRichard InceRuth Adekoya
Digital Clinical Champions Implementation LeadsSouth
Digital clinical champions Implementation leads
Amir MehrkarAngela Reed-Fox
Jacky OrmstonJames HempstedJohn Bird
Digital Clinical Champions Implementation LeadsLondon
Digital clinical champions Implementation leads
Phil Koczan Jacky Ormston James Hempsted
Digital clinical champions Implementation leads
Contact details available in Patient Online Guidance and Support
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Accelerator sites and Patient Online: working together
Patient Online programme is working with 24 active sites that wish to:
Participate in benefit studies
Share learning/good
practice examples
Engage with PPGs
Offer more than summary
information
Review and test RCGP materials
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Case studies
Booking appointments and ordering
repeat prescriptions – a patient’s view
Providing patients with online access
to their record – a patient’s view
University Health Centre
Providing patients with online access
to their record – a practice manager’s
view
Cropredy Surgery, Banbury, Oxfordshire
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Case studies
Online record access – a GP’s view
Melrose Surgery, Reading
Booking GP and nurse appointments
online – a practice manager’s view
Melrose Surgery, Reading
The guide can be accessed on the NHS England website
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Accelerator examples
• Offering RA since 2010
• Patients given full record access on request after the record has been verified by the GP
• Uses following methods to promote online services: waiting room TV, practice website, prescription notes, newsletters, business card for blood test patients.
• Offering RA for over seven years
• 100% nurse and non urgent appointments available online
• Benefits most patients especially those with long term or chronic conditions
Greater Huddersfield CCG
Cropredy Surgery, Banbury
Melrose Surgery, Reading
• 10 practices took part in a record access (RA) pilot in 2013
• Mixture of EMIS Web and TPP practices
• CCG is offering extra incentives for practices to sign patients up to access their records.
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Accelerator examples
Sternhall Lane practice in Peckham, South East London switched on Record Access in July 2014
In addition to summary information:patients can now view their immunisation details online.
Practice is running a promotional campaign in the surgery to promote record access.
Whitechapel Health Centre, East London switched on Record Access in August 2014
In addition to summary information:patients can now view their test results online.
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Number of sites
NorthMidlands and EastSouthLondon
5
10
82
Suppliers
EMISTPPInpsMicrotest
3
4
5
13
Accelerator site locations
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What we are doing
Engagement
Stakeholders Practices
Patients Suppliers
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GMS contract changes 2015/16 – NHS Employers
Commitment to expand and improve the provision of online services
Online access to coded information
Improved offer of online booking
Summary of the GMS contract changes 2015/16 (NHS Employers)
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Phil Koczan Digital Clinical Champion – Patient Online programme
www.england.nhs.uk/pe/patient-online
Patient Online Website:
To register for the Patient Online Community please email: [email protected]
Patient Online Community:
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• 99% of General Practices have the capability to allow patients to book or cancel appointments online.
• 85% of patients are registered with general practices that offer the ability to book or cancel appointments online.
Key statistics – Q1 2014/15
Source: HSCIC
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• 99% of General Practices have the capability to allow patients to view or order repeat prescriptions online.
• 78% of patients are registered with general practices that offer the ability to view or order repeat prescriptions online.
Key statistics – Q1 2014/15
Source: HSCIC
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• 77% of General Practices have the capability to allow patients to view their medical record online.
• 5% of patients are registered with general practices that offer the ability to view their medical records online.
Key statistics – Q1 2014/15
Source: HSCIC
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Booking or Cancelling Appointments OnlineQ1 2014/15
Source: HSCIC
Functionality available
Service offered
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Ordering Repeat Prescriptions OnlineQ1 2014/15
Source: HSCIC
Functionality available
Service offered
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Viewing Medical Records OnlineQ1 2014/15
Source: HSCIC
Functionality available
Service offered
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Functionality Profiles – Booking and Cancelling Appointments OnlinePercentage of GP Practices – London
Available and enabled
Available but NOT enabled
Not available or enabled Unknown
This graph shows the where functionality is:
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Functionality Profiles – Viewing Medical Records OnlinePercentage of GP Practices – London
Available and enabled
Available but NOT enabled
Not available or enabled Unknown
This graph shows the where functionality is:
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Available Resources
Reports
Websites
Videos
Posters
FAQs
Information Leaflets
Case Studies
System Guides
Patient Online Community
North of England (NOE) Patient Access Toolkit
myRecord Project
Learning from Accelerator Sites
PARTS
(Patient Access to Records and Transaction Services)
RCGP
Enabling Patients to access electronic health records
