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Shifting the world of GP Technology

Explore the digital transformation in primary care, the importance of interoperability standards, and the future of GP IT systems in supporting primary care networks. Join Wendy Clark, Executive Director of Product Development at NHS Digital, and Nic Fox, Director of Primary Care Technology at NHS Digital, for an informative session.

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Shifting the world of GP Technology

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  1. Shifting the world of GP Technology 19 June 2019

  2. Focus for today Wendy ClarkExecutive Director Product Development@wendyclar • Welcome • Citizen facing products- improving patients lives • Digital Transformation in Primary Care • The importance of Standards for interoperability • Q&A – 25 mins Nic FoxDirector of Primary Care Technology @nicfox1 Tom SlaterCommercial Lead Alex Elias Information Representation Services Director

  3. Citizen facing products – improving peoples lives Wendy Clark, Executive Development of Product Development, NHS Digital

  4. Our citizen facing programmes The NHS website is a trusted health website providing trusted information to 1.3 million visitors daily. The NHS App is a new simple, secure way for people to access a range of NHS services Digital maternity delivers a digital pathway of care from conception to post-natal improving the experience of women accessing care NHS login makes it easier and quicker for people to access digital tools and services Digital child health will ensure key health information can be shared appropriately with all those involved in the care of a child Widening digital participation helps the millions of people who lack the skills and means to use digital health services 111 online allows people to get urgent healthcare online, using their laptop, smartphone or other device Personal health records offer online, secure ways for patients to manage their health and care The NHS Apps Library is a public facing web page to providing people with access to trusted digital tools Patient facing online services enable people to book GP appointments, order repeat prescriptions and view parts of their GP record online

  5. Our citizen facing vision • Recognise and trust digital tools and services. Find it simple, rewarding and desirable to engage with their health digitally • Use digital tools and services to stay healthy, manage long term conditions, self-care and access services • Benefit from their carers and family using digital tools and services on their behalf • Find the end to end experience intuitive and accessible

  6. The Future of GP IT systems - supporting Primary Care Networks and the GP contract Nic Fox, Director of Primary Care Technology, NHS Digital Tom Slater, Commercial Lead, NHS Digital

  7. GP IT Systems today

  8. GP IT Systems today Lets not throw the baby out with the bathwater…. Baby • Every GP Practice has its clinical records in a digital system • GP systems are all connected to a wide range of national systems and services • Systems are resilient and secure • Systems are clinically and technically accredited for use in NHS Bathwater • Systems are not fully interoperable across local health and care systems • Data is locked up in systems and difficult to access • Changes and improvements to systems are slow and expensive to implement • Barriers to new system supplier entrants are high • Innovation can be stifled • Systems have not kept up with changing health and care landscape and technology opportunities

  9. Long Term Plan and Primary Care Networks • Primary care networks are small enough to give a sense of local ownership, but big enough to have impact across a 30-50K population. • They will comprise groupings of clinicians and wider staff sharing a vision for how to improve the care of their population and will serve as service delivery units and a unifying platform across the country.

  10. Five Year Contract for General Practice

  11. Where we need to be • Getting the basics right and supporting the LTP and requirements of our users • More reliable infrastructure • Interoperable systems • Integrated data • Automated admin tasks • Advanced clinical decision support • Online patient journey • Risk stratification, personalised consultation • The NHS Digital Primary Care portfolio programmes are supporting these challenges • GP Connect – provides open, standards-based APIs integrating the general practice • GPIT Futures – next generation framework for Primary Care Clinical Systems - providing modern, standards-based open architectures • GP Data – for research and planning • SNOMED – provides common clinical terminology standard

  12. EMIS TPP VISION What does GP Connect deliver? MICROTEST REGISTERED GP PRACTICE Extended Access Provider, PCN group practice(s) Mixed economy GP Record appointment No suitable appointments available at registered GP practice Requires primary care PATIENT Book appt in Extended Access Provider Surgery / Primary Care Network Surgery NHS 111 GP Book appt Access patient medical record Patient attends appt Access record HTML-formatted data of text-based Patient GP record items OUT OF HOURS Access structured Treat patient Book appt Write up consultation Access record Update record Send “write-back” update Out of Hours GP Service Patient record updated

  13. GP IT Futures – Key areas Improved integration and sharing of data New business capabilities Close working with suppliers Improved choice and buying arrangements

  14. Where we made leaps forward in commercial design • Getting the basics right and moving to a new way of working • A market support/management structure • A commercial standard • A standardised data & Interface licensing model • Rich buyer journeys and visible solution options Improved integration and sharing of data Improved choice and buying arrangements

  15. GP IT Futures - digital buying experience

  16. Digital Buying Catalogue

  17. Timeline • New framework live • Digital Buying Catalogue available for buyers • Capabilities available on Digital Buying Catalogue • Local procurements / call-offs for day 1 requirements • Closedown of existing arrangements by Dec 2019 • Invitation to Tender issued • Formal evaluation of supplier responses • Suppliers begin compliance and assurance work to list services on the catalogue • Work with CCGs and practices to prepare for local call-offs June – September 2019 September - December 2019 January 2020 and beyond • New Framework in operation • Standards Roadmap published on iterative basis • Improved switching capability for practices and CCGs • Regular refresh of Framework • Regular catalogue feature enhancements to improve usability for purchasers

  18. The importance of standards to realise these ambitions Alex Elias, Information Representation Services Director, NHS Digital

  19. A learning ecosystem Virtuous cycle of information across the health and care system Technology advances for the first time make possible the large scale exchange of information at a national level, both for direct care and secondary uses Encounter detail flows (observations, diagnoses, etc)

  20. Foundations are increasingly in place Major advances towards use of information standards for interoperability, reporting and commissioning Maternity Pathology Test List ECDS Child Health MHSDS Transfers of care Establishing SNOMED CT level information as the foundation layer in terms of granularity Over 90% of GP Practices will have systems that are SNOMED CT enabled FHIR All FHIR national profiles use SNOMED structures

  21. Evolving into a more effective ecosystem • Strategy with NHS X • Add value to high priority flows • Work with key information producers/consumers • Improve QA of recorded information • Improve automation of “translations” • Easier clinician-system translation • Enhance granularity of key flows • New services for low digital maturity organisations • Focused evolution of existing standards: • Unified Test List (Pathology) • Procedures Based Classification (OPCS4) • ICD-10/11 • dm+d/GS1 Encounter detail flows (observations, diagnoses, etc)

  22. Question and answer panel Wendy Clark, Executive Director Product Development Nic Fox, Director of Primary Care Technology Tom Slater, Commercial Lead Alex Elias, Information Representation Services Director

  23. Before you go… Why not download the NHS App The NHS App provides a simple and secure way for patients to access a range of healthcare services on their smartphone or tablet. • Once registered, people can: • check their symptoms • find out what to do when they need help urgently • book and manage primary care appointments • order repeat prescriptions • securely view their medical records • choose whether the NHS uses their data for research and planning

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