Phil Koczan-POL Presentation PJK - London

Report
Patient Online
Programme
Dr Phil Koczan
Digital Clinical Champion - London
www.england.nhs.uk
Towards a digital revolution
Online access has transformed many industries, including:
music, retail, travel and banking
www.england.nhs.uk
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
GP
Appointments
Online
www.england.nhs.uk
Repeat
Prescriptions
Online
View Your GP
Records
Online
What are the benefits?
GENERAL PRACTICES
PATIENTS
•
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
GMS/PMS contract
To meet the Patient Online requirements by March 2015
PATIENTS
practices must offer:
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
www.england.nhs.uk
What we have learnt so far…
Empowering patients
Delivering transparency
Integrating and personalising
Supporting better patient / clinician decisions
www.england.nhs.uk
Governance: how we are managed
www.england.nhs.uk
Patient Online – building each layer
OFFER TO
PATIENTS
GMS/PMS
Contract
2015/2016
Access to
coded data
in GP record
GMS/PMS
Contract
2014/2015
Enhanced
Service
2013/2014
www.england.nhs.uk
SUPPORT & RESOURCES
Support and guidance required –
evidence and case studies
Access to
summary of
information
Appointments
and
prescriptions
Guidance and support
Simple guide and
support
Hitting the headlines
www.england.nhs.uk
Overcoming challenges
Security and confidentiality
Helping patients to understand how to use their records
Issues relating to agreement, consent and protection
Equality issues
Adequate resourcing
www.england.nhs.uk
GP concerns
Do I need to
quality check my
records?
Patients will see
my spelling
mistakes
I am
uncomfortable
with this
www.england.nhs.uk
I am no longer in
charge
It will create
more
consultations
Patients will look
at test results
and will contact
me more
This is going to
cause me more
work
Comments from existing patients
online
“As a man, it is
less
embarrassing! It
can be easier to
ask questions
online than face
to face”.
www.england.nhs.uk
“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”.
“Online
services will
free-up
clinicians and
patients time”.
Comments from existing patients
online
“I'm impressed
how quickly my
blood tests are
on there”.
“It is good to
have the
choice”.
It's really helpful
to be able to
remind yourself
what was said to
you by your GP”.
“I can receive
much quicker,
more efficient
care”.
www.england.nhs.uk
“I want the face
to face contact.
It could be
Skype!”
“Easier for me
to keep track of
my medication”.
Resources – Patient Online support
and resources
www.england.nhs.uk
The guide can be accessed on the NHS England website
Resources – Patient Online support
and resources
www.england.nhs.uk
The guide can be accessed on the NHS England website
Resources – Patient Online support
and resources
www.england.nhs.uk
Resources – RGCP guidance and
training
PATIENTS
Guidance example forms and checklists
Identity verification
Getting started with record access
Coercion
Proxy access
This guidance and other supporting materials can be found on the
RCGP website
www.england.nhs.uk
RGCP Toolkit –
Resources under development
Guidance
Getting started with online
appointments
Getting started with Repeat
prescriptions
eLearning courses
Identity verification
Coercion
Proxy access
(including carers and other professionals)
Encouraging patient take-up
Children
Patient consent and
responsibilities
Practical usefulness of online access
for GPs
Information governance
General overview and benefits
www.england.nhs.uk
Resources - Patient Online
Community
Community for
Network with
anyone interested
in online services
in primary care
other CCGs, CSUs,
practice managers,
GPs, patients
www.england.nhs.uk
Access to
resources, case
studies, toolkits
To register email: [email protected]
Support: where are we based
North
Digital clinical champions
Kay Renwick
Pam Jenkins
Richard Ince
Fiona McDonald
Rose Curry
Taz Aldawoud
North
Implementation leads
Midlands and
East Leads
Implementation
Midlands
and East
Digital Clinical Champions
Digital clinical champions
Adam Paxton
Chris Frith
Clive Prince
Damian Williams
John Bird
Richard Ince
Ruth Adekoya
South
Digital Clinical Champions
Digital clinical champions
South
London
Digital Clinical Champions
Digital clinical champions
Phil Koczan
www.england.nhs.uk
Implementation Leads
Implementation leads
Jacky Ormston
James Hempsted
John Bird
Amir Mehrkar
Angela Reed-Fox
London
Implementation leads
Implementation Leads
Implementation leads
Jacky Ormston
James Hempsted
Contact details available in Patient Online Guidance and Support
Accelerator sites and Patient Online:
working together
Patient Online programme is working with 24 active sites that wish to:
Share
learning/good
practice examples
Participate in
benefit studies
www.england.nhs.uk
Engage with
PPGs
Offer more than
summary
information
Review and test
RCGP materials
Case studies
Booking appointments and ordering
repeat prescriptions – a patient’s view
Providing patients with online access
to their record – a patient’s view
University Health Centre
Providing patients with online access
to their record – a practice manager’s
view
Cropredy Surgery, Banbury, Oxfordshire
www.england.nhs.uk
Case studies
Booking GP and nurse appointments
online – a practice manager’s view
Melrose Surgery, Reading
Online record access – a GP’s view
Melrose Surgery, Reading
The guide can be accessed on the NHS England website
www.england.nhs.uk
Accelerator examples
Greater Huddersfield
CCG
• 10 practices took part
in a record access
(RA) pilot in 2013
• Mixture of EMIS Web
and TPP practices
• CCG is offering extra
incentives for practices
to sign patients up to
access their records.
