Digital Prescribing and Dispensing Programme in Scotland
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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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
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
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
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.
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
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
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
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)
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%)
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)
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
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
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
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
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?
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
