Stockport Health Record Awareness Event 16 th September 2009 Stockport Town Hall Paul Gaskin

1 Stockport Health Record

sharing health records to improve patient care

Stockport Health RecordAwareness Event

16th September 2009

Stockport Town Hall

Paul Gaskin

SHR Programme Manager



Does anybody remember?

The eight doctors who failed todiagnose my dying wife

Penny Campbell, 41-year-old journalist,died in March 2005

Thirty-five die after out-of-hoursGP care fails

June 2007



What have we set out to do?

“To improve the healthcare and safety of patients registered

with a Stockport General Practitioner. The Health Care

Providers are working collaboratively to provide a secure,

integrated electronic care record which will be held locally and

available only to clinical partners at the point of care.”



Patient Clinical Database

Master Patient Index

High Level Summary - Target

Integrated Care Record

Patient Care Reports

Anonymous Reportse.g.

CVD Risk Factor Screening & Smoking Cessation LES

Pseudo-Anonymous Reportse.g.

Improving quality of diseaseregisters

Identifiable Reportse.g.

Diabetic Retinopathy ScreeningProgramme

Local Health Communitypatient information feeds



Release 1 – Share GP records with OoH Service

Patient Clinical Database

Master Patient IndexNHS Exeter System

Integrated Care Record

Patient Care Reports

Anonymised ReportsCVD Risk