Health Insights Birmingham Enabling Digital Transformation – Digital Maturity and Local Digital Roadmaps Tim Ellis Senior Programme Lead Digital Technology NHS England 15th June 2016

Meeting the Challenge

Improving health - closing the health and wellbeing gap

Transforming care – closing the care and quality gap

Controlling costs and enabling change – closing the finance and efficiency gap

Digitally Enabled:

Systematic high quality care

Proactive and targeted care

Better co-ordinated care

Improved access to specialist expertise

Greater patient engagement

Improved resource management

System improvement and learning

What success looks like

Digital maturity in secondary care providers is significantly increased

• Patient information is recorded once, digitally, at or close to the point of care.

• Clinicians alerted promptly to key patient events and changes in status, supported by knowledge management and decision support tools.

• Improved management, administration and optimisation of medicines, availability of assets and effective staff- rostering.

Information is digital (paper-free) and flows between primary, secondary and social care providers seamlessly

• Patient information at the point of care is available digitally (irrespective of where it was recorded), on a secure, timely and accessible basis.

• Transfers, referrals, bookings, orders, results, alerts, notices and clinical communications are passed digitally between organisations.

• Telehealth/collaborative technologies used to deliver care in new ways.

What success looks like

Patients, carers and citizens use digital technologies to manage their health and wellbeing

• Patients digitally book and manage their appointments, request and manage their prescriptions and consent to share personal information.

• Patients can view, understand and contribute to their digital record, and manage how this is made available to family and carers.

• Approved digital tools and applications used across care settings to facilitate: care planning and shared decision making; education and access to resources; monitoring and feedback on health and wellbeing; and administration of personal budgets.

Commissioners providers and citizens increasingly use data (individually and at population level) to best effect

• Rich data sets inform decision making, investment priorities, safety and quality assessments, and outcome measurements.

READINESS Are providers set up effectively to deliver paper-free at the

point of care?

CAPABILITIES Do providers have the digital capabilities they need to

deliver paper-free at the point of care?

INFRASTRUCTURE Are the underpinning technical enablers in place to deliver

paper-free at the point of care?

Digital Maturity Self-Assessment: Components

Key:

Red = Infrastructure score <40%

Amber = Infrastructure score 41 – 69%

Green = Infrastructure score 70 – 100%

Blue lines reflect the bandings applied in

MyNHS

National Scores for Readiness, Capabilities & Infrastructure themes (all services).

Digital Maturity Self-Assessment: National Results

7

Digital Maturity Self-Assessment: National Results (Section-level) National averages for sections within the Readiness, Capability & Infrastructure themes (all services).

0102030405060708090

100

Readiness Sections Capabilities Sections Infrastructure

Readiness Sections scored higher than capabilities Medicines Management, Remote & Assistive Care and

Decision Support have lowest results across the self-assessment

Current context for ‘digital’

• Overview of current maturity

• Key recent achievements

• Key current initiatives

• Rate limiting factors

Digital maturity assessments in primary care

The Digital Primary Care maturity assurance tool is due to be launched (i.e. results

available) on June 13th, through the Primary Care Web Tool. It will provide a

mechanism for CCGs and GP practices to review and benchmark current levels of

digital maturity against the requirements laid out in the GP IT Operating Model. A

series of upcoming webinars are being run to help people understand the tool –

details are available here:

https://www.england.nhs.uk/events/upcoming-webinars/

Current context for ‘digital’

• Overview of current maturity

• Key recent achievements

• Key current initiatives

• Rate limiting factors

Digital maturity assessments in social care

To support the development of the Local Digital Roadmaps, the LGA working with Society of IT Managers (SOCITM), ADCS Performance and Information Management Group and ADASS Informatics Network has developed a Social Care Digital Maturity Self-Assessment to help local authorities in this area. Over half of local authorities have responded to date. The LA leads are being encouraged to share the results with LDR leads. Some of the key messages from this include:

• 37% of Local Authorities (adult social care) felt they have electronic access to the information they need from other health providers;

• 42% of Local Authorities (both adult social care and children’s social care) felt that there were effective APIs enabling information sharing without manual intervention;

• 46% of Local Authorities felt there were effective technologies to support electronic collaboration between care professionals;

• The sections around governance and leadership were positive although understandably a number of comments were made in terms of available resources for the sector

Current context for ‘digital’

• Overview of current maturity

• Key recent achievements

• Key current initiatives

• Rate limiting factors

Digital maturity assessments in social care

Overall, it was very noticeable that most LAs were scoring high in the readiness and infrastructure sections, relative to the capabilities section. This was similar to NHS England self-assessment. Summary Pack has been produced which provides headlines of the national position against the question set. Sent back to LAs alongside their individual submissions.

