Is Primary Care ready to meet the challenges ahead?What does the evidence show - how well is digital maturity developing across general practice?

Sue Cooke, GP IT Programme LeadLee Harrison, GP IT Programme Manager

Today’s session will consider…

‘How mature is General Practice IT and is it fit for the challenges ahead?’• Recognising the changing face of Primary Care • Benefits of utilising the Digital Primary Care Maturity

Assurance (DPC MA) tool • Consider how this tool can support CCGs, GPs & NHSE

Regional/DCO teams• Review the evidence – first view of the data/launched in

June 2016• Consider what other views/information would provide

useful insight – helping to ensure primary care is able to meet the challenges ahead?

Challenges Facing Primary Care

• General Practice is under pressure like never before:

• Aging population• Growing complexity of health needs• Resource and workforce challenges

• Future General Practice needs to be supported with the best modern digital services if successful & sustainable improvements in care are to be delivered

Changing Face of Primary Care

• In response to these growing pressures, fundamental changes taking place in primary care services in England, driven by policy & organisational pressures:

• Five Year Forward View - Primary care at scale, New Models of care

• Personalised Health and Care 2020 – using data/technology to transform care

• GP Forward View – better use of technology for practices

Driving digital adoption through outcomes based indicators

www.primarycare.nhs.uk

Using existing intelligence toinform Digital Maturity in Primary Care

26 indicators taken from HSCIC:• IGT Toolkit• POMI• Daily

Booking Reports

• GP2GP Utilisation report

31 indicators taken from eDEC

50 indicators asked to CCGs

Benefits of using this tool?• Provide assurance – GP IT Operating Framework, 2016/18• Help support CCG planning including:

• Inform the development of Local Digital Roadmaps (LDRs) and Sustainability and Transformation Plans (STPs), helping identify areas for further investment

• Enable comparison of digital maturity in Primary Care against secondary care, as highlighted in the Digital Maturity Index (DMI) assessment of secondary care

• Benchmark and compare digital maturity in GP IT• Support the re-procurement of GP IT services locally via the

Lead Provider Framework • Demonstrate progress against the digital requirements outlined within the

CCG Improvement and Assessment Framework

And for General Practice….

• ‘GMS’ digital commitments• Investment gaps in GP IT

services • Benchmark digital innovations• Support the case for change -

additional resource, services and/or investment

• Evidence base for CQC assessment

• Are you achieving universal services as identified in GP IT

The evidence so far…Year 1 for this tool – but already we are able to ….• Review progress against digital readiness criteria• Provide assurance against ‘core and mandated’ delivery

requirements in the GP IT Operating Model • Gain early insight into enhanced and transformational service

provision……• Support development of Local Digital Roadmaps

Five High Impact Changes for Digital Readiness: National View

These are the five high impact changes identified as part of NHS England’s digital commitment:

1.Offering digital services for professionals: 83.53

percent2.Adopting core standards for Data Sharing:

84.63 percent

3.Achieving excellent data quality: 69.72 percent

4.Adhering to best practice in Information Governance: 93.56 percent

5.Offering digital services for public and patients: 74.23 percent

Provides some insight into digital maturity across General Practice• Demonstrates the progress that has been

made in Primary Care• Helps to identify areas for further

improvement/support

Five High Impact Changes for Digital Readiness

Assurance – GP IT Operating Framework

GP IT assessed across all 107 indicators:The indicators are grouped into three main categories, as outlined in the GP IT Operating Model, Securing Excellence in GP IT Services (2016-18):

• Core and Mandated (x 72 indicators)

• Key focus year 1• Capability rather than

utilisation• Enhanced

(x 25 indicators)• Transformational

(x 10 indicators)

Viewing the data?

Multiple views within the tool:

• This view enables review across all practices within a CCG, with an applied Data Quality rating.

• Data Quality rating …….

• Hovering over the bars will provide GP Practice name and values as outlined on the next slide…..

Enhanced Primary Care IT Services

• Focussed on technologies, systems & support services which enable & improve efficiency and effectiveness of GP including primary care at scale.

• Supporting primary care at scale, extended hours working and confederated working

NB: Data Quality – non mandatory questions / encourage local completion

Transformational Primary Care IT Services

• Focussed on the technologies, systems & support services which enable new models of care, service integration, wider GP functions, MCP & PACS organisational models.

• Supporting new models of care/STP whole systems initiatives and change

• Limited indicators – year 1

Local Digital Roadmaps

Digital Maturity in General Practice against each of the 7 paper free at the point of care capabilities identified in Local Digital Roadmap guidance is as follows:

• Transfers of care• Asset & resource optimisation• Records, assessments & plans• Medicines management & optimisation• Remote care• Orders & results management• Decision support

What next?

Year 1 – next steps

Year 1 - tool launched in June 2016:• Shortly to undergo the first quarterly refresh of data• Needs to grow/develop – if it is to continue to provide useful

insight and assurance on digital maturity as primary care continues to evolve

Next steps:• Key Learning – capture and build on this

• Identify issues• Development work

• Establish supportive governance arrangements e.g. Expert Reference Group

Support DevelopmentNeed to consider how we can develop this tool further to help ensure that primary care is able to meet the challenges ahead?

• Any early thoughts and feedback?

• What other views/information would provide useful insight for:• CCGs?• GPs?• NHSE Regional/DCO teams?

Interested in joining the conversation? england.digitalprimarycare@nhs.net

Thanks for listening Any questions?

Sue CookeGPIT Programme Leadsue.cooke9@nhs.net

Lee HarrisonGPIT Programme Managerl.harrison1@nhs.net

Digital Primary Care teamengland.digitalprimarycare@nhs.net