Tackling healthcare’s digital divide
COVID-19 has undoubtedly accelerated digital transformation within the NHS, with a remarkable increase in remote consultations and monitoring. The government is focused on using this opportunity to embed improvements and spearhead digital maturity in the NHS by investing in IT infrastructure and funding for hospitals to develop their digital strategies. As this new NHS experience evolves, it is vital that its digital roadmap is underpinned by patient-centricity and sustainability and that solutions are delivered through partnership.
Due to the unprecedented scale and pace of the global pandemic, it is understandable that the opportunity to consult on digitisation was limited. However, as we come out of the shadows of the pandemic, we need to ensure that digital expansion moves forward with careful consideration of what good patient-centric care looks like in a digital delivery model.
Involving the patient
A report published from The Patients Association, ‘Digital Health During the COVID-19 Pandemic’ found that patients want to be involved in decision-making and have more control over their care. We can create solutions that offer more effective and efficient delivery of health services at every level by involving patients in the design of services and addressing their data concerns in a transparent manner.
As we re-imagine a more sustainable, digital NHS, it is vital that we involve patients at every step of the journey. By transforming systems through digital innovation, we can help to create a future-proofed NHS, co-designed by patients with the potential for improved capacity and use of resources. Building better value back into the system, will make it sustainable for the longer-term and will help clinician time to be deployed on those patients with the most urgent care needs.
However, hardwiring innovation into the NHS comes with its challenges, as discussed in our recently published ‘An Innovator’s Guide to the NHS’. The report shares insights from NHS stakeholders and highlights some recommendations on how policymakers can better build digital capacity. There has never been a greater need or opportunity for innovators, health institutions, industry, patient representatives and the NHS to come together, to harness the current innovation momentum.
The digital divide
While digital technology undoubtedly brings greater value to our health system and has the potential to positively impact the patient experience, bringing appointments and resources into a patient’s home and the promise of reduced waiting times and expanded access to services, digital transformation will not be the solution for everyone.
With an estimated 11.7 million people in the UK lacking either basic digital skills and/or poor access to digital services, there is much to be done to address the digital divide and to ensure we provide patients with choice and ensure non-digital options are still available.
Age remains the biggest indicator of whether an individual is online and it is not just the very elderly who are under-equipped as 52% of those offline are between 60 and 70 years old. Often, it is the most vulnerable and disadvantaged who are the most likely to be digitally excluded, and so we cannot separate social determinants from health outcomes.
As we navigate our recovery from the pandemic, it is vital that our journey towards digital transformation does not slow down.
At Boehringer Ingelheim, we are committed to working with innovators and providers who are driving transformation with a firm eye on the end user and equitable access to care for all patients. We recognise that new thoughts and ideas around systems, practices and technology will take us further and faster down the road towards net zero too and that new digital technologies that cannot prove sustainability credentials will not get past the door.
The central challenge is to meet the needs of today’s population as well as having a firm eye on future generations, but that’s always been central to our purpose and the way we work at Boehringer Ingelheim. Of course, the evolution towards a modernised and sustainable NHS will involve barriers, but we have growing clarity and understanding that through a patient focused and partnership approach we can deliver a digital health service that is accessible to all.
NHSX releases new data plans, experts call for transparency
Patients in England will get "greater control" over their health and care data according to new proposals set out by the government.
In a new draft strategy called "Data saves lives: reshaping health and social care with data", Health and Social Care Secretary Matt Hancock says that more effective use of data will deliver better patient-focused care. "This strategy seeks to put people in control of their own data, while supporting the NHS in creating a modernised system fit for the 21st century which puts patients and staff in pole position."
Under the new plans people will be able to access their medical records from different parts of the health system through different applications, to access test results, medication lists, procedures and care plans.
The strategy, published by NHSX, the government department that sets policies for the use of technology within the NHS, follows delays to the creation of a central database of patient records amid concerns over data sharing and a lack of transparency, with critics saying that only a small proportion of the public were made aware of the plans and the choice to opt out.
Kevin Curran, senior member of The Institute of Electrical and Electronics Engineers (IEEE) and Professor of Cybersecurity at the University of Ulster, says that moving health records online raises concerns. "The move to an online app does seem like a natural progression, however there is a difference between having computerised records within our healthcare IT infrastructure and having those records reside on a public facing server.
"Having records inhouse limits the range and type of access – it's far more difficult for remote hackers" Curran said. "There are techniques that healthcare organisations can use to reduce the risk of future data breaches. One way is to make it ‘opt in’, so patients have the choice to decide whether their medical information is moved to a public facing service so that they can access it.
"However, those who do not opt in or download the app instead should have their records hosted in a non-public-facing cloud service. This way, if a data breach does occur, those who never used the app, or not wanted to, will not have had their details released."
The new strategy has been welcomed by some, with an emphasis on the need for transparency. Adam Steventon, Director of Data Analytics at the Health Foundation, said: "Health data has played a critical role in the last year – from tracking COVID-19 outbreaks and developing treatments, to getting people booked in for their vaccines. It is critical that the use of data is accelerated if the NHS is to tackle the backlog of care and address the massive health challenges facing the country.
"It is particularly positive that the government has committed to building analytical and data science capability in the NHS and to improving data on social care. To ensure the full potential of data can be realised, the government must ensure transparency on how it will be used and the rights and options people have, as well as engaging with the public and health care professionals to build trust and show people how their data can improve the NHS and save lives."