Our Digital Future
Healthier Lancashire and South Cumbria -
Our Digital Future
Foreword
Morecambe Bay
Our shared
principles
The way we manage our lives is changing.
86% of households now have
internet access, 82% of people go online every day and 72% of adults
use a smartphone1. It is now time to embrace this rapidly increasing
Pennine
Lancashire
digitalised world and manage our own wel being, health and social care
needs. With two thirds of visits to the NHS Choices website being on
• We will create digital solutions
smartphones2, there are clear indications that a majority of our public are
with the people who will be
Fylde
ready to go online to understand and manage their health and care needs.
Coast
using them
Healthier Lancashire and South Cumbria is home to a growing population
West
• We will judge our progress
of 1.7 mil ion people3. More of us are getting older and experiencing long-
Lancashire
against this digital strategy
term health problems. Some of this disease could be avoided or the il -effects
Central
from the public’s perspective
slowed down, if we took positive action. Using digital is one approach to help
Lancashire
address the chal enges we al face.
• We will create an environment
Accordingly, we have refreshed our digital strategy to put patients,
that empowers our frontline
communities, and the public at the heart of our offer. To demonstrate
Whilst we will continue
our commitment to this, we will measure our success and impact from the
• We will use data to prevent,
to respond to the
perspective of the person – not the organisation, technological infrastructure
predict and respond to
specific needs of communities,
or the needs of health and social care systems. This serves as a significant
ill-health
providers and commissioners
shift in our thinking and approach.
alike, Healthier Lancashire
and South Cumbria will take
We know digital will not work for everybody. Some people struggle with
• We will work together to
a unified aproach wherever it
computers and not everybody has access to the internet. For those who
reduce complexity in order to
adds value, saves time
would like to use digital but cannot, our aim will be to find ways to help them
improve quality and safety
and delivers better
get online. As our digital offer grows we hope people will find it easier and
outcomes
more convenient to use online services, but technology will never replace the
• We will engage with
care and compassion that comes from our dedicated workforce.
academia, industry and others
This strategy outlines a set of shared principles aligned to five inter-connected
to accelerate innovation
DR AMANDA DOYLE
themes. Our col ective effort will be focussed towards empowering people.
GP and Chief Officer for Healthier
Lancashire and South Cumbria
Dr. Sakthi Karunanithi
MBBS MD MPH FFPH
Chair of the
Digital Health Board
References: 1 NHS Digital, NHS Digital Inclusion Guide – quoting from Ofcom (2016 figures). 2 NHS Digital, NHS Digital Inclusion
Guide. 3 Based on the number of people registered with a GP in 2016/17, according to NHS England STP footprint analysis pack for
Lancashire and South Cumbria 2017.
2
3
Five inter-connected themes to improve our health
and care in Lancashire and South Cumbria
PHARMACY
Support the
Integrate
frontline
services
Empower the person
Manage
Create
the system
the future
more effectively
4
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Healthier Lancashire and South Cumbria -
Our Digital Future
The population
What will this
of Lancashire and
South Cumbria is
approximately
1 Empower the person
mean for the
individual?
1.7 million
and increasing1
•
Why
I am able to access and add
into my own electronic health
care record, using it to manage
In Lancashire and South
my appointments and ‘health
Cumbria, cardiovascular disease,
The more I know about myself, my body and
business’ online.
heart failure, hypertension
(high blood pressure), asthma,
the consequences of the choices I make, the
• I have access to good quality
dementia and depression are
information to support me in
more confident I will be in managing my health
making decisions and managing
above the
and wellbeing
my health and wellbeing.
•
national average2
When I need services and
support, there are a growing
range of options available to me
to access them remotely from
About
Hospital
wherever I need to.
• I can use digital tools to help me
1/3
to make changes where I need
to and to monitor the impact of
those changes on me, my family
of people who go into A&E
and my future.
departments could have
been seen by their GP or
• I am confident my data is stored
another community service3
securely and only shared when
and where it is needed.
We will help people take
control of their health and
care, providing secure online
access to clinicians, personalised
Find a Service
How
Call
111
information, tools and advice
People are able
My Notes
Reminders
COUNCILLOR SHAUN TAYLOR
to use new health
Chair of Lancashire Health and
technology and
Links
i
About Us
Wellbeing Board
apps to assist
their own health
References: 1 Based on the number of people registered with a
GP in 2016/17, according to NHS England, STP footprint analysis pack
and wellbeing.
