Dr Gillian Braunold,

1

• Dr Gillian Braunold,
• National Clinical Lead for GPs
• and
• Dr Simon Eccles,
• National Clinical Lead for Hospital Doctors
• NHS Connecting for Health
• NHS CFH/BMA Conference 1st February 07

2
So where the bloody hell are you?

• PACS Imaging
• EPS the Electronic Prescriptions Service
• NHS Mail
• Choose and Book
• GP 2 GP
• GPSOC a Choice of systems
• The National Summary Care Record
• Cerner the Hospital system for London and the
  South
• iSOFT the hospital and community system for the
  Midlands, East, North East and North West
• Electronic Care Pathways

3
In the last 6 months

• The systems already out there are increasing
  exponentially
• Cerner roll-out has started, Release 2 is in test
• iSOFT Lorenzo release 3.5 is in final design
  phase
• The Summary record will start this spring

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Choose and Book
Total 2,213,113
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Electronic Prescription Service
Total 1,497
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Electronic Prescription Service
Total 10,521,825
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Picture Archiving and Communications System (PACS)
Total 66
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Picture Archiving and Communications System (PACS)
Total 130,000,000
9
NHSMail
Total 222,219
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Smartcards
Total 313,370
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GP2GP

• A modern miracle
• 3,300,000 records move around Englands GPs very
  year
• 1500 records now transferred through GP2GP
• Data fit for sharing

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EPS

• Phase 1
• 10 Million bar coded scripts 7 of existing
  scripts
• What is the benefit?
• Transcribing errors
• Hidden benefits
• Optimise messaging environment
• Get used to new smart card and working on line

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EPS

• Phase 2
• More exciting!
• Nominate pharmacy
• Benefits patients cuts out requirement for GP
  involvement for regular repeats
• GP can organise acutes direct to nominated
  pharmacist from telephone consult or visit

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Data Accreditation Standard

• Why do we need standards?
• Data fit for sharing
• Is recording notes different when they are
  shared?
• Accurate records

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Understanding the record
The clinical encounter record
Detailed Care Record (local)
Detailed Care Record (shared) including
Pathway of Care
Summary Care Record
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The Summary Record

• Unscheduled care
• First point of contact
• Where notes are not available
• The Emergency Department
• Out of Hours
• Ambulance

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What about all the controversy?

• Can patients refuse to have a summary?
• Yes !
• Can patients change their minds at any stage?
• Yes!
• Can patients limit what is shared?
• Yes!

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Summary Record early adopter

• Independent evaluation
• Access controls in vivo
• Human processes
• Patient experience
• Practitioner experience
• Learn from experience

19
The early adopter programme

• 10 technology
• 90
• Business change
• Understanding
• Growing in confidence
• Time line governed by PCT and practice readiness
  and not by technology

20
NPfIT Solutions Overall

• Total Trusts that have deployed a NPFIT solution
  broken down by Trust type
• Acute Trusts 155 trusts
• Ambulance Trust 3 trusts
• Mental health Trusts 21 trusts
• Primary Care Trusts 128 trusts

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In hospitals - Cerner

• LIVE NOW
• Homerton University Hospital (Sept 04)
• Newham University Hospital (Sept 04)
• North Somerset PCT (29 Jul 06)
• Wycombe PCT (26 Sept 06) - Now Bucks PCT
• Chiltern South Bucks PCT (26 Sept 06) Now Bucks
  PCT
• Weston Area Health Trust (Acute 29 Jul 06)
• Nuffield Orthopaedic Centre (Acute 20 Dec 05)
• Buckinghamshire Hospitals (Acute 26 Sep 06)

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In hospitals - Cerner

• ROLL OUT
• 44 R0 Planned (Southern Cluster Business Go-Live)
  for 2007
• Replanning to ensure NHS need
• Cerner R2 Development
• Detailed design forecast completion date July
  07
• Go-Live Date May 08

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iSoft Releases

• Deployments of Interim iSoft PAS Solutions
• 96 Total Trusts
• 11 Acute Trusts
• 11 Mental Health Trusts
• 74 Primary Care Trusts (Old world organisation)
• Planned Release Dates
• Lorenzo 3.5 June 08
• Lorenzo 4.0 June 09

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Chronic conditions
District Nurse
Consultant
GP
GP
Nurse Specialist
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Chronic conditions
GP
GP
DN
NS
Cons
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Chronic conditions
Inpatient
GP
GP
DN
NS
Cons
ED
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Chronic conditions
Cons
GP
GP
DN
NS
ED