new ways of working the virtual gp - healthy london partnership · 2017-11-01 · new ways of...

hurleygroup.co.uk

New ways of working The Virtual GP

Dr Murray Ellender MRCEM MRCGP Dr Ross Dyer-Smith MRCS MRCGP

19th April 2017

hurley group

hurleygroup.co.uk

• London based NHS GP Partnership

• 15 practices with 100,000 registered patients

• 5 Urgent Care services seeing 250,000 patient pa

• Out of Hours covering 250,000 patients

• Unwell doctors service (GP Health Service)

• 30 School based health services in Lambeth

hurleygroup.co.uk

Patient Experience

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Patient Selects or Searches for their issue

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Patient Selects or Searches for their issue

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Patient Selects or Searches for their issue

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Patient Self-manages or selects to consult online

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Patient Self-manages or selects to consult online

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Patient Self-manages or selects to consult online

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Patient Self-manages or selects to consult online

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Online Consultation Process

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Online Consultation Process

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Online Consultation Process

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Online Consultation Process

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Online Consultation Process

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Online Consultation Process

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Online Consultation Process

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Risk report example

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Practice Workflow

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Shift to online consultations (%)

0%

1%

2%

3%

4%

5%

6%

7%

8%

Sep

-14

Oct

-14

Nov

-14

Dec

-14

Jan-

15Fe

b-15

Mar

-15

Apr

-15

May

-15

Jun-

15Ju

l-15

Aug

-15

Sep

-15

Oct

-15

Nov

-15

Dec

-15

Jan-

16Fe

b-16

Mar

-16

Apr

-16

May

-16

Jun-

16Ju

l-16

Source Data: Riverside Medical Centre

0%

5%

10%

15%

20%

25%

30%

May

-15

Jun-

15Ju

l-15

Aug

-15

Sep

-15

Oct

-15

Nov

-15

Dec

-15

Jan-

16Fe

b-16

Mar

-16

Apr

-16

May

-16

Jun-

16Ju

l-16

Aug

-16

Sep

-16

Oct

-16

Nov

-16

Dec

-16

Jan-

17Fe

b-17

Mar

-17

Source Data: Unity Health

hurleygroup.co.uk

Long term conditions

• Patients can now be able to remotely manage their LTC

• Record biometric through wearable devices and record readings within the app

• Patients can submit reading with the added context of the online consultation

• The app will be prescribed to patients either via recall contact or face-to-face meetings

• We are currently piloting with hypertension with plans to add a further 5 conditions

• The objective is to move a significant % of annual reviews into an online space

• Can be easily configured for Android devices

hurleygroup.co.uk

Number 1: Hypertension

Current pathway for hypertension patients

Future pathway for hypertension patients using smartphone app generating an online consultation

Practice recalls annually by posting letters

to all on register

Patient has to book F2F appointment

with GP or Nurse

Snapshot view of BP when the

patient attends review

Review done, including meds review, etc

Patient collects BP through year on their smartphone (either

inputing readings direct or via bluetooth BP cuff)

Notification on smartphone prompts

to submit readings and a consult to practice

GP reviews consult: - BP readings (and average)

- Reponses to standard review questions

Review done including meds review, etc

Long term conditions

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Virtual GP eHub

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eHub – Why now?

Shared Record

EPS Online consultations

Remote Access

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Current Process

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eHub – central processing

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EPS

Labs

Docs

Online consults

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Pick your "home"

site

Register online

Nominate your

electronic pharmacy

Consult online at practice website

Get a response within 2

hours

Visit your home site

only when you need to

eHub – the remote patient

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Self help

pharmacy

GP

Self help

pharmacy

GP

Clinician rapid see and treat

check in treatment exit

automated obs intelligent risk stratification

automated check in

NHS verification

Rapid access minimal steps

Next…. Urgent Care

hurleygroup.co.uk

ross.dyer-smith@nhs.net murrayellender@nhs.net

Thank you

hurley group