Alan McDermottRegional Director Patients & InformationNHS England

Patients and PublicWill be able to:

a) more effectively share in the responsibility for their health and welfareb) have more convenient access to NHS Services

Clinicians/PracticesWill be able to devote more of their time to supporting the clinical needs of patients rather than dealing with administrative and support tasks that patients can carry out for themselves

NHSWill benefit from improved health outcomes for patients, increased patient satisfaction and reduced administrative costs

Online appointment booking Online repeat prescriptions Online access to records

Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar0

2,000,000

4,000,000

6,000,000

8,000,000

647,560 866,465 819,144 890,480 893,268 977,331 888,314 1,022,8011,060,3021,248,620

6,516,3686,656,5277,003,498

7,392,2187,575,2157,758,2117,845,1897,973,6498,290,5728,413,199

No. of appointments booked/cancelled online Linear (No. of appointments booked/cancelled online)No. patients enabled for online appointment booking Linear (No. patients enabled for online appointment booking)

January 2016• 8.4m patients enabled for online

appointment booking• Increase from 6.5m in April 2015

– 29% increase• 1.2m appointments booked/

cancelled online• Increase from 0.6m in April 2015

– 92% increaseDNAs are lower with online Appointments

% DNA

Appointments booked conventionally

4.3%

Appointments booked online 2.5%

Number of Appointments Booked/Cancelled Online

Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar0

2,000,000

4,000,000

6,000,000

8,000,000

1,181,1871,252,3441,265,7511,322,0371,319,9011,340,6431,355,9781,399,2511,397,0881,491,463

6,222,8776,496,386

6,839,5417,221,6227,393,0077,564,3917,647,2677,777,473

8,096,6588,216,096

Repeat Prescriptions Ordered Online Linear (Repeat Prescriptions Ordered Online) No. Patients EnabledLinear (No. Patients Enabled)

January 20168.2m patients enabled for online prescriptions ordering

Increase from 6.2m in April 2015 – 32% increase1.5m repeat prescriptions ordered online

Increase from 1.2m in April 2015 – 26% increase

Number of Repeat Prescriptions Ordered Online/Number of Patients Enabled for Online Repeat Prescriptions

1-Jan 8-Jan 15-Jan 22-Jan 29-Jan 5-Feb 12-Feb 19-Feb 26-Feb 4-Mar 11-Mar 18-Mar 25-Mar 1-Apr0

1,000

2,000

3,000

4,000

5,000

6,000

7,000

-4%

4%

12%

20%

28%

36%

44%

52%

60%

68%

76%

84%

92%

5%11% 12%

15%20%

24%29%

36%

44%

52%

60%

68%

78%

92%

*Preliminary Statistics

% Enabled for online access to records

No.

Pra

ctic

es

• Minimum 10% of patients registered for online services at each GP Practice, 25% in transformation areas

• Minimum 20% of patients registered for online services at each GP Practice, 50% in transformation areas

• Patients able to view information from all clinical settings across the health system

• Patients able to write into their GP record

• 15% of patients using Apps / smartphones to access NHS services

• Patients able to view information from all health and social care settings

• Paper free at point of care

18.5% Of activity takes place at the weekend

On a typical weekday 47.1% of activity is either

before 08:00 or after 18:00

Every appointment booked and each prescription ordered is one less to deal with manually.

Better audit trials

Fewer transcription

errors

Fewer calls

Time saving

Fewer F2F

transactions

Improve safety

Look up medical jargon

Improve health control

Improveknowledge and health literacy

Improve access and convenience

Reduce errors and duplications

Less pressure onstaff

Increase use of SMS

Save phone calls

Increase patient satisfaction

Improve communication with

patients

Administrative time saving

Source: http://goo.gl/49oD49

Saving time and resources

www.england.nhs.uk

Under 40

In England 15 million people have a long-term condition.

Most individual long-term conditions are more common

in people from lower socio-economic groups, and are

usually more severe even in conditions where

prevalence is lower.

