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Public Facing Digital Services

Our goal is to revolutionize healthcare access in Nottinghamshire by providing digital tools that connect people to needed services conveniently. Through improved information sharing and digital services, we aim to enhance citizen experience and promote independence. Join us in this journey towards a more connected, efficient healthcare system.

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Public Facing Digital Services

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  1. Public Facing Digital Services Andy Evans Programme Director

  2. 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

  3. 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

  4. 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 bitand will need significant effort to redesign processes and pathways

  5. 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.

  6. National App Local Health and Care App Fully integrated with or pass through from National to local app Fully integrated with or passes through to local signposting solutions Provides the below functionality Fully integrated with or passes through to local social prescribing solutions

  7. Digital Exclusion

  8. Improving Digital Exclusion

  9. 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

  10. 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?

  11. 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

  12. 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?

  13. 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??

  14. Timescales Phase 1 – NHS App roll out Phase 1a – Procurement Phase 2 – General Practice and Maternity? Phase 3 - TBC

  15. 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?

  16. Thank youFeedback & Questions?

  17. What else? Lots has been achieved already – are we using it all? Lots more to come…

  18. Health and Care Portal Nottingham City Social Services Nottingham University Hospitals Nottingham CityCare Partnership Sherwood Forest Hospital Nottinghamshire Community Health Partnerships Nottinghamshire County 144 GP Practices LA LA C C 6 CCGs Clinical Portal view Local Authority Local Authority Community Trust Acute Trust Acute Trust Community Trust 2 Acute Trusts 2 Community Trusts Primary Care 1 Mental Health Trust GPRCC Data and analytics Nottinghamshire Healthcare Trust 2Local Authorities MIG MH 144GP Practices Mental Health Trust Community/Primary/SUS Social Care

  19. Medical Interoperability Gateway

  20. GP Repository for Clinical Care & eHealthscope

  21. 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 • eHS/GPRCC - 114% utilisation increase in the last 12 months • eHS/GPRCC - Over 7000 interventions per month - 1.1million patients reviewed nightly (total 1000,000,000 records) • eHS/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

  22. Health Service Led Investment • Business Cases Submitted for 3 schemes • £1.9M in 2018/19 • £1.7M in 2019/20 • £3.9M in 2020/21 • Most successful area in East Midlands (approved by Matthew Swindells) • Whole system bids with ICP leads signatures and leads

  23. Integrated Digital Care Record AKA - Portal/Graphnet/ CareCentric Now a Line of Business system Expect circa 10K 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

  24. Capacity and Flow • System wide overview of resources (beds) • Including Care Homes • Step down beds (Lings Barr) • Supporting NEWS2 as well? • Ambulance? • “Air Traffic Control” view and information capture to inform ICS and ICP decision/priority setting

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