Digital Primary Care DPC Strategy Overview GPIT Digital

Digital Primary Care (DPC): Strategy & Overview & GPIT, Digital Maturity and Assurance Programme Update Sue Cooke, Senior Programme Manager for GPIT Programme Digital Primary Care, NHS England

To share progress to date for the Digital Primary Care (DPC) strategy and associated programmes (e. g. Digital Maturity, GPIT and GPSo. C) www. england. nhs. uk

• Primary Care is changing radically (“Out of Hospital” Care Models) • Current GP IT enablers (GPSOC & GP IT Op Model) may not be fit for future purpose • Interoperability is a key enabler and is not being delivered • The digitally enabled patient (e. g. Patient Online & PHR) will have significant impact on GP IT www. england. nhs. uk

A 12 month programme to ensure that NHS England has a clear vision and strategy for digital primary care which supports: • Contemporary national & local strategic drivers • Service driven organisational changes • The digital consumerisation trend in healthcare Fulfilled by: • Fit for purpose, effective, high value enablers (e. g. GPSOC, GPIT, Op, transformation incentives) • A vibrant supplier marketplace supporting innovation, choice and agile service models • An assurance and digital maturity framework www. england. nhs. uk

Ref Deliverable D 1 GPSOC business case & strategic fit review D 2 Publish GP IT operating model strategic fit review D 3 Interim/bridging interoperability model D 4 Market development strategy D 5 5 -10 year vision for Digital Primary Care D 6 5 year strategy for Digital Primary Care D 7 3 year integrated roadmap for Digital Primary Care and linked programmes www. england. nhs. uk

Enablers GPSo. C Business Case & Strategic Review Interoperability Solution Drivers: NIB Framework Deliverables: D 3 Work Packages: WP 5. 1, WP 5. 2 Resources: NHSE, HSCIC, Endeavour Commissions: HSCIC Led Drivers: NIB Framework Deliverables: D 1 Work Packages: WP 1. 1, WP 3 Resources: NHSE, HSCIC Commissions: N/A GP IT Operating Model Strategic Fit Review Marketplace Development Drivers: NIB Framework Deliverables: D 4 Work Packages: WP 2. 1 Resources: NHSE Commissions: Yes (TBC) Drivers: NIB Framework Deliverables: D 2 Work Packages: WP 1. 1, WP 4 Resources: NHSE Commissions: N/A Visioning Primary Care Landscaping Drivers: NHS 5 yr Forward View Deliverables: D 5 Work Packages: WP 6. 1, WP 6. 2, WP 7. 1 Resources: NHSE, Stakeholders, External Commissions: Health Foundation (TBC) www. england. nhs. uk Digitally Enabled Patient Impact Drivers: NIB Framework Deliverables: D 5 Work Packages: WP 6. 3, WP 7. 1 Resources: External Commissions: Yes (TBC) Strategy & Roadmap Digital Primary Care Drivers: NIB Framework Deliverables: D 6, D 7 Work Packages: WP 1. 2, WP 7. 3 Resources: NHSE + New Commissions: Health Foundation (TBC)

GPIT Governance Formal Process Informal Process Work Stream Governance Digital Primary Care (DPC) Strategy Board Digital Technology SMT Primary Care Delivery Oversight Group GPIT Steering Group Chair, Jo Gander Digital Primary care (DPC) Cross Programme Stakeholder Group GPSo. C – GPIT – PMCF – Digital Maturity – Primary Care Commissioning Finance Sue Cooke, GPIT Programme Lead Levers & Incentives Lead Jo Gander, Senior Systems Commissioning Manager, DPC Assurance Model Doug Scott, DPC Strategy Lead Informatics capability development Sue Cooke, GPIT Programme Lead Transitional Programmes SMS Sue Cooke Microsoft Licensing Jo Gander www. england. nhs. uk GPIT Programme Work Streams Stakeholder Engagement Digital Primary Care

