Emergency Care Summary SCIMP Conference - Dunblane 7 th November 2007.
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Transcript of Emergency Care Summary SCIMP Conference - Dunblane 7 th November 2007.
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Emergency Care Summary
SCIMP Conference - Dunblane 7th November 2007
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Agenda
• ECS Definition• Progress to Date• NHS24• Security and Audit• Gold Standards Framework• Future Developments
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What is ECS?
• Emergency Care Summary• Patient information is extracted
from GP Practice computer systems• Sent to ECS store twice daily• Explicit Consent to view ECS
record• The information is ‘Read only’ and
available to Emergency Care clinicians
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Agreed Dataset
• Patient demographics (address, telephone, CHI number)
• Allergies and Adverse Reactions to medications
• Medication history - Repeat prescriptions and - Acute prescriptions in past 30 days• Consent Flag
– Patients can opt out
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Progress to Date
• 95% of GP Practices connected– GPASS, EMIS, InPS live – iSoft and Ascribe due shortly
• NHS24 linked in directly • OOH Rollout Complete• Some A+E Departments• Cross Border Access switched on
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Progress to Date
• Over 5 Million Patient Records extracted
• 1025 patients have ‘opted out’• 340,000 accesses to date
– c.220,000 NHS24– c.35,000 A+E
• Expected increase in use over Christmas period
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NHS24 Call Process
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NHS24 – Call handler
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NHS24 – Call handler
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NHS24 – Nurse Advisor
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ECS Security and Audit• Access and security controls with
passwords and log on for all clinicians • Patients must give permission for the
clinician to view their records• Practices can check who has accessed
their patients’ records• Audit controls run regularly:
– Practice Reporting– Health Board Audit– Cross Border Audit– National Audit
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ECS Access Report
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Palliative Care Summary• MacMillan Nurses led initiative• Palliative Care Forms
– Based on Gold Standards Framework Scotland (GSFS)
– Paper process already in place in many GP Practices
– IT Development to assist with key patient group
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GSFS Solution
• Extension to ECS dataset to include more detailed information to send to OOH for Palliative Care patients (known as PCS)
• Move from paper to electronic information• Reduction in faxes from GP Practices to
OOH Centres
• Consent Model•ECS – Implied to send, Explicit to view•PCS – Explicit to send, Implied to view
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Palliative Care OOH Summary
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Palliative Care Dataset
• Captured within GP system – some already pre-populated:
– Palliative care register flag (Read code) consent
– Carer details and key professionals– Diagnosis and current treatment– Preferred place of care– Current care arrangements– Patients and Carers Awareness of
Conditions– Advice for OOH care– Review date
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Current Progress of GSFS
• 4 out of 5 GP Suppliers have completed SEF testing
• ECS – central ECS development complete
• NHS24 / Adastra / Taycare – development ongoing
• Communication materials to follow• Rollout to start early 2008
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Future Developments
• Practice Pack ECS Information• Integration with National A+E System• Scottish Ambulance Service
• Preparation of Outline Business Case– Patient Access– Extension of Users– Extension of Data Set
• NO DEVELOPMENT WITHOUT CONSULTATION
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RCGP and SCR in England
• RCGP published UK wide recommendations on the GP Summary
• Arising from Ministerial Taskforce• Automated extract the same as ECS in
Scotland• Configurable use of significant medical
history in England• Patient Preferences if requested• HealthSpace in development
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Summary
• Good progress with use of ECS• Security built in with fully integrated
solutions• Audit at all levels including Cross
Border• Palliative Care Summary development
well underway• Consultation and communications in
planning