Digital: Patient Reference Group Matthew Chisambi Urgent Care Lead - - PowerPoint PPT Presentation

Digital: Patient Reference Group

Matthew Chisambi Urgent Care Lead Coral McNeilly Primary Care Commissioning Manager Holly Lovering Project Manager, Strategy 23 February 2017

Overview

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# Item 1 Presentation on NWL Digital projects 2 Group discussion on user priorities Objectives

• Update PRG on the digital programmes happening across North West

London.

• Understand the digital priorities of H&F residents.

Agenda

Why is use of digital important?

3 99.2 98.9 98.2 94.9 88.3 74.1 38.7 0.0 25.0 50.0 75.0 100.0 16-24 25-34 35-44 45-54 55-64 65-74 75+

UK internet usage in last three months by age group, 2016 (%) UK internet usage in last three months by age group 2011 – 2016 (Compound Average Growth Rate, %)

2.0% 0.1% 3.2% 4.0% 11.0% 16.5%

• 5.0%

0.0% 5.0% 10.0% 15.0% 20.0% 16-24 25-34 35-44 45-54 55-64 65-74 75+

• We increasingly live our lives

using digital technology.

• And, whilst historically older

people have used the internet less than others, their usage is increasing faster than any

• ther age group.
• Yet whilst we live in a digital

world, the delivery of services by the NHS has remained fairly analogue.

• Digital could help us to improve

people’s health and wellbeing, improve experience and reduce cost – increasing the sustainability of the NHS.

Source: Internet users in the UK: 2016, ONS (May 2016)

Our Sustainability & Transformation Plan’s Digital aims

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Radically upgrading prevention & wellbeing Eliminating improper variation & improving LTC care Better

• utcomes &

experience for older people Improving

• utcomes

for all with MH needs Safe, high quality, sustainable acute services

• 1. Enable Patient Access
• 2. Build a shared care record
• 3. Implement Whole Systems Integrated Care
• 4. Automate clinical workflows and records
• 5. Tools for self-management and self-care

STP Delivery Areas

Digital North West London transformational programme

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‒ 2.3 million people ‒ 8 local boroughs ‒ 8 CCGs ‒ Over £4bn annual health and care spend ‒ Over 390 GP practices ‒ 10 acute and specialist hospital trusts ‒ 2 mental health trusts ‒ 2 community health trusts

• Digital NWL is leading this transformational programme

servicing a population with:

What are we working on?

• 1. Enable Patient Access

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What is it?

• Technology could provide solutions to help

patients access care more easily e.g. online bookings, or actually change the way people receive care e.g. video consultations in care homes.

• This could improve care experience for

some people and also help increase capacity for those who prefer face-to-face consultations. What is happening?

• Several pilots across NWL are planned to

test whether this will work for residents and our local area, including: 1. Video consultation trial (Mar 17) 2. Online symptom checker (May17) 3. Telemedicine in care homes (Apr 17) Next steps

• We are currently working with different partners to take part in the trials and hope to

launch pilots / services during early 2017.

Potential partners

What are we working on?

• 2. Build a shared care record

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What is Patient Online?

Patient Online services will give you the option to:

• Make appointments online;
• Order repeat prescriptions online;
• View your own medical record online.

Benefits

• Convenience: manage appointments & prescriptions any time day/night.
• Control: people with long term conditions may particularly benefit from having

access to records and being more in control of their health and wellbeing.

• Wider impact: frees up phone lines for people without access to a computer.

Hammersmith and Fulham 50% of routine GP appointments available to book online by end of March. Aim is for at least 10% of patients to be registered for online services. Currently this varies between practices from single figures to as much as 40%.

What are we working on?

• 3. Whole Systems Integrated Care

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What is it?

• For care to be truly built around individuals,

we need each of the professionals treating

• r caring for an individual to be able to

view selected information about that individual.

• This information may include health, social

care packages and – crucially – individuals’ personal goals and aspirations.

• This can be done via an integrated care record.

What is happening?

• The Whole Systems Integrated Care record is being created using information from the

range of care providers involved in a person’s treatment.

• It will be transferred to and stored in a data warehouse and its use will governed by a

legal document that follows national standards. Next steps

• The dashboard is in development and being tested.
• For more information, see: http://integration.healthiernorthwestlondon.nhs.uk/

What are we working on?

• 5. Self-management & care

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What is it?

• Self-care apps help users to

management their long-term conditions by providing users with: − Knowledge about their condition − The ability to set and track goals − Access to virtual coaches What is happening?

• Across North West London, the

Digital Health Apps pilot will work with three different app designers to trial their effectiveness in March / April 2017 for 3 months Next steps

• The providers have been chosen.

Final practices will be picked and evaluation design set.

Discussion overview

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• We want to understand our residents’ ideas about how health services can be improved

by the use of digital technology.

• Let’s discuss how you think digital technology could help improve the way in which

different user groups complete common tasks e.g. booking an appointment.

• The user groups we are focussing on are:

1. Parents with children aged <0-18 2. Young professionals (20-30) 3. Long term conditions 4. Older people (65+)

• Please consider the whole person in your discussions, including both physical and

mental health.

Discussion template

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How do I… How do I … How could technology improve how I… What would make me use that technology?

Book or change a GP appointment? Order and/or collect repeat prescription(s)?

• Call my practice in

the morning

• Book online on my

laptop (cannot book

• n my phone as

website doesn’t load on phone)

• Order through

pharmacy, over the phone or at shop

• Use the online

repeat prescription service available on my practice website

• Direct delivery of my

repeat prescription to my home – like Amazon

• Order repeat

prescriptions through my phone

• No additional cost as

I’m saving the NHS money by not using up a GP appointment

• Easy to use app that

stores my current medicines

• Easy to use app
• Knowing that all

practice appointments are available and knowing that others don’t queue jump by calling in

• A website that works
• n my mobile phone
• One that allows me to

find GP specialists for conditions across NWL e.g. dermatology

Example:

Summary

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• We are actively working across our STP delivery areas.
• If you are interested in keeping up to date with any of these projects, please

contact us via hf.ccg@nw.london.nhs.uk .

• To conclude we have two key questions:

‒ What advice would you give the CCG? ‒ What would be your top 3 priorities for this work?