Title: eHealth Strategy Primary and Community Care where next Paul Gray Director of Primary Care
1eHealth StrategyPrimary and Community Care
where next? Paul Gray Director of Primary
Care Community Care
2To cover
- The Governments policy context
- Revised eHealth Strategy
- Prospects for primary and community care IT
Tomorrow
Paul Rhodes, eHealth Programme Director, on the
programme itself
3Policy context
- The future model of health care
Evolving model of care
Current view
Geared towards long-term Embedded in
communities Team based Continuous care Integrated
care Preventive care Patient as partner Self
care encouraged Carers supported as partners High
tech
Geared towards acute Hospital centred Doctor
dependent Episodic care Disjointed care Reactive
care Patient as passive recipient Self care
infrequent Carers undervalued Low tech
4eHealth Strategy
- Key principles
- Much has been achieved dont rip-and-replace
unless necessary - Incremental progress link to what exists
- Work closely with clinicians and other users
5Where we are now with eHealth big picture
6Where were trying to get to
7eHealth Strategy What might be new?
Long list of desired investments, for
example.. Secondary care disparate, ageing
patient admin systems and few clinical
systems Electronic test requesting CHI number
use and Single sign-on GP and community systems
(IPACC)/ links with partner agencies National
Child Health systems in silos and paper-heavy
8eHealth Strategy What might be new?
- whole list cant all happen resource and
capacity constraints - prioritisation needed, and levering real benefit
from previous investment
9eHealth implications for primary and community
care
- Efficient and effective flows of information to
support whole patient journey - including links with partners, principally Local
Authorities and the voluntary sector - Information to support anticipatory care
- Information to support patient involvement
-
10Examples 1. Information to support whole
patient journey
- Examples
- SCI Gateway referrals 60,000 per month
- Emergency Care Summary proving useful in AE,
OOH and NHS24 - electronic Single Shared Assessment (eSSA)in one
or two Data Sharing Partnerships - Issues
- few discharge letters using SCI Gateway
- slow progress with eSSA
- confidentiality/ information governance
11Examples 1. Information to support whole
patient journey
- Information governance
- Benefits barrier in existing eHealth systems
- For example, the storage of clinical letters in
SCI-Store from SCI-Gateway. - Potential barrier to eHealth innovation.
- Approach
- Study investigating key IG challenges
- Staff Identification, authentication, and access
control Consent Clinical IF Ownership Patient
engagement IG Frameworks - Report due Spring 2008
12Examples 2. Information to support anticipatory
care
- Examples
- Nairn project working with Raigmore to spot
patients most likely to be re-admitted - SPARRA ISDs prediction algorithm
- Issues
- getting sufficient and accurate data
- incentives for primary care
13Examples 3. Information to support patient
involvement
- Examples
- Townhead Surgery, Irvine - Patient Online.
Secure web site books appointments, commented
test results etc - More opportunities?
- further exploit the Internet? (SHOW gets 26
million hits per month from Internet) - individual care plans on patients secure
website? With access to trusted guidance? - trial of voluntary patient access to ECS?
14eHealth Strategy next steps
Further consultation and analysis eHealth
Strategy Board key meeting in December Draft
for comment early 2008, finalised around
April Make your views known!
15Key messages
1. Primary and community care is key to the
patient care. But whole patient care means
information support wherever the baton of care is
passed. 2. Local decisions can mean central
spend, but that might be the wrong place for
ensuring best value for money from that spend.
Equally, national decisions can have local
knock-on, so we want to get better at
understanding that. 3. Before considering new
things to invest in we must make sure all
possible benefit is squeezed out of what exists.
16Finally,thanks to
For sponsoring the conference But more
particularly for their useful workaround future
for Child Health eHealth