Health Insights – Leeds
8th October 2014
Dr Taz Aldawoud
Digital Clinical Champion - NHS England
Taz.aldawoud@nhs.net
@patientonline
What is Patient Online?
Patient Online will empower patients to take greater control of their health and
wellbeing by increasing online access to services:
GP
Appointments
Online
Repeat
Prescriptions
Online
What is Patient
Online?
www.england.nhs.uk
View your
GP Records
Online
Online access has transformed many industries,
including music, travel, retail and banking.
www.england.nhs.uk
Why are we doing it?
www.england.nhs.uk
There is an appetite to book online
•
Which of the following methods would you prefer to use to book appointments
at your GP surgery?
100
90
80%
80
80%
December 2013
(935,598)
December 2012
(973,503)
70
60
50
40
32%
33%
31%
30
30%
20
10
0
In person
•
By phone
Base: All answering question (in brackets)
www.england.nhs.uk
By fax machine
Online
•
Source: Ipsos MORI
Booking appointments online… the challenge ahead
•
How do you normally book your appointments to see a GP or nurse at your GP
surgery?
100
90%
90
90%
December 2013
(939,534)
80
December 2012
(978,002)
70
60
50
40
31%
30
30%
20
10
4%
3%
0
In person
•
By phone
Base: All answering question (in brackets)
www.england.nhs.uk
By fax machine
•
Online
Source: Ipsos MORI
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.
www.england.nhs.uk
What is in it for …
Patients
General practices
•
Time saving in phone calls and car
journeys
•
Administrative time savings on
repeat prescription
•
Improved access and convenience
•
Receptionist time release on
appointment booking
•
Improved communication with the
practice
•
Fewer missed appointments
•
Increased patient safety,
reduction in errors and
duplications
•
Increased patient safety, reduction
in errors and duplications
•
Improved health knowledge and
health literacy
•
Improved communication with the
patient
Improved patient experience and
control of their care
•
Improved patient satisfaction
•
www.england.nhs.uk
How might efficiency
be improved?
• 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
www.england.nhs.uk
What we MUST do...
• 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.
www.england.nhs.uk
What we COULD do...
•
•
•
•
•
Vaccination history
Test Results
Consultations (coded entries only)
Consultations (including free-text)
Documents (correspondence)
www.england.nhs.uk
"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"
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.
www.england.nhs.uk
Concerns
 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
www.england.nhs.uk
What do we need to do next
1. Putting in the
Technology
2. Supporting
Practices
SUPPLIERS
www.england.nhs.uk
3. Engaging with
Patients
Patient Online – building each layer
How much support & guidance needed?
Support & Guidance
required
GMS
Contract
2015/
2016
Evidence & case studies
Webinar & support
Simple
guide &
support
Simple
guidance
GMS
Enhanced
service
2013/2014
Contract
2014/
2015
Accelerator Site Locations
Region
Number of Sites
London
5
Midlands and East
2
North
10
South
6
Supplier
Number of Sites
EMIS
11
CSC / TPP
5
In Practice - Vision
3
Microtest
4
www.england.nhs.uk
22
RCGP Patient
Online
practice
toolkit
www.england.nhs.uk
Shared information is a relationship
of trust
“Patients and
information are the
two most under-used
resources in the
NHS”
Dr Richard Fitton
Cartoon with thanks to the British Medical Journal
www.england.nhs.uk
Thank you for listening
Dr Taz Aldawoud
Digital Clinical Champion - NHS England
Taz.aldawoud@nhs.net
@patientonline
www.england.nhs.uk