Lancashire and South Cumbria, Five Year Forward View 2016.
2 & 3 Information from Health and Social Care Information Centre,
2015, Quality and Outcomes Framework (QOF) 2014-15.
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Healthier Lancashire and South Cumbria -
Our Digital Future
What will this
There is both a workforce and a financial
gap, so something needs to change
mean for our
2 Support the frontline
staff?
The cost of
funding our
•
staff has
I feel confident and enthusiastic
Why
in using new digital solutions to
increased
help empower people to manage
their own health and wellbeing
since 2012 the NHS pay bill is £3.7bn larger in real
terms, with 40,000 more clinical staff employed1
I want to be ready, able and supported to
• I can support people to manage
and coordinate their own
improve the person’s experience and free up my
We need
care with me and share our
time to use my skills for the good of the people I
experiences through the care
to work on
record.
am caring for
•
retaining
I have been afforded the time to
innovate and to develop my skills
our staff
and confidence in using digital
solutions.
as an example, the rate of nurses leaving the NHS
grew from 7.1% to 8.7% between 2012 and 20172.
PHARMACY
• I have access to information
If we do not reduce demand, change services or
necessary to do my job and
increase productivity, the NHS will need
190,000 more
I collect and use data as a
staff by 20273
fundamental part of my role in
caring for the person, family or
Across Lancashire and South Cumbria there are
community that I work with.
41,230 people4 working in health,
46,000 people5
•
employed in social care and a wealth of people across
I can interact with others
the region that help support communities with health
supporting those I care for,
and care such as voluntary, community, faith, charity
regardless of location, using
and housing organisations
a number of digital tools and
methods.
94% of staff
have said that the potential of a digital
ready workforce would make a large
improvement to health and care 6
Talent remains key, but
digital technology will help
fill the gap
References: * 1 & 2 Public Health England, Facing the Facts,
Shaping the Future (draft workforce strategy). 3 Health
Education England. 4 WRaPT. 5 Skills for Care 2016/17. 6 Health
DR AMANDA THORNTON
Education England, working in partnership with NHS Digital
and NHS England, commissioned Clever Together a three-week
Digital Health Clinical Lead
national online workshop to explore the needs and experiences
Healthier Lancashire and South Cumbria
of people working in the system who have digital expertise.
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Healthier Lancashire and South Cumbria -
Our Digital Future
There are more than
200 GP
practices1
3 Integrate services
NHS Trusts
provide hospital, mental health,
ambulance and health and
Why
wel being services across the
region
Every time we offer care, we learn more
What will this
Clinical
about the person and their needs. By sharing our
mean for our
Commissioning
knowledge and experience we can make better,
systems?
Groups
quicker decisions for people with similar needs
along with other NHS organisations are
and the wider communities we serve
responsible for the planning and commissioning
• We will adopt a unified approach,
of services such as NHS England, Health
doing things at scale and building
Education England and the Innovation Agency
on what already works well.
• We will share data rather than
duplicating it, to support care
for individuals, neighbourhoods
and the whole population whilst
always respecting people’s right
to privacy.
Councils
• We will continue to develop our
work with local partners and other public
shared care record to support the
service providers, connecting health and care to
their communities
delivery of safe, effective care,
using data to predict and prevent
disease.
•
Communities
We will access and process data
PHARMACY
as soon as it is recorded so we can
we will work with those who are making a
Connecting together health
manage our resources effectively
difference to everything that connects health
and care records is key to
and plan well for the future.
and care to communities such as voluntary, faith,
education, charity and business organisations
improving the quality and safety of
• We will link people to
the care we provide
information, resources and
support, to facilitate choice and
decision making.
DECLAN HADLEY
References: 1 Based on the number of people registered with a
Digital Lead
GP in 2016/17, according to NHS England, STP footprint analysis
Healthier Lancashire and South Cumbria
pack Lancashire and South Cumbria, Five Year Forward View 2016.
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Healthier Lancashire and South Cumbria -
Our Digital Future
Approximately
What will
Manage the system
1,200 people work in
4
this mean for
ICT services
more effectively
organisations?
within secondary care and
Commissioning Support Unit,
•
primary care and CCGs in
We will get the basics right
Lancashire and South Cumbria1
Why
to ensure our systems are
universally capable and secure
from cyber-attack.
