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Primary Care Online – A S tep T owards an Integrated D igital C are R ecord. Alex Abbott Chief Technology Officer NHS England HC2013. Our mission:. ‘We prioritise patients in every decision we make’. ‘We want to make the NHS the best patient service in the world’.

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Primary care online a s tep t owards an integrated d igital c are r ecord

Primary Care Online – A Step Towards an Integrated Digital Care Record

Alex Abbott

Chief Technology Officer

NHS England

HC2013



‘We prioritise patients in every decision we make’

‘We want to make the NHS the best patient service in the world’

‘We exist to design and deliver care around the needs and choices of each individual patient’

What are the key characteristics of a

world class patient service?


Transparency and participation have transformed customer service in other sectors… so why not healthcare?

  • Online banking – a consumer success story

    • Launched in the US in 1994 and in the UK in 1998

    • Now >22M adult users (>50% of computer users)

  • Consumer applications offered with digital banking

  • Access to records

  • Online banking offers access to personal bank account applications in a secure environment

  • Healthcare equivalent: access to the medical record

  • Ability to transact

    • Customers pay bills and receive payments

    • Healthcare equivalent: ability to receive test results

  • Ability to book appointments

    • Online banks offer real time facilities to book meetings and calls with advisers

    • Healthcare equivalent: ability to email your doctor

4

SOURCE: Financial Fraud Action UK


Strategic Context For Primary Care Online

  • The Power of Information

  • NHS England Mandate

  • Patient online access to their own primary care clinical record

  • Patient access to online repeat prescription services

  • Patient access to online booking of appointments

  • Secure 2-way on-line communication between clinicians/GP practice and patients

  • Online access to their personal general practice health records

  • Plans in place to enable secure linking of these electronic health and care records

  • Plans in place for those records to be able to follow individuals

  • Make available electronic booking and cancelling of appointments, ordering of repeat prescriptions and communication with the practice

  • RCGP Patient Online: The Roadmap


Online Access for Patients

Scope

Workstreams

Access to their Own Record

Clinical Stakeholder Engagement

Public and Patient Awareness & Participation

Online Repeat Prescriptions

Implementation Support, Levers and Incentives

Primary Care Practice Training, Education and Awareness

Online Appointment Booking

Benefits Realisation

and Evaluation

Market and Supplier Engagement

Secure Communication with Clinicians

Online GP Registration

Technical Capability Delivery


Outcomes for a technology strategy for the nhs
Outcomes for A Technology Strategy for the NHS

  • Integrated Digital

  • Care Record

  • Modern Equipment

  • Local Information management and technology decision making

  • Better Commissioning - better quality information

  • Patients able to transact online with the NHS

  • Clear technical direction

  • for NHS

  • A diverse vibrant supplier market

  • Patient able to access to their own record

  • Improved patient outcomes

  • Clarity to suppliers


Patient Record Integration

Ensure Primary Care Record Architecture Supports and Integrates with Overall Integrated Record Architecture

Secondary Care Record

Primary Care Record

Social Care Record

Integrated Electronic Health Record Architecture


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