The Role of Technology in Transforming Primary CareDr Arvind MadanDirector of Primary Care, NHS England

Key ChallengesPrimary Care

An ageing population

Increasingly complex patient diagnoses

Slower that required growth in number of healthcare

professionals

Variations in outcomes

Changing user expectations

The Story so Far

49 percent of patients go online for health information

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

The NHS Choice website receives 50 million visits a month

Key Policy Drivers

What could Digital Transformation mean to GP Practices?

12080

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

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

Current GP Services Offered Online

Online Appointment Booking98.7 percent of practices offer the option to book appointments online.

8.4 million patients have signed up to online appointment booking.

12 percent of all appointments are available online.

Online Repeat Prescriptions

97.4 percent of practices offer repeat prescriptions online

8.2 million patients signed up to the service

4 percent of all repeat prescriptions requested online

Online Access to Records

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

Digital Basics for GP Practices

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

The Vision for Primary CareEnable 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 Clinical Commissioning Groups (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, for example through 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

Digital Primary Care Supporting General Practice – The Vision

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

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

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

Supporting new ways of working through online access to professionals 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

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

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 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