Digital Primary Care (DPC): Strategy & Overview & GPIT, Digital Maturity and Assurance Programme UpdateSue Cooke, Senior

Programme Manager for

GPIT Programme

Digital Primary Care, NHS

England

www.england.nhs.uk

To share progress to date for the Digital Primary Care (DPC) strategy and associated programmes (e.g. Digital Maturity, GPIT and GPSoC)

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• Primary Care is changing radically (“Out of Hospital” Care Models)

• Current GP IT enablers (GPSOC & GP IT Op Model) may not be fit for future purpose

• Interoperability is a key enabler and is not being delivered

• The digitally enabled patient (e.g. Patient Online & PHR) will have significant impact on GP IT

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A 12 month programme to ensure that NHS England has a clear vision and strategy for digital primary care which supports:

• Contemporary national & local strategic drivers• Service driven organisational changes• The digital consumerisation trend in healthcare

Fulfilled by:• Fit for purpose, effective, high value enablers (e.g. GPSOC,

GPIT, Op, transformation incentives)• A vibrant supplier marketplace supporting innovation, choice

and agile service models• An assurance and digital maturity framework

Ref Deliverable

D1 GPSOC business case & strategic fit review

D2 Publish GP IT operating model strategic fit review

D3 Interim/bridging interoperability model

D4 Market development strategy

D5 5-10 year vision for Digital Primary Care

D6 5 year strategy for Digital Primary Care

D7 3 year integrated roadmap for Digital Primary Care and linked

programmes

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GPSoC Business Case & Strategic Review

Interoperability Solution

GP IT Operating Model Strategic Fit Review Marketplace Development

Drivers: NIB FrameworkDeliverables: D1Work Packages: WP1.1, WP3Resources: NHSE, HSCICCommissions: N/A

Drivers: NIB FrameworkDeliverables: D3Work Packages: WP5.1, WP5.2Resources: NHSE, HSCIC, EndeavourCommissions: HSCIC Led

Drivers: NIB FrameworkDeliverables: D2Work Packages: WP1.1, WP4Resources: NHSECommissions: N/A

Drivers: NIB FrameworkDeliverables: D4Work Packages: WP2.1Resources: NHSECommissions: Yes (TBC)

Enablers

Visioning

Primary Care Landscaping Digitally Enabled Patient Impact

Drivers: NHS 5yr Forward ViewDeliverables: D5Work Packages: WP6.1, WP6.2, WP7.1Resources: NHSE, Stakeholders, ExternalCommissions: Health Foundation (TBC)

Drivers: NIB FrameworkDeliverables: D5Work Packages: WP6.3, WP7.1Resources: ExternalCommissions: Yes (TBC)

Strategy & Roadmap

Digital Primary Care

Drivers: NIB FrameworkDeliverables: D6, D7Work Packages: WP1.2, WP7.2, WP7.3Resources: NHSE + New CommissionCommissions: Health Foundation (TBC)

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Digital Primary Care

Transitional Programmes SMS Sue Cooke Microsoft Licensing Jo Gander

Informatics capability development Sue Cooke, GPIT Programme Lead

Levers & Incentives Lead Jo Gander, Senior Systems Commissioning Manager, DPC

Assurance Model Doug Scott, DPC Strategy Lead

Finance Sue Cooke, GPIT Programme Lead

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Digital Primary care (DPC) Cross Programme Stakeholder GroupGPSoC – GPIT – PMCF – Digital Maturity – Primary Care Commissioning

GPIT Steering Group Chair, Jo Gander

Primary Care Delivery Oversight GroupDigital Technology SMT

Digital Primary Care (DPC) Strategy Board

Formal ProcessInformal ProcessWork Stream Governance

GPIT Governance

Digital Maturity: Programme Update

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Design Assess Validate Report Display

Capabilities for

Joined Up Care

Giving Health & Care Professionals

the Capability…

Illustrative Examples Outcomes/

Benefits

1. Care Records

& Plans

To capture information for subsequent

use by others, and to use information

captured by others, supporting better

clinical decisions at the point-of-care

• Accessing details of diagnoses• Accessing demographics/contact

details• Developing a single multi-agency

care plan• Accessing detailed patient history

• Patient safety

• Quality of care

• Continuity of care

• Care co-ordination

2. Decision

Support

To react more appropriately and

promptly to events happening across

the system through automated rules-

based analysis, prompts and alerts

• Being alerted to:• Deteriorating patients• An end-of-life plan• Hospital admissions• A discharge-ready patient

