DELIVERING DORSET STP’S DIGITAL VISION: 2020 AND BEYOND · 2016-11-18 · • Sustainability and Transformation Plan • County of Dorset : 760,000 people – 3 Local Authorities

DELIVERING DORSET STP’S DIGITAL VISION:2020 AND BEYONDANDY HADLEYNHS DORSET CCG

The transformation journey

• Better Together programme• Clinical Services Review for Dorset

• Sustainability and Transformation Plan

• County of Dorset : 760,000 people– 3 Local Authorities– 3 Acute Trusts– Combined Mental Health and Community provider– 96 GP practices – One CCG

• Lots of holidaymakers in the summertime

The digital journey

• Jeremy Hunt 2020 Paperless NHS promise

• Local Digital Roadmap to deliver this– 5 year plan

• Wachter review – acute care

• Wanless – chronic underspend on digital enablement• NPfIT

Dorset Sustainability and Transformation Plan

Becoming a digitally enabled health care provider is not aboutreplacing analogue or paper processes with digital ones. It is about

rethinking what work is done, re-engineering how it is done and capitalising on opportunities afforded by data to learn and adapt.

Delivering the benefits of digital healthcare : 2016, Nuffield Trust

Digitally enabled Dorset

1. Right information in right place at right time

2. Empowering people

– (patients, clients, service users, carers, citizens)

3. Care closer to home

4. Understanding the needs of people

5. Supporting networked expertise

1) Better and safer care - right information at the right time

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2,000

4,000

6,000

8,000

10,000

12,000

14,000

Dorset enriched SCR records

Caldicott: NHS workers should ‘have the confidence to share information’

‘As important as duty to protect patient confidentiality’

2) Empowering people -prevention at scale

Health and care is intermittent and reactive, siloed and broken– Health is what happens between appointments– We need to make healthcare continuous and proactive

Daniel Kraft, TedX 2014

Online information –national and local

• Interactive • 24 x 7 • Decision support• Personalisation

Access to own records

• GP, specialty based systems

• Self assessment for social care

• Dorset Care Record

– Citizen view, collated information

• Access by carers, care homes, family

• Developing an ecosystem

– Personal health records

Person held records (PHRs)

Co-production & self contributed data– Questionnaires, IM, email and video

– Wearables, smart homes

– Tattooed transponders, digestibles

3) Care closer to home – integrated community services

• Early discharge to the community with good care packages

• Bringing expertise in rather than referring patients on, improves

communication and learning across the system

• Integrated Health and Social Care teams with shared records

• Supporting outreach clinics

• Access to expert opinion remotely

4) Understanding needs - system wide intelligence

• Business intelligence • Population Health

– Understanding entire journeys

– Citizen experience of care

• Decision support - expert systems

– Personalised healthcare -genomics

Precision medicine

Innovation

• Open APIs - connectathon

– HL7 FHIR Fast Healthcare Interoperability Resources

– GP Connect and INTEROPen

• Opportunities to link with university and industry

– Especially in self-help and remote care

– Virtual reality in early onset dementia

– Circles of care – rural isolation