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Collaboration in the NHS Who, and where, and making it happen

Collaboration in the NHS Who, and where, and making it happen. Agenda. Collaboration in the NHS environment What the project in East Kent has achieved Addressing issues that emerged Summary . Where are the NHS collaboration needs?. Care delivery Ability to share information

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Collaboration in the NHS Who, and where, and making it happen

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  1. Collaboration in the NHS Who, and where, and making it happen ray.jordan@d2i.co.uk Tel:+44-(0)-777-172-5002

  2. Agenda • Collaboration in the NHS environment • What the project in East Kent has achieved • Addressing issues that emerged • Summary Ray.jordan@d2i.co.uk Tel: +44-(0)-777-172-5002

  3. Where are the NHS collaboration needs? • Care delivery • Ability to share information • Multi-disciplinary teams (MDTs) in the Community • Cross Agency working • Clinical networks • Ability for different disciplines to work together • General business requirements • Internal project work • Suppliers, Consultants etc Ray.jordan@d2i.co.uk Tel: +44-(0)-777-172-5002

  4. Silos: organisational, departmental, discipline Patient journey has many touch points The challenges are making sufficient relevant information available from one episode of care to the next. giving input from different disciplines and perspectives into care that is recommended monitoring from different perspectives the ongoing case management and outcomes Complying with Care Record Guarantee Meeting Information Governance requirements Why collaborate – care delivery

  5. PCTs: NHS history of re-organisation Multiple locations, even multiple HQs Still re-shaping services and teams How many ‘partners’ does the PCT have? Operational – the Council, Mental Health Trusts, Education……. Business – suppliers, NHS federation, nursing agencies Why collaborate – the business story

  6. Background to the Eastern & Coastal Kent Groove pilot Project • Seed funding from Microsoft • Helping CFH evaluate Groove for the Enterprise Agreement renewal • Focused on teams, collaboration, personal productivity, not integration, messaging or connection to the Spine • D2i Solutions • Working with Groove pre-Microsoft • Health & NHS expertise • Intermediate care (IC) team selected • No current technology support available • One of IC five teams in the PCT Ray.jordan@d2i.co.uk Tel: +44-(0)-777-172-5002

  7. Eastern & Coastal Kent PCT Geographical coverage

  8. Aims of Shepway pilot • Test Groove technology with multi-disciplinary teams • Improve efficiency of care delivery • Technology must “just work” • Meet the challenge of poor connectivity • Identify the potential benefits for IC • Support clinical processes • Communication between professionals • Secure log of decision making; responsiveness • Reduce number of unplanned admissions into hospital • Evaluate Groove as a collaboration platform

  9. Role of Groove • Collaboration platform • Presence • Instant messaging & communications • Security, etc • Workspace management • Data Management • Automatically move all data changes to workspace members when they next connect • Synchronisation capability with SharePoint • Application host • Data capture and tracking using Groove Forms Ray.jordan@d2i.co.uk Tel: +44-(0)-777-172-5002

  10. Patient workspace Ray.jordan@d2i.co.uk Tel: +44-(0)-777-172-5002

  11. Outcomes -Non Intermediate Care sent to A&E

  12. What are the issues going forward • Original pilot was successful • Wider deployment needs • Information Governance • Services Infrastructure • Delivering benefits Ray.jordan@d2i.co.uk Tel: +44-(0)-777-172-5002

  13. Information Governance • Backdrop of recent events • Personal data being lost or mislaid • All levels in NHS being held to account, Chief Execs, Caldicott guardians, CFH, • Back to basics approach • Using the Care Record Guarantee • Develop solution design checklist • Ongoing dialogue with CFH • Ensure all projects are able to share benefits from developing best practice • External scrutiny Ray.jordan@d2i.co.uk Tel: +44-(0)-777-172-5002

  14. Services Infrastructure • Groove • Data encrypted on the PC, and in transit • Only transmits changes • Meets FIPS Level 2 security standards • Take advantage of N3 • Keep relay server in UK, within N3 • D2i, ioko service for Groove • Sharing Cross Agency • Will need to verify their domain policies • Move to a model where NHS manages on behalf of social services etc. Ray.jordan@d2i.co.uk Tel: +44-(0)-777-172-5002

  15. Clinical Benefits • Improved Care Management • Faster actions and responses • Clinical safety , share faster, contemporaneous notes • Improved patient/staff interaction • Potential for earlier hospital discharge & reductions in unscheduled admissions

  16. Operational Benefits • Cross- disciplinary and agency team working • Notes / actions information capture and sharing • Better quality data, standardised, by-product of clinical activity • Use of professional time • Time shifting – work from anywhere • Time slicing – make unproductive time useful • Time release – use ‘dead’ time & reduce travel

  17. Behavioural and Life-style Benefits • Behaviour change • Quality of contribution • Behaviour change • Mobile working • Work / life balance • Reduced business mileage • Professional empowerment Ray.jordan@d2i.co.uk Tel: +44-(0)-777-172-5002

  18. Summary • Groove collaboration adds value • Action to address key issues going forward • Learning, and hosted services infrastructure allows other NHS to fast-track based on the East Kent experience Ray.jordan@d2i.co.uk Tel: +44-(0)-777-172-5002

  19. From Data to Intelligence™ People • Knowledge • Technology

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