IM&T DES

1. IM&T DES 2006

2. Aims of IM&T DES • Practices to prepare for and adopt • Electronic Prescription Service (EPS) • Electronic transfer of GP Records (GP2GP) • Choose and Book • NHS Care Record Service (CRS)

3. Particular Focus on • Data Quality • Data Protection • Patient Confidentiality • System Failure Recovery • Staff Training

4. Four Components

5. Component One (Practice Plan) • Named practice lead and Caldicott Guardian • Training needs assessment and plan • Individual and organisational Training Logs • Evidence of good information governance(confidentiality clauses, DPA compliance) • Universal Smart Card ownership

6. Component Two • Records suitable for uploading to NHS Spine • Data Accreditation (To standards set in Annex A of DES)

7. Component Three • Accurate Maintenance of Patients’ Addresses • Prepare for and use EPS Software Release One and Release Two when available

8. Component Four • Migration to a accredited “Hosted System”

9. Pricing Total =133p • Component One: 40p (for a plan) • Component Two 44p (following data accreditation) • Component Three 27p(Addresses and EPS) • Component Four 22p(Following migration to Hosted)

10. Accreditation For C2 • Described in Appendix A of DES • Practice must: • Be part of a Primis facilitated network • Comply with Good Practice Guidelineswww.connectingforhealth.org • Accreditation lasts 3 years

11. Three main groupings of accreditation standards

12. 1. Organisational • Computer use in all consultations • Good address updating • Locums trained to use computer • Telephone consultations on computer • Visits recorded on computer • Referrals Recorded

13. 2. Information Governance • Registered under DPA • Role based access for all terminalsNo use of another’s smartcard • Effective validated data recovery • Caldicott Guardian • Security Breaches investigated

14. 3. Clinical Data Entry • Disease Prevalences within 2 SDs of expected • Repeat Scripts linked to diagnostic code in record • Classification of patient problems • Rate of allergy recording within 2 SDs • Recording of diagnoses made in secondary care

15. Three stages to get accredited • Produce a plan that includes evidence of protocols and audits in support of 3 groups of standards • Quantitative analysis to seek areas where recording is substandard • Visit by PCT team to check notes