THE POTENTIAL FOR ONLINE PATIENT RECORD ACCESS TO REDUCE WORKLOAD DR BRIAN FISHER, GP CO-DIRECTOR OF PAERS LTD

IF 30% OF PATIENTS USED RA TWICE A YEAR A 10,000 patient practice would save 4,747 appointments and 8,020 telephone calls per year Releasing about 11% of appointments per year http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4235347/

“I have been able to have some control over my illness rather then allowing it to control me - a very very important thing when dealing with long term illness/pain.” Vanessa “I have a chronic disease and feel a real partner in the management of my health. Whether I am at home or abroad I can monitor information and share it with any other health professional involved in my care. I would be lost without it now!” Ingrid The patients who were offered it as our trial group were those on methotrexate.  It reduced the number of phone calls to reception for copies of results and made patients much more responsible for their own care, which they liked. Practice manager

SELF-CARE felt more involved in their health care 76% understood better what had been discussed in consultation. 62% understood their condition and managed it better 77%

MEDICATION AND BEHAVIOUR CHANGE More likely to take their medicines. 42% RA helped patients understand why they needed to take medication. 56% RA helped patients follow lifestyle advice. 64%

ACCESS TO CODED DATA FROM APRIL 2016 Problems, allergies, imms, test results No letters, no consultation records, no free text – free to offer these You have a duty to promote record access There will be targets Benefits increase with access to consultations and letters https://www.england.nhs.uk/ourwork/pe/patient-online/ THE MORE YOU SHARE, THE MORE YOU GAIN

CLINICIANS’ AND MANAGERS’ EXPERIENCE 80%: patients had received RA well. 73% would be willing to recommend to another practice No security/confidentiality concerns 53% of clinicians felt RA facilitated shared decision-making Family Practice 2010; 0:1–7 doi:10.1093/fampra/cmq092

IF 30% OF PATIENTS USED RA TWICE A YEAR A 10,000 patient practice would save 4,747 appointments and 8,020 telephone calls per year Releasing about 11% of appointments per year http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4235347/