GP appointment

Outpatient appointments

Inpatient bed days

http://www.kingsfund.org.uk/time-to-think-differently/trends/disease-and-disability/long-term-conditions-multi-morbidity

AGE PATIENTS WITH LTC

Over 60

58%

14%

50%

64%

70%

www.england.nhs.uk

This is an example of categories of information that patients may see. This may be presented differently by each supplier.

Demographics

Allergies/Adverse Reactions

Medication (dose, quantity and last issued date)

Immunisations

Results (numerical values and normal range)

Values (BP, PEFR)

Problems/Diagnoses

Procedure Codes (medical or surgical) and codes in consultation (signs, symptoms)

Codes showing referral made

or letters received (no attachments)

Other Codes (ethnicity, QOF)

Some of the information in list above will depend on what your clinical system is able to routinely display.

www.england.nhs.uk

Free Text Letters and Attachments

Administrative Items

• Diary Entries/Recalls

• Special Notes/Warnings

• Tasks/Emails/Internal Messages

The following categories are examples of items that are not required to be displayed. However, you may choose to make them available.

www.england.nhs.uk

New practice baselines

Detailed interviews with patients

Promotion to the public

Building benefits evidence

Case studies and videos preparation

For other suppliers focus on preparation

Focus on enabling record access where system in place

Answering practice and patients queries

Developing guidance & policies

Engagement (CCG and LMC engagement, workshops for practice managers, training for CSUs/HISs)

A patient’s experience of using Patient Online

Trevor FosseyMember of the Patients Working Together Group (PWTG)

Twitter: @Trevor FosseyEmail:Trevor.Fossey@Outlook.com

Power of Information• On PPG

agenda/ engaged

• Easy read version

Personal access to GP Records

My personal journey to access to my personal records at:Regis Medical Centre, West Midlands

Access to GP record• Jan 2014

• Experience Benefits

20152014

Transactions available

• Online Medication

• Online Booking

Promote benefits

• PPG to support

• Share benefits at workshops & via Social Media

2016

Support others & GP• Including via

LCGs & C4CC

• Demonstrate benefits

• Overcome Barriers

2017

Embed in culture

• Encourage CCG to support

• Online access as ‘the norm’ for all citizens

20132012

Personal experience since Jan 2014Three main benefits

Outcome: Able to review note at home, and contemplate – and take self-help actionIssue fully resolved, no medication or GP time required

• Proxy access – since November 2015 (current)

• Blood Test results – February 2015

Outcome:

Outcome:

30 minute diabetes annual review completed within 10 minutes, & more valueTime saving & better control of diabetes reduction in Hb1Ac level

Able to review notes at home, and contemplate – and share when appropriateEnhanced Integrated care provided, with benefits of all being ‘in the loop’

Able to ‘take time’ to review blood test results at home, using resources available online Identify issues more focused consultation. Saved time & more value

Health of partner deteriorated and regular home visits & ongoing treatmentVisits include from various agencies, clinicians/nurses and specialists

• Mental Health – March 2014

View GP records online

Overview/summary of experience• Greater involvement in own wellbeing

• Feel more in control & engaged with my own health

• Less risk if I have future issues peace of mind and ‘at ease’

• More inclined to visit doctor if required, because I can then see and review what has been put in the records (‘man thing’?!)

• Now feel that Physical Health is on a more equal footing with Financial Health

• Good foundation for the future & easy to access

Personal experience: Summary

Records online “has first enhanced the relationship that I have with my GP practice - and I am confident that it will improve my health & wellbeing and the person for whom I care”

Vision and scope workshop – Summary(which identifies barriers to wider engagement?)

Trevor Fossey• Patient representative on the PWTG

• Co-Production member & Shadow Co-Chair

• Coalition for Collaborative Care

• Lay member of Black Country LCG

• Member of Regis Medical Centre PPG

Mobile: +44 7932 223 449Email: Trevor.Fossey@Outlook.comTwitter: @TrevorFossey#PatientOnlineLinkedIn: http://www.linkedin.com/pub/trevor-fossey/15/b44/10a

Thank you for your attention

Questions?