By working together we have an opportunity
• We will have a single approach to
An estimated
the way we govern information,
to better use resources to improve health
£57.3 million was
always ensuring the public are
outcomes for people in our region
aware of how we use data.
spent on IT
• We will integrate our systems
in NHS Trusts across Lancashire
around the person and their
specific needs, sharing the best
and South Cumbria in 2016/17
of what works to solve day-to-
This equated to an average
day problems.
of approximately 2% of total
There are clear benefits
to be derived from a more
• We will work together to reduce
revenue.2
complexity, duplication and
collaborative approach to delivery of
costs, using our collective buying
the digital strategy, not least of which
power to get the best value for
is a more robust and innovative offer
tax payers.
to our organisations, staff and public
Lancashire and
and ultimately achieving best value
• We will standardise and redesign
South Cumbria were one of
in the use of public money
our digital systems to release
the first areas to have
more time to deliver care and
a single WIFI solution
GARY RAPHAEL
improve safety.
Executive Lead for Finance and Investment
available in hospitals, health
Healthier Lancashire and South Cumbria
centres and GP surgeries
Recor
e
ds
Shar
References: 1 Workforce figures are taken from the Informatics
Skills Development Network workforce survey. 2 Finance figures were
provided by the NHS Trusts within Lancashire and South Cumbria
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Healthier Lancashire and South Cumbria -
Our Digital Future
What does this
Robots,
such as the DaVinci
mean for our
Xi at Lancashire
5 Create the future
Teaching Hospitals,
future?
will continue to be
hugely successful in improving outcomes for
treatments such as cancer leading to
• We will support people to
quicker recovery
innovate, creating space and
Why
time to tackle common problems
and share good practice.
Robots can provide a 3 dimensional view
• We will connect people to
and the ‘wristed’ instruments allow much
We will work collaboratively, constantly
specialist resources including
greater control and care of tissues, making
wider industry and academic
seeking out new technologies to improve health
it much easier for surgeons to access parts
partners to drive innovation and
of the body that are difficult to reach,
and care outcomes and make better use of our
transformation.
and undertake complex procedures using
resources
• We will consider the potential
keyhole incisions rather than open surgery,
of new technologies as we plan
reducing the risk of complications
ahead.
• We will build a reputation for
innovation in technology to
Genomic medicine,
attract the workforce of the
sometimes also known as personalised
future.
medicine, is an emerging discipline that
• We will use the best available
looks to customise a person’s medical care
data to drive continuous
to their body’s unique genetic makeup.
improvement.
To make sure patients benefit from
innovations in genomics, the Government
has committed to sequencing 100,000
whole human genomes, from 70,000
patients, by the end of 2018.
The future of Lancashire
and South Cumbria is in our
Approximately
hands, a culture where innovation
can thrive is vital
35 percent
of healthcare organisations plan to leverage
DR LIZ MEAR, Chief Executive
artificial intelligence within two years — and
The Innovation Agency
more than half intend to do so within five1.
(Academic Health Science Network for
the North West Coast)
Source: 1 Healthcare IT News and HIMSS Analytics
survey from 2017
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Healthier Lancashire and South Cumbria -
Our Digital Future
Our next steps
The principles we have set out here represent our determination to use
digital alongside traditional services for the benefit of people living in
Lancashire and South Cumbria.
Our overarching ambition is to empower people, by giving them access to
clear, relevant, and reliable health information. We believe that over time
this will lead to better health outcomes for the whole population.
To achieve our ambition, we will develop an annual delivery plan that
we will ask all our partners to sign up to. This plan will describe our
collaborative programmes of work and define our investment priorities
based around the five themes.
Find out more on our website
healthierlsc.co.uk/digitalfuture
We will judge our progress year-on-year based on the principles we have
set out, with a bias towards the perspectives of those people who use our
“KILLER QUOTE HERE? ANY IDEAS?”
services. Our annual review will reflect the pace of change in technology
Join in the conversation on Twitter
and be seeking to explore and exploit the constantly improving range of
opportunities that digital provides.
@HealthierLSC
For the latest news and developments in digital health across Lancashire
and South Cumbria, visit:
healthierlsc.co.uk/digitalfuture
and follow
@healthierlsc on Twitter
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