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econsult.net
Digihealth UKDr Murray Ellender MRCGP MCEM
March 2017
econsult.net
What is ?
econsult.net
Web based patient triage for General Practice
Built by clinicians for clinicians
Use technology to improve patient access, practice efficiency and commissioner value
econsult.net
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Patient Experience
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Patient Selects or Searches for their issue
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Patient Selects or Searches for their issue
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Patient Selects or Searches for their issue
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Patient Self-manages or selects to eConsult
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Patient Self-manages or selects to eConsult
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Patient Self-manages or selects to eConsult
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Patient Self-manages or selects to eConsult
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eConsult Process
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eConsult Process
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eConsult Process
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eConsult Process
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eConsult Process
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eConsult Process
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eConsult Process
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eConsult example
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Practice Workflow
3 Minutes
on average per eConsult
60% Managed remotely
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Investment in product development
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Photo uploads• Flexible options for allowing multiple photo uploads
per consultation
• Available on most consultations for skin, mouth and
eye problems
• Dynamically shortens the template for patients
• Photos are embedded into the risk report
• Practices can opt to have photos attached as a
separate file
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Flexible integrated scoring• Allows integration of any industry-
standard scoring system
• Have already used for depression
(PHQ9) and anxiety (GAD7)
• Can be applied in many other ways,
e.g. insomnia/Epworth Sleepiness
Scale
• Scores are highlighted in header of GP
risk report, colour/risk-coded for easy
processing
PHQ-9 GAD-7
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Patient/Practice ContactCommunications with patients
• One-way secure messaging to patients
• Does not open a communication channel to the
practice
• Can be actioned from receipt email or the attached
risk report
• Added efficiencies to the practice admin teams
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Portal• Contractually intended to be a simple tool for EMIS to
be able to view/add/edit practices.
• Integrated productivity features (sending test emails,
exporting practice lists to Excel, tracking dynamic
banner usage, etc)
• Real-time per-practice usage data and graphs, plus
trend and performance data
• Custom, ad-hoc reports for internal stakeholders
• Facility to manage and bespoke analytics reports for
purchasers
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Long term conditions• Patients will now be able to remotely manage their LTC
• Record biometric through wearable devices and record readings
within the app
• Patients can submit reading with the added context of the
eConsult
• The app will be prescribed to patients either via recall contact or
face-to-face meetings
• We are currently piloting with hypertension with plans to add a
further 5 conditions
• The objective is to move a significant % of annual reviews into an
online space
• Can be easily configured for Android devices
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LTC – eConsult for hypertension
Current pathway for hypertension patients
Future pathway for hypertension patients using smartphone app generating an eConsult
Practice recalls
annually by posting letters
to all on register
Patient has to
book F2F appointment
with GP or Nurse
Snapshot view
of BP when the
patient attends review
Review done, including
meds review, etc
Patient collects BP through year
on their smartphone (either
inputing readings direct
or via bluetooth BP cuff)
Notification on
smartphone prompts
to submit readings and
an eConsult to practice
GP reviews eConsult:
- BP readings (and average)
- Reponses to standard review
questions
Review done including
meds review, etc
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eHub – central processing
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Urgent Care
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SummaryMany talk about how existing general practice is unsustainable but few provide real solutions...
Better access
Better outcomes
Better use of practice resources
Commissioner savings
Now live in 300 practices across 40 CCGs in the NHS
Available to 2.9 million patients
