NHS CRS and local government Progress to date

1
NHS CRS and local governmentProgress to date

• Ian Swanson (ADSS IMG London)
• Ian.swanson_at_nhs.net 07906 333 799
• 26/2/2004

2
Agenda

• Strategy reminder
• Progress in CRS since October
• Work to be done
• Governance
• Finance

3
Vision

• Practice information available in health and
  social care to those who need to make decisions,
  when they need it.
• A record that is longitudinal, providing practice
  information (not just data) in a secure manner,
  and available to the service user.
• Building on and facilitating SAP and IRT (ISA)
  initiatives

4
Strategy reminder

• Joint working on health and social care is
  fundamental to quality public service
• Three current major agendas working with IMG
• Joint Mental Health Teams
• Health system approach MH led Best Practice
  team
• Single Assessment process (Elderly)
• Dual approach health/interface joint SAP
  leads and IT groups
• Children (IRT/ISA)
• Approach still to come, Camden model, LCPC IS
  strategy, no workstream as yet
• Pan London seems the only option
• Multiple organisations and boundaries
  (education/hospitals)

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Key decisions/influences

• Governance, participation and ownership
• Priorities for CRS client groups/community
• ESCR standards for interface?
• Methods of linking technical and protocols
• Customer service in LAs
• Funding what we need
• Borough level sign up
• Risks to ICRS

6
Care Records Service Progress

• Contract awards BT has London, spine, N3.
• Software commitment to local authorities
• Plan through care communities
• 60 day plan hectic 5th March
• Social Care as additional (partly true)
• Commissioning and charging
• Management Information (unified return?)
• SAP report and strategic option
• Access to all pointers on CRS as minimum,
• May use CRS for system

7
Work to be done

• Prioritise in 60 day plan for next 15 months
• SAP interim solution?
• Participate in Best Practice work and its review
• Plan for N3 connection (BS7799 style
  requirements)
• Project approach
• Consultancy call off
• Access back to LA systems for those in health
  locations
• Link to CRMS
• Confidential e-mail exchange how?
• Implementation of full solution 2005 for MH, 2006
  for SAP, unknown for children

8
Practicalities

• PC specification
• Single sign on web portal (IE 6)
• Smart card and reader
• Directory and authentication
• Internal network
• Policies and procedures
• Common security model legitimate relationships?

9
Joint governance

• Director of Social Services
• Joint governance pan-London on SAP
• Need some sort of framework agreement?
• Reflect in Information Sharing Protocols
• East London 2 level protocol work (LC web site)
• Training staff for Information Sharing (Tiger)
• SOCITM standing work?

10
Finances

• Core software on CRS is free to local authorities
• Infrastructure, including connection to N3 is our
  responsibility
• Training and support of our workers is our
  responsibility, but the NHS will train trainers
• Implementation and change management is joint
  they will provide some management resource which
  can help with planning etc.

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Finally

• Health and social care need to work together
• We are invited in, and some of our costs are met
• How to avail ourselves of the opportunity
• Plan with Care Communities
• Plan for drivers MH, SAP, IRT/ISA