ABOUT PATIENTS KNOW BEST

Secure, SAFE and interoperable All information stored on the secure NHS N3 network in the UK, or in-country servers Can be used on any internet enabled device in any of 19 languages Overcomes liability and data protection as the patient is sharing their copy of their information Information encrypted in transit and storage. Unique private key encryption, so only the people the patient trusts can see the information Open REST APIs available at http://dev.patientsknowbest.com Full medico-legal audit trail

Our Deployments 80+ live sites across the UK Over 200 sites live by Q2 2016 Hospitals CCGs Mental health Community services Local Authorities (social services) Prison and probation services Charities Specialist centres Device manufacturers Pharmaceuticals Software providers 9 Countries worldwide

HOW DOES A PATIENT-CONTROLLED RECORD HELP EVERYBODY?

1.COORDINATED CARE

Consent engine Granular consent to share information across services driven by the patient Can segment record to share certain types of information, e.g. general, mental, sexual and social care datasets Also contains permissions – allows preferences to be provided (communication) and secondary usage of data All consent information available via API to inform other systems upstream e.g the GP should not share sexual heath information with a specific service Legally auditable ‘break glass’ functionality for emergency access

Encounters/discharge summaries FEATURES: Quick overview of all healthcare encounters Discharge summaries available from all care providers Detailed description of each interaction Communicate professional- professional directly Online access for patient to full record from all sources BENEFITS: Paperless at the point of care Reduce duplication Provide summary to all care providers, including non-NHS Share information instantly Reduce telephone communication

WHAT CAN BE ACHIVED WITH A PATIENT-CONTROLLED RECORD? 2. COMMUNICATION

COMMUNICATION BENEFITS: Deliver onpatient access to records programmes Go paperless with the patient and save postal costs Conduct virtual clinics and improve throughput Improve clinical diagnosis Push follow-up care to remote appointments and see more new patients in clinic Connect online with health and care services in the same way you do with other aspects of your life FEATURES: A patient portal with a vast array of extra functionality Message people in your network to get the right help, quickly Conduct online video consultations and have all the information to hand Send appointments, letters, reports, surveys, questionnaires and assessments remotely (e.g. Friends and Family Test)

3. MANAGING CARE

SYMPTOM TRACKERS, MEASUREMENTS AND RESULTS FEATURES: Lab results and information direct to the patient from all connected sources with full medico-legal audit trail Monitor symptoms at home, take measurements and share Track medication compliance Patients can add to any part of their record – a fully interactive platform BENEFITS: Reduced burden on telephone service or follow-up appointments to send and discuss results Removes unnecessary duplication of tests Prevent unplanned admissions through early identification of problems Medication reconciliation increase patient safety and reduces adverse events routinely monitor long-term conditions and daily tasks to support independent living

Telehealth, Software/app and Device connectivity BENEFITS: Cost effective at home monitoring, e.g. cheaper to provide blood pressure cuff then some someone to take reading Supports junior staff leading patient care Increase engagement with patients through device connectivity Create a future-proof and scalable solution through a marketplace of apps that support every patient FEATURES: Over 100+ consumer and medical devices connected Digital ecosystem through open APIs integrating a wide range apps and software, from decision support, health coaching and condition specific apps

4. CARE PLANNING AND SELF-MANGAGEMENT

SHARED Care planning BENEFITS: The only way to do shared care planning where each stakeholder can contribute Supported self- management reduces unplanned admissions and service burden Promotes patient engagement and whole system support Coordinated care removes duplication Reduce manual entry of patient registries Provide cross-boundary care FEATURES: Self-management tools for the patient Complete assessments and reviews remotely Update care plans remotely and collaboratively, e.g. change medication regimes Embed video, podcast, webpages or other multimedia information resources Capture national datasets, PROMS and PREMS from multiple stakeholders

BENEFITS AND IMPACT OF AN ONLINE CITIZEN PORTAL

Benefits of having an patient-controlled record 2x 4 % Web video consultations for every face-to-face appt. of all patients would avoid GP contact if self-management tools available 6 % Of patients can be dealt with by practice staff other than Gp when using digital tools £2.32 Average cost of each paper letter sent 25 An always accessible healthcare system % LTC managed by remote out patients appts £29 Per patient cost saving on reduced telephone calls, appointments sending and admin £120.67 75 % Go online for health care information Per dna and sms reminders reduce dna rate by 29.9%

1 # Ranked in Europe for eHealth 2015 Ranked in uk for sharing data with patients 4 Continents that pkb is being used across 15 + Workflow tools for patients and professionals 17 Messaging, care planning, surveys, web video, symptom tracking, resource library, appointments, home monitoring, medications… NHS Innovation Accelerator 9 countries using pkb …and growing PKB one of 17 NIA Fellows in programme to take innovation to scale in NHS Languages translated 58 63 19 % Number of UK For profit social enterprise businesses English, Dutch, Polish, French, German, Arabic, Chinese, Russian, Welsh, Spanish, Hindi, Gujurati, Greek, Swedish, Portugese, Tamil, Urdu, Turkish, Bengali 80 + Growth of services using PKB since NIA Programme start PKB is only healthcare IT company with certified social impact LIVE Sites using pkb x y 230,000 PATIENT RECORDS CREATED 2,200,000 GROWTH OF integration AND DATA EXCHANGE Citizens will have access in largest single deployment to date careinformationexchange-nwl.nhs.uk

“ I really like this service... having a way of interacting with clinicians that mirrors how people use online facilities is brilliant ” THANK YOU