NIB, Transfer of Care and PRSB
presented by Keith Naylor
NIB Domain Descriptions
A. Self-Care and Prevention: We will deliver the online
services that patients need to take control of their own care,
which will reduce the pressure on front line services.
B. Urgent and Emergency Care: We will help to deliver the
national urgent and emergency care strategy by providing the
digital infrastructure, algorithms and pathways we require.
C. Transforming General Practice: We will use technology
to free GPs from time consuming administrative tasks and
provide patients with online services.
D. Integrated Care: We will better inform clinical decision
making across all health and care settings by enabling and
enhancing the flow of patient information.
E. Digital Medicines: We will enable and improve pharmacy
decision making and outcomes by providing patients and
prescribers with streamlined digital services.
G. Paper free at the point of care: We will create an NHS
“paper free at the point of care” by driving up levels of
digital maturity and by enabling the NHS workforce to
better utilise the benefits of digital technology.
H. Data Outcomes for Research and Oversight: We will
deliver the health and care information and insight which is
fundamental to informed policy making, commissioning and
regulation by improving information collections, analysis
and reporting.
I. Infrastructure: We will enable information to move
safely and securely across all health and care settings by
providing robust and future-proofed national systems and
networks.
J. Public Trust and Security: We will provide the means
for citizens to set their consent preferences. We will
provide confidence that clinical and citizen information is
held safely and securely and protect health and care
systems from external threats.
F. Elective Care: We will improve referral management and
provide an improved treatment choice for patients by
automating referrals across the NHS.
2
Domains and Programmes
1
A
B
Self Care and Prevention
Urgent and Emergency Care
2
3
4
5
6
7
8
C
Transforming General Practice
9
10
11
12
13
14
15
16
D
Integrated Care
E
Digital Medicines
17
18
19
F
Elective Care
20
21
22
G
Paper Free at Point of Care
H
Data Outcomes for Research and
Oversight
25
26
27
I
Infrastructure
28
29
30
31
J
Public Trust and Security
32
33
23
24
Citizen Identity
NHS.UK
Health Apps Assessment & Uptake (inc wearables)
Widening Digital Participation
Clinical Triage Platform
Patient Relationship Management
Access to Service Information
Out of Hospital Care
General Practice Operational Systems and Services
Adopting Existing Technologies in General Practice
Technology for General Practice Transformation
GP Data for Secondary Uses
Integrated Care – Business Change
Integrated Care – Interoperability – (Includes Transfer of Care)
Social Care Integration
Personal Health Record
Digitising Community Pharmacy
Pharmacy Supply Chain and Secondary Uses
Integrating Pharmacy Across Care Settings
Digital Referrals
Driving Digital Maturity
Digital Child Health
Digital Diagnostics
Workforce and Professional Capabilities
National Data Services Development
Data Content (inc. GP data, PLICS and PCOMS)
Innovative uses of Data
Digital Interoperability Platform and Spine
NHSmail2
HSCN
WiFi
Cyber-Security
National Opt-Out Model
3
Transfer of Care – What is it?
Shoulder pain
------------------
Torn ligament
Suspected ligament
damage
Operation on shoulder
None at present
Drug x
------------------
5
When - Transfer of Care eDischarge – Long View
Q4
2015
Q1
2016
eDischarge
•No paper,
•no fax
Q2
2016
Q3
2016
Q4
2016
Q1
2017
Q2
2017
Q3
2017
Q4
2017
Q1
2018
NHS Standard Contract 2016/17
eDischarge – AoMRC Headings
• In any electronic format (no fax, no email)
• Strong recommendation to move to CDA
• Nationwide delivery
NHS Standard Contract 2017/18
eDischarge – AoMRC Headings + **SNOMED Diagnosis, Procedures, Allergies, Meds
• Structured Message (CDA)
• Nationwide delivery
AoMRC – Academy of Medical Royal Colleges
**Capability to carry coded info
PRSB Pipeline
• eDischarge AoMRC Headings (2015) 
• Ambulance (2016) 
• eDischarge AoMRC Coded Information (2016) in progress
• Mental Health Discharge Summary (2016) in progress
• Emergency Department Discharge Summary (2016
development for 2017/18 NHS standard contract)
• Outpatient Letter (2016 development for 2017/18 NHS
standard contract)
• Maintenance of core AoMRC Standard
• Clinical leadership – drive the clinical pull for standards
7
MESH – Free to use National Reach Delivery
MESH – Messaging Exchange for Social
and Healthcare
HSCIC managed infrastructure
National endpoint discovery service (look
up the endpoint for out of locality patient
GP)
Tertiary Care, Specialised Commissioning,
Mental Health
Replacement for the old BT provided Data
Transfer Service (DTS)