Introducing the Vision for anNHS e-Referral Service

making paperless referrals a reality

The strategic drivers

• Creating a paperless NHS by 2018• Putting Patients First - The NHS England

business plan for 2013/14 – 2015/16• The NHS Constitution• The NHS Mandate• The New NHS Provider Licence• Liberating the NHS – ‘no decision about me

without me’• The 2013/2014 NHS Standard Contract• Choose and Book Best Practice Guidelines

Where are we now?

3

17m referrals/year

- approx half are

still on paper

This is time consuming, labour intensive, costly and risky

The average paper referral can add 2 weeks to a patient’s referral to treatment pathway

Why Digital…?

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Part of every day life

Fast Safe Secure

Take booking a flight - would you….

??Contact a travel agentPhone various airlines

OR

Log onto a website that gives you all the

information in a single place

Why should healthcare be any different?5

Choose and Book today

6We want to build on the positives for the future

Processed over 40 million referrals

to over 47 thousand services

The future

How can we build on the successes, learn from the challenges, and create an NHS

e-Referral Service which supports the strategic drivers and principles?

NHS e-Referral Service Principles

1The new NHS e-Referral Service will improve patient outcomes, user experiences and support the drive to a future paperless NHS referral system.

2The new service will build upon the benefits and successes of the Choose and Book system, acknowledging its failures (both real and perceived) and lessons learned.

3There will no longer be a mixed economy of paper and electronic referrals.

4The needs of patients and professionals will be foremost in designing the new service, which will include support for enhanced functionality and usability.

NHS e-Referral Service – engagement so far…

During 2012/13, a range of stakeholder engagement events were held to listen to peoples’ experiences and aspirations of what an ideal e-referral service might look like

We have spoken to

Patients Clinical Commissioning Groups (CCGs) Referrers (GPs) Service Provider organisations

Stakeholder feedbackPatients would like to see

10

Online services

Self referral

Patients

Useful information

Book all appointments

Follow-up

Phone Apps

Alerts and Reminders

Stakeholder feedbackCommissioners would like to see

11

Better reporting

Referral management support

CCGs

More information

Stakeholder feedbackGPs would like to see

1212

All appointment slots available

More intuitive

GPs

Seamless integration

Referral templates

Decision aids

Enhanced Advice and Guidance

Diagnostic services

Outcome and Discharge information

Stakeholder feedbackConsultants would like to see

1313

Better integration

Improved referral review

Consultant

Linked appointments

Onward and tertiary referrals

1414

• Based on what we have heard so far, a range of digital representations of typical patient journeys have been developed for users to review

• These and further information can be found on the NHS e-Referral Service website at: www.hscic.gov.uk/ers

NHS e-Referral Service – the Vision

How can YOU now get involved?

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NHS e-Referral Service Vision – making paperless referrals a reality

• Visit our website and give us your feedback on the pathway scenarios

• Support our future workshops

• Contact us on email: nhs.ers@hscic.gov.uk