1. www.england.nhs.uk Patient Online Fiona McDonald Digital Clinical Champion NHS England Clinical Lead, EPS, HSCIC Fiona.mcdonald10@nhs.net @Patientonline #patientonline

2. www.england.nhs.uk Towards a digital revolution Online access has transformed many industries, including: music, retail, travel and banking Online access has transformed many industries, including: music, retail, travel and banking

3. www.england.nhs.uk What is Patient Online? GP Appointments Online Repeat Prescriptions Online View Your GP Records Online Patient Online will empower patients to take greater control of their health and wellbeing by increasing online access to services

4. www.england.nhs.uk What is POL GMS/PMS contract PATIENTS online booking of appointments online cancelation of appointments online ordering of repeat prescriptions online access to summary information within patient records (allergies, medications, adverse reactions) And promote these services to patients Possible for practices to offer online access to test results, letters and consultation notes and more. Full details of the 2014/15 GMS contract Full details of the 2014/15 PMS contract To meet the Patient Online requirements by March 2015 practices must offer:

5. www.england.nhs.uk What are the benefits? Time saving in phone calls and car journeys Improved access and convenience Improved communication with the practice Increased patient safety, reduction in errors and duplications Improved health knowledge and health literacy Improved patient experience and control of their care Administrative time savings on repeat prescription Receptionist time release on appointment booking Fewer missed appointments Increased patient safety, reduction in errors and duplications Improved communication with the patient Improved patient satisfaction PATIENTS GENERAL PRACTICES

6. www.england.nhs.uk Appointment booked online saves 3-4 minutes admin time ≈ 50p Online Prescription saves 5-6mins admin time ≈ 83p After 12 months, practice of 10,000, with 30% patients signed up: 250 appointments booked / cancelled ≈ £330 p.m 350 repeat requests ≈ £460 p.m How might efficiency be improved?

7. www.england.nhs.uk What we have learnt so far… Empowering patients Delivering transparency Integrating and personalising Supporting better patient / clinician decisions

8. www.england.nhs.uk Which of the following methods would you prefer to use to book appointments at your GP surgery? There is an appetite to book online Base: All answering question (in brackets) Source: Ipsos MORI

9. www.england.nhs.uk How do you normally book your appointments to see a GP or nurse at your GP surgery? Booking appointments online… the challenge ahead Base: All answering question (in brackets) Source: Ipsos MORI

10. www.england.nhs.uk PATIENT ADDRESS PRACTICE ADDRESS PRACTICE TEL NUMBER PRACTICE TEL NUMBER

11. www.england.nhs.uk

13. “Patients will see my spelling mistakes”. “It will create more consultations”. “This is going to cause me more work”. “Patients will look at test results and will contact me more”. GP concerns “I am no longer in charge”. “I am uncomfortable with this”. “Do I need to quality check my records?” “I am losing control”.

14. www.england.nhs.uk “Don’t have to use a PC, can book appointments and view my test results on my iPad or iPhone”. Comments from existing patients online “I can receive much quicker, more efficient care”. It's really helpful to be able to remind yourself what was said to you by your GP”. “Easier for me to keep track of my medication”. “I want the face to face contact. It could be Skype!” “I'm impressed how quickly my blood tests are on there”. “It is good to have the choice”. “Don’t have to use a PC, can book appointments and view my test results on my iPad or iPhone”. “No more calling GP’s at 8.30 am for appointments”.

15. www.england.nhs.uk Resources – RCGP guidance and training PATIENTS Guidance example forms and checklists Identity verification This guidance and other supporting materials can be found on the RCGP website: http://elearning.rcgp.org.uk/mod/page/view.php?id=4459http://elearning.rcgp.org.uk/mod/page/view.php?id=4459 Getting started with record access Coercion Proxy access

16. www.england.nhs.uk Resources – Patient Online Community Community for Network with Access to anyone interested in online services in primary care other CCGs, CSUs, practice managers, GPs, patients resources, case studies, toolkits To register email: england.patient-online@nhs.netengland.patient-online@nhs.net

17. www.england.nhs.uk Vaccination history Test Results Consultations (coded entries only) Consultations (including free-text) Documents (correspondence) What we COULD do...

18. www.england.nhs.uk YouTube Patient Online http://www.bing.com/videos/search?q=youtube+patien t+online&FORM=VIRE2&adlt=strict#view=detail&mid= AC3F5CE2FE4CD1DE6619AC3F5CE2FE4CD1DE66 19http://www.bing.com/videos/search?q=youtube+patien t+online&FORM=VIRE2&adlt=strict#view=detail&mid= AC3F5CE2FE4CD1DE6619AC3F5CE2FE4CD1DE66 19

19. www.england.nhs.uk During flu campaign At the front desk During patient registration ( opt out) Face to face consultations LTC clinics Get your practice nurses/ Nurse Practitioners involved PPG Advertise on your website/ practice/ social media Encourage patients to tell their family & friends Ask your pharmacies RHS prescriptions ( electronic or paper) When to capture consent

20. www.england.nhs.uk What we are doing StakeholdersPractices PatientsSuppliers

21. www.england.nhs.uk Fiona McDonald –Digital Clinical Champion- Patient Online programme Patient Online Website: www.england.nhs.uk/patient-online Patient Online Community To register for the Patient Online Community please email: england.patient- online@nhs.netengland.patient- online@nhs.net