Health Insights London
Enabling Digital Transformation – Digital Maturity and Local Digital Roadmaps
Tim EllisSenior Programme LeadDigital TechnologyNHS England
6th July 2016
What success looks likeDigital 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 likePatients, 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.
READINESSAre providers set up effectively to deliver paper-free at the point of care?
CAPABILITIESDo providers have the digital capabilities they need to deliver paper-free at the point of care?
INFRASTRUCTUREAre 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
6
Digital Maturity Self-Assessment: National Results (Section-level)National averages for sections within the Readiness, Capability & Infrastructure themes (all services).
Strategic
Alignment
Leadersh
ip
Resourcing
Governance
Information Gove
rnance
Records, A
ssessm
ents & Plans
Transfers
of Care
Orders & Results
Management
Medicines M
anagement & O
ptimisation
Decision Su
pport
Remote & Assi
stive
Care
Asset &
Resource O
ptimisation
Standards
Enabling In
frastr
ucture
0
20
40
60
80
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 data can now be accessed through the
Primary Care Web Tool – https://www.primarycare.nhs.uk/. 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
• Over half of Local Authorities have responded to date• Similar profile to secondary care• 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
Sustainability & Transformation Plans (STPs) and Local Digital Roadmaps (LDRs)
• Digital has been positioned within the STP guidance and resources
• Submission dates were aligned
• 83 LDR footprints declared, 44 STP footprints
• Signalling in LDR guidance
• 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.
• Encouraged alignment of LDR and STP development processes
LDR Local Approach
Some LDRs consolidated
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
The Core Content of a Local Digital Roadmap
A vision for digitally-enabled transformation
Information sharing• Approach• Information sharing agreement• Adoption of NHS number and
standards
Readiness• Leadership, clinical
engagement and governance• Change management
approach• Benefits management and
measurement• Investment approach• Programme structure• Resources for change
Capability deployment• Schedule• Trajectory
System-wide Infrastructure• Mobile working • Unified communications • Shared infrastructure initiatives
Where are we now• Overview of current maturity• Key recent achievements• Key current initiatives• Rate limiting factors
Universal capabilities delivery plan
• Baseline• Ambition• Activities• National services /
infrastructure / standards• Evidencing progress
All LDRs now submitted
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.The aspiration is for all LDRs to be investment ready by November.
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.
The process going forward
https://bettercare.tibbr.com/tibbr/web/login
Local Digital Roadmaps – collaborative platform
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 – Programme Structure
Transformation & Leadership SupportFor Commissioners & Providers
Driving Digital Maturity – Programme Structure
Leadership Development
Analytical Insight
Digital Strategy Support
Health ChecksSubject Matter Experts
Change Management
Planning
Peer Networks
Knowledge Resources
Commercial Terms Review
Digital Struggle
rs
DigitalExplorer
s
Digital Strivers
Digital Highflier
s
NHS EnglandNHS ImprovementNHS Digital
Questions