Securing Excellence in Primary Care (GP) Digital Services

1 0 Securing Excellence in Primary Care (GP) Digital Services The Primary Care (GP) Digital Services Operating Model 2019-2021 NHS England NHS Improvement 1 Securing Excellence in Primary Care (GP) Digital Services The Primary Care GP Digital Services Operating Model 2019-21 Publishing approval number: 000303 Version number: 4 First published: 2012 This information can be made available in alternative formats, such as easy read or large print, and may be available in alternative languages, upon request. Please contact the Customer Contact Centre by telephone on 0300 311 22 33 or email or write to NHS England and NHS Improvement, PO Box 16738, Redditch, B97 9PT 2 Contents 1 Foreword.

2 4 2 Introduction .. 6 Purpose what does this document do? .. 6 Definitions .. 7 About the revised operating model .. 9 Organisational 11 Key Challenges .. 11 3 The CCG Practice Agreement .. 12 Accountabilities and Responsibilities .. 16 4 Requirements and Capabilities .. 17 Core & mandated requirements .. 17 Enhanced 18 Practice business requirements .. 19 Service Availability, Service levels and Incident management .. 20 Accreditation, Choice & Selection of Solutions .. 22 De-commissioning of 23 5 Funding .. 25 Key 25 GP IT 25 Primary Care Network (PCN) DES.

3 26 GP IT Futures Framework .. 26 Time limited funding initiatives .. 27 GP IT Capital .. 27 Other sources .. 27 Out of scope .. 28 6 Commissioning, Procurement and Contract Management .. 30 Procuring GP IT Enabling Requirements .. 30 Direct provision of GP IT Enabling 31 Organisational Standards for GP IT Delivery Partners .. 32 Procuring Essential Clinical System Capabilities .. 32 Procuring GP IT 32 Practice Direct Procurement .. 33 7 Assurance .. 34 3 Primary Care Digital Maturity Assurance Tool .. 34 Clinical Commissioning Group Assessment Framework .. 35 8 Addressing the Challenges.

4 36 Challenge 1. Keeping General Practice Safe .. 36 Challenge 2: Supporting general practice deliver their contracted 43 Challenge 3: Enabling service improvement, transformation and Digital 46 Challenge 4: Supporting new models of care and contracts .. 46 Challenge 5: Supporting general practice meet patients Digital expectations . 48 Challenge 6: Building on success .. 50 9 Transition Arrangements .. 51 APPENDIX A Schedule of GP Digital Requirements & Capabilities .. 53 Essential clinical system 53 National Digital Services .. 57 GP IT Enabling Requirements .. 61 Enhanced Requirements.

5 116 Capabilities available through GP IT Futures Framework .. 118 Capabilities sourced through non-accredited 122 GP IT Enabling Requirements .. 128 General Practice Business Requirements .. 135 APPENDIX B Responsibilities and accountabilities .. 143 APPENDIX C Primary Care Digital Maturity Assurance Tool Indicators .. 152 APPENDIX D GP IT Specification Commissioning Support Pack .. 170 APPENDIX E Procurement Technical 171 APPENDIX F Glossary of Terms .. 173 4 1 Foreword Investment and Evolution General practice is the heart of the NHS, and the NHS relies on it to survive and thrive.

6 As a working GP, I am fully aware of the struggles facing general practice today, we have growing demand and fewer resources, both physical and financial. We need to consider alternative ways in which to work and deliver care for our patients. Ways that will allow us to ease pressure, whilst providing the best care possible to our patients. The use of Digital and technology are methods which have been used by many other industries to modernise the way they work. We in the NHS must look to fully take advantage of the latest technologies available. However, I recognise the importance of a resilient and effective infrastructure upon which these technologies can only be delivered.

7 We cannot have practices being asked to offer video consultations when their present hardware and bandwidth do not allow them to consult effectively without frustration. This operating model recognises the struggles faced in general practice and needs all CCGs to take full advantage of ensuring that investment is directed to areas of need. It includes the details of what would be expected for general practice for now and the future. This new Primary Care Digital Operating Model (previously the GP IT Operating Model) covers the key policies, standards and operating procedures that CCGs are obliged to work with to fulfil their obligations under the delegated arrangements.

8 The model is intended to ensure that general practices have access to safe, secure, effective and high performing IT systems and Services that keep pace with the changing requirements to deliver care. It is essential that executives and staff in CCGs that have responsibility for or are involved with the provision of GP IT Services are fully aware of and familiar with the guidance in this model. It is no longer sufficient to simply provide just IT support; Digital service delivery must be recognised as core provision to support new models of care. The NHS Long Term plan and the new five year framework for GP contract reform place general practice at the core of Integrated Care Systems (ICS) and local Strategic Transformation Partnerships (STPs) with access to a Digital first Primary care offer for patients enabled by the widespread adoption of technology.

9 This operating model will empower practices, Clinical Commissioning Groups (CCGs) and STPs to embrace such change through supporting the Primary Care Networks (PCN) and accelerating the adoption of patient facing Digital Services such as online consultations. The potential of disruption to critical NHS Services such as general practice from cyber security threats is ever present. There are high public expectations on data 5 security and clinical safety in our electronic patient record systems. Keeping general practice safe is a critical element of the Primary Care Digital Operating Model as practices continue to embed Digital technology.

10 A new CCG Practice Agreement accompanies the release of this operating model. All CCGs and General Practices are required to sign this new agreement by December 2019 which provides clarity and assurance to both parties on the provision of Digital Services (Clinical Systems and IT Services ) to general practice. Adoption of technologies requires more than just new Digital solutions. True Digital transformation will only be realised with strong clinical and Digital leadership making sure that locally Primary care is supported by robust and responsive local Services and infrastructure.