The STP guidance published on 16th February is clear that the content

and delivery of STPs should be underpinned by the harnessing of

technology.

Effectively deploying and optimising digital technology enables local

health and care systems to best address these challenges:

• In their LDRs, commissioners and providers should describe how,

working collaboratively, they will underpin and transform service

models, within and between care settings, with the necessary digital

technology and capability.

• In their LDRs, commissioners and providers should plot their route to

the delivery of ‘paper-free at the point of care’ and outline how they

will exploit digital technology and data to support transformation and

secure sustainability more widely.

Sustainability & Transformation Plans and Local

Digital Roadmaps (LDRs)

Sustainability & Transformation Plans and Local

Digital Roadmaps (LDRs)

44:85

Where are we going

• A vision for digitally-enabled

transformation

System-wide Infrastructure

• Information sharing

• Mobile working

• Unified communications

Minimising risks arising from

technology

Readiness

• Leadership, clinical

engagement and governance

• Change management

approach

• Benefits management and

measurement

• Investment approach

• Programme structure

• Resources for change

Capabilities

• Capability deployment strategy

• Strategic narrative

• Deployment schedule

• Universal capabilities x 10 delivery

plan

e.g. Access to GP Record, ePs,

SCR (or equivalent), NHS

eReferrals

Where are we now

Current context for ‘digital’

• Overview of current maturity

• Key recent achievements

• Key current initiatives

• Rate limiting factors

The Core Content of a Local Digital Roadmap

• Roadmap documents should be submitted as attachments to an e-mail sent to england.digitalroadmap@nhs.net.

• The e-mail should clearly identify the submitting LDR footprint.

• The submission deadline is 17.00 on 30th June.

• The templates provided on the website should be submitted as standalone documents, and may optionally be included in an overarching document. The Capability Deployment Schedule and Capability Trajectory (Secondary Care) should be submitted as Excel files (at least) to support their aggregation and analysis. The other templates can be submitted in any file format.

Local Digital Roadmap Submission

Local Digital Roadmap Alignment

June 30th LDR & STP Submissions

July LDR and STPs reviewed. Regional Lead.

Highlighted issues addressed in LDRs. Configuration. Support Offer.

Autumn Investment readiness.

Process to access 17/18 funding.

Completeness & Contribution

Alignment & Endorsement

Capabilities & Interoperability

• The assessment of individual LDRs and subsequent targeting of support to improve / develop them further will be regionally-led.

• The assessment for investment readiness (and any subsequent support to get footprints to the threshold) should be seen as the start of a broader cycle of ‘assess / targeted support / develop’ to produce richer and deeper LDRs, increasingly aligned with STPs. (Additional regional DT resource should be in place soon to support this).

• Having an investment ready Local Digital Roadmap will be one requirement to access the funding available from 17/18, but not the only requirement. The aspiration is for all LDRs to be investment ready by November.

LDR Local Approach

Common components across LDRS in the same

STP

Peer Review and

Challenge Process

Locality Plans use digital maturity to

prioritise investment

CCG, DCO, P&I DT draft review and feedback

Frame digital capabilities against STP

aid memoires

Do once, Do at locality

Level, Do at an

Organisation Level

https://bettercare.tibbr.com/tibbr/web/login

Local Digital Roadmaps - Examples

We are pleased to announce the launch of a collaboration platform to support Local Digital Roadmap development. It is hosted on the Better Care Exchange, where a new subject has been added entitled ‘Local_Digital_Roadmap_Development’. It is available for you to post, access or comment upon resources, post or respond to requests for information, or participate in online discussions, and takes ‘seconds’ to register and gain access – go to

Local Digital Roadmaps

Digital Maturity Assessment &

Analysis

Tech Funds & Benefits

Optimisation

Transformation & Leadership

Support

Market Management &

Supplier Accreditation

Commissioning and regulatory

Levers

• LDR Guidance • Footprint Digital

Milestones

• STP Alignment • Investment Portfolio

& allocation rules

DMA • Capability • Readiness • Infrastructure

• “Digitised System” Metrics

• Research and Devt

• Distribute Staged Funding

• Benefit Reporting

• Evidence Base • Knowledge Networks • Benefits Realisation

• Support for Providers, CCGs & DCOs

• Peer Network

• Health Checks • Leadership Summits • Peer Networks • Learning Resources

• Intelligent Customer • Price Benchmarks

• Dynamic Purchasing • Relational Contracts • Strategic Supply

Management • Accreditation &

Assurance

• Standard Contract • CCG and Provider

contract levers • CQUIN

• NHSI Performance Framework

• CQC Digital Indicators

Driving Digital Maturity - Transformation Support

Tripartite Delivery

Questions