Transcript Document 7539564

Delivering Single Assessment
within the
NHS National Programme for IT
Dr Paul Whatling
Senior Clinical Consultant
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Sept 1998
Jan 2001
June 2002
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The National Programme for IT
To deliver a 21st century health service through
the efficient use of information technology
 To improve the quality and convenience of care
by ensuring that those who receive care have
the right information, at the right time
 To implement projects vital to the NHS
modernisation programme using IT to directly
improve the patient experience and clinical care
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NHS National Programme for IT
 NHS Care Record Service
North
East
 Choose and Book
 N3 Broadband
 Electronic transfer of
prescriptions
North
West
&
West
Mids
East
 PACS
London
South
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The NHS Care Record
Will enable details of the key events of a
persons healthcare history throughout
their life to be;
●
●
●
●
collected, stored & retrieved
made available at all times
across the whole country
to those with authority to view
“A better use of information and communication technology
within the NHS would improve efficiency and cut costs”
Wanless Report April 2002
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Concepts behind NHS Care Record
● Support current and future generations of patient
and care provider – a life-long care record for
every person in England
● Ensure that the right information is available to the
right people at the right time – 24 / 7 / 365
● Re-shape the healthcare system around the
needs of the patient – rationalising and
harmonising NHS IT systems
● Implement consistent national standards for
patient record information transfers and
confidentiality / security principles
● Support national audit / data collection
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Improving Communication
The Care Record will make a dramatic improvement in …
Care at
Home
Primary
Care
Secondary
/ Tertiary
care
Self care
Digital TV/Web
Provides
access to
personal
health
records
History
Spine contains
national
level
summary
On-line Information
Self Management
On-line
Advice
Primary
?
eTP
Transfer of
Prescriptions
Unscheduled Care
Available for
Emergencies
eBooking
Patient to GP Practice
handles
messages
Care
eTP
Dispensing
Community care
Use in the
community
Remote Orders
e.g. Arrangement
of Transport
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How it works … Data capture
● It starts with a
clinical event
● Details are put onto
a local service
Clinical Event
Information
Information
Back Pain
● Information turned
into standardised
Spine message
● Message is then
transmitted to the
NHS Data Spine
Chest infection
● And, stored with
other records for
that patient
Back Pain
Broken leg
… more
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How it works … Retrieving data …
● A request sent to
the ‘Spine’
● Security checks
are performed
against protocols
● If OK, searches for
patient’s messages
● Saved messages
are retrieved and
sent to authorised
person making
request
● Data displayed
on-screen
Information
Request sent
by Staff
Security
Checks
Performed
Search
Chest Infection
Broken Leg
Back Pain
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Benefits of the ‘Spine’
It will provide secure instant access to patient
records, diagnostic images and results 24/7 across
the country
● Improve the quality of time spent with patients
● Reduce the amount of administration and
paperwork
● Significantly increase the amount of
information that can be easily accessed
● Deliver healthcare to patients across
disciplines, organisations, boundaries and
locations
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Single Assessment Process
 Summary record attached to the Spine record
 SAP acts as a gateway to multiple care pathways
 Computers will enable tracking and audit of progress along the care
pathway
 The work to develop SAP solutions offers a powerful model for similar
work in related areas (ISA, CPA) but also across all areas of care
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Timeframes
 Full implementation of SAP within NPfIT is rolled out from 2007-8
 Implementation of SAP is already an NSF requirement across the
country
 Electronic tools rolled out under NPfIT from this year
 Interim solutions required
•Design and implementation quick
•Off the shelf packages
•Six assessment tools currently accredited by the DH
 Accenture - 3 solutions available
 CCA – Output may be captured from any assessment tool
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Interim Solution Contents (London – CCA)
Basic information capture, sharing and reporting

A forms base covering: Basic information, contact/overview/specialist/comprehensive
assessment, care plan and review. If staff are not able to complete everything
concentrate on the assessment conclusions on needs and risks and the care plan –
the key items which are shared with the service user.

Summary data concerning the forms that exist for a service user (for example, type of
form, date completed)

Support for attachments, textual fields, coded data. Allow user to choose which is
appropriate, though only structured data can be reported or compiled into a Current
Summary Record

Data elements of different tools will not be supported – only the conclusions on needs
and risks and the care plan, which should be products from all tools. The solution is
therefore tool independent

Re-imbursement form for delayed discharge supported and sharing of this form
between organisations

Some limited operational reporting from Interim Solution. Further reporting for
national reports from the Data Warehouse
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Issues
 Access to the data and the systems
•Connectivity
•Role based access controls
•Legitimate relationships
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Care Record Development Board
 Identify the values, principles and processes of care and ensure that
these are taken into account in the implementation of systems for NHS
and social care
 Ensure that ethical issues are adequately addressed and that agreed
ethical principles are consistently applied
• Patient focused
• Improves patient outcomes
• Improves choice and control for patients
• Helps clinicians & patients to make better decisions
• Reduces errors
• Practicable, usable, effective and safe
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Care Record Development Board
National Programme Board
(Chaired by John Bacon)
Care Record
Development
Board
Harry Cayton
12Board
Board
Member
Members
Ethics
Advisory
Group
Talib
Yaseen
Cyril
Chantler
Jo Williams
Joan Higgins
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SAP Action Team
 Chair - Glenys Jones
 Vision for the future
 Stakeholder network
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Single Assessment Process
“Whatever you can do or dream, begin it.
Boldness has genius, power and magic in it.
Begin it now.”
Goethe
www.npfit.nhs.uk/crdb
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