Collaboration, Achievements and Aspirations

1. Collaboration, Achievements and Aspirations Dr John Hampson, Clinical lead for IM&T, NHS Bury CCG Dr Saj Azfar, Clinical Lead for IM&T, NHS Heywood, Middleton and Rochdale CCG

2. The Landscape Acute GP Patient Centric Mental Health Social Care Community Health

3. NE Sector Integrated Care Programme Organisations

4. Collaboration Remember this? Positive Outcome - cross-organisational Board managing successful implementations

5. Summary Care Record Strong push for implementation (100% practices now contributing in Bury and HMR) NOT a replacement for an integrated detailed care record Learnt an enormous amount about consent, patient and clinician engagement and media management

6. Summary Care Record • Large scale use in real patient care • Over 40,000 viewings in unscheduled clinical encounters at BARDOC • Usage by Pennine Acute – mainly in Pharmacy and A&E • Usage by Pennine Care in the following services: •  Pharmacy • Access & Crisis • Buckley Hall Prison • Child Health • Consultant Psychiatrists • Highest level of usage in the country in Out of Hours

7. On-line Ordering – Pathology and Radiology • Collaborative procurement with requirements of GPs and providers in specification: • Tightly integrated into GP systems • Ergonomic – using labels only • Very high levels of usage and rapid uptake in Primary Care • 2013 - Pathology 1.2m orders, 90% of GP work, 10% of non-practice sources such as rest homes or locum doctors • Evolutionary development allowing radiology ordering and browsing of third party results and hospital documents

8. On-line Ordering – District Nursing Tactical solution with Pennine Care Prepopulated forms created in GP systems Uses NHSMail High uptake and low cost

9. Other Collaborative Schemes Greater Manchester Electronic Clinical Correspondence project GP Access to PACS OOH provider access to Pathology systems Pilot of limited access to Pennine Acute’s EPR by GPs

11. Evolving Towards Detailed Care Records Visibility of parts of hospital system evolved from Tquest system SCR evolved to be useful in acute care setting only ECC evolved from DTS messaging, ensures timeliness of receiving correspondence

12. BUT – we now need a step change to a system which: • Supports federations of practices working extended hours (Healthier Together) • Makes a shared record accessible to primary secondary and community care clinicians in real time (EPaCCS, LTC care plans etc.) • Supports complex and fragmented care pathways delivered by multiple providers (the way the NHS is really going?)

13. Integrated Detailed Care Records Transformation Board (now ICPC) Subgroup set up to manage this – all stakeholders involved and engaged Requirements agreed following options appraisal Phased approach: Clinical focus – Priority is to deliver patient care Then: EPACCS, LTC, HT demonstrator pilots Research data facilitation to follow Current status: Ready to move to procurement stage subject to funding

14. In Summary Track record of successful implementations based upon clinical engagement, collaborative specification and focused implementation “Can-do” approach – Funding sources identified and supplier demos held already What we need now is an Integrated Detailed Care Record Look forward to working with AHSN on this

15. ANY QUESTIONS?