new ways of working the virtual gp - healthy london partnership · 2017-11-01 · new ways of...
TRANSCRIPT
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
hurleygroup.co.uk
Patient Selects or Searches for their issue
hurleygroup.co.uk
Patient Selects or Searches for their issue
hurleygroup.co.uk
Patient Selects or Searches for their issue
hurleygroup.co.uk
Patient Self-manages or selects to consult online
hurleygroup.co.uk
Patient Self-manages or selects to consult online
hurleygroup.co.uk
Patient Self-manages or selects to consult online
hurleygroup.co.uk
Patient Self-manages or selects to consult online
hurleygroup.co.uk
Online Consultation Process
hurleygroup.co.uk
Online Consultation Process
hurleygroup.co.uk
Online Consultation Process
hurleygroup.co.uk
Online Consultation Process
hurleygroup.co.uk
Online Consultation Process
hurleygroup.co.uk
Online Consultation Process
hurleygroup.co.uk
Online Consultation Process
hurleygroup.co.uk
Risk report example
hurleygroup.co.uk
Practice Workflow
hurleygroup.co.uk
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
hurleygroup.co.uk
Virtual GP eHub
hurleygroup.co.uk
eHub – Why now?
Shared Record
EPS Online consultations
Remote Access
hurleygroup.co.uk
Current Process
hurleygroup.co.uk
eHub – central processing
hurleygroup.co.uk
EPS
Labs
Docs
Online consults
hurleygroup.co.uk
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
hurleygroup.co.uk
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
