Thread by @markgolledgeCH

Oh dear @janey513 you've made me create a separate thread!! 😀😀 There is a lot of good things in doc. More importantly a lot of things have been delivered. The efforts of the last year (& few yrs) has been fantastic. We've come on a long way. Here's a few thoughts re digital 👇

https://twitter.com/janey513/status/1334736428975202304

1). Let's keep focusing on how services / patient journeys work and make digital is just part of them eg how can we make the whole patient experience better where digital just becomes part of it. Rather than having digital as a separate strand.

2). Lots of good examples from service design about where this is done well. And some amazing examples from around the country. Would be good to see how we can embed more of these skills across the workforce.

3). Good design of services starts with user research but we don't have a lot of these types of roles in local systems I think yet. @NHSDigital has done a lot of good things on this - I'd like to see more about how these skills / approach can be grown in local ICS' and places.

4). We do still need to get some of the basic plumbing right - i.e interface with organisations outside of the NHS is improving but still lots to do. Voluntary orgs, councils, care providers, social prescribing (outside NHS) are part of multi agency teams - still lots to do.

5). Good to see the focus on how we build analytical skills. This is key for pop health. Locally we are working very closely with the council and public health who have skills and expertise too. How do we grow analytical capability for place and neighbourhood needed for this?

6). There is some good things in the doc eg citizen centred digital channels, data and interoperability - so really much of the above is covered. I think it's just about how this translates to someone as a patient, someone as a GP, social worker, vol. sector

7). And a big thank you to @NHSDigital & @NHSEngland teams. We've come so far in these last few months. Remote working, MDT working and tech to support it has improved 100 fold. It has changed how we work - need to now work on how we sustain this going forward.