Digital Technology Overview Deborah El-Sayed Director of Digital & Multi-Channel Development NHS England

It will last as long as there are folk with the faith left to fight for it Aneurin Bevan

Multispecialty Community Providers Moving specialist care out of hospitals into the community Enhanced Health in Care Homes Offering older people better, joined up health, care and rehabilitation services Integrated Primary and Acute Care Systems Joining up GP, hospital, community and mental health services Acute Care Collaboration Local hospitals working together to enhance clinical and financial viability Urgent and Emergency Care New approaches to improve the coordination of services and reduce pressure on A&E departments

Integrated Primary and Acute Care Systems Vanguards 1Wirral Partners 2Mid Nottinghamshire Better Together 3South Somerset Symphony Programme 4Northumberland Accountable Care Organisation 5Salford Together 6Better Care Together (Morecambe Bay Health Community) 7North East Hampshire and Farnham 8Harrogate and Rural District Clinical Commissioning Group 9My Life a Full Life (Isle of Wight) Multispecialty Community Providers Vanguards 10Calderdale Health and Social Care Economy 11Erewash Multispecialty Community Provider 12Fylde Coast Local Health Economy 13Vitality (Birmingham and Sandwell) 14West Wakefield Health and Wellbeing Ltd 15Better Health and Care for Sunderland 16Dudley Multispecialty Community Provider 17Whitstable Medical Practice 18Stockport Together 19Tower Hamlets Integrated Provider Partnership 20Better Local Care (Southern Hampshire) 21West Cheshire Way 22Lakeside Surgeries (Northamptonshire) 23Principia Partners in Health (Southern Nottinghamshire) Enhanced Health in Care Homes Vanguards 24Connecting Care – Wakefield District 25Gateshead Care Home Project 26East and North Hertfordshire Clinical Commissioning Group 27Nottingham City Clinical Commissioning Group 28Sutton Homes of Care 29 Airedale and partners Acute Care Collaboration Vanguards 38Salford and Wigan Foundation Chain 39Northumbria Foundation Group 40Royal Free London 41Dartford and Gravesham 42Moorfields 43National Orthopaedic Alliance 44The Neuro Network (The Walton Centre, Liverpool) 45 MERIT (Mental Health Alliance for Excellence, Resilience, Innovation and Training) (West Midlands) 46Cheshire and Merseyside Women’s and Children Services 47Accountable Clinical Network for Cancer (ACNC) 48East Midlands Radiology Consortium (EMRAD) 49One NHS in Dorset 50 Working Together Partnership (South Yorkshire, Mid-Yorkshire and North Derbyshire Urgent and Emergency Care Vanguards 30Greater Nottingham Strategic Resilience Group 31 Cambridgeshire and Peterborough Clinical Commissioning Group 32North East Urgent Care Network 33 Barking & Dagenham, Havering & Redbridge System Resilience Group 34West Yorkshire Urgent and Emergency Care Network 35 Leicester, Leicestershire & Rutland System Resilience Group 36Solihull Together for Better Lives 37South Devon and Torbay System Resilience Group

Four Design Principles Solve problems through joint national and local leadership Create simple replicable frameworks Encourage and support radical innovation Work and learn at pace

Leadership and organisational development – including how we learn from international partners Workforce – including the need for new and extended job roles Commissioning and contracting models – including organisational boundaries that make it hard to design care around patients Evaluation – are new ways of working improving the quality of care patients receive? Information management and technology – including how we maximise new technology

Footprint Digital Maturity Assessment Local Digital Roadmaps

“I want to use the IDCR to access real-time patient information at the scene. Amongst other information, I need to be aware of a patient’s allergies and adverse reactions, particularly when handing over to hospital care.” Paramedic “I want to look up a child’s living conditions before making a home visit. I want to be able to identify any health or care related indicators that include siblings in care, drug or alcohol misuse, domestic abuse that might signal a need for social care support or interventions.” Children’s Social Worker “I need to receive referrals quickly, in a consistent manner and be able to access all other relevant information.” Social Worker “Working in a busy hospital I want to quickly access a patient care record that is complete and up to date.” Nurse “Having the ability to quickly access an individual’s medical history will enable me as a paramedic attending a call to make informed decisions when responding to an emergency.” Paramedic “Awareness of any known allergies or reactions will ensure patients in my care are not administered medication that may endanger their health.” Hospital Nurse | 3-4 November 2015 | #ehilive

Clinical Triage Platform  The next generation of Clinical Decision Support Software  Customisable to meet individual needs with focus on outcomes not outputs  A modular platform based on specific conditions and needs NHS 111 Online  An online alternative to the telephone service Access to Service Information  Connecting clinical needs and user requirement with services  Shows real time service capacity and demand before connecting patients  Integration with e-Referrals Service platform

Online Appointment Booking 98.7% of practices offering the service 8.5 million patients signed up 12% of all appointments are available online Online Repeat Prescriptions 97.4% of practices offering the service 8.3 million patients signed up 4% of all repeat prescriptions requested online 10 MILLION APPOINTMENTS IN MILLION PRESCRIPTIONS IN 2015

Online Access to Records 97% of practices offering access to a summary of the record 2.9 million patients signed up 5% of all appointments are offering access to the detailed record

80% user satisfaction 2015/2016 Launched a mental health apps library Delivered a new transparency site – MyNHS NHS staff trained as digital ambassadors 2016/2017 Initiatives to support diabetes and obesity Progress for cancer strategy implementation Working with New Models of Care team 27 million visitors50 million visits a month

NHS.UK ALPHA Type 2 Diabetes Targeted Content / Test Results: Clickable version -

the speed of trust Kelechi Nnoaham Leaders looking to transform can only work at the speed of trust