Policymaking around the use of digital technology in the NHS has been disjointed, with responsibilities split between NHS England, NHS Digital, the Department of Health and Social Care, and others.
Around three quarters of these people are over 65. Technology is expected to facilitate service transformation, including the redesign of outpatient services and reorganisations of pathology and diagnostic imaging services and the plan reiterates the previously stated ambition for all secondary care providers to be ‘fully digitised’ by 2024.Ĥ.3 million people report having no digital skills. This includes ambitions for increased care and support for people in their own homes using remote monitoring and digital tools, as well as a new right to digital primary care services from 2024. However, despite the extensive roll-out of technology to give patients access to their GP records, public awareness and usage of this technology remains low.ĭigital technology is integral to many of the changes envisaged in the NHS long-term plan. In contrast to the slow progress made in hospitals, efforts to digitise primary care have been much more successful with almost all GPs using electronic health records. Available investment has primarily been focused on a small number of ‘exemplars’ expected to lead the way for others. Recent government targets for the NHS to ‘go paperless’ have been delayed, in part due to insufficient investment to deliver the required changes. The programme has been criticised for not understanding users’ needs due to a lack of user engagement and overly centralised decision-making. Despite being a multi-billion-pound programme of investment spanning almost a decade, it failed to achieve its main objectives of creating a single electronic health record system and connecting primary and secondary care IT systems. These include the 1992 national IT strategy for the NHS and the National Programme for IT which ran from 2002–11. According to information provided to us by NHSX, as of October 2019, 96 per cent of GP patients in England can use the NHS app to connect to their practice, although not all can use the full features of the app.ĭigital technologies are not new to health care, and there has been a succession of national strategies to support their development and spread.
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