Being able to access the right data and information at the right time is critical to enabling transformation and delivering optimal care. Digital transformation is a key enabler in implementing the NHS Long Term Plan and the Five Year Forward View and there are several significant areas where digital capability is making a difference to delivering integrated health and care.

Integrating care records across health and care

Successfully implementing an interoperability programme provides better information at the point of care, improves the speed and quality of decision-making and the quality of care delivered, reduces unnecessary referrals and admissions and helps clinicians to offer the most appropriate treatments.

Our experience of developing and deploying five major integrated care record and interoperability programmes across the south of England, means that we are able to provide expert advice and implementation support to systems across the full range of the programme cycle. We support, Care and Health Information Exchange, CHIE, (formerly Hampshire Health Record), Connecting Care in Bristol, North Somerset and South Gloucestershire, Oxfordshire Care Summary,  Join up Your Information in Gloucestershire and Connected Care in Berkshire to provide connected, interoperable electronic records that are shared between system partners and comply with all relevant information governance requirements.

Predicting the healthcare needs of a population

As the NHS Long Term Plan is implemented, and health and care systems develop to become Integrated Care Systems, they will need to combine information from primary and secondary care, and group patients based on clinical need; applying statistical models to identify patients with high predicted risk of service use in the future. 

At SCW we recognise that you have to be able to analyse your population to enable the current distribution of healthcare utilisation and costs to be understood. This includes identifying gaps and duplications in care, and where there are opportunities to improve outcomes and reduce unwarranted variation and wasted resources. Patients can then be grouped into mutually exclusive population segments, to use as a basis for planning future service delivery models where you can target services to the needs of each segment of the population.

We can support you to understand your population’s needs using risk stratification and case mix analysis to identify opportunities to improve local health. Our Insights Population Analytics solution uses the internationally recognised Johns Hopkins University ACG predictive models; and SCW worked closely with them to adapt the range of predictive algorithms for use for the UK population.

Supporting health and wellbeing

Key to the success of the prevention agenda is the use of digital technology such as patient facing websites and online apps to support self-management of health. As well as focusing on prevention, health technology helps to improve outcomes for individuals and promotes patient independence, which can result in a reduction in avoidable service use.

We offer cost-effective solutions to problems that are difficult to manage, helping people to change their behaviour to keep themselves well. We are experts in changing social norms at a population-level, using evidence-based social marketing, such as online health coaches and applications to support health management.

In a unique partnership with Microsoft, System C and Graphnet Care Alliance, we are testing how lifestyle data from wearable technology can affect behaviours, and how this data can be linked into connected care – for example in Berkshire’s integrated care records system Connected Care.

Developing your digital care strategy

Working together with local health and care economies we have been developing their digital vision for improving health and care across their regions. To deliver this vision they will need to align their service transformation plans and to build delivery programmes that take initiatives through to planning and implementation.  Tying service transformation drivers to how digital programmes are designed and delivered is essential to the success of these programmes.  SCW can support your health economy in developing these strategic digital capabilities and platforms.

As an example of this support we have been central to the development of 10 Local Digital Roadmaps, and provided recent support to the vanguard programme in NHS England working with the Harnessing Technology team on technology enablement for New Care Models.  As well as supporting several customers with their digital capabilities, for example, in Bedfordshire, Luton and Milton Keynes (BLMK), Berkshire, Frimley, Hampshire/Isle of Wight, and Bristol, we are also working alongside a number of Global Digital Exemplar partners, for example Oxford University Hospitals Trust and University Hospital Southampton.

Delivering transformational change technology developments across whole systems of care in a coherent and viable way is a complex process. To support digital programme boards across STPs in their role of developing system-wide digital capabilities, we were commissioned by NHS England to develop a ‘Target Architecture Design Guide’. We are now supporting customers in applying the guide to inform how the overall target architecture of their system develops, and avoid discrete and localised solutions from developing in isolation.

Case studies