Introducing the Vision for anNHS e-Referral Service
making paperless referrals a reality
The strategic drivers
• Creating a paperless NHS by 2018• Putting Patients First - The NHS England
business plan for 2013/14 – 2015/16• The NHS Constitution• The NHS Mandate• The New NHS Provider Licence• Liberating the NHS – ‘no decision about me
without me’• The 2013/2014 NHS Standard Contract• Choose and Book Best Practice Guidelines
Where are we now?
3
17m referrals/year
- approx half are
still on paper
This is time consuming, labour intensive, costly and risky
The average paper referral can add 2 weeks to a patient’s referral to treatment pathway
Why Digital…?
4
Part of every day life
Fast Safe Secure
Take booking a flight - would you….
??Contact a travel agentPhone various airlines
OR
Log onto a website that gives you all the
information in a single place
Why should healthcare be any different?5
Choose and Book today
6We want to build on the positives for the future
Processed over 40 million referrals
to over 47 thousand services
The future
How can we build on the successes, learn from the challenges, and create an NHS
e-Referral Service which supports the strategic drivers and principles?
NHS e-Referral Service Principles
1The new NHS e-Referral Service will improve patient outcomes, user experiences and support the drive to a future paperless NHS referral system.
2The new service will build upon the benefits and successes of the Choose and Book system, acknowledging its failures (both real and perceived) and lessons learned.
3There will no longer be a mixed economy of paper and electronic referrals.
4The needs of patients and professionals will be foremost in designing the new service, which will include support for enhanced functionality and usability.
NHS e-Referral Service – engagement so far…
During 2012/13, a range of stakeholder engagement events were held to listen to peoples’ experiences and aspirations of what an ideal e-referral service might look like
We have spoken to
Patients Clinical Commissioning Groups (CCGs) Referrers (GPs) Service Provider organisations
Stakeholder feedbackPatients would like to see
10
Online services
Self referral
Patients
Useful information
Book all appointments
Follow-up
Phone Apps
Alerts and Reminders
Stakeholder feedbackCommissioners would like to see
11
Better reporting
Referral management support
CCGs
More information
Stakeholder feedbackGPs would like to see
1212
All appointment slots available
More intuitive
GPs
Seamless integration
Referral templates
Decision aids
Enhanced Advice and Guidance
Diagnostic services
Outcome and Discharge information
Stakeholder feedbackConsultants would like to see
1313
Better integration
Improved referral review
Consultant
Linked appointments
Onward and tertiary referrals
1414
• Based on what we have heard so far, a range of digital representations of typical patient journeys have been developed for users to review
• These and further information can be found on the NHS e-Referral Service website at: www.hscic.gov.uk/ers
NHS e-Referral Service – the Vision
How can YOU now get involved?
15
NHS e-Referral Service Vision – making paperless referrals a reality
• Visit our website and give us your feedback on the pathway scenarios
• Support our future workshops
• Contact us on email: [email protected]