Dr Arvind MadanDirector of Primary Care, NHS England

Primary Care

Ageing population

Increasingly complex patient diagnoses

Slower than required growth in numbers of healthcare professionals

Changing user expectations

Variations in outcomes

1 in 20 of 1.2 trillion Google searches are health-related

~ 50 million visits per month to NHS Choices

Go online for health information

6% of appointments could have been dealt with by practice staff other than the GP

4% of patients could have avoided contact with the practice if self-care support had been available

12080

92% of practices offer patients online access to their Detailed Care Record

Online Appointment Booking

98.7% of practices offering

8.4 million patients signed up

12% of all appointments are available online

Online Repeat Prescriptions

97.4% of practices offering

8.2 million patients signed up

4% of all repeat prescriptions requested online

Online Access to Records

Access to patient data at the point of care

Interoperability to allow data sharing between health and care professionals

Patient empowerment through the use of endorsed apps and other digital tools

Enable patients through signposting and remote management to help them prevent ill-health through self care

Increased practice efficiencies through a wide choice of innovative technology that supports new ways of working

Access to data and tools that enable providers to evaluate, measure and improve episodes of care and services

Support and guidance for professionals to help them make best use of technology and connect with each other

Better use of technology for practices• Increase in revenue funding to CCGs• Data Quality Training • Information Governance and cyber security• Increased uptake of Patients Online• Increasing online self-care and tackling digital exclusion• Development of 111 Online • Wi-Fi in GP practices for staff and patients• Mobile access to records• Apps library on nhs.uk to support clinicians and patients • Telephone and e-consultation tools• Remote care of long-term conditions and Telehealth• Paperless 2020 e.g. EPR, EPS, GP2GP, e-discharges• Summary Care Record and record sharing across

practices and services• Advice and Guidance support services• Improved data extraction and payment system• Digital Maturity Index and buying framework for CCGs

“I can choose from a wide range of innovative systems and solutions that can improve the way I work”

“My working hours are flexible, as I can manage my patients remotely”

“I’ve been supported to use new technology confidently to deliver better care”

Enabling you to offer digital services to your patients which allow them to take ownership of their own care

Enable patients with long-term conditions to be remotely managed through sharing of personal health care data

Supporting new ways of working through online access and reducing bureaucracy through linking digital workflow and task management

Making real-time digital records available inside and outside the practice

Educating and supporting you to make the best use of technology

Seamlessly linking health professionals and digital records

Providing access to the right data and tools to enable you to capacity plan and measure the service demands based on patient need

Analyse data and intelligence to allow you to make service improvements and modifications

I can signpost and remotely manage my patients and help them prevent ill-health through self care

I can evaluate the quality of service that I provide to my patients

I can work efficiently and make sure my patients are seen by the right professional

Technology that builds confidence to support empowering your patients to take advantage of the digital tools and apps on offer and sign post to the right services

“I’ve have been given the right business tools to understand my patients health needs”

I can access support to improve my digital skills and services

Support services available to accelerate and adopt new ways of working

Online clinical communication network available to provide practical advice and guidance

Simple payment systems

Back Office Systems

Staying Well

Self-help content e.g. NHS Choices

Risk Assessment Tools e.g. One You

Well-being tools e.g. Apple Healthkit and

wearables

Feeling UnwellTransactional tools e.g. Patient Online

Sign posting e.g. pharmacy, mental

health services

Symptom checking e.g. 111 Online

Remote CareEmail Consults (minor illnesses and requests)

Long-term Condition Apps(Reactive and proactive care)

Telehealth for ongoing

monitoring e.g. virtual wards

Data based population

management e.g. risk stratification

• Human Resources• Finance• Practice management• Rota management

• Secondary data use• Quality metrics• Data extraction/Payments• Commissioning intelligence

• Patient Record• Electronic Prescribing• Electronic Record Transfer• E-referral and E-discharge

Patients use practice website as a resource to: • stay well• source credible advice • remotely manage

clinical interactions

Patient empowerment, self care and prevention

New ways of working and reduced bureaucracy

Providing access to data and tools to measure quality and efficiency

Supporting hard to reach groups

Order and attach test results electronically

Patients able to provide pre-referral info

Book all primary care appointments online

Free patient and professional WiFi

NHS endorsed library of apps

24hr digital urgent & emergency care via 111

Repeat prescriptions Click and Collect

Digital GP consultations via phone, email, webcam, messenger where appropriate

Telecare apps widely available

Telehealth devices used by patients for diagnostics

Remote monitoring of long term conditions

Online patient consent options

Electronic engagement with health professionals

E-discharge summaries received in GP Record

Transfer e-records between practices

Remote access to real-time digital records

Approved apps on nhs.uk that signpost and share information with GP

Shared records across federations

Ability to deliver virtual GP services

Wider choice of systems and infrastructure

Full read/write access for urgent & emergency care

Single GP payment system

Electronic receipt of all clinical info

Real-time info sharing using NHS SPINE

Interoperability standards included in provider contracts

Morbidity and activity data analysis across federations

Local automated extract services

Standards and system accreditation

Digital maturity and assurance tool for commissioners

Trial local extract services

Purchasing by local commissioners

Patients have digital access to practice

DRAFT - not for wide circulation