Online services in general practice: patterns of use and barriers to uptake

Online services in general practice: patterns of use and barriers to uptake
PHE 30 September 2021

• The aims of the project were to achieve a better understanding of the needs of segments of the population through:
• reviewing the evidence relating to the effectiveness of online services to support general practice
• using the Mosaic Public Sector Tool to segment the Surrey Heath CCG population according to their use of online services, thereby identifying groups that are more and less likely to use these services
• analysing the use of online services by the Surrey Heath CCG population to identify any associations between patterns in usage and demographic factors
• conducting insight gathering work to explore barriers and enablers to the use of GP online services

What Good Looks Like: Seven success measures for successful digital transformation

What Good Looks Like: Seven success measures for successful digital transformation
NHSX 31 August 2021

• The What Good Looks Like framework has seven success measures which are applicable to all care settings - Well led; Smart foundations; Safe practice; Supported people; Empower citizens; Improve care and Healthy populations. Tools will include an assessment framework to measure digital maturity and an online knowledge base with blueprints, standards, templates, real-life examples and best practice. The Framework outlines what good looks like for ICSs and other organisations.

Development of a data utility framework to support effective health data curation

Development of a data utility framework to support effective health data curation
BMJ Health & Care Informatics 2021;28:e100303. doi: 10.1136/bmjhci-2020-100303

• This paper from researchers at Health Data Research UK, presents a method for generating and involving the user community in developing a proposed framework for evaluation and communication of healthcare dataset utility for given research areas.

Linked electronic health records for research on a nationwide cohort of more than 54 million people in England: data resource

Linked electronic health records for research on a nationwide cohort of more than 54 million people in England: data resource
BMJ 2021; 373 :n826 doi:10.1136/bmj.n826

• This paper describes use of NHS Digital Trusted Research Environment (TRE) for England, a novel England-wide electronic health record (EHR) resource, to enable whole population research on covid-19, exemplar cardiovascular conditions (incident stroke or transient ischaemic attack and incident myocardial infarction) and all cause mortality between 1 January and 31 October 2020.

Predicting future state for adaptive clinical pathway management

Predicting future state for adaptive clinical pathway management. 

J Biomed Inform. 2021 May;117:103750. doi: 10.1016/j.jbi.2021.103750. Epub 2021 Mar 25. 

• This paper introduces weighted state transition logic, a logic to model state changes based on actions planned in clinical pathways. Weighted state transition logic extends linear logic by taking weights – numerical values indicating the quality of an action or an entire clinical pathway – into account. It allows us to predict the future states of a patient and it enables adaptive clinical pathway management based on these predictions.

Working with patients & the public to explain access to health data

Working with patients & the public to explain access to health data
Understanding Patient Data, HQIP 16 March 2021

• The Understanding Health Data Access (UHDA) project is a suite of short films and written resources designed to improve accessible, introductory information to the rules and processes that govern how health and care data can be shared for research, innovation, healthcare improvement and other uses beyond individual patient care. The information in the resources introduces some of the key legal requirements for data sharing in England and Wales.

Evidence-informed health care policy and practice: using record linkage to uncover new knowledge.

Evidence-informed health care policy and practice: using record linkage to uncover new knowledge. [Essay]
J Health Serv Res Policy. 2021 Jan;26(1):62-67. doi: 10.1177/1355819620919793. Epub 2020 Apr 23

• We illustrate the benefits of linking information from disparate administrative data collections, uncovering new knowledge, and influencing health policy or clinical practice, or both.

Impact of providing patients access to electronic health records on quality and safety of care

Impact of providing patients access to electronic health records on quality and safety of care: a systematic review and meta-analysis
BMJ Quality & Safety 19 November 2020;29:1019-1032.

• A systematic review identified 20 studies (17 387 participants) which evaluate the impact of sharing electronic health records (EHRs) with patients and map it across six domains of quality of care. Analysis supports that sharing EHRs with patients is effective in reducing HbA1c levels, a major predictor of mortality in type 2 diabetes and could improve patient safety.

Digital transformation in the NHS

Digital transformation in the NHS
House of Commons Public Accounts Committee 6 November 2020

• In its report the Public Accounts Committee says the DHSC and the NHS have a long way to go to deal with, and move on from, the legacy of their track record of failed IT programmes over almost two decades. It discusses past targets including the “paperless NHS” and “Vision for digital, data and technology”.

The use of online and video consultations during the COVID-19 pandemic - delivering the best care to patients

The use of online and video consultations during the COVID-19 pandemic - delivering the best care to patients
NHS X blog by Dr Minal Bakhai, Deputy Director and Clinical Lead for Digital First Primary Care at NHS England and NHS Improvement, 27 May 2020

• Top tips on delivering an effective remote consultation and link to FutureNHS workspace Online Consultations  [Registration required]
• Moving forward beyond COVID-19 - "To inform how we build on the strengths and shape services going forwards, we are undertaking a deep dive evaluation with patients and practices to rapidly learn more about the benefits and unintended consequences, while also working on standardising the data collected to support practices, PCNs and commissioners to obtain robust and timely evidence about the impact of these technologies and support service and solution development."