3. Care

Transfers,

Orders &

Communications

To assess, make referrals, process

transfers, record discharges, summarise

care episodes and place orders to/with

other professionals

• Making a referral to another service• Ordering radiology services• Discharging a patient from a

service• Summarising an A&E episode

4. Remote Care To monitor, diagnose, counsel or advise

patients remotely and access expert

advice at the point of care

• Tele-monitoring• Tele-consultation• Tele-coaching

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GP IT: Programme Update

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• To set the direction of travel for the future of ‘Securing Excellence in GP IT services’

• To reflect the ambitions of the NIB, 5 Year Forward View and NHS Business Plan

• To update to reflect recent organisational changes• To provide a framework to embed best practice• To update accountability and commissioning responsibilities• To define expected minimum and additional service standards and

assurance processes moving forward for GP IT• To develop an Assurance progress for delivery of GP IT Operating

model while providing the necessary guidance and intelligence to facilitate implementation

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Add-on Service ProvisionGP IT provision at CCG discretion to support local strategic initiatives and commissioning strategies to improve service delivery

Core Service ProvisionGP IT standard support services as set out in Securing Excellence in GP IT Services operating model

General Practice Business Support SystemsFunded by the general practice to support corporate business delivery functions

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GP IT Enhanced Service(Effectiveness)

GP IT Core(Efficiency)

Integrated Services(Transformational)

GP Business Systems

(Licence to Operate)

GP IT Core Service & Funding• Meet minimum technical specification defined in the GP IT Operating model• Meet GP IT core Digital Maturitys description• Are not funded from elsewhere already

GP IT Enhanced Service & Funding• Meet enhanced technical specification defined in the GP IT

Operating model• Meet GP IT enhanced Digital Maturity description• Demonstrate improvements for Patient facing services and/or

business efficiency outcomes• Can provide assurance to demonstrate agreed improvements

in outcomes

Integrated Service Model• Exceeds Core and enhanced technical specifications defined

within the GP IT Operating model and is integrated and wider than primary care

• Qualify to apply for Transformation funding• The submission for funding meets the agreed criteria to

demonstrate improved patient experience and digital maturity• Not funded from elsewhere already

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Key Activities:

1. 4 Core Focus Groups established April ‘15 with small group of SMEs identified by Regional Heads to support early discussions around approach looking at;

a. Financeb. Digital Maturityc. Technical Service Specification

2. GP IT Delivery Team linked in with GPSoC, Digital Maturity, Primary Care and NIB teams to further inform early development

3. GP IT high level plan developed and specific work streams defined as well as deliverables4. Small stakeholder events to be held in each region (agreed locally) for initial feedback early June

to further inform work to date5. Larger stakeholder events to be held in each region (agreed locally) end of June/early July to

further inform work to date and next stage of development6. Draft GP IT Operating model document available late July/early August for review (Plan to publish

Sept ‘15)7. Work streams to support next stage of delivery initiated July ‘15 around Service Specification,

Assurance model and KPI development8. Work stream deliverables complete Nov ‘15 and draft documents available for review and approval

process to begin9. GP IT Service specification, Assurance model and KPIs ready to go live April ‘16

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As we develop and refine the Digital Primary Care strategy we will further enhance the primary care digital maturity trajectory (both extending it and enriching it)

Efficiency Effectiveness Transformation

Core GP IT Enhanced GP IT Integrated GP IT Patient Activation

• Care records & plans

• Patient administration

• Appointment

management reporting

• Morbidity registers

• Decision support

• Care transfers

• Order comms

• Results reporting

• e-Referrals

• e-Discharge Summaries

• Integrated working with other care settings and multidisciplinary teams

• General practice(s) at scale

• Supporting 7 day week & extended hours working

• Enhanced access models

• Primary care services supported at any point (location) of care delivery

• Patient direct access to electronic records and health services

• Patient contribution to their record, care planning electronically

Maturity

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Assurance

Business as Usual Transformational

Poor VFM High Risk

Efficiency Effectiveness Transformation

Core GP IT Enhanced GP IT Integrated GP IT Patient Activation

Maturity

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Contact us

If anyone would be interested in being involved in the work streams or focus groups, or would

like further information, please contact the team on, england.digitalprimarycare@nhs.net