The role of NHS Digital is to deliver the data and digital architecture necessary to support the programme. We helped with identifying who needed to be monitored and capturing their daily oximetry readings.
To do this, our architecture team designed the digital process that takes the list of patients with a positive COVID-19 test result from the National Pathology Exchange (NPEX), an information exchange hub which connects all UK labs together, and the Second-Generation Surveillance System, the national laboratory reporting system in England, to capture data on infectious diseases and antimicrobial resistance. This is then processed via the Data Processing Service (DPS).
The information is compiled with other patient data, such as identifying whether the patient is on the Shielded Patient List, aged over 65 or are symptomatic at the point of testing. This data is then sent to the relevant Clinical Commissioning Groups (CCGs) who decide which patients to onboard for remote monitoring.
Once those patients have been identified, they’re provided with an oximeter and record their results either through a smartphone app, a web portal, via their GP or a paper diary.
Information about which patients are starting on or leaving the service is updated weekly and NHS systems are updated to make other services aware that a patient is being monitored by COVID Oximetry @home – for instance, by adding a flag to the patients’ Summary Care Records (SCR).
The process is described in the picture below:
The programme has a need to evaluate the effectiveness of home oximetry monitoring in achieving the desired clinical outcomes for COVID-19 patients. Academic partners including University College London (UCL) and Imperial College are assisting with this evaluation. The team also provides service management information to NHSX and NHSE&I.