www.england.nhs.uk
Cropredy Surgery,
Banbury
• Offering RA since 2010
• Patients given full
record access on
request after the record
has been verified by the
GP
• Uses following methods
to promote online
services: waiting room
TV, practice website,
prescription notes,
newsletters, business
card for blood test
patients.
Melrose Surgery,
Reading
• Offering RA for over
seven years
• 100% nurse and non
urgent appointments
available online
• Benefits most patients
especially those with
long term or chronic
conditions
Accelerator examples
Sternhall Lane practice in Peckham,
South East London switched on
Record Access in July 2014
Whitechapel Health Centre, East
London switched on Record Access in
August 2014
In addition to summary information:
patients can now view their
immunisation details online.
In addition to summary information:
patients can now view their test results
online.
Practice is running a promotional
campaign in the surgery to promote
record access.
www.england.nhs.uk
Accelerator site locations
Number of sites
North
5
10
8
Midlands
and East
South
London
2
Suppliers
4
EMIS
3
13
TPP
Inps
Microtest
5
www.england.nhs.uk
What we are doing
E
n
Stakeholders g
a
g
e
m
Patients
e
n
t
www.england.nhs.uk
Practices
Suppliers
GMS contract changes 2015/16 –
NHS Employers
Commitment to expand and improve the provision of online services
Online access to coded information
Improved offer of online booking
Summary of the GMS contract changes 2015/16 (NHS Employers)
www.england.nhs.uk
Phil Koczan Digital Clinical Champion – Patient Online programme
Patient Online Website:
www.england.nhs.uk/pe/patient-online
Patient Online Community:
To register for the Patient Online Community please
email: [email protected]
www.england.nhs.uk
Key statistics – Q1 2014/15
• 99% of General Practices have the capability to allow patients to book or cancel
appointments online.
• 85% of patients are registered with general practices that offer the ability to book
or cancel appointments online.
www.england.nhs.uk
Source: HSCIC
Key statistics – Q1 2014/15
• 99% of General Practices have the capability to allow patients to view or order
repeat prescriptions online.
• 78% of patients are registered with general practices that offer the ability to view
or order repeat prescriptions online.
www.england.nhs.uk
Source: HSCIC
Key statistics – Q1 2014/15
• 77% of General Practices have the capability to allow patients to view their
medical record online.
• 5% of patients are registered with general practices that offer the ability to view
their medical records online.
www.england.nhs.uk
Source: HSCIC
Booking or Cancelling Appointments Online
Q1 2014/15
Functionality
available
www.england.nhs.uk
Service
offered
Source: HSCIC
Ordering Repeat Prescriptions Online
Q1 2014/15
Functionality
available
www.england.nhs.uk
Service
offered
Source: HSCIC
Viewing Medical Records Online
Q1 2014/15
Functionality
available
www.england.nhs.uk
Service
offered
Source: HSCIC
Functionality Profiles – Booking and Cancelling Appointments Online
Percentage of GP Practices – London
This graph shows the where functionality is:
www.england.nhs.uk
Available and
enabled
Available but
NOT enabled
Not available or
enabled
Unknown
Functionality Profiles – Viewing Medical Records Online
Percentage of GP Practices – London
This graph shows the where functionality is:
www.england.nhs.uk
Available and
enabled
Available but
NOT enabled
Not available or
enabled
Unknown
Available Resources
Reports
Patient Online Community
Websites
North of England (NOE)
Patient Access Toolkit
Videos
myRecord Project
Posters
Learning from Accelerator Sites
FAQs
Information Leaflets
RCGP
Enabling Patients to access
electronic health records
Case Studies
System Guides
www.england.nhs.uk
PARTS
(Patient Access to Records and
Transaction Services)

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