WEBVTT


00:00:02.600 --> 00:00:03.560
This is huge.


00:00:03.920 --> 00:00:07.760
This is one of the biggest digital
transformation programmes in history.


00:00:08.040 --> 00:00:12.111
It's true that the NHS is just simply not
sustainable without a radical


00:00:12.111 --> 00:00:12.960
transformation.


00:00:13.240 --> 00:00:17.920
So this has completely changed the way in
which we're able to deliver healthcare.


00:00:20.880 --> 00:00:25.068
Obviously that was the really that was
where it was before and that's where it


00:00:25.068 --> 00:00:25.440
is now.


00:00:26.000 --> 00:00:30.090
The transformation that digital can bring
about is exactly the transformation to


00:00:30.090 --> 00:00:33.120
help keep the NHS sustainable and free at
the point of use.


00:00:33.720 --> 00:00:37.927
The NHS Frontline Digitisation programme
is about helping hospitals and care


00:00:37.927 --> 00:00:41.480
providers move from paper based systems
to modern digital tools.


00:00:41.640 --> 00:00:46.495
That means giving staff access to the
right information at the right time,


00:00:46.495 --> 00:00:47.920
wherever they need it.


00:00:48.000 --> 00:00:52.993
We're facing massive pressures from an
ageing population and an ever increasing


00:00:52.993 --> 00:00:55.240
number of more expensive treatments.


00:00:55.680 --> 00:01:00.957
The three strategic shifts that the NHS
needs to make is to shift from analogue


00:01:00.957 --> 00:01:04.783
care to digital care,
from acute hospital based care into


00:01:04.783 --> 00:01:09.994
community based care and to a system
which is really moving from sickness into


00:01:09.994 --> 00:01:10.720
prevention.


00:01:10.880 --> 00:01:15.120
And having one patient record is critical
to enabling all of those shifts happening.


00:01:16.000 --> 00:01:19.800
By March 2026,
the goal is for 96% of NHS trusts to have


00:01:19.800 --> 00:01:24.800
a modern electronic patient record system,
with the remaining in delivery.


00:01:25.440 --> 00:01:32.166
So over the past four years we've
invested about £2 billion / 170 different


00:01:32.166 --> 00:01:33.760
NHS organisations.


00:01:34.080 --> 00:01:36.826
When I identify a patient I'm going to
see,


00:01:36.826 --> 00:01:41.320
I will click on them and then their whole
digital world opens up to me.


00:01:41.440 --> 00:01:45.803
These systems enable members of
multidisciplinary teams within hospitals


00:01:45.803 --> 00:01:50.466
to all see the same information about the
patient at the same time to come to


00:01:50.466 --> 00:01:52.080
better considered decision.


00:01:52.240 --> 00:01:53.920
It's the beating heart of an organisation.


00:01:54.000 --> 00:01:57.880
It affects every single care process that
has a patient you'll experience.


00:01:58.000 --> 00:02:02.722
When I started my NHS career we used to
have to wheel trolleys piled up with


00:02:02.722 --> 00:02:06.586
patient records and notes,
so the Eprs have made things hugely


00:02:06.586 --> 00:02:07.200
efficient.


00:02:07.680 --> 00:02:12.945
The implementation of the infrastructure
associated with Eprs can help NHS staff


00:02:12.945 --> 00:02:15.480
claim back thousands of hours annually.


00:02:15.600 --> 00:02:20.051
So if you're a patient on a ward and
you're having your vital signs monitored,


00:02:20.051 --> 00:02:23.319
your temperature, your blood pressure,
your oxygen level,


00:02:23.319 --> 00:02:26.080
that data will be put straight into your
record.


00:02:26.320 --> 00:02:29.800
A nurse has not had to transcribe that
information.


00:02:30.480 --> 00:02:35.440
This was about supporting over 170
organisations and A1 cent a generation


00:02:35.440 --> 00:02:40.468
implementation recognise they're all at
different stages of organisational


00:02:40.468 --> 00:02:42.480
maturity and digital maturity.


00:02:42.840 --> 00:02:47.265
O We focused most of our resource on
those that have furthest to go,


00:02:47.265 --> 00:02:50.600
trying to ensure that we are are
narrowing the gap.


00:02:50.920 --> 00:02:55.219
They've really listened hard to frontline
staff to understand where their greatest


00:02:55.219 --> 00:02:59.518
needs were at the moment that matters to
the most so that more time could be spent


00:02:59.518 --> 00:03:01.280
committing to care to the patient.


00:03:01.360 --> 00:03:04.784
It was really important to us to work
with a partner who could draw on


00:03:04.784 --> 00:03:07.920
knowledge and experience from across the
health and care system.


00:03:08.440 --> 00:03:13.045
We worked in collaboration with the
NHSNHS England and PwC and the the


00:03:13.045 --> 00:03:15.640
results have been absolutely staggering.


00:03:15.760 --> 00:03:19.620
Intentionally this was a team brought
together from experts across a whole set


00:03:19.620 --> 00:03:22.357
of different organisations,
be it national NHS England,


00:03:22.357 --> 00:03:26.120
be it ourselves on transformation and our
consortia, but also the local NHS.


00:03:27.640 --> 00:03:32.040
The convening has brought NHS trusts
together to learn from one another.


00:03:32.200 --> 00:03:34.760
That has really helped projects run
successfully.


00:03:35.160 --> 00:03:37.680
So we've seen Eprs have tangible benefits.


00:03:37.680 --> 00:03:41.880
We've seen a 17.
5% reduction in sepsis mortality.


00:03:41.880 --> 00:03:45.643
We've seen a 4.
5% reduction in average length of stay,


00:03:45.643 --> 00:03:48.600
which is hundreds of thousands of bed
days.


00:03:48.600 --> 00:03:49.920
Back to the NHS.


00:03:50.280 --> 00:03:55.346
They also see a 13% drop in admitted
patient costs and that's a reflection of


00:03:55.346 --> 00:03:57.880
more efficient, digitally enabled care.


00:03:57.920 --> 00:04:02.069
This programme's a fundamental building
block to then be able to look at our


00:04:02.069 --> 00:04:03.040
wider aspirations.


00:04:03.160 --> 00:04:06.553
We're seeing innovations such as robot
assisted surgery,


00:04:06.553 --> 00:04:10.960
drones delivering blood samples across
London, and pharmaceutical robots.


00:04:12.040 --> 00:04:15.176
And as AI accelerates,
we're looking at what that means for


00:04:15.176 --> 00:04:15.960
digital health.


00:04:16.160 --> 00:04:20.636
That includes integration with other
technologies such as our Federated data


00:04:20.636 --> 00:04:21.160
platform.


00:04:21.440 --> 00:04:26.755
The future NHS needs to be 1,
which exists a lot more in the patient's


00:04:26.755 --> 00:04:27.280
pocket.


00:04:27.480 --> 00:04:32.143
We expect that that will lead to ever
increasing levels of patient empowerment


00:04:32.143 --> 00:04:36.040
as the NHS truly seizes the opportunity
to digitise its pathways.


00:04:36.400 --> 00:04:40.101
I hope that when people talk about the
legacy of this programme,


00:04:40.101 --> 00:04:44.487
they say that it really changed lives,
that it gave time back to clinicians,


00:04:44.487 --> 00:04:48.360
dignity back to patients and laid the
foundation for a smarter NHS.


00:04:48.640 --> 00:04:52.611
It gives me a great degree of
satisfaction to know the difference that


00:04:52.611 --> 00:04:56.080
we're making to people's lives each and
every day in the NHS.