Covid19 - General Practice the next phase of care - Wessex LMCs

Covid19 - General Practice the next phase of care

Wessex LMCs 13 May 2020

• In the light of the COVID-19 pandemic and its ongoing impact, Wessex LMCs have been considering services going forward and how to deliver services whilst we co-exist with COVID-19. It has considered
• How can this be done safely?
• Where should we start?
• What has changed in the last couple of months that we want to retain?
• Will we determine what the 'new normal' General Practice looks like, or will this be determined nationally?
• The LMC has produced 2 discussion documents :–
• A briefing document which includes a summary, key recommendations and a conclusion click here to view.
• A full document which provides links and examples and further explores the questions practices are facing currently, click here to view

Covid-19 Capacity Planning and Analysis System (CPAS)

Trials begin of machine learning system to help hospitals plan and manage COVID-19 treatment resources developed by NHS Digital and University of Cambridge
NHS Digital 20 April 2020

• Trials have begun of COVID 19 Capacity Planning and Analysis System (CPAS), a system that will use machine learning to help predict the upcoming demand for intensive care (ICU) beds and ventilators needed to treat patients with COVID-19 at individual hospitals and across regions in England.
• CPAS is built around a machine learning engine called Cambridge Adjutorium, at the University of Cambridge.

Channel management in virtual care

Channel management in virtual care
npj Digital Medicine volume 3, 44 (2020), 25 March 2020

• With multiple modalities now available for use in virtual care, the central problem is to direct patient-provider interactions to the channels generating the most value. Marketers call this channel management and use sophisticated approaches to implement it. This article proposes an adaptation of channel management to virtual care and discuss anticipated challenges to its implementation.

Telehealth for global emergencies

Telehealth for global emergencies: Implications for coronavirus disease 2019 (COVID-19)
Journal of Telehealth and Telemedicine 20 March 2020, https://doi.org/10.1177/1357633X20916567

• This article discusses what is required for telehealth to be mainstreamed and therefore be effective  as part of an emergency response as  needed by the coronavirus pandemic.

Abstract 

How hospitals are getting involved to improve population health

How hospitals are getting involved to improve population health
NHS Providers 11 February 2020

• Dr Marc Farr Chief Analytical Officer, East Kent Hospitals University NHS FT describes how they are supporting and providing data insight for primary and community care partners.

The Royal Wolverhampton NHS Trust and Babylon to Create the World’s First Integrated Digital Health System

The Royal Wolverhampton NHS Trust and Babylon to Create the World’s First Integrated Digital Health System to Serve the City’s Population
Royal Wolverhampton NHS Trust 23 January 2020

• The Royal Wolverhampton NHS Trust and Babylon are launching a 10-year partnership to develop a new healthcare delivery model of ‘Digital-First Integrated Care’, for 300,000 people across Wolverhampton and its surrounding areas. The free app will include remote access to GPs and hospital specialists at times that suit patients and live monitoring of patients with chronic conditions, and personalised care plans underpinned by Babylon’s Artificial Intelligence.

Future GP IT systems and services

Future GP IT systems and services
NHS Digital 21 January 2020

• The GP IT Futures programme is a critical enabler for taking primary care towards the requirements set out in the NHS Long Term Plan, five year framework for GP contract reform and the Digital, Data and Technology Vision. This replaces the contractual framework GP System of Choice (GPSoC), to supply IT systems and services to GP practices and associated organisations in England.

Connected Notts: Improving outcomes through sharing data across health and social care

Connected Notts: Improving outcomes through sharing data across health and social care
NHS Confederation 17 January 2020

• Connected Nottinghamshire is a digital transformation programme which aims to integrate different health and social care systems across Nottingham and support improvements in care.

Children & Young People's Health Partnership , London

Children & Young People's Health Partnership (CYPHP)

• The CYPHP, working in London (Lambeth and Southwark) is a cross-organisational, system-wide, transformative and academically rigorous approach to improving child health services.
• The programme aims to produce:
• An evidence‐based, clinically effective and cost effective, comprehensive day-to-day healthcare model for children and young people that meets current and evolving health needs.
• A learning healthcare system so that continuous improvement becomes part of everyday practice.
• Rigorous evaluation that builds the evidence base for improving children's healthcare and strengthening health systems. 

From EHR to PHR: let’s get the record straight

From EHR to PHR: let’s get the record straight
BMJ Open 2019;9:e029582. 18 September 2019 doi: 10.1136/bmjopen-2019-029582

• This article reflects on the changing nature of health information access and the transition of focus from electronic health records (EHRs) to personal health records (PHRs) along with the challenges and need for alignment of national initiatives for EHR and PHR. 
• The authors propose regional PHR ‘hubs’ to provide a universal interface that integrates digital health data at a regional level with further integration at a national level. PHR hubs will reduce the complexity of connections, decrease governance challenges and interoperability issues while also providing a safe platform for high-quality scalable and sustainable digital solutions, including artificial intelligence across the NHS.

Abstract