Digital Prescribing and Dispensing Programme in Scotland

 
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A joint project between NES and NSS
 
Gillian Barmack, Joanna Quinn
Digital Citizen Panel – The ALLIANCE
November 2023
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Background
    Benefits
 
People engagement
 
Work done thus far
 
Digital Citizen Panel survey
 
Initial EQIA
 
Survey
Future work
 
Expanded 
EQIA
 
Other opportunities
undefined
 
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The
 Digital Prescribing and Dispensing Pathways (DPDP) programme focuses on
revolutionising the prescribing and dispensing process in Scotland.
 
Replace the paper prescription
End-to-end digital solution
Initially in-hours prescribing from General Practice (>90% of prescriptions) with
planned expansion to all GP prescriptions over time
 
undefined
 
An easier and more efficient way to order and receive prescriptions
Safer, more efficient and faster processes for prescribers and dispensers
Multi-professional and multi-location digital prescribing, which will support
new service models
Support for climate sustainability by reducing the use, transport, scanning
and destruction of paper.
 
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Determining:
 
What works well (and should be preserved/protected)
?
 
What could be improved
?
 
What worries the public
?
 
Where we could impact equity, and how to mitigate that
 
Shadow effect to be used:
“Drop Shadow Rectangle”
 
N.B.
When scaling
images/objects,
please 
hold Shift
key while scaling, to
keep proportional
shapes
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Run in early 2023. 27 respondents of approximately 100 members
 
Themes identified included:
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We identified some difficulties for people using screen readers
 
Shadow effect to be used:
“Drop Shadow Rectangle”
 
N.B.
When scaling
images/objects,
please 
hold Shift
key while scaling, to
keep proportional
shapes
)
undefined
 
E
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Initial EQIA 
completed
Literature review and DCP survey
Broader DPDP team input via workshop - in May
 
Next steps:
Undertake in-depth EQIA with representation from groups with
protected characteristics and external facilitation
 
 
Shadow effect to be used:
“Drop Shadow Rectangle”
 
N.B.
When scaling
images/objects,
please 
hold Shift
key while scaling, to
keep proportional
shapes
)
undefined
 
Survey period  - 30th March to 27th April
Closed and open questions
Disseminated by the ALLIANCE, with HIS also sharing it to their public
engagement practitioner network
Closed questions – quantitative analysis (using R studio)
Open questions – thematic analysis (using MAXQDA)
 
 
 
 
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Majority female (80.6%)
White (93.3%
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poke English as a main language (96.8%)
UK citizenship (94.9%)
H
igh levels of mobile phone ownership (98.1%)
G
overnment e-service use (84.1%)
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Exclusion
 
Evidence (e.g. paper prescription)
 
Robustness
 
Readiness (of public)
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Efficiency and flexibility
 
Relationships and communication
 
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Digital and automated services
Time efficiency
Flexibility and patient experience
Logistics
Communication
 
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DOCMAN
 
Digital Front Door
 
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DPDP is well underway, but still has much more work to be done
We really value your input and guidance as it helps shape the
focus of the project
We are continuing
 our professional and people engagement and
are beginning our in-depth EQIA with a focus on groups already
highlighted
undefined
 
O
V
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O
 
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What do you think?
 
Do you have any thoughts about how the loss of a paper prescription might affect your
medicines usage?
 
Do you have any suggestions about how we can communicate these changes effectively
with the public when the project is about to go live?
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The Digital Prescribing and Dispensing Pathways (DPDP) programme in Scotland aims to transform the prescribing and dispensing process by introducing end-to-end digital solutions to replace paper prescriptions. The initiative focuses on enhancing efficiency, safety, and sustainability while incorporating feedback from the public through engagement activities like surveys and digital citizen panels.


