National Patient Portal Development in Scotland

Scotland's National Health and Social Care Patient Portal, led by Programme Manager Tricia Duncan, aims to create a centralized platform for patients to access information and digital services. The project, commissioned by the Scottish Government's eHealth Directorate, focuses on providing a single point of access for all citizens, ensuring consistent user experience and baseline services. The initiative aims to streamline authentication processes and introduce new services to enhance patient care and self-management capabilities.

• Scotland
• Patient Portal
• Digital Services
• Healthcare
• eHealth

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1. Scotlands National Health and Social Care Patient Portal Tricia Duncan, Programme Manager, NHSGGC

2. National Patient Portal Develop a patient portal that will allow a single point of access for patients and public Build a platform to enable access to information and digital services Approach to development and implementation

3. National Patient Portal Commissioned by Scottish Government eHealth Directorate (follow up from Phase 1 Discovery piece) Initial funding secured for PoC and OBC Commission to be delivered by consortium of West of Scotland eHealth Leads including NHS24 Programme managed by Programmes & Strategy eHealth directorate of NHS Greater Glasgow & Clyde Governed by National Programme Board - first meeting in April 2017

4. National Patient Portal - Principles We will do this once for Scotland. People will have the same user experience regardless of where they live. The same baseline services will be offered to everyone and expanded incrementally over time. myaccount will be used for user authentication.

5. Why do we need a National Patient Portal? Multiple authentication / sign in routes

6. What are the potential benefits? Targeted Improvements Current Approach Future Portal Approach Sign posting Multiple sites and services and log ins Ease /single point of access Transactions Manual, paper based Digital, online Supporting new Models of care New models emerging - linked to clinically led transformation plans but needs technology to enable at scale More potential for: Innovation Collaboration/shared learning Patient self-management

7. To provide a single point of access and new services

8. What have we been asked to do? Further develop the business case for an incremental approach to platform delivery that will in time deliver a full range of services Prototype, prove and inform the design of an appropriate platform for the range of required functionality Build a minimal viable platform and associated products that will demonstrate the concept and provide the key features to enable the delivery of a range of agreed services Develop a framework for integration of the platform into a range of dependent applications and data sources

9. What we are aiming to deliver? Landing Page providing single point of access for patients (co- designed with patients) Authentication arrangements using myaccount (utilising CHI) Verification process to ensure patients have the appropriate levels of access Platform providing common building blocks (technical services) for implementation of patient services. The means to connect into multiple back end systems to locate, share and receive data (bi-directional) The means to allow clinicians to view relevant patient generated information in a seamless way PoC by Q3 2017

10. Approach Proof of Concept Outline Business Case Basic Patient Portal Product Definition Myaccount integration Support Model Links to existing sites / systems Shortlist Implementation Options PoC of a minimum of two representative use cases Cost Benefit Analysis Demonstrate integration to multiple back end systems (WOS boards) Describe portal operational governance mechanism WOS centric National focus

11. Patient Portal Planning Solution Existing Backend Services Portal Services etc. Lanarkshire B1 GP Appointments GP Repeat Prescriptions Electronic Appointment Notification D Electronic Appointment Reminder A&A C EMIS Default to Print 1 Vision GG&C EMIS B2 4 CRIS Vision RLS Hospital Appointments (Broker and Notification Service) Vision Community Appointments Electronic Questionnaire 3 A Integration Engine Auto Invitiation GP Self Help Material Condition Related Test Results GP View clinician to GP letters Self Help Guides SCI Store Vision GP Summary Record Show Prescribed MedicationSecure Condition Specific Summary Material Messaging Trakcare Condition Related Test Results Acute 2 Clinical Portal B3 Telehealth Services Wearable Integration A. Portal Core. The component that presents a user interface to patients, manages interaction with myaccount and controls user access to portal services. B. Portal Services. Orchestrates patient interaction with the back-end systems that provide the actual patient oriented service. They do not re-implement any backend service functionality. (B1 2017 priority, B2 2020 priority, B3 unprogrammed future services) C. Integration Engine aka Broker and Notification Service (BNS). Provides the means for portal services to interface with backend services. D. Backend patient services. Existing systems that already provide functions such as records management, appointment booking etc. parts of which are to be exposed for patient self service through the portal. E. New enabling technology services required for full portal functionality.` Social Care Services Personal Profile Digital Image Triage 1. User opens portal 2. Portal authenticates user with myaccount. 3. User selects a portal service. 4. Portal service uses integration layer to request action from back end service. E Approvals Service Patient Content Repository eCommunications

12. Example Services Book/amend/cancel GP appointments Accept / Decline appointment offers. Consolidated view of hospital and other appointments. Order repeat prescriptions with your GP. Look up test results. Show a list of medication prescribed by your GP. Look up clear information that explains your test results and medication Receive letters, appointment details, etc Ask your doctor or nurse a question, using a secure written message. Get copies of letters written about your care Be notified when things happen related to your care Receive reminders by email or text Set goals for yourself, and measure your progress towards those goals. Record your own notes and measurements for doctor or nurse to see.

13. Get in touch ... John Costello, Project Manager email: john.costello@ggc.scot.nhs.uk Tricia Duncan, Programme Manager email: Tricia.duncan@ggc.scot.nhs.uk