Digital Healthcare UK Landscape Dr Bryan Griffiths

Scope Introduction Digital Review Personalised Healthcare 2020 Digital Primary Care Apps Events DIGITAL HEALTHCARE MAY 2016 BRYANGRIFFITHS.COM

DIGITAL HEALTHCARE APRIL 2016 BRYANGRIFFITHS.COM

The review will have a particular focus on clinical engagement with implementation. Professor Wachter and the advisory board will: Review and articulate the barriers to the implementation of IT in the health and care service, drawing on relevant comparison with the US experience. Make high level recommendations about IT implementation. Make recommendations on how best to engage clinicians. Wachter Review Digital Healthcare UK Landscape

In making recommendations, the board will consider the following points: Experiences of clinicians and Trust leadership teams in the planning, implementation and adoption of digital systems and standards. Current capacity and capability of Trusts in understanding and commissioning of health IT systems and workflow/process changes. Current experiences of a number of Trusts using different systems and at different points in the adoption lifecycle. Impact and potential of digital systems on clinical workflows and on the relationship between patients and their clinicians and carers. Professor Wachter will report his recommendations to the Secretary of State for Health and the National Information Board in June Wachter Review Digital Healthcare UK Landscape

Tele healthcare mHealth Health analytics Digitised health systems Scope

Framework for action Developed by the National Information Board (NIB) Develop the strategic priorities for data and technology in health and care NIB will report annually on progress Personalised Healthcare 2020 Digital Healthcare UK Landscape

providing patients and the public with digital access to health and care information and transactions providing citizens with access to an accredited set of NHS and social care ‘apps’ setting the commissioning and regulatory roadmap for implementation of digital data standards roadmap for comprehensive data on outcomes and value of services – ensuring the business intelligence requirements of health and care are met roadmap for publication of comparative data Personalised Healthcare 2020 Digital Healthcare UK Landscape

deliver roadmap to consent based information sharing and assurance of safeguards in the interim bring forward life-saving treatments and support innovation and growth support care professionals to make the best use of data and technology assure best value for taxpayers from existing programmes technical standards work stream Personalised Healthcare 2020 Digital Healthcare UK Landscape

Within the Roadmaps, Commissioners will be asked to document their digital capabilities and plans against a predefined set of pathways. For the 2016 roadmap they are: end of Life Care management of multiple co-morbidities urgent and Emergency Care mental Health Care Personalised Healthcare 2020 Digital Healthcare UK Landscape

Personalised Healthcare 2020 Digital Healthcare UK Landscape

Self assessment tool to explore if organisations are currently using technology to operate paper-free at the point of care. Data collected form 239 organisations. The index is scored on: Readiness: an assessment of the organisation’s ability to plan, deliver and optimise the digital systems it needs to operate paper- free at the point of care. Capabilities: an assessment of the digital capabilities available to that organisation and the extent to which those capabilities are available and being optimised across the organisation as a whole. Enabling infrastructure: an assessment of the extent to which the underpinning infrastructure is in place to support delivery of these capabilities Digital Maturity Index Digital Healthcare UK Landscape

Digital Maturity Index NHS TrustReadinessCapabilities Enabling infrastructure Total score across all three areas Average score Salford Royal Hospitals Foundation Trust University Hospitals Birmingham Foundation Trust Liverpool Womens Hospital Foundation Trust Wirral University Teaching Hospital Foundation Trust South Essex Partnership University Foundation Trust Digital Healthcare UK Landscape

Access for all care professionals to GP held information on GP prescribed medications, patient allergies and adverse reactions. Access of key GP held information for patients identified by GPs as most likely to present in urgent and emergency care for professionals in that setting. Patients can access their GP record. GPs can refer electronically to secondary care. GPs receive timely electronic discharge summaries from secondary care. Core Digital Delivery Targets Digital Healthcare UK Landscape

Social care receive timely electronic assessment, discharge and withdrawal notices from acute care. Clinicians in unscheduled care settings can access child protection information with social care professionals notified accordingly. Professionals across care settings made aware of end of life preference information. GPs and community pharmacists can utilise electronic prescriptions. Patients can book appointments and order repeat prescriptions from their GP practice. Core Digital Delivery Targets Digital Healthcare UK Landscape

