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

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

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Agenda

• Collaboration in the NHS environment
• What the project in East Kent has achieved
• Addressing issues that emerged
• Summary

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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

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Why collaborate care delivery

• 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

sophy.tayler_at_d2i.co.uk Tel[phone]
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Why collaborate the business story

• 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

sophy.tayler_at_d2i.co.uk Tel[phone]
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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

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Eastern Coastal Kent PCT Geographical coverage
sophy.tayler_at_d2i.co.uk Tel[phone]
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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

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Patient workspace
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Outcomes -Non Intermediate Care sent to AE
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What are the issues going forward

• Original pilot was successful
• Wider deployment needs
• Information Governance
• Services Infrastructure
• Delivering benefits

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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

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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.

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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

sophy.tayler_at_d2i.co.uk Tel[phone]
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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

sophy.tayler_at_d2i.co.uk Tel[phone]
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Behavioural and Life-style Benefits

• Behaviour change
• Quality of contribution
• Behaviour change
• Mobile working
• Work / life balance
• Reduced business mileage
• Professional empowerment

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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

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