Patient Accessible Electronic Records: Key enablers to support patient choice
Tracey Watson Head of Commercial and Partners at NHS England with Jana Dale Stakeholder Engagement and Communications Lead – Patient Online, NHS England, and Trevor Fossey a Patient Online Working Together Group member spoke at today’s Electronic Patient Records conference on the importance of on-line services such as medical records access, appointment booking and repeat prescriptions and how it has assisted Trevor as a patient in taking charge of his medical journey.
In their presentation Tracey, Jana and Trevor discussed:
• Patient Online; an NHS England programme designed to support GP practices to offer and promote online services to patients, including access to records, online appointment booking and online repeat prescriptions.
• The National Information Board’s (NIB) ambition is to extend this digital access from GP practices to all care settings to give patients a comprehensive view of their health and care information. What is the journey from GP records access to the NIB’s vision?
Yana introduced Trevor who discussed patient accessible EPR from a patient perspective and stated that he had been accessing his record since 2014, that is it now the expectation of patients that they can see their information like they can see their banking information, and that it should be accessible from anywhere.
Tracy discussed the implementation of extending the vision of Personalised Health and Care 2020 and what NHS England will be focused on over the next year.
Personalised Health and Care 2020 stated that:
“From March 2018 all individuals will be enabled to view their care records and record their own comments and preferences on their record”
Tracy said technically this isnt difficult it’s a cultural change, we need to look at how we move from a paternalistic culture.
The key enables are user insight, access to data, proof of concept and conditions. In some places the appetite isnt there. The question was raised as to why patients would want to repeatedly access their record – there is lots that we need to do but the record will ideally help to manage health. We need to create an evidence base. Patient choice is critical. Interoperability is a key issue.
Tracy said “my experience is that a lot of the solutions in the marketing are developed in an incubator with academics or clinical professionals but not with patients”. Moving forward this needs to change. User design is centric- we need to move away from the incubator approach
We also need to learn from care.data and ensure we get consent and information governance issues right
Personalised Health and Care 2020 https://www.gov.uk/government/publications/personalised-health-and-care-2020
The full presentation is available for download at the end of this page.
Tracey heads up the Commercial & Partners Team for Strategic Systems and Technology (SST) within NHS England. This primarily involves working with partners across the SST Portfolio to ensure effective delivery, corporate governance, specifically providing investment and commercial leadership. Tracey is leading on developing a number of digital programmes exploring how technology and innovation can be exploited and adopted to play a critical role in health care, to provide better outcomes for patients and create efficiencies for the NHS.
In addition Tracey has SRO responsibility for the GP Systems of Choice Programme, a £600m investment in a Framework contract initiated to allow General Practice Practitioners the ability to purchase clinical systems and subsidiary services from assured suppliers.
Prior to joining NHS England, Tracey was on secondment to Connecting for Health. There she was responsible for strategic sourcing for the NPfIT Programmes facing contract expiry. Before moving to Health, Tracey held a number of roles within central government departments and has undertaken private sector secondments within the financial sector. She has been involved in the delivery of a number of large DWP change programmes and has worked closely with influential policy makers, stakeholders and ministers. Throughout her civil service career she has built a very clear understanding of how Government works and hopes to be able to put these to good use within Health.
Future conferences of interest:
Information Governance in Mental Health: Implementing Caldicott2 & the New Code of Practice on Confidential Information
Cyber Security in Healthcare: Assuring and securing information in the NHS
Electronic Document Management in Healthcare: Delivering a Paperless NHS
Legal Masterclass: Confidentiality, Data Protection and Information Governance
Electronic Prescribing In Hospitals: Moving Forward