Slide 1

Moving Forwards with
HealthSpace
Gillian Braunold
Clinical Director
Summary Care Record & HealthSpace


Slide 2

HealthSpace Development
Patient portal through which they have a
secure on line domain for their
transactions with health service
Aligned with Choices
Place to store records – access on line
electronic records-and also from which
they can send information to their clinician


Slide 3

What is HealthSpace
Secure on line domain for patients for their
transactions with the Health Service
Offered through the Choices Portal
Through high level registration
authentication and authentication services
can be offered to patients across a range
of work streams


Slide 4

My Health Information


Slide 5

View and store clinical information
about themselves
SCR
Renal patient view piloting in Salford
Diabetes record piloting in Salford
Can choose to have letters about
themselves copied to their HealthSpace
account rather than through the mail


Slide 6

HealthSpace sets the portal and security standard
through which other patient records can be
enabled for patient viewing
The full GP record where the GP wishes to make it
available to patients
Patients can store URL pointers to abnormal
scan/x ray results
The coded information in both Summary Care
Record and GP records enable context sensitive
knowledge support through on line access to
approved databases and factsheets


Slide 7

Communicator


Slide 8

Enables a secure communication channel
between patients and clinicians
This can enable updates to records both
demographic and clinical and many of
the features that follow
The email addresses of both the clinician
and the user remain hidden and
communication is managed through
webforms in HealthSpace
The invitation to a patient to be
communicator linked is under the control
of the clinician


Slide 9

Communicator Challenges
• Not all clinicians and all patients will want
to use communicator
• Not to be used for urgent clinical
communications
• Will this create a two tier service?


Slide 10

Can enable better continuity of care as
patients are able to exploit this medium for
support if they are unable to see the
clinician.
– Time zone management if patient abroad
– Enables patients who otherwise may feel it is
too risky to travel if they cannot keep in touch
with their clinical team


Slide 11

Ordering repeat prescriptions
– From GP
– From pharmacist

Patient and service experience enhanced as
clear communication enabled and securely
recorded


Slide 12

Self Care


Slide 13

Patient sending information to
their clinician and records
Regular monitoring of physiological
measures sent directly to clinical records
Ability to send digital photo of their
progress say in ulcer management
Ability to receive back advice on
medication levels following the sending
of information


Slide 14

Receive information securely
If chosen as medium for communication
HealthSpace can be used for
Screening reminders
Opportunity for patients to ask for
information of relevance to their conditions
to be sent to them
– Sending opportunities to help with research
– Conferences and self help groups


Slide 15

Better Care


Slide 16

Enables patients to contribute to
management
Ability to fill in pre consultation
questionnaires
Send choices regarding advanced
directives
Preferences when in hospital setting eg
gender of clinician, dietary requirements,
pastoral involvement
Organ donor consent status


Slide 17

Appointments


Slide 18

Make appointments directly with
the service
Choose and book which enables
authorised secondary care appointment
booking directly by the patient
Direct access to appointments in primary
care through the HealthSpace portal into
GP and other systems


Slide 19

Privacy and Security


Slide 20

Assures secure access
View alerts generated within SCR
Check consent status
Approve carers to have access
Limit carers view of HealthSpace against
filters
View who has last logged onto HealthSpace
and when


Slide 21

Potential business reengineering
as a consequence

• Cognitive behavioural therapy on line with
results directly back to clinician
• INR monitoring and results directly back to
patient
• Managing larger case load as work smarter
with e consultations in the mix
• Case conferences chaired by patient with key
actions posted by patient into their section of
SCR
• Extended hours offered by e-consultation
• Impact of communicator on the service


Slide 22

When will this new functionality
start?
Salford diabetes record
Communicator
Patients sending messages to SCR


Slide 23

How does patient access to
records change our perception of
medical records?
Fundamentally records move to being a
resource
Fears of clinicians
– Accuracy and workload if challenged
– The need to illuminate and explain the
records and consequent workload
– Protecting patients from the uncertainties
we shoulder on their behalf


Slide 24

How does patient access to
records change our perception of
medical records?
Change in the relationship
Patient access to information leads to
control
Partnership between patients and
clinicians in management of care
Resultant change in dynamic of service
delivery


Slide 25

Legal Issues
Data Protection act
– Check for 3rd party information
– Check that patient doesn’t come to harm by
seeing records

How practical is that when records are
continuously available to patients


Slide 26

Moving Forwards with
HealthSpace
Gillian Braunold
Clinical Director
Summary Care Record & HealthSpace