Latest innovations for the e-Referral Service
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Transcript of Latest innovations for the e-Referral Service
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Steve Firman SRO NHS e-Referral Service, NHS England
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1. Background & Context 2. Operationalising e-Referrals 3. Enhancing the service
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1. Background & Context
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Key Points: • The NHS e-Referral Service replaced Choose and Book in June 2015 • Service now stable
40,000 referrals per day 7 million bookings 50% utilisation
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• Maintaining a stable service
• Developing the core application
• Operationalise use for 1st Outpatient Appointments
2. Operationalising e-Referrals
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Three Year Package: • 2016/17 – CCG Quality Premium + GP Contract and Standard Contract• 2017/18 – CQUIN• 2018/19 – Aligning payment with use of NHS e-Referral Service
Three Year Trajectory Below:
60% September
2016
80% September
2017
Fully Operational September
2018
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Programme Business Change Team - HSCIC
SRO function - NHS England
NHS Operational Teams - NHS England/NHS Improvement
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3. Enhancing the service
• Widen scope of use
• Development of service as a referrals engine
• Enabling NHS transformation
• Exponential benefits to patients and NHS
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Digitising elective care delivering a single referral and booking service for all elective care throughout the NHS and partner organisations.
Referrer
ERS
Appointment or Diagnostic
Follow-up
More Referrers• GP• Optometrists• Dentists• District Nurses• Midwives
More Services• Primary Care Services• Counselling Services• Community Services• Social Services• Private Services
Appointments Types• Follow-ups• Diagnostics• Urgent Care• Pre-op Assessment• Day Care
ERS
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Developing key capabilities
Using Agile development
Integrating with other systems
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Current Position Enhancements Transformation
• Inherent benefits of connecting clinicians electronically
• ‘Advice and Guidance’ (A&G) on ERS now but not widely used
Plans for improvements to A&G:• Multi-way Q&A conversations• Conversion of advice to
referral by providers• Alerts to GPs• Integrate ‘decision support’
tools • Pathway management
Interoperability
Don Berwick “move knowledge not people”• Specialists act as knowledge
experts • Patients not attending
hospital for many mild/moderate medical needs
• Savings to commissioners
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New Ways of Working • Multi-disciplinary team• Distilling all past research and designs• Quick sketches• Show people – constant feedback• Prototyping
New Patient App • Supports shift to digital • Improved convenience and control for
patients• Cost savings over current model
Clear Choice
Hero Items
Options to:- Filter- Sort- Map
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Delivering an integration capability to enhance benefits and improve user experience, supporting the NHS vision of achieving paperless referrals.
Stakeholder Engagement
Opportunity Analysis
Marketplace Innovation
Partnership Delivery
Benefits Realisation
• Progressive release of common and open APIs to enable information sharing
• Development of platform including security, assurance and information governance
• Plan to prioritise key capabilities e.g. • Service search, selection and booking in GP system • Referral letter automatically saved in PAS
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1. NHS e-Referral Service – Operationalising e-Referrals
2. Digitising Elective Care – Enhancing the service
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• We would like to LISTEN and receive FEEDBACK
• Input into NEW user requirements
• Contact the programme team at HSCIC www.hscic.gov.uk/referrals/contact • Contact Steve Firman – [email protected]
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How have you seen electronic referring change the way that you work and what would you wish of the future NHS e-Referral Service to help improve benefits going forward?Derek WallerConsultant Physician, Deputy Medical Director & Clinical IT Lead University Hospital Southampton NHS FT
Dr Karl Graham GP & Clinical Director IT West Hampshire CCG
A view on future of the service and how we will take these ideas forward. Dr Stephen MillerMedical DirectorNHS e-Referrals Service
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