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Is Primary Care Technology Enabled to meet the Primary Care Challenges Ahead?Sue CookeGP IT Programme LeadNHS EnglandHealth+Care, 29 June 2016

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What tools and resources are available to support primary care meet the challenges ahead ?• Revised GPIT Operating Model published in May ‘16

• Digital Maturity Assurance model for Primary Care launched June ‘16

• Regional Digital Support

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Revised GP IT Operating Model 2016-18Why Refresh?• Ensure fit for purpose:

• 2nd Edition 2014/16 – need to build on this, address challenges• Changing environment – 5YFV, PHC2020, GPFV, Transformation

• Responsive to changing Primary Care landscape:• Confederated working• Evolving models of primary care• Broader integration of health & care• Local Digital Roadmaps requirements - Paperless 2020

• Better align with ‘Transformation’ agenda

• Increase local flexibility – enable local solutions to meet local requirements

• Provide underpinning assurance mechanism

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Revised Classifications:Core and Mandated GP ITTechnologies, systems & support services required to deliver Primary Care Essential Services (i.e. registered list based) and (contractually) mandated services and compliance.

Also enablement of mandated requirements beyond General Practice where general practice is essential component of mandated solution.

Enhanced GP ITTechnologies, systems & support services which enable & improve efficiency and effectiveness of general practice including primary care at scale.

Transformational Primary Care Technologies, systems & support services which enable new models of care, service integration, wider GP functions, MCP & PACS organisational models.

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Revised Funding Arrangements – GP IT:Increased funding provision delegated to local commissioner level:

• To support effective commissioning and delivery of digital services for general practice

• Able to reflect and meet local needs

• Aligned with local strategy, Local Digital Roadmaps and Sustainability & Transformation Plans

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Digital Maturity Assurance model for Primary CareBackground

• Launched 13th June 2016

• Available as a module on the Primary Care Web Tool

• Web address: www.primarycare.nhs.uk

• Restricted access NHS facing website

• Automated registration and access processes for anyone with an NHS email address.

• Stakeholders and strategic partners can seek access which will be considered under existing due diligence.

• 21,027 users including: all GP practices, CCGs and NHS England Regional Teams in England.

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Digital Maturity Assurance model for Primary Care

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What this module will offer?For General Practice For CCGs For NHSE (National & Regional)

Can review progress against core GP IT requirements, as outlined in the GP IT Operating Model

Assurance that CCG meeting the requirements of the GPIT Operating Model and associated GMS/PMS/APMS requirements

Assurance that quality and value are being maintained and delivered consistently across primary care services

Can demonstrate service quality and standards in reviews with regulators e.g. CQC

Support CCGs in re-procurement of GP IT service provision via the Lead Provider Framework

Demonstrates value for money and effective use of NHS investment

Can inform federations identify areas for future collaboration and/or requiring CCG investment

Can be used as evidence within CCG Improvement and Assessment Framework reviews

A view on the quality of GP IT service provision and progress towards digital maturity across the GP IT estate

Can be used as evidence when applying for additional funds e.g. Estate and Technology Transformation Fund (ETTF)

To inform the development of Local Digital Roadmaps (LDRs) and Sustainability and Transformation Plans (STPs), helping to identify areas for further investment.

Provide an outcomes-based digital maturity assurance tool that will support CCGs, GPs and NHSE DCO/Regional Leads as promised in the GPIT Operating Model

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Digital maturity views:• Data can be interrogated/searched in a number of ways…..

• The data can be cut in multiple ways in order to provide different views depending on individual need.

• This helps pinpoint data pertinent to different national programmes (e.g. GP2GP) and on national objectives (e.g. Paper-free at the point of care 2020).

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Data Flows: 31 indicators taken from eDEC

26 indicators taken from HSCIC:• IGT

Toolkit• POMI• Daily

Booking Reports

• GP2GP Utilization report

50 indicators asked to CCGs

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What do we know to date ?• National compliance with Core GP IT & Centrally Mandated

Requirements: 88.77% (With a data quality of 74.8%).

• National overall compliance: 84.86% (Data quality 63.48%)

• 95.52% of practices nationally have the EPS2 system embedded and live (Data quality 82.63%)

 • 97.67% of practices have completed their IGT to Level 2 or above

(Data quality 83.7%)

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The Roadmap

Primary care at scale

Interoperability through standards and

open interfaces

Information governance, patient consent,

identity verification and cybersecurity

Patient empowerment

Paper-free at the point of care

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Get in Touchengland.digitalprimarycare@nhs.net

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