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Stockport’s system integration journey le headline. World Class Informatics, January 23 rd 2014 , Reebok Stadium, Bolton. NHS Stockport Clinical Commissioning Group 7th Floor Regent House Heaton Lane Stockport SK4 1BS. Tel: 0161 426 9900 Fax: 0161 426 5999
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Stockport’s system integration journey le headline World Class Informatics, January 23rd 2014, Reebok Stadium, Bolton NHS Stockport Clinical Commissioning Group 7th Floor Regent House Heaton Lane Stockport SK4 1BS Tel:0161 426 9900Fax: 0161 426 5999 Text Relay:18001 + 0161 426 9900 Website:www.stockportccg.org
Background to Stockport • Registered GP Population of 300,000 • High level of hospital admissions • Large gap between the most affluent and deprived areas • Growing and aging population • Strong relationship between Health & Social Care
Strategic Aims • Transform the experience of adults with Long Term Conditions (LTCs) • Improve the care of children and adolescents with LTCs and mental health needs • Increase the clinical cost effectiveness of elective treatment and prescribing • Improve the quality, safety and performance of local services • Ensure better prevention and early identification of disease
Reform and transformation • Stockport One • Integration • Pathway reform • Commissioning contracts • Technology
Background - The Stockport Health Record (SHR) • 2003 – 2008 : Journey starts – PCCIS project • 2008 – 2012 : SHR project • 2013/14 : Stockport Integrated Record, building on foundations
Initiation 2008 Initial risks Patient support GP buy in Data quality Taken from project initiation document 2008
Governance & programme structure : Health & Social Care • Health Watch • Health providers • Social Care • NWAS
The here & now - The Stockport Integrated Record • Upgraded to Version 2 of the product • End of Life Care system (EPAC) • Care plans • Wider access to the record • Single sign on for Emis Web GPs • Hospital usage Dec 2013 • 1850 instances • 180 unique users • 35% take up
Key work, questionsand barriers • Consent models & data sharing • Communications • Managing multiple care-plans – Complex, GP, NWAS • Flags and alerts • A commitment to share • Supplier / system maturity & support – From nice to have to essential • Supplier relationships • Cost models & funding stream
Stockport HSCI – Proposed high level architecture Receivers of care Online portal Connecting People Pathway level apps Data Messaging Graphnet GMECC Intelligent systems Providers of care 3rd Sector General Practice
Learning • Service led, needs great engagement • Map the stakeholders – understand them and their needs • Establish governance, be inclusive, invest in relationships • Invest in resources • Foster a positive & innovative culture • Map the whole system – understand the economy • Move forward, try things • Work with other economies - collaborate