Shared Care Records

Driving regional SCR adoption from 5% to 30%

The BNSSG Shared Care Records system had stalled at single-digit monthly adoption growth eighteen months after launch. Clinical teams lacked confidence in the system, champions were uncoordinated, and there was no structured change management framework in place.

A structured programme was designed from scratch — beginning with root-cause analysis of adoption barriers, moving through targeted intervention design, and culminating in a clinical champion programme that built sustained organisational capability rather than one-off training events.

Primary outcome

5% → 30%

Monthly adoption growth over six months — a 6× improvement on baseline, with sustained trajectory at programme close.

  • Context

    Regional SCR system serving 1M+ residents. Launch in 2023. Adoption plateaued at 5% monthly growth with no structured change management in place.

  • Approach

    Prosci/ADKAR methodology applied: root-cause analysis of adoption barriers, clinical champion recruitment and coordination, targeted intervention design per clinical pathway, iterative co-production with operational leads.

  • Governance

    Programme reporting to ICB Digital governance. Regional User Engagement Group chaired. System partner stakeholders — primary care, acute, community — coordinated across delivery phases.

  • Standards

    NHS Digital safety, IG compliance, and WCAG accessibility requirements embedded throughout. Cyber security standards upheld across all digital touchpoints.

  • Outcome

    Monthly adoption growth from 5% to 30% within six months. Sustained trajectory post-programme. Clinical champion network established as ongoing governance asset.

Digital Inclusion

BNSSG Digital Inclusion Programme Portfolio

TBNSSG ICB has statutory obligations under the Public Sector Equality Duty and NHS Digital Inclusion Action Plan to reduce digital barriers for excluded populations. No structured programme existed to meet these obligations with measurable outputs.

A five-initiative portfolio was designed and developed for ICB sign-off — each initiative grounded in named statutory obligations, carrying defined outputs, delivery timelines, and benefits realisation frameworks. The portfolio positions digital inclusion as mandatory delivery, not discretionary activity.

Programme scope

5 initiatives

24-month portfolio in active development. ICB sign-off pathway in progress. Aligned to three national statutory frameworks.

  • Context

    BNSSG ICB serving 1M+ residents. Statutory obligations under Public Sector Equality Duty, NHS 10-Year Plan, and NHS Digital Inclusion Action Plan 2025. No structured programme in place.

  • Approach

    PPortfolio-level programme design: five initiatives structured for sequential delivery with interdependent outputs. Each initiative carries named outputs, delivery timelines, and benefits realisation milestones. PRINCE2 governance applied throughout.

  • Governance

    ICB sign-off pathway designed and in progress. Programme framed within Joint Forward Plan 2025–30 and BNSSG Digital Vision. Board-level reporting structure established.

  • Standards

    ICB UX Design Standard · Digital Inclusion Research Programme · Cross-ICB Workshop Series · Patient Journey Map · Design for Health Pilot (flagship).

  • Outcome

    Active development. ICB sign-off proposal submitted. Peer-reviewed research output planned for external publication. Full roadmap: months 1–18.