A New Health Service for Liverpool Dusting Away the Cobwebs

1
A New Health Service for Liverpool Dusting Away
the Cobwebs

• Dr Chris Peterson, GP PBC Consortium Chair
• Kate Warriner, Primary Care IMT Programme Manager

2
Welcome to Liverpool
3
European Capital of Culture 2008
City of Sport City of high CVD mortality City of
Architecture City of massive deprivation City of
Comedy City of huge health inequalities City of
History City of smokers and smoking-related
disease City of Music City of (apparently) poor
access to services
4
A New Health Service for Liverpool

• The P word..
• The Big Health Debate
• New Hospitals
• Gold standard primary care
• Money Money Money but GOT to get this right!!!

5
PBC early days

• Fear
• 4 consortia
• Geographical/historical relationships
• Co-operation between practices

6
Right care Right place

• PBR
• Review of our services
• Up skilling primary care
• Outpatients Selby 6
• Unplanned care
• We need to be able to talk to each other.

7
Clinical Drivers

• Community nursing records
• Extended hours
• AED project
• Minor surgery
• Anticoagulation
• Joint injection service

8
Shared information

• Picture of closer working emerges
• Clinician to clinician information sharing is
  vital
• National Programme wont deliver in time, NHS
  Liverpool is now, Challenge IMT!
• 90 practices are EMIS
• Remaining practices considering migration
• EMIS Web appears to provide the solution

9
Joined Up Care
Level 1
Cegedim, Porisitve Solutions, Compass, RX Systems
Pharmacy
Level 2
Child Health VI
HSW
Clusters Hubs
Community Nursing (Matrons)
IPM
AED
Out of Hospitals PBC Services
AC
Read \ Write Access to EMIS Web
MMT
Read Only Messaging to Primary Care
Messaging Only
JI
End of Life
The Patient
MS
ABPI
Primary Care EMIS Web
Feed
EMIS LV/PCS/Web
InPS
Feed
iSOFT
Secondary Care - SUS (Qute)
Messaging View
GP System Primary Care Interfaces Local
Requirements Scriptswitch, Electronic Messaging
into GP Systems for Pathology, Radiology, ICE,
Discharges, Out of Hours CfH Requirements CAB,
GP2GP, ETP, SCR, MOM
eSAP
Mental Health
10
(No Transcript)
11
(No Transcript)
12
(No Transcript)
13
(No Transcript)
14
(No Transcript)
15
(No Transcript)
16
(No Transcript)
17
Engagement

• Clinical Engagement is Key
• Secondary care clinicians
• Community clinicians
• GPs through execs
• Sharing agreement
• LMC involvement
• National/International Interest

18
Whats Next?
19
Clinician Feedback

• EMIS web is a major reason for the efficiency of
  the service. The end point is the quality
  delivered to patients which is aided by the
  process of using shared information in EMIS web
• Dr Jude Mahadanaarachchi, GP Minor Surgery
  Clinician

20
Patient experience

• Paul King, Anticoagulant patient, Liverpool.
• This scheme has changed my life.

21
Thank you for listeningThe End
22
Any Questions?