Digital: Patient Reference Group Matthew Chisambi Urgent Care Lead Coral McNeilly Primary Care Commissioning Manager Holly Lovering Project Manager, Strategy 23 February 2017
Overview Objectives • Update PRG on the digital programmes happening across North West London. • Understand the digital priorities of H&F residents. Agenda # Item 1 Presentation on NWL Digital projects 2 Group discussion on user priorities 2
Why is use of digital important? UK internet usage in last three months by age group, • We increasingly live our lives 2016 (%) using digital technology. 99.2 98.9 98.2 94.9 100.0 88.3 74.1 • 75.0 And, whilst historically older people have used the internet 50.0 38.7 less than others, their usage is 25.0 increasing faster than any 0.0 other age group. 16-24 25-34 35-44 45-54 55-64 65-74 75+ UK internet usage in last three months by age group • Yet whilst we live in a digital 2011 – 2016 (Compound Average Growth Rate, %) world, the delivery of services 20.0% by the NHS has remained fairly 16.5% analogue. 15.0% 11.0% 10.0% • Digital could help us to improve 4.0% 5.0% 3.2% people’s health and wellbeing, 2.0% 0.1% improve experience and 0.0% reduce cost – increasing the 16-24 25-34 35-44 45-54 55-64 65-74 75+ -5.0% sustainability of the NHS. Source: Internet users in the UK: 2016, ONS (May 2016) 3
Our Sustainability & Transformation Plan’s Digital aims STP Delivery Areas Eliminating Better Safe, high Radically Improving improper outcomes & quality, upgrading outcomes variation & experience sustainable prevention for all with improving for older acute & wellbeing MH needs LTC care people services 1. Enable Patient Access 2. Build a shared care record 3. Implement Whole Systems Integrated Care 4. Automate clinical workflows and records 5. Tools for self-management and self-care 4
Digital North West London transformational programme • Digital NWL is leading this transformational programme servicing a population with: ‒ 2.3 million people ‒ 10 acute and specialist ‒ 8 local boroughs hospital trusts ‒ 2 mental health trusts ‒ 8 CCGs ‒ 2 community health ‒ Over £4bn annual trusts health and care spend ‒ Over 390 GP practices 5
What are we working on? 1. Enable Patient Access What is it? • Technology could provide solutions to help patients access care more easily e.g. online bookings, or actually change the way people receive care e.g. video consultations in care homes. • This could improve care experience for some people and also help increase capacity for those who prefer face-to-face consultations. Potential partners What is happening? • Several pilots across NWL are planned to test whether this will work for residents and our local area, including: 1. Video consultation trial (Mar 17) 2. Online symptom checker (May17) 3. Telemedicine in care homes (Apr 17) Next steps • We are currently working with different partners to take part in the trials and hope to launch pilots / services during early 2017. 6
What are we working on? 2. Build a shared care record What is Patient Online? Patient Online services will give you the option to: • Make appointments online; • Order repeat prescriptions online; • View your own medical record online. Benefits • Convenience: manage appointments & prescriptions any time day/night. • Control: people with long term conditions may particularly benefit from having access to records and being more in control of their health and wellbeing. • Wider impact: frees up phone lines for people without access to a computer. Hammersmith and Fulham 50% of routine GP appointments available to book online by end of March. Aim is for at least 10% of patients to be registered for online services. Currently this varies between practices from single figures to as much as 40%. 7
What are we working on? 3. Whole Systems Integrated Care What is it? • For care to be truly built around individuals, we need each of the professionals treating or caring for an individual to be able to view selected information about that individual. • This information may include health, social care packages and – crucially – individuals’ personal goals and aspirations. • This can be done via an integrated care record. What is happening? • The Whole Systems Integrated Care record is being created using information from the range of care providers involved in a person’s treatment. • It will be transferred to and stored in a data warehouse and its use will governed by a legal document that follows national standards. Next steps • The dashboard is in development and being tested. • For more information, see: http://integration.healthiernorthwestlondon.nhs.uk/ 8
What are we working on? 5. Self-management & care What is it? • Self-care apps help users to management their long-term conditions by providing users with: − Knowledge about their condition − The ability to set and track goals − Access to virtual coaches What is happening? • Across North West London, the Digital Health Apps pilot will work with three different app designers to trial their effectiveness in March / April 2017 for 3 months Next steps • The providers have been chosen. Final practices will be picked and evaluation design set. 9
Discussion overview • We want to understand our residents’ ideas about how health services can be improved by the use of digital technology. • Let’s discuss how you think digital technology could help improve the way in which different user groups complete common tasks e.g. booking an appointment. • The user groups we are focussing on are: 1. Parents with children aged <0-18 2. Young professionals (20-30) 3. Long term conditions 4. Older people (65+) • Please consider the whole person in your discussions, including both physical and mental health. 10
Discussion template Example: How do I… How do I … How could What would make technology improve me use that how I … technology? • Call my practice in • A website that works • Easy to use app • Knowing that all the morning on my mobile phone Book or • Book online on my • One that allows me to practice appointments change a GP laptop (cannot book find GP specialists for are available and on my phone as conditions across knowing that others appointment? website doesn’t don’t queue jump by NWL e.g. load on phone) dermatology calling in • Order through • Direct delivery of my • No additional cost as I’m saving the NHS pharmacy, over the repeat prescription to Order and/or my home – like phone or at shop money by not using • Use the online collect repeat Amazon up a GP appointment • Order repeat • Easy to use app that repeat prescription prescription(s)? service available on prescriptions through stores my current my practice website my phone medicines 11
Summary • We are actively working across our STP delivery areas. • If you are interested in keeping up to date with any of these projects, please contact us via hf.ccg@nw.london.nhs.uk . • To conclude we have two key questions: ‒ What advice would you give the CCG? ‒ What would be your top 3 priorities for this work? 12
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