Electronic Referring - digital by default

Transcription

1 Electronic Referring - digital by default CLN Congress Workshop 23 October 2012 Dr Stephen Miller - Medical Director Dr Caroline Tait - Primary Care Clinical Lead Ben Gildersleve - Programme Manager

2 Workshop Agenda 1. What is needed from an electronic referral/booking service of tomorrow? what is already available today?(20 mins) 2. Digital by default Business requirements for a future electronic referral/booking service (60 mins) 3. Next steps - input to future work (10 mins) 2

3 Aims of Workshop 1. Better understanding of the benefits of electronic referring and the barriers to effective implementation 2. A view of how a future electronic referral service may look. 3. An opportunity to input into the future business requirements for a national electronic referral/booking system. 3

4 How could we make it better to support a future digital world? Explanation of Current Procurement Process Summary of Stakeholder engagement so far Role of future stakeholder input sessions (like today) Test ideas Consider benefits and dis-benefits anything we have missed? 4

5 What is needed from an Electronic Referral Service? for Referrers for Patients For Commissioners for the NHS Do we currently have such a tool? How could we make it better?

6 What do referrers need? A clinical tool for use in the consultation An electronic Referral Management System with built in tools to help identify the most appropriate and cost-effective services for patients in both hospital and community settings. Ways of finding alternative care pathways Access to specialist advice without referring An Educational tool to help inform professional users about evolving patterns of service provision, locally and nationally and new ways of working

7 What do Commissioners need? Access to real-time referral information to support future commissioning plans The ability to identify and analyse the referring patterns of clinicians within a commissioning group, leading to more appropriate and cost-effective referrals The ability to easily identify spend against contracts, by measuring referral volumes per service and then attributing costs to those volumes Support for proactive contract management by not having to wait until an appointment has occurred before referral patterns become visible

8 What do patients need? Improved support for patient choice and control ( no decision about me without me ) by providing relevant information, leading to certainty and reassurance throughout all the stages of the referral/booking process A safe, secure and reliable way of transferring referral information between clinicians An easy way of booking an appointment in the correct service An ability to review, amend, cancel appointments

9 What does the NHS need? A tool to support both the quality and productivity elements of the QIPP agenda A method of supporting Choice and Commissioning policies A system that will bring financial benefits and improved efficiency

10 What is currently available? Choose and Book The NHS Electronic Referral Service

11 How does Choose and Book work? GP finds and selects appropriate clinics based on Patient Choice National call centre (TAL) Internet (home) GP Directly Bookable Internet (library) Consultant/AHP Initiate referral Patient Indirectly Bookable Surgery Hospital call centre 11

12 Group Work (60 mins) In the future what new business processes will need to be supported for each stakeholder group (patients, commissioners, referrers, providers) Consider the new suggested functionality What do you think of the idea? What are the possible benefits? What are the barriers/dis-benefits Do you have other ideas for consideration? 12

13 Patients Self Referral Allow patients to refer themselves into clinics which are willing to accept self referrals (would need method to identify suitable services and verify patient details etc) Follow Ups Allow providers to issue appointment requests which patients could use up to a point in the future to book follow ups if/when required Enhanced Communication of Appt information text, , phone App etc 13

14 Enhanced reporting Commissioners What information is needed in what format/presentation is it needed? Order Control System Confirmation that referral/booking has taken place how might this work would it be useful to have financial information (e.g. costs of appointments) included? Update and Inform referrers Provide information to referrers re local services (what sort of information might be useful?) 14

15 Any-to-Any referrals Referrers Enable midwife to refer to obstetrician or optician to refer to ophthalmologist and consultants to onward refer. Are there any limits or controls needed? Better integration with GP clinical systems What is the vision of a future, fully integrated referral system? Enhanced Referral Management Referral Assessment Services Methods of checking that referral criteria have been met Enhanced communication between clinicians (e.g. advice & guidance) 15

16 Providers In-built appointment scheduling What sort of support should be available for organisations that do not have their own automated appointment scheduler? Uploading information into provider clinical systems What is needed? how might this work? Onward & Tertiary Referrals Would it be useful for providers to use an electronic system for onward referrals? Should there be limits / restrictions? 16

17 Feedback / Next Steps Two Key messages from each group Contact forms for future engagement 17

18 18 Contact Details Dr Stephen Miller Choose and Book Medical Director Dr Caroline Tait Choose and Book Primary Care Clinical Lead Ben Gildersleve Choose and Book Programme Manager