1. ABOUT PATIENTS KNOW BEST

2. 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
Full medico-legal audit trail

3. 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

4. HOW DOES A PATIENT-CONTROLLED RECORD HELP EVERYBODY?

5. 1.COORDINATED CARE

6. 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

7. 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

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

9. 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)

10. 3. MANAGING CARE

11. 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

12. 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

13. 4. CARE PLANNING
AND SELF-MANGAGEMENT

14. 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

15. BENEFITS AND IMPACT OF AN ONLINE CITIZEN PORTAL

16. Benefits of having an patient-controlled record2x 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%

17. 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

18. “
I really like this service... having a way of interacting with clinicians that mirrors how people use online facilities is brilliant ”
THANK YOU