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

This is the call to action What’s different this time ? This is fully collaborative approach to change it is the first time since 1948 we have looked at shifting the tectonic plates AND it is not a central dictat it is about local networks of health and care providers looking at how they can transform – against the three gaps health and wellbeing care and quality and funding. The National Informatics Board – personalised health and care 2020 sets out the contribution of technology to transforming health care

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 50 vanguards in all focused on a range of areas – developing around the needs of patients and local populations and defining what is replicable into other areas. T Taking the forward view into action working together – citizens and patiennts have been involved his is not about local level incremental change this is about organisations coming together as network and transformimg the way that care is delivered 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

Workforce – including the need for new and extended job roles 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 First 200 days

Digital Maturity Assessment Local Digital Roadmaps Footprint

www.ehilive.co.uk | 3-4 November 2015 | #ehilive “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 “I need to receive referrals quickly, in a consistent manner and be able to access all other relevant information.” Social Worker “Awareness of any known allergies or reactions will ensure patients in my care are not administered medication that may endanger their health.” Hospital Nurse “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 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 “Working in a busy hospital I want to quickly access a patient care record that is complete and up to date.” Nurse www.ehilive.co.uk | 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 Repeat Prescriptions Online Appointment Booking 98.7% of practices offering the service 8.5 million patients signed up 12% of all appointments are available online 97.4% of practices offering the service 8.3 million patients signed up 4% of all repeat prescriptions requested online 10 MILLION APPOINTMENTS IN 2015 15 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

2015/2016 2016/2017 50 million visits a month 27 million visitors 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

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

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