Patient Online Designed to support GP practices Promote online services to patients Digital Primary Care Services Digital Healthcare UK Landscape

Online Repeat Prescriptions - Offering a ‘click and collect’ or ‘click and deliver’ service to order repeat prescriptions online. Online Appointment Booking - Patients are able to book appointments online. Patient Records - Patients are able to view their full coded medical records, including the option for them to download records into third party applications, where required. The ambition is that by 2018 every person will be able to access their full health records at the click of a button. Digital Primary Care Services Digital Healthcare UK Landscape

The following four capabilities are also being tested to provide systematic digital primary care services: Practice Infrastructure - Installing Wi-Fi and other enabling infrastructures in practices. Pre-referral Diagnosis - Patients will be able to provide information prior to seeing the GP to aid pre-referral diagnosis and maximise efficiency of Patient-GP face time. Consultation Access - Patients will have improved options for GP access, for example, consultations with a GP via a telephone, using , webcam or instant messaging where this is deemed to be appropriate and clinically safe. Telehealth, Telecare and Health Apps - Telehealth devices are made available to patients to test and undertake diagnostics then upload to GP for consideration. Telecare and health living apps will enable patients to monitor and manage their health, or live independently, without having to visit their GP surgery as frequently. Digital Primary Care Services Digital Healthcare UK Landscape

Core Digital Delivery Targets Digital Healthcare UK Landscape

PAS277 – Health and Wellness Apps Gives recommendations for quality criteria of health and wellness apps, intended to meet the needs of healthcare professionals, patients, carers and the wider public Covers the full app project life cycle, including development, testing, releasing and updating of an app, including clinical, native, hybrid and web- based apps. It addresses fitness for purpose and the monitoring of usage Healthcare Apps Digital Healthcare UK Landscape

My Health Apps is a free web portal created and maintained by PatientView to provide independent advice to patients, carers and anyone seeking to support and manage their health and wellbeing. This portal has essentially become the ‘TripAdvisor’ for health apps. Its global recommendations are from: Empowered consumers Patients Carers Patient groups Charities and other not-for-profit organisations My Health Apps Digital Healthcare UK Landscape

This network : highlight best practice in health app development highlight the unmet needs of public, patients and carers to app developers bridge the gap between public, patients and carers with app developers to improve the relevance, quality and health impact of apps classify apps to make it easier for users to find ones relevant to them My Health Apps Digital Healthcare UK Landscape

ORCHA, the Organisation for the Review of Care and Health Applications, offers a platform of validated apps so the public and professionals have the confidence to use and recommend apps to revolutionise wellbeing and resources Review Rate Disseminate ORCHA Digital Healthcare UK Landscape

ORCHA aims to: Improve app quality and visibility Reduce patient care costs in the NHS Improve uptake of apps to help support in the prevention and treatment of conditions Extend patient care by the NHS to include valuable app support Improve data on the usage and benefits of app technology ORCHA Digital Healthcare UK Landscape

This white paper synthesises the input and feedback from patients’ organisations, healthcare professionals, app developers, healthcare policymakers and regulators, the pharma, medtech and mobile technology industries, and academia to identify and help address patients’ unmet needs in health apps. Healthcare Apps Digital Healthcare UK Landscape

Amongst the recommendations are: Involve patients: establish a transparent, fair and sustainable way to involve patients, patient groups and carers in app development Address unmet needs: identify and address truly unmet patient and public needs, and switch the balance from information-giving and trackers to tools that help patients put this knowledge and data into action, enabling them to self- manage Share best practice: identify, develop and communicate models of best practice, for example in involving patients and carers in identifying unmet needs Find the business model: identify sustainable business models for apps, and make this funding transparent to browsing consumers Healthcare Apps Digital Healthcare UK Landscape

eHealth Week8-10 June 2016Amsterdam Health + Care29-30 June 2016Excel, London NHS Innovation Expo7-8 September 2016Manchester Central EHI Live November 2016NEC, Birmingham Events Digital Healthcare UK Landscape

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