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GP Practice DOTs

There have been 3 full time DOTs employed by the CCG, based in the 3 Taunton PCNs as a pilot, for 18 months from 1st Jan 2020. Since then, with our support, other DOTs have been employed directly by other PCNs in Somerset too. They all meet regularly to “join the DOTs”, sharing their learning and supporting a consistent message countywide.  They have also recently supported their PCNs with COVID mass vaccination work including contacting patients and booking appointments digitally.

The overall aims of the DOT role are to:

  • Support culture change for GP practices to think more digitally – “Digital First”
  • Educate staff and patients on and support use of digital tools and equipment
  • Help improve local information sharing and digital literacy
  • Link together to share resources and learning (joining the DOTs)

This work is transformational and supports new ways of working, particularly important due to COVID social distancing rules changing the way the public interact with health services.

DOTs engage with all practice staff, including clinicians, wherever possible and support practice staff with surfacing relevant patient information and practice services through digital tools (e.g. enabling appointment booking and providing access to parts of the patient record stored in EMIS via the NHS App).

Their work includes the following:

  • Promote and support of the use of online and video consultation tools
  • Create and collate responses to patient satisfaction surveys on digital tools used
  • Support creation of, and training on using social media to promote the practice digital tools and services
  • Stimulate use of the NHS app by staff and patients for accessing practice services
  • Boost use of apps like MyDiabetesMyWay
  • Help patients who inform the practice that they are struggling with a digital tool (e.g. trying but failing to register on the NHS App) and talking patients through these tools, step by step
  • Create “How To” videos and podcasts for patients
  • Help with promotion of Electronic Repeat Dispensing
  • Set up Virtual Group Consultations
  • Share learning and resources across the PCN to help provide a standardised experience for patients
  • Work with practices to identify opportunities to transform paper based services into digital services, and connect with the related providers (e.g. change incoming paper correspondence from outpatient services to electronic methods)

Their work within a PCN can encourage an increase in NHS app registrations; a rise in patient online access; a reduction in calls to the surgeries; a growth in patients booking and managing their own GP appointments; more repeat prescriptions and sick notes being requested digitally; an improvement in patient satisfaction and a surge in patient endorsements.”  

Care Home DOTs

We are running a pilot scheme to extend the successful DOTs network to social care to strengthen digital links and promote Integrated Care System (ICS) working between health and social care providers. There are currently 2 full time members of staff employed for 6 months from 1st March 2021. Their overall aim is to work with a limited number of Care Homes across various parts of Somerset to:

  • Support culture change for care homes to think more digitally
  • Educate staff and residents on and support use of digital tools and equipment
  • Help improve local information sharing and digital literacy
  • Support use of NHS Digital endorsed apps for physical and mental health and well-being of staff, working alongside the NHS England IPads to care homes programme
  • Support online and video consultations with GP surgeries
  • Training on NHS Mail & Microsoft Teams and support (including cyber security)
  • Support use of proxy access for residents, allowing repeat prescription ordering
  • Share learning and resources across the system – identify ‘digital champions’ to network and promote tools such as the Digital Social Care website