'Navigator' - An innovative approach to mobilise our FiY1 doctors during this emergency crisis.

新冠肺炎疫情已导致英国国民健康保险制度的工作人员超出了合理需求。减轻这一工作量的一种方法是，英国医学院理事会将最后一年毕业的医学生快速过渡到合格的医生。这些新获得资格的基金会第一年临时医生(FY1)是一项宝贵的资源，他们将完成低风险的程序和办事员。潜在的问题是有效地利用这一史无前例的FY1角色，真正减轻现有NHS工作人员的额外工作量。最大限度地利用经验丰富的临床工作人员的时间和资源是抗击这一大流行的关键。FY1角色的新颖性带来了不可避免的不确定性、担忧以及现有医务人员和FIY1医生之间的沟通问题。我们预测，这可能会导致医疗体系内在的低效率，这是NHS在大流行期间无法承受的(例如，工作流程、监督角色的负担以及工作人员之间的协调)。我们的拟议机制解决了当前在这场混乱中的工作量。我们的服务(导航员)将取代主管面对面协调新的第一财年的需要；其他工作人员可以实时要求第一财年的医生到病房履行他们擅长的特定职责。这不仅为有经验的员工腾出时间专注于其他工作，还最大限度地提高了第一财年医生的效率。对于患者来说，这意味着更快的诊断和治疗，加快了患者的路径，减少了住院时间；对工作人员来说，这意味着更有效率的工作日。我们设想第一个年度的医生在医院的病房之间流动，比以往任何时候都更快地满足临床环境中的需求--一旦一个任务完成，第一个年度只需打开我们的申请，就可以进入下一个临床任务。为了利用这项技术提高他们的表现，我们将通过每周工作报告将工作责任数字化，这些报告可以提交给他们的临床主管。没有传输患者数据，工作人员详细信息也是匿名的，因此不存在数据保护或安全问题。我们正在推动NHS的无纸化议程，并减少在混乱期间可能复杂的面对面沟通。在当前的医疗环境中，流水线工作流程的必要性比以往任何时候都更加重要。我们已经重新设计了医务人员在这一困难时期与第一届医生联系的方式，我们也希望医生和学生能够在未来。患者还将受益于更具响应性的NHS服务。--更多信息在这里--我们已经完成了Navigator的Beta阶段测试，该产品目前正在接受专业的审计和压力测试，并计划进一步进行数字认证。Impact的延期将使我们能够完成全面的研发评估，符合国家数字实施指南，我们估计将于2021年1月完成。因此，Impact的延期将使我们能够超越该产品，为在NHS英格兰广泛实施做好正式准备。这包括用户研究、通信互操作性、数据安全和信息治理。我们的业务模式目前建立在我们期望的框架上，通过我们的实施和试用许可费来获得收入，我们可以通过这些收入来维持项目的发展。我们的商业策略师为我们提供了如何与医院高管进行讨论的蓝图，并详细地向我们展示了如何成功完成NHS的招标过程。他还为我们提供了访问他完善的关系网的途径，其中包括一系列知名的医疗专业人士和企业家，我们可以参与讨论，只有在该产品在几家医院获得正式许可并在英国形成医学教育据点后，我们才能在国际上推出这些产品。在这次延期之后，这将是我们产品开发的最后阶段。在此之后，我们将通过与我们的业务策略师在该项目第一季度内开发的商业模式来执行国家商业化。

The COVID-19 pandemic has caused the NHS workforce to be stretched beyond reasonable demands. One method of relieving this workload was for the UK Medical School Council to fast-track final year graduated medical students to qualified doctors. These newly qualified Foundation Interim Year 1 (FiY1) doctors are a valuable resource and will be completing low-risk procedures and clerking.The potential problem is effectively utilising this unprecedented FiY1 role in a way that truly alleviates the extra workload for current NHS staff. Maximising time and resources of experienced clinical staff is key to fighting this pandemic. The novelty of the FiY1 role invites inevitable uncertainty, worry and communication issues between current medical staff and FiY1 doctors. We predict this will potentially lead to an inherent inefficiency within the healthcare system that the NHS cannot afford during a pandemic (e.g. work flow, burden on supervision roles and coordination between staff). Our proposed mechanism addresses the current workload during this pandemic.Our service (Navigator) will replace the need of face-to-face coordination of new FiY1s by supervisors; in real-time, FiY1 doctors can be requested to wards by other staff members for specific duties they are competent in. This not only frees-up time for experienced staff to focus on other work but also maximises the efficiency of the FiY1 doctor. For patients, this means faster diagnosis and treatment speeding up the patient pathway and less time in hospital; for staff this means a more productive workday. We envision FiY1 doctors flowing between wards across the hospital, meeting demand in clinical settings quicker than ever before - once one task is completed the FiY1 can simply open our application and move onto the next clinical duty. To enhance their performance with this technology, we will digitalise responsibility of work through weekly work reports that can be submitted to their clinical supervisors. There is no patient data transferred and staff details are anonymized, so there are no data protection or security issues. We are facilitating the paperless NHS agenda and reducing face-to-face communication which can be complicated during a pandemic.The necessity to stream-line workflow is more vital than ever in the current healthcare climate. We have reinvented the way medical staff will liaise with FiY1 doctors during this difficult time, and we hope also doctors and students of the future. Patients will also be the beneficiaries of a more responsive NHS service.--ADDITIONAL INFORMATION HERE-- We have completed Beta Phase Testing of Navigator and the product is currently being audited and stress-tested professionally with plans for further digital certification. The Extension for Impact will allow us to complete a full comprehensive research and development assessment, meeting national guidelines for digital implementation, we estimate to be completed by January 2021. Hence, the Extension for Impact will enable us to excel the product to be officially prepared for widespread implementation across NHS England. This includes user research, communication interoperability, data security and information governance.Our business model currently stands on the framework that we are expecting through our implementation and trial license fees to gain us a revenue that we can sustain the development of the project through. Our business strategist has provided us with a blueprint of how to engage in discussions with hospital executives and shown us at length how to successfully complete the NHS tendering process. He has also provided us with access to his well-established networks, that include a range of high-profile healthcare professionals and entrepreneurs that we can engage in discussions to launch internationally, only once the product is officially licensed in a few hospitals and develops a stronghold in medical education in the UK. After this extension this will be our last phase of product development. After this will be executing national commercialisation through the business model developed within the first quarter of this project with our business strategist.