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NHS Connecting for Health

NHS Connecting for Health. Common Assessment Framework (CAF) Messaging Presentation v1.2 July 2009 Jan Hoogewerf, Geri Oakley, Ursula Green & Sam Sibeko. Agenda. 1. Purpose . To provide an introduction to CAF messages for demonstrator sites & suppliers

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NHS Connecting for Health

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  1. NHS Connecting for Health Common Assessment Framework (CAF) Messaging Presentation v1.2 July 2009 Jan Hoogewerf, Geri Oakley, Ursula Green & Sam Sibeko

  2. Agenda

  3. 1. Purpose • To provide an introduction to CAF messages for demonstrator sites & suppliers • To explain the processes which CAF messages are designed to support • To show the content of CAF messages and how assessment tools can be mapped to them • To provide an overview of the technical approach and business analysis documentation included in the MiM • To identify areas where local requirements need to be defined • To discuss how to carry out this requirement work

  4. 2. Technical Approach • Spine Overview • Information Governance Access Controls • Consent

  5. ETP Choose and Book SUS Technical Approach Spine Overview National Application Service Providers Personal Spine Information Service (PSIS) SCRa (Summary Care Record application) Personal Demographic Service(PDS) SpineDirectoryService(SDS) Health space Deliversnational services Transactionand Messaging Service Processes all messages Authenticates users/Spine Consent Permissions/LRs/ Sealing status Access Control Service Local/Existing Service Providers Lorenzo Etc. Existing Systems Graphnet/ Epic. GP Systems Social Care Systems Deliver a range of local functionality SHAs/Trusts/Units/ Social Care/Primary Care Care and services for patients Cluster

  6. Technical ApproachIG Access Controls • RBAC: • Role Based Access Controls are used for authorising access to system • functions and data appropriate to specific roles • LRS: • Legitimate Relationships are used for authorising user access to individual • patient records, where the user has a direct care relationship with the patient • Audit Trails: • Audit trails record users’ actions in relation to NHS CRS personal data • Sealed Envelopes: • Are used to allow patients to exercise choice about the level of visibility of • information stored about them

  7. Technical ApproachConsent • Prior to accessing NHS CRS (Personal Demographics Service or Summary • Care Record), social care user needs to seek consent from individual: • Logged on session only • Until next assessment • Until end of care episode • Across any care episode • Filtering so social care users can only access specific documents – CAF • messages • Prior to sending copy of assessment/ care plan to Summary Care Record • user needs to seek individual’s consent to do so • If consent is not given, care professional may still send point to point

  8. 3. HSCI Analysis Model • HSCI Analysis Model background text; • Background • Overview and Navigation – A Walkthrough • Area of Interest • Requirements Catalogue • Domain Analysis & Scoping • Communication Analysis • Documents • CAF Information Set • Project Glossary

  9. HSCI Analysis ModelBackground • Developed following Unified Modelling Language (UML) methodology; • Used by CfH to define the messages in the MiM • Business Models • Requirements • Detailed System Interactions to support the CAF message • Background Information

  10. HSCI Analysis ModelBackground

  11. HSCI Analysis ModelOverview & Navigation

  12. HSCI Analysis ModelOverview & Navigation - Area of Interest

  13. HSCI Analysis ModelArea of Interest • Business Process Model - an activity diagram showing the full CAF end to end process • Detailed Use Case Model for CAF • Information Analysis Model (IAM) – CAF

  14. HSCI Analysis ModelArea of Interest - Business Process Model

  15. HSCI Analysis ModelArea of Interest - Detailed Use Case Model - CAF

  16. HSCI Analysis ModelArea of Interest - Use Case Constraints

  17. 0..* 1 1 1 1 1 0..* 0..* HSCI Analysis ModelArea of Interest - Information Analysis Model An example of Class Diagram Representation of the Messages and CAF Information set

  18. HSCI Analysis ModelOverview & Navigation - Requirements Catalogue

  19. HSCI Analysis ModelRequirement Catalogue – Navigation

  20. HSCI Analysis ModelRequirement Catalogue – Navigation Cont…

  21. HSCI Analysis ModelOverview & Navigation - Domain Analysis & Scoping

  22. HSCI Analysis ModelDomain Analysis & Scoping • Contains Background Information from a business perspective • It sets the CAF messages in a wider context of the Health and Social Care Interactions • Provides a high level overview

  23. HSCI Analysis ModelOverview & Navigation - Communication Analysis

  24. HSCI Analysis ModelCommunication Analysis

  25. HSCI Analysis ModelCommunication Information Model (CIM)

  26. HSCI Analysis Model CDA Structure

  27. HSCI Analysis ModelCommunication Analysis - CD Contact Assessment

  28. HSCI Analysis ModelCommunication Analysis - Information Examples

  29. HSCI Analysis Model Interaction Diagram – Create Document Locally

  30. HSCI Analysis Model Interaction Diagram – Contact Assessment

  31. HSCI Analysis ModelOverview & Navigation - Documents

  32. HSCI Analysis ModelOverview & Navigation - Documents • Scope Document • Scenario Storyboards

  33. HSCI Analysis ModelCAF Information Set - Class Model Structure Represents the 7 high level outcomes in DH paper “our heath our say” • This model is relevant to: • Overview assessment • The care plan component of the Integrated care and support plan Each outcome can consist of 1 or more domains Each domain may be further broken down into sub-domains