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  1. The DPDP Programme jointly delivered by NHS National Services Scotland and NHS Education for Scotland Digital Prescribing and Dispensing Project A joint project between NES and NSS Gillian Barmack, Joanna Quinn Digital Citizen Panel The ALLIANCE November 2023

  2. The DPDP Programme jointly delivered by NHS National Services Scotland and NHS Education for Scotland Contents Background Benefits People engagement Work done thus far Digital Citizen Panel survey Initial EQIA Survey Future work Expanded EQIA Other opportunities

  3. The DPDP Programme jointly delivered by NHS National Services Scotland and NHS Education for Scotland What is DPDP? The Digital Prescribing and Dispensing Pathways (DPDP) programme focuses on revolutionising the prescribing and dispensing process in Scotland. Replace the paper prescription End-to-end digital solution Initially in-hours prescribing from General Practice (>90% of prescriptions) with planned expansion to all GP prescriptions over time

  4. The DPDP Programme jointly delivered by NHS National Services Scotland and NHS Education for Scotland What are the intended benefits? An easier and more efficient way to order and receive prescriptions Safer, more efficient and faster processes for prescribers and dispensers Multi-professional and multi-location digital prescribing, which will support new service models Support for climate sustainability by reducing the use, transport, scanning and destruction of paper.

  5. The DPDP Programme jointly delivered by NHS National Services Scotland and NHS Education for Scotland People Engagement Objectives Determining: What works well (and should be preserved/protected)? What could be improved? What worries the public? Where we could impact equity, and how to mitigate that

  6. The DPDP Programme jointly delivered by NHS National Services Scotland and NHS Education for Scotland Digital Citizen Panel Survey Run in early 2023. 27 respondents of approximately 100 members Themes identified included: Concern around digital exclusion, digital poverty, older age Overall high levels of satisfaction with current system Appreciation of communication with prescribers and dispensers, flexibility We identified some difficulties for people using screen readers

  7. The DPDP Programme jointly delivered by NHS National Services Scotland and NHS Education for Scotland EQIA Initial EQIA completed Literature review and DCP survey Broader DPDP team input via workshop - in May Next steps: Undertake in-depth EQIA with representation from groups with protected characteristics and external facilitation

  8. The DPDP Programme jointly delivered by NHS National Services Scotland and NHS Education for Scotland Person Engagement Survey Survey period - 30th March to 27th April Closed and open questions Disseminated by the ALLIANCE, with HIS also sharing it to their public engagement practitioner network Closed questions quantitative analysis (using R studio) Open questions thematic analysis (using MAXQDA)

  9. The DPDP Programme jointly delivered by NHS National Services Scotland and NHS Education for Scotland Results 315 responses Majority female (80.6%) White (93.3%) Spoke English as a main language (96.8%) UK citizenship (94.9%) High levels of mobile phone ownership (98.1%) Government e-service use (84.1%)

  10. The DPDP Programme jointly delivered by NHS National Services Scotland and NHS Education for Scotland Do you have any thoughts, feelings, or concerns on prescriptions moving away from paper to a digital alternative? Exclusion Evidence (e.g. paper prescription) Robustness Readiness (of public)

  11. The DPDP Programme jointly delivered by NHS National Services Scotland and NHS Education for Scotland What do you like about how you currently get your prescription and medicines? Efficiency and flexibility Relationships and communication Contentment / discontent

  12. The DPDP Programme jointly delivered by NHS National Services Scotland and NHS Education for Scotland What could be improved or changed about how you currently get your prescription and medicines? Digital and automated services Time efficiency Flexibility and patient experience Logistics Communication

  13. The DPDP Programme jointly delivered by NHS National Services Scotland and NHS Education for Scotland Complete: Extensive research, planning and information gathering with professional stakeholders Project Progress Under-way: Building the IT infrastructure, ongoing planning for public engagement Co-dependencies: GP IT System DOCMAN Digital Front Door Future: User-testing, Delivery

  14. The DPDP Programme jointly delivered by NHS National Services Scotland and NHS Education for Scotland Conclusion DPDP is well underway, but still has much more work to be done We really value your input and guidance as it helps shape the focus of the project We are continuing our professional and people engagement and are beginning our in-depth EQIA with a focus on groups already highlighted

  15. The DPDP Programme jointly delivered by NHS National Services Scotland and NHS Education for Scotland OVER TO YOU What do you think? Do you have any thoughts about how the loss of a paper prescription might affect your medicines usage? Do you have any suggestions about how we can communicate these changes effectively with the public when the project is about to go live?

  16. The DPDP Programme jointly delivered by NHS National Services Scotland and NHS Education for Scotland Thank you Joanna.quinn3@nhs.scot Gillian.Barmack@ggc.scot. nhs.uk

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