“If Only I had the Time”- how to implement more patient centred primary care. Dr Clive Prince, GP Tutor Worcestershire; Clinical Lead, Long Term Conditions, Digital Portal West Mercia Cluster Portfolio General Practitioner; clive.prince@nhs.net

November 2012

The Department proposes to direct the NHS Commissioning Board to put in place a new Directed Enhanced Service to be offered to practices to improve care and services for their patients in the following areas: enabling patients to have on-line access to practice services such as booking appointments, ordering and accessing repeat medicines, accessing test results and in future accessing their medical records; supporting people with long-term conditions to monitor their health remotely.

“No Decision About Me” -“Without Me”- ref: DoH Operating Framework 2012-2013

The Whole System Demonstrator (WSD) programme The largest randomised control trial of telehealth and telecare in the world, involving 6191 patients and 238 GP practices across three sites, Newham, Kent and Cornwall. 3030 with one of three conditions (diabetes, heart failure and COPD) were included. One of the most complex and comprehensive studies the Department has ever undertaken. Many different types of telehealth and telecare -each of the three sites made their own decisions on the equipment they would use in their health and social care economies.

45% reduction in mortality rates 20% reduction in emergency admissions 15% reduction in A&E visits 14% reduction in elective admissions 14% reduction in bed days 8% reduction in tariff costs