  34. HSCI Analysis ModelCAF Information Set

  35. HSCI Analysis ModelData Model: Information Analysis Model

  36. HSCI Analysis ModelInformation Analysis Model – Testable Constraints Test condition

  37. HSCI Analysis ModelProject Glossary

  38. HSCI Analysis ModelQuestions ?

  39. CAF Information Set Overview Model Rendered Example Scenario Key Scenario Background Rendered Example 4. Scenarios Overview Scenario Create Contact Assessment Scenario Send Contact Assessment Scenario Overview Scenario Receive Contact Assessment Scenario Create Overview Assessment Scenario Create ICSP CAF Information Set Overview Model Rendered Example Scenario Key Scenario Background Rendered Example

  40. Scenario OverviewKey: Actors & Applications Patient Demographic Service PDS Rachael Walters ( Individual ) Spine Directory Services SDS Dr Alan Norman Personal Spine Information Service Leigh Timpson (Social Worker) Access Control Service Local Social Services System Step Local Clinical System Messaging Output Patient Assessment Form

  41. Scenario Overview Background Ms Rachel Walters, a lady aged 46, has had mobility difficulties since a car accident several months ago. She visits her GP, Dr Alan Norman at Church Lane Surgery for a medication review, where she is also asked about how she is coping. Rachel tells him that she is having increasing difficulties with washing, bathing and other personal care. “How are you coping after the car accident?” “Actually, I’m having difficulty with washing, bathing and other personal care” Scenario Create Contact Assessment

  42. Spine: ACS PDS SDS Create Contact Assessment Scenario After discussions with Ms Walters, Dr Norman believes that she requires social services help to assist her at home, and so completes a Contact Assessment. PDS is accessed for patient details. SDS is accessed for organisation and professional individual’s records. ACS is accessed to confirm permissions against the individual. Once the Contact Assessment is complete, this will be sent to Hebburn Social Services. Scenario Create Contact Assessment

  43. Create Contact AssessmentCAF Information Set The model includes CAF Information Set components Rendered Example of the Contact Assessment form From within the HSCI Model, the Communications Analysis section provides a link to the object models. Your Contact Assessment, doesn’t have to physically look like this one does, but it will have the same CAF Headings from the CAF Information Set The Clinical Document, is a template to hold the details of a Contact Assessment Clicking on the Contact Assessment class model, provides access to the relevant CAF Information Set components. Utilisation of the CAF Information Set Where Information about the CAF Information Set can be found How this information is used to Render the forms The CAF Information Set are the recommendations on what should be collected as part of the Individual’s assessment The CAF Information Set can be carried within the message, provided that they are mapped to the headings Rendering examples are provided for suppliers but these are not mandated, so will need to be locally determined Scenario Create Contact Assessment

  44. Contact Assessment Headings Create Contact AssessmentRendered Example The rendered document displays to the user what they have input • My NHS Number • My Employment Status The CAF Headings provide the minimum information required in order to send the form from one system to another • My Accommodation • The People who depend on me • People I depend on • The Communication • Support I need The text in Red relates to the Class models headings • My GP Practice • Consent • Mental Capacity Once fully completed the User can then decide to publish the document to another system and PSIS • My Reason for contacting Health or Social Care Scenario Create Contact Assessment

  45. Send Contact AssessmentScenario Dr Norman sends the completed Contact Assessment from his local system,to Hebburn Social Services to request an assessment for Ms Walters. Scenario Create Contact Assessment Send Contact Assessment

  46. Spine: Via TMS ACS PSIS (SCR) PDS SDS Local Clinical System Dr Norman Local Social Services System Leigh Timpson Send Contact AssessmentOverview Model Step Demographics, Recipient, Access Control, Previous CAF Docs, Update SCR (Optional) Messaging Output Scenario Send Contact Assessment Create Contact Assessment

  47. Spine: ACS PDS SDS Receive Contact Assessment Scenario The contact assessment is sent from Dr Norman’s clinical system. Once the message is received into Hepburn's Social Services system, PDS is used to retrieve Ms Walters details, using the validated NHS number within the message. SDS is also used to check the details of which organisation/ individual the message has come from. ACS is also checked at this time also. Hebburn's System renders the message locally to ensure that Leigh Timpson can read the Contact Assessment details, including who the assessment is for, and where it has come from. Local Records Check Scenario Create Contact Assessment Send Contact Assessment Receive Contact Assessment

  48. Received Contact Assessment Rendered Example Who the Contact Assessment is for Who sent the Contact Assessment Where the Contact Assessment came from Reason for the Contact Assessment Other additional information dependant on what is outlined within a Contact Assessment e.g. a hearing impairment Scenario Create Contact Assessment Send Contact Assessment Receive Contact Assessment

  49. Overview Assessment Questions Responses Capture Overview Assessment content Create Overview AssessmentScenario Leigh Timpson, arranges an appointment with Ms Walters. Ms Walters explains that she receives some support from her son, but realises that in order to remain living independently in her home as she wishes, she will require some additional support services for personal care. Her decreased mobility also means she is unable to get out as much as she would like, and is at risk of social isolation. They complete the Overview Assessment together, with details entered into Hebburn’s Social Services system. A copy is made available to Ms Walters, and a copy is also sent to Dr Norman. Input Overview Assessment findings Scenario Create Overview Assessment Create Contact Assessment Send Contact Assessment Receive Contact Assessment

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