Health and Social Care Information Exchange

1. Health and Social Care Information Exchange Janette Leonard Director of ITT South Essex Partnership University NHS Foundation Trust (SEPT) In Partnership with

2. About SEPT • Approximate annual turnover of £350m • Provides integrated care including mental health, learning disability, social care and community health services • Provides services across Bedfordshire, Essex, Luton and Suffolk  • 7,000 staff support a population of roughly 2.5 million In Partnership with

3. The Problem • Multiple patient contact points • Inconsistent co-ordination between health and social care professionals • No single consolidated patient record • No mechanism for validating that the latest information is presented • Management of patient consent and wishes • Maintaining the integrity of Information Governance • Can lead to Compromised care pathway and patient safety In Partnership with

4. We need to achieve • Present holistic and current view of the patient to all clinicians and professionals • Maintain patient consent and wishes • Maintain information governance • Use existing known and trusted clinical systems to view the information • Easy system deployment, scalability and management • Can lead to Improved patient care, efficiencies and achievement of government targets In Partnership with

5. What we have done • OJEU Tender process for a technology partner • Awarded to Tiani-Spirit • Part ISCF funded Proof Of Concept commissioned • Information Exchange deployed • Proof of Concept Meaningful Use achieved with Thurrock Council for AMP535 and Care Plans In Partnership with

6. Why Tiani-Spirit • Information Exchange compliant to requirements • Proven track record: • EPSOS: Enables international pharmaceutical service for 140 million patients in 14 countries • US Department of Defence Veterans Medical Record Exchange • Based around IHE, now ITK compliant • Scalability • Interoperability In Partnership with

7. Outcomes • Cross-community information exchange achieved using ITK and web-services interfaces: • Integrated view of care plans derived from SEPT and Local Authority records • Very positive clinical review • Information Sharing Agreement between SEPT and the Local Authority • Meaningful Use and Case Study submissions to ISCF In Partnership with

8. Lessons Learned • The Exchange of Health and Social Care Information between communities and systems is achievable and scalable • Information Sharing Agreements are time consuming to construct but only need to be performed once per organisation. • Engagement from existing portal providers can be delayed due to unfounded suspicion that this will replace their product. • National Programme Legacy: this is an information exchange with full local control and not a repeat of NPfIT. • Engagement with other communities must be at senior level to enable prioritisation • Portal companies that have invested in ITK compliance are preferred. In Partnership with

9. Next Steps • Interoperability with common GP and Local Authority systems • Expansion to additional Local Authorities • Expansion to Acute Trusts In Partnership with

10. Thank You Janette Leonard Director of ITT South Essex Partnership University NHS Foundation Trust (SEPT) Janette.Leonard@sept.nhs.uk In Partnership with