Is Primary Care ready to meet the challenges ahead?
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Transcript of Is Primary Care ready to meet the challenges ahead?
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Is Primary Care ready to meet the challenges ahead?What does the evidence show - how well is digital maturity developing across general practice?
Sue Cooke, GP IT Programme LeadLee Harrison, GP IT Programme Manager
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Today’s session will consider…
‘How mature is General Practice IT and is it fit for the challenges ahead?’• Recognising the changing face of Primary Care • Benefits of utilising the Digital Primary Care Maturity
Assurance (DPC MA) tool • Consider how this tool can support CCGs, GPs & NHSE
Regional/DCO teams• Review the evidence – first view of the data/launched in
June 2016• Consider what other views/information would provide
useful insight – helping to ensure primary care is able to meet the challenges ahead?
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Challenges Facing Primary Care
• General Practice is under pressure like never before:
• Aging population• Growing complexity of health needs• Resource and workforce challenges
• Future General Practice needs to be supported with the best modern digital services if successful & sustainable improvements in care are to be delivered
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Changing Face of Primary Care
• In response to these growing pressures, fundamental changes taking place in primary care services in England, driven by policy & organisational pressures:
• Five Year Forward View - Primary care at scale, New Models of care
• Personalised Health and Care 2020 – using data/technology to transform care
• GP Forward View – better use of technology for practices
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Driving digital adoption through outcomes based indicators
www.primarycare.nhs.uk
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Using existing intelligence toinform Digital Maturity in Primary Care
26 indicators taken from HSCIC:• IGT Toolkit• POMI• Daily
Booking Reports
• GP2GP Utilisation report
31 indicators taken from eDEC
50 indicators asked to CCGs
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Benefits of using this tool?• Provide assurance – GP IT Operating Framework, 2016/18• Help support CCG planning including:
• Inform the development of Local Digital Roadmaps (LDRs) and Sustainability and Transformation Plans (STPs), helping identify areas for further investment
• Enable comparison of digital maturity in Primary Care against secondary care, as highlighted in the Digital Maturity Index (DMI) assessment of secondary care
• Benchmark and compare digital maturity in GP IT• Support the re-procurement of GP IT services locally via the
Lead Provider Framework • Demonstrate progress against the digital requirements outlined within the
CCG Improvement and Assessment Framework
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And for General Practice….
• ‘GMS’ digital commitments• Investment gaps in GP IT
services • Benchmark digital innovations• Support the case for change -
additional resource, services and/or investment
• Evidence base for CQC assessment
• Are you achieving universal services as identified in GP IT
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The evidence so far…Year 1 for this tool – but already we are able to ….• Review progress against digital readiness criteria• Provide assurance against ‘core and mandated’ delivery
requirements in the GP IT Operating Model • Gain early insight into enhanced and transformational service
provision……• Support development of Local Digital Roadmaps
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Five High Impact Changes for Digital Readiness: National View
These are the five high impact changes identified as part of NHS England’s digital commitment:
1.Offering digital services for professionals: 83.53
percent2.Adopting core standards for Data Sharing:
84.63 percent
3.Achieving excellent data quality: 69.72 percent
4.Adhering to best practice in Information Governance: 93.56 percent
5.Offering digital services for public and patients: 74.23 percent
Provides some insight into digital maturity across General Practice• Demonstrates the progress that has been
made in Primary Care• Helps to identify areas for further
improvement/support
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Five High Impact Changes for Digital Readiness
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Assurance – GP IT Operating Framework
GP IT assessed across all 107 indicators:The indicators are grouped into three main categories, as outlined in the GP IT Operating Model, Securing Excellence in GP IT Services (2016-18):
• Core and Mandated (x 72 indicators)
• Key focus year 1• Capability rather than
utilisation• Enhanced
(x 25 indicators)• Transformational
(x 10 indicators)
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Viewing the data?
Multiple views within the tool:
• This view enables review across all practices within a CCG, with an applied Data Quality rating.
• Data Quality rating …….
• Hovering over the bars will provide GP Practice name and values as outlined on the next slide…..
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Enhanced Primary Care IT Services
• Focussed on technologies, systems & support services which enable & improve efficiency and effectiveness of GP including primary care at scale.
• Supporting primary care at scale, extended hours working and confederated working
NB: Data Quality – non mandatory questions / encourage local completion
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Transformational Primary Care IT Services
• Focussed on the technologies, systems & support services which enable new models of care, service integration, wider GP functions, MCP & PACS organisational models.
• Supporting new models of care/STP whole systems initiatives and change
• Limited indicators – year 1
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Local Digital Roadmaps
Digital Maturity in General Practice against each of the 7 paper free at the point of care capabilities identified in Local Digital Roadmap guidance is as follows:
• Transfers of care• Asset & resource optimisation• Records, assessments & plans• Medicines management & optimisation• Remote care• Orders & results management• Decision support
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What next?
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Year 1 – next steps
Year 1 - tool launched in June 2016:• Shortly to undergo the first quarterly refresh of data• Needs to grow/develop – if it is to continue to provide useful
insight and assurance on digital maturity as primary care continues to evolve
Next steps:• Key Learning – capture and build on this
• Identify issues• Development work
• Establish supportive governance arrangements e.g. Expert Reference Group
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Support DevelopmentNeed to consider how we can develop this tool further to help ensure that primary care is able to meet the challenges ahead?
• Any early thoughts and feedback?
• What other views/information would provide useful insight for:• CCGs?• GPs?• NHSE Regional/DCO teams?
Interested in joining the conversation? [email protected]
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Thanks for listening Any questions?
Sue CookeGPIT Programme [email protected]
Lee HarrisonGPIT Programme [email protected]
Digital Primary Care [email protected]