The state of built-in care programs 2024/25

Overview

In 2022, Devon ICS (One Devon) launched a five-year digital technique to modernise its well being and care providers. At the time, many providers nonetheless relied on paper information, and digital programs had been fragmented. Patients had restricted digital entry to their well being info, and Devon’s rural and coastal geography, ageing inhabitants and infrastructure gaps added additional challenges.  

Vision and strategy 

Digital transformation is seen as a key enabler throughout One Devon’s strategic targets: pressing and emergency care, deliberate care, diagnostics, kids, younger individuals and maternity, and digital innovation. With a parallel deal with maximising the worth of current digital investments, it additionally helps the system’s monetary restoration via joint procurement, infrastructure consolidation and standardisation.  

Delivering the shift: key interventions 

Devon has made main progress, particularly in constructing a shared digital infrastructure. The EPIC Electronic Patient Record (EPR) system – first utilized in Royal Devon University Healthcare NHS Foundation Trust (FT) – is now being rolled out in Torbay and South Devon FT and University Hospitals Plymouth NHS Trust. 

Meanwhile, the Devon and Cornwall Care Record (DCCR) offers a single abstract of affected person knowledge for 321 organisations and 45,000 customers throughout Devon, Cornwall and the Isles of Scilly. It allows real-time knowledge sharing throughout a variety of suppliers, supporting sufferers to obtain the appropriate care with out having to repeat their story.  

In grownup social care, Devon’s Digitisation of Social Care (DiSC) programme – delivered by NHS Devon, native councils and care-sector our bodies – has supported 182 suppliers in shifting from paper to interoperable digital information that can allow higher knowledge sharing with the broader well being and care system.  

Finally, Devon has created the award-winning GP within the Cloud (GPITC) service, developed with native companions. The service permits GPs, nurses and different employees to entry core GP programs remotely, which means they’ll seek the advice of from wherever within the UK.  

Measuring success 

EPIC EPR replaces paper information and allows sufferers to entry take a look at outcomes, appointments and care groups by way of the MY CARE app. With all acute trusts in Devon quickly to be utilizing EPIC, it implies that by the top of 2026 MY CARE will probably be out there to everybody in Devon.

Devon and Cornwall had been the primary to implement the National Record Locator throughout the DCCR, which now holds round 35,000 digital Patient Escalation Plans (eTEPs). An added good thing about the DCCR is that paramedics can entry information and eTEPs by way of cellular units, serving to them honour sufferers’ end-of-life needs. 

By March 2025, 93 per cent of CQC-registered care houses had adopted DSCRs, exceeding the nationwide goal of 80 per cent. 

GPITC has supported versatile working, fast cross-site cowl and enterprise continuity for practices and PCNs. It has additionally contributed to sooner, extra dependable entry to information and on-line session platforms, underpinning ‘digital first’ contact and bettering the expertise of sufferers and employees.  

The DiSC programme achieved excessive uptake in a posh supplier panorama, leaving a robust basis for future enhancements. 

The One Devon Dataset (ODD) helps inhabitants well being administration and extra strategic commissioning. This pseudonymised, linked dataset helps NHS organisations and councils in Devon to section sufferers and profile danger. 

Next steps 

One Devon’s digital technique presents a sensible blueprint for ICSs shifting from analogue to digital. Devon will proceed its formulation for reaching progress by prioritising areas of momentum and a deal with inclusion, sustainability and collaboration. It may also proceed growth of the ODD to make use of extra knowledge from different well being and care providers, plus the introduction of recent danger stratification fashions to establish sufferers who would profit from earlier intervention.