1. Health Insights – Leeds 8 th October 2014 Dr Taz Aldawoud Digital Clinical Champion - NHS England Taz.aldawoud@nhs.net @patientonline

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

3. www.england.nhs.uk Online access has transformed many industries, including music, travel, retail and banking.

4. www.england.nhs.uk Why are we doing it?

6. 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

7. 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 Benefits of Patient Online Empowering people to better manage their health and care. Delivering transparency to improve quality of care and patient experience. Integrating and personalising care packages. Supporting better patient / clinician decisions to improve quality, safety and effectiveness of services. Making better use of resources.

11. www.england.nhs.uk What is in it for … 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

12. 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?

13. www.england.nhs.uk 1/4/15 Provide patient access to: Summary information from their medical record online: Allergies Medications Adverse drug reactions Book appointments online Order repeat prescriptions online 1/4/16 onwards: detailed records access comprising of coded information. What we MUST do...

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

16. "I was prompted to start this system because of what my patients had been through with Shipman and I have found it has helped build a partnership of trust with my patients, I felt I had to go further to establish a good relationship with them and we have come a long way in the last 10 years. The system has transformed my patient relationships - they can now review what they have been told and they can be reminded of what happened, who said what, when and where and what was agreed. Patients are a great untapped resource and they have a huge role to play in improving the service the NHS provides. I want other people to adopt our system to help the NHS deliver a better service, we are hoping to change Shipman's legacy from the grief and carnage that he created in Hyde to something positive which makes people less fearful and more comfortable with the medical profession"

17. www.england.nhs.uk Challenges security and confidentiality; helping patients to understand how to use their records; issues relating to consent and protection of sensitive data, such as third-party data; equality issues (i.e. identifying vulnerable or disadvantaged patients, and those who are at risk of coercion); adequate resourcing.

18. www.england.nhs.uk  Patients will see my spelling mistakes  It will create more consultations  Patients will look at test results and will contact me more  Do I need to quality check my records?  This is going to cause me more work  I am losing control  I am no longer in charge  I am uncomfortable with this Concerns

20. www.england.nhs.uk 3. Engaging with Patients 1. Putting in the Technology 2. Supporting Practices What do we need to do next SUPPLIERS

21. Patient Online – building each layer Support & Guidance required Evidence & case studies Webinar & support Simple guide & support Simple guidance How much support & guidance needed? Enhanced service 2013/2014 Enhanced service 2013/2014 GMS Contract 2014/ 2015 GMS Contract 2014/ 2015 GMS Contract 2015/ 2016 GMS Contract 2015/ 2016

22. www.england.nhs.uk22 Accelerator Site Locations SupplierNumber of Sites EMIS11 CSC / TPP5 In Practice - Vision3 Microtest4 RegionNumber of Sites London5 Midlands and East2 North10 South6

23. www.england.nhs.uk RCGP Patient Online practice toolkit

24. www.england.nhs.uk Shared information is a relationship of trust Cartoon with thanks to the British Medical Journal “Patients and information are the two most under-used resources in the NHS” Dr Richard Fitton

25. www.england.nhs.uk Thank you for listening Dr Taz Aldawoud Digital Clinical Champion - NHS England Taz.aldawoud@nhs.net @patientonline