1. Empowering people

5.9. People will be empowered, and their experience of health and care will be transformed, by the ability to access, manage and contribute to digital tools, information and services. We will ensure these technologies work for everyone, from the most digitally literate to the most technology averse, and reflect the needs of people trying to stay healthy as well as those with complex conditions.

5.10. We will provide a trustworthy place for people to find health information, apps and register to access NHS services. The NHS Apps Library, NHS App and NHS login will enable easy access to personalised content and digital tools and services. Following its first public release last year, we will continue to develop the NHS App to create a consistent way for people to access the NHS digitally.

5.11. The NHS App will create a standard online way for people to access the NHS. The app will work seamlessly with other services at national and local levels and, where appropriate, be integrated into patient pathways. We will create an open environment to make it easier for developers to build enhancements that support specific communities, conditions, demographic groups or languages. The NHS login will allow for a single way for patients to identify themselves to a range of services.

5.12. In 2019/20, 100,000 women will be able to access their maternity record digitally with coverage extended to the whole country by 2023/24. Additionally a digital version of the ‘red book’ will help parents record and use information about their child, including immunisation records and growth. This will be made available in a mobile format that follows the family and removes the need for a paper record. It will also help children start life with a digital Personal Health Record (PHR) that they can build on throughout their lives.

5.13. We will work with the wider NHS, the voluntary sector, developers, and individuals in creating a range of apps to support particular conditions. We will develop and expand the successful Diabetes Prevention Programme to offer digital access from 2019. People newly diagnosed with diabetes will be supported through expanded pilots for digital structured education as well as a roll-out of HeLP – an evidence-based, self-directed self- management programme. By 2020, we aim to endorse a number of technologies that deliver digitally-enabled models of therapy for depression and anxiety disorders for use in IAPT services across the NHS. And we expect this to expand to include therapies for children and young people and other modes of delivery, such as virtual and augmented reality, which are already demonstrating early success through the mental health GDE programme. We will also create the Application Programming Interface (API) and appropriate governance models to underpin this work, so that technical barriers won’t stand in the way of innovation.

5.14. Support for people with long-term conditions will be improved by interoperability of data, mobile monitoring devices and the use of connected home technologies over the next few years. By 2020, every patient with a long-term condition will have access to their health record through the Summary Care Record accessed via the NHS App. This will also be available to all urgent and emergency care services, with appropriate permission. By 2023, the Summary Care Record functionality will be moved to the PHR held within the LHCR systems, which will be able to send reminders and alerts directly to the patient.

5.15. Patients’ Personal Health Records will hold a care plan that incorporates information added by the patient themselves, or their authorised carer. Making care plans available to the patient and all clinicians caring for them will help ensure care is not duplicated, tests are not repeated and appropriate actions are taken in a timely manner. The PHRs will also hold data that the patient chooses to share with the NHS, including from monitoring devices such as digital scales or blood pressure cuffs. Patients who choose to join a condition monitoring programme will be able to benefit from insights from these data and will be monitored for combinations of symptoms that may indicate clinical events and result in contact from a health adviser or clinician to help the individual stay well. Patients and clinicians will also be able to add information about living circumstances which may require reasonable adjustments to be made.