Online consultations Why? What? How? Dr Robert Varnam Director of General Practice Development @robertvarnam bit.ly/170419
Why?
Deliver the promise
Delivering the promise General practice is great, but we can help it deliver more of its potential… Access: easier for patients to get us when they need us Comprehensiveness: biopsychosocial / holistic care Population: systems and partnerships for wellbeing Empowerment: systematic approach to enabling self-care Appropriateness: right person doing the right thing
Delivering the promise General practice is great, but we can help it deliver more of its potential… Access Comprehensiveness Population Empowerment Appropriateness Priorities for action: workforce development service redesign self care technology
How can technology help? Accessibility for patients Appropriateness doing transactional things transactionally signposting to right person match consultation type to need Self care symptom checkers signposting information on conditions and management self monitoring Proactive care reminders automation Population management population health analytics lifestyle checkers Collaborative care shared records distributed team working Productive work business intelligence
If general practice fails, the whole NHS fails. Simon Stevens
Innovations from around England that release time for GPs to do more of what only they can do. bit.ly/gpcapacityforum
What? Online consultations fund bit.ly/gpfvonlineconsultations
Online consultations fund From 2017/18 £45m over 3y, weighted capitation … average £0.80/pt Allocation via CCGs, for procurement by practice / federation / CCG Available for every practice To pay towards costs of purchasing & using software to enable patients to consult their practice through an app/web portal National support: national commercial and procurement hub resources to support patient uptake Alignment: consider implementing alongside active signposting + phone consultations + flow redesign + document management
How? Top tips
Top tips Cautions Engage patients from the outset Help every member of staff promote it Help every clinician make the most of it Be wary about artificial constraints / one size fits all Use implementation support (eg Time for Care) Cautions Don’t add unnecessary requirements (on software / practices) Evidence shows very little uptake of video consultations Releasing GP capacity is a top priority Grow personal aspects of care, inc continuity
bit. ly/gpfvonlineconsultations www. england. nhs. uk/gpdp england bit.ly/gpfvonlineconsultations www.england.nhs.uk/gpdp england.gpdevelopment@nhs.net bit.ly/170419