Digital Nurse Advisor: Empowering Nurses in Primary Care Transformation

1. Ann Gregory Clinical Nurse Advisor | Primary Care Digital Transformation Team - NHS England Nurse Practitioner – Page Hall Practice | Sheffield Online Services in Primary Care Primary Care Digital Transformation Nursing update GP IT Futures GP IT Operating Framework • GP Online Services CQRS

2. Hello, Thanks for attending our session. The first part will be an interactive… Please join the Wi-Fi or use your 3G/4G Then go to: www.kahoot.it and enter the game pin when prompted.

3. A bit about me.. Practice Nurse with 30+ years of experience and counting… • Special interests: • Reducing health inequalities • Empowering and supporting nurses • Networking and communication • Leading on the development, launch and sustainability of the Digital Nurse Network

4. Proud member of an amazing practice team in Sheffield Mother of one beautiful daughter

5. Born in Yorkshire Made in the NHS Love a good plog in the country Tweeter since November 2018 @AnnGregoryRN

6. From the beginning Partnership work between NHS England and the Royal College of Nursing A project which would align with and support the ‘Every Nurse an E-Nurse’ Campaign Establish a new role (Digital) Clinical Nurse Advisor Create a nursing strategy and implement Attend and exhibit at nursing events to promote new role and strategy

7. GPN Ten Point Plan

8. Point Six...Embed and deliver a radical upgrade in prevention The NHS Five Year Forward View identified cancer as one of our top priorities because more than one in three of us will get cancer. Better Prevention

9. Care • Compassion • Competence • Communication • Courage • Commitment • Taking a lead in making the changes necessary to deliver improved outcomes, better experience and better use of resources. The 6 C’s

10. How does it align with the

11. Smoking  Obesity and type 2 diabetes Diet and alcohol Antimicrobial resistance and vaccines Cancer  Mental health Air pollution Children and maternity care  Gambling The NHS Long Term Plan 10 key Public Health Points • Prevention • Smoking  • Obesity and type 2 diabetes • Diet and alcohol • Antimicrobial resistance and vaccines • Cancer  • Mental health • Air pollution • Children and maternity care  • Gambling

12. The NHS Long Term Plan Digital is in the spotlight We are working towards a Digital Ready Workforce “It sets a practical, costed, phased route map for the NHS’s priorities for care quality and outcomes improvement for the decade ahead” - Simon Stevens 2019

13. Expectations on Practice – GMS GP online services (% of patients signed up for one or more online service) • Minimum of 10% requirement • Aiming towards 30% if you reached the aim of 20% last year • By July 2019 practices need 25% of appointments available online GMS Contract • We want all patients to have access to digital primary care services, as rapidly as possible. • New digital-first primary care is proving convenient and popular with practices and patients. • NHS England will support existing practices to offer digital primary care services through a new national scheme. • Every patient will have the right to online and video consultation by April 2021. • All patients will be able to have digital access to their full records from 2020. • All patients will be able to order repeat prescriptions electronically as a default by April 2019. Click here to see how your practice is performing

14. Where we are now We have recruited two amazing nurses with a wealth of experience working in general practice. • Ann and Helen are already involved in a number of new projects looking at how digital services can help improve work areas such as: • Sepsis identification • Cervical Screening uptake • Transfer of data between GPs and the Department of Work and Pensions • Prescription pathways • Going forward we will be identifying other areas that can benefit from digitisation, if you have any idea please let us know. Helen Crowther Ann Gregory

15. Clinical Nurse Advisor - Scope of the project Clinical input Representing the clinical nurse voice Projects Identify areas that could benefits from digitisation Networking Promoting the network and the nurse advisor role Events Showcasing best practice and sharing info on digital Empowerment Empowering nurses and other staff to become a digital first workforce Advising Working with teams to incorporate the digital nursing agenda

16. Benefits of online services Benefits to the patient – general and with focus on Long Term Condition patients Benefits to the practice – general Benefits to practice nurses Benefits to nurses in the community and other care settings

17. Benefits of GP Online Services for Patients Access to information, appointments and prescriptions at home and abroad 24/7 ability to share information, data and test results with different healthcare professionals in different care settings convenient and easy to use prescription ordering services Improved patient satisfaction/ patient experience

18. Quick look: repeat prescriptions A patient remembers they need to order their repeat prescription on a Sunday afternoon when their practice is closed. Thanks to GP online services that patient can order their prescription online at the click of a button. Benefits realised if patient has access to GP online services repeat prescription ordering: Reduction in clinical appointments for repeat prescriptions Reduced stress for patients in having to remember to put in prescriptions during GP opening hours Reduced visits to practice to drop off paper prescription

19. Quick look: appointment booking When booking an appointment at the GP practice, patients are often asked by reception staff why they need an appointment so they can direct the patient to the appropriate healthcare professional. This process can put patients off from accessing the care they need due to anxiety around sharing their personal information about their health. Benefits realised if patient has access to GP online services appointment booking: Better access for patients thanks to 24/7 access to appointment booking and cancelling Anonymity for the patient when booking the appointment online Reduce the number of calls to practice and therefore the pressure on reception staff The right patients are able to get the right care at the right time

20. Quick look: community care What’s the issue? Healthcare professionals working in the community are doing so without always having all the information they need at hand to provide the best care to patients. How can GP online services help? If a patient is able to access their GP record and repeat prescription lists via an app or website on their mobile or computer, they can share that information with the healthcare professional providing them with care in the community. Scenario 1 – nurse in the community, home visit. Hello, before we get started today – what medication do you take at the minute? Erm…

21. What can practice nurses do to help implement online services? • Encourage the practice management to put nursing appointments online • Ensure that appointments on the system are named appropriately so patients can access them easily • Promote the programme within the nursing team and wider practice team

25. What other digital services are there for patients? Click Here to access Empower the Person Roadmap

26. What other digital services are there for patients? Click Here to access Empower the Person Roadmap

27. What other digital services are coming for 2019/2020? Click Here to access Empower the Person Roadmap

28. What’s next 1. Further recruitment – we want more nurses 2. Development of the Digital Nurse Network 3. A digital ready workforce confident in promoting a ‘Digital First, Primary Care’ to patients

29. What is the Digital Nurse Network? A safe space for nurses to: • Share best practice using digital methods • Learn about national and regional programmes and digital initiatives • How they can be adapted at a local or practice level • Understand the digital landscape and where best to signpost patients • Get advice and support on digital projects • Discuss digital with other nurses to gain a better understanding Please keep in mind • NMC Code / confidentiality / professionalism and respect for others

30. Who can join the network? Anyone wanting to learn more about the digital nursing agenda ‘The more people that know about and understand the digital nursing agenda the better it will be for the NHS, patients and staff’

31. What’s in it for you? Digital Nurse Network Training Up to date information Upskilling Sharing Collaboration Support Innovation Being part of something bigger Briefings

32. Showcasing your best practice Be a presenter on the network Have you delivered a programme or completed a project that you would like to showcase to the network? • Tell us about your digital project england.digitalnursenetwork@nhs.net • Create a slide set • Deliver a webinar (or ask one of our Clinical Nurse Advisors to present for you)

33. Tell a friend We know word of mouth is still one of the best forms of communication. News spreads fast from person to person, peer to peer. We would love for you to tell one friend. To help us get these messages and platforms for engagement out to as many nurses and health care professionals as possible.

34. Questions