Digital Maturity: Programme Update

Design www. england. nhs. uk Assess Validate Report Display

Capabilities for Giving Health & Care Professionals Joined Up Care the Capability… 1. Care Records To capture information for subsequent & Plans use by others, and to use information Illustrative Examples Benefits • • captured by others, supporting better • clinical decisions at the point-of-care • 2. Decision To react more appropriately and • Support promptly to events happening across the • Patient safety • • Making a referral to another service Ordering radiology services Discharging a patient from a service Summarising an A&E episode • Continuity of care • • • Tele-monitoring Tele-consultation Tele-coaching analysis, prompts and alerts To assess, make referrals, process Transfers, Orders transfers, record discharges, summarise & care episodes and place orders to/with Communications other professionals 4. Remote Care To monitor, diagnose, counsel or advise patients remotely and access expert advice at the point of care www. england. nhs. uk Accessing details of diagnoses Accessing demographics/contact details Developing a single multi-agency care plan Accessing detailed patient history Being alerted to: • Deteriorating patients • An end-of-life plan • Hospital admissions • A discharge-ready patient system through automated rules-based 3. Care Outcomes/ • Quality of care • Care co-ordination

GP IT: Programme Update

• To set the direction of travel for the future of ‘Securing Excellence in GP IT services’ • To reflect the ambitions of the NIB, 5 Year Forward View and NHS Business Plan • To update to reflect recent organisational changes • To provide a framework to embed best practice • To update accountability and commissioning responsibilities • To define expected minimum and additional service standards and assurance processes moving forward for GP IT • To develop an Assurance progress for delivery of GP IT Operating model while providing the necessary guidance and intelligence to facilitate implementation www. england. nhs. uk

Core Service Provision GP IT standard support services as set out in Securing Excellence in GP IT Services operating model Add-on Service Provision GP IT provision at CCG discretion to support local strategic initiatives and commissioning strategies to improve service delivery www. england. nhs. uk General Practice Business Support Systems Funded by the general practice to support corporate business delivery functions

GP IT Core Service & Funding • Meet minimum technical specification defined in the GP IT Operating model • Meet GP IT core Digital Maturitys description • Are not funded from elsewhere already GP Business Systems (Licence to Operate) GP IT Core (Efficiency) GP IT Enhanced Service (Effectiveness) www. england. nhs. uk Integrated Services (Transformational) GP IT Enhanced Service & Funding • Meet enhanced technical specification defined in the GP IT Operating model • Meet GP IT enhanced Digital Maturity description • Demonstrate improvements for Patient facing services and/or business efficiency outcomes • Can provide assurance to demonstrate agreed improvements in outcomes Integrated Service Model • Exceeds Core and enhanced technical specifications defined within the GP IT Operating model and is integrated and wider than primary care • Qualify to apply for Transformation funding • The submission for funding meets the agreed criteria to demonstrate improved patient experience and digital maturity • Not funded from elsewhere already

Key Activities: 1. 2. 3. 4. 5. 6. 7. 8. 9. 4 Core Focus Groups established April ‘ 15 with small group of SMEs identified by Regional Heads to support early discussions around approach looking at; a. Finance b. Digital Maturity c. Technical Service Specification GP IT Delivery Team linked in with GPSo. C, Digital Maturity, Primary Care and NIB teams to further inform early development GP IT high level plan developed and specific work streams defined as well as deliverables Small stakeholder events to be held in each region (agreed locally) for initial feedback early June to further inform work to date Larger stakeholder events to be held in each region (agreed locally) end of June/early July to further inform work to date and next stage of development Draft GP IT Operating model document available late July/early August for review (Plan to publish Sept ‘ 15) Work streams to support next stage of delivery initiated July ‘ 15 around Service Specification, Assurance model and KPI development Work stream deliverables complete Nov ‘ 15 and draft documents available for review and approval process to begin GP IT Service specification, Assurance model and KPIs ready to go live April ‘ 16 www. england. nhs. uk

As we develop and refine the Digital Primary Care strategy we will further enhance the primary care digital maturity trajectory (both extending it and enriching it) Efficiency Effectiveness Core GP IT Enhanced GP IT Transformation Integrated GP IT • • Care records & plans • Decision support • Patient administration • Care transfers • Appointment • Order comms • • Results reporting • management reporting • Morbidity registers • e-Referrals • e-Discharge Summaries Maturity www. england. nhs. uk • • Integrated working with other care settings and multidisciplinary teams General practice(s) at scale Supporting 7 day week & extended hours working Enhanced access models Primary care services supported at any point (location) of care delivery Patient Activation • • Patient direct access to electronic records and health services Patient contribution to their record, care planning electronically

Assurance Business as Usual Transformational Poor VFM High Risk Efficiency Effectiveness Core GP IT Enhanced GP IT Maturity www. england. nhs. uk Transformation Integrated GP IT Patient Activation

Contact us If anyone would be interested in being involved in the work streams or focus groups, or would like further information, please contact the team on, england. digitalprimarycare@nhs. net www. england. nhs. uk