Public Facing Digital Services Andy Evans Programme Director
Public Facing Digital Services Andy Evans Programme Director
Content § § § § What is Connected Nottinghamshire? Public Facing Digital Services From Patient on line to PFDS Digital Exclusion What does it mean to the public Timescales What do we need you to do? Questions
What is Connected Nottinghamshire? Objectives: § Improved sharing of Health Information to improve the citizen's experience of care and support business transformation § Improved sharing of Health and Social Information to improve the citizen's experience of care and support business transformation § Improvements in collaborative working between Health and Social Care IT Providers
Public Facing Digital Services § “The most significant change to how Health Services are accessed since the creation of the NHS”, Andy Evans § A tool with a set of capabilities that is designed to support each of the work stream needs (from what we know) § Change management is the hard bit and will need significant effort to redesign processes and pathways
From Patient on-line to Public Facing Digital Services Our vision is to transform the way people experience access to health and care services across Nottinghamshire, by providing digital health tools and services that connect them to the information and services they need, when they need them. We want to enable people to access care in a convenient and coordinated way, promoting independence through the digital tools we are all familiar with in other aspects of our daily lives.
National App Local Health and Care App Citizen ID Fully integrated with or pass through from National to local app National Data opt-out Organ Donation Preferences 111 Online Patient Online Access End of Life Care Fully integrated with or passes through to local signposting solutions Provides the below functionality Personalised signposting to local community services and information Community Connectivity Self Care and Management New Types of Consultation Active Signposting Fully integrated with or passes through to local social prescribing solutions Symptom checker and triage Symptom checker Signposting for Self Care Book appointments online Directory of Services Forums Secure messaging View key information about your heath and care Patient and carer networking Remote consultations including outpatients Online prescriptions Personalised Prescribing NHS. uk Telephone consultations Video consultations Remote monitoring through templates and questionnaires
Digital Exclusion Likelihood of overall digital exclusion Infrastructure (This metric is made up of two sets of data) Percentage of households who do not receive broadband speed of at least 10 megabits per second Percentage of household who do not receive 4 G mobile data from all providers Nottingham Broxtowe Rushcliffe Gedling Mansfield Ashfield Newark & Sherwood Medium Low Low Medium 0. 00% 3. 00% 1. 00% 0. 00% 1. 00% 3. 00% (exclusion unlikely) (exclusion possible) (exclusion unlikely) (exclusion possible) 1. 30% 0. 18% 21. 44% (exclusion 12. 20% (exclusion 4. 52% 12. 01% (exclusion 28. 28% (exclusion possible) (exclusion unlikely) possible) (exclusion possible) Offline Percentage of adults who have not been online within the last 3 months Basic digital skills Percentage of adults who have all five basic digital skills 79% 80% 81% 80% 77% 77% (exclusion unlikely) (exclusion possible) Basic digital skills used Percentage of adults who have used all five basic digital skills in the last three months 41% 46% 48% 46% 44% 45% (exclusion likely) (exclusion unlikely) (exclusion possible) Age Percentage of adults who are over the age of 65 Education Percentage of adults with no qualifications and/ or no level 1 qualifications Income Average income per taxpayer Health Percentage of adults who have a long-term illness or disability 13. 6% 11. 3% 17. 6% (exclusion likely) (exclusion possible) (exclusion likely) 11. 6% 20. 7% 20. 4% 18. 7% 18. 8% 21. 4% (exclusion unlikely) (exclusion possible) (exclusion possible) 37. 80% (exclusion 36% 26. 80% 37. 30% (exclusion 46. 10% 47. 80% 39. 40% (exclusion possible) (exclusion unlikely) possible) (exclusion likely) possible) £ 19, 800 £ 22, 200 (exclusion £ 26, 700 £ 22, 500 (exclusion £ 19, 700 £ 20, 600 £ 22, 800 (exclusion likely) possible) (exclusion unlikely) possible) (exclusion likely) possible) 18. 1% 18. 8% 15. 7% 19. 3% 23. 7% 22. 5% 20. 3% (exclusion possible) (exclusion likely) (exclusion possible)
Improving Digital Exclusion Managing information Creating Problem Solving Five Basic Digital Skills Communicate Transacting
What does it mean to the public? § Currently creating a set of storyboards based on a fictional family § The functionality will be different dependant on the scenario/use case § For children and the healthy public prevention will be the forefront: § Vaccinations and immunisations § Healthy lifestyle and wellbeing (gamification and competition in the future? ) § Links into Local Authority opportunities for engagement and exercise
What does it mean to the public? § For the wider public prevention will also be at the forefront: § § Seasonal vaccination Recall for LTC Climate and environment messaging Engagement, communication and support from “peers” § Tailored information, advice, guidance and coaching § What else?
What does it mean to the public? § Many opportunities to change how we access and use services: § § Appointment management Consultation types (video, or not as we discovered) Questions and coaching – improved interaction Better access to their own information e. g. test results § Unnecessary follow ups become a thing of the past? E. g. 10, 000 Thyroid management follow ups per year
What does it mean to the public? § Care planning can become an interactive exercise § Access to “a” care plan (or at least a combination of care plans? ) § The ability to feed into and share their own care plan § Support for personalisation § Monitoring and self care become real § Where does Assistive Technology overlap? § What else?
But what does it REALLY mean? § Mr E is a typical patient § How will his world change? § Story Boards to demonstrate and bring to life the possible changes § And what else? ?
Timescales § § Phase 1 – NHS App roll out Phase 1 a – Procurement Phase 2 – General Practice and Maternity? Phase 3 - TBC
What do we need you to do? Technology Enabled Care § The Change Management is essential: § Are you keen to be involved? § Are you ready? § What support do you need? § § Can you identify where these new capabilities support your work? What have we missed as opportunities? When the story boards are in draft we need to test them out before we use them more widely and to the public Anyone fancy being on the Television?
Thank you Feedback & Questions?
What else? § Lots has been achieved already – are we using it all? § Lots more to come…
Health and Care Portal Nottingham shire County L A Nottingham City Social Services Nottingha m University Hospitals Sherwood Forest Hospital L A Nottingham City. Care Partnership Nottingha mshire Community Health Partnershi ps C 144 GP Practices C Clinical Portal view 6 CCGs Local Authority Acute Trust Community Trust 2 Acute Trusts 2 Community Trusts Primary Care Nottinghamshire Healthcare Trust GPRCC Data and analytics 2 Local Authorities M H MIG 144 GP Practices Mental Health Trust 1 Mental Health Trust Community/Primary/SUS Social Care
Records Accessed By Month 9000 8561 8000 7627 7403 7059 7000 6280 6225 5675 6000 4735 5000 4228 4000 3199 2666 3000 2576 2429 1989 2000 1419 938 1000 613 604 138 167 104 176 99 154 130 124 196 154 125 133 66 57 34 47 43 31 10 NUH SFH NCC NHFT ar y nu em ec D ov N Ja be r em ob e ct be m r r O t Se pt e Au gu s ly Ju Ju ne ay M ril Ap ch ar M ua ry br Fe ar y nu Ja be r ec D em ov N em be r r ob e ct O m pt e Se Au gu st be r 0
Medical Interoperability Gateway
GP Repository for Clinical Care & e. Healthscope
Successes 2018/19 § § § § Portal - Shared record viewed on circa. 25% of ED attendances Portal - 40 seconds quicker to access than SCR Portal - Over 80 hours clinical time saved per month for this one button press Portal - Cost avoidance of £ 880, 503. 80 predicted in pharmacy in NUH alone e. HS/GPRCC - 114% utilisation increase in the last 12 months e. HS/GPRCC - Over 7000 interventions per month - 1. 1 million patients reviewed nightly (total 1000, 000 records) e. HS/GPRCC - 19 hours and 57 minutes has been saved using the new health check process in one practice 56% increase in uptake MIG – 98% of records shared out with over 35, 000 records accessed per month
Health Service Led Investment § § § Business Cases Submitted for 3 schemes £ 1. 9 M in 2018/19 £ 1. 7 M in 2019/20 £ 3. 9 M in 2020/21 Most successful area in East Midlands (approved by Matthew Swindells) § Whole system bids with ICP leads signatures and leads
Integrated Digital Care Record § AKA - Portal/Graphnet/ Care. Centric § Now a Line of Business system § Expect circa 10 K uses per month by April but so what? § Benefits evaluation ongoing § HSLI bring expansion and new data feeds and access e. g. GP/Care Co-ordinators, Mental Health, Social Care § Lots of opportunities § Not perfect – but this should not be accepted as an excuse to delay transforming processes
Capacity and Flow § § § System wide overview of resources (beds) Including Care Homes Step down beds (Lings Barr) Supporting NEWS 2 as well? Ambulance? “Air Traffic Control” view and information capture to inform ICS and ICP decision/priority setting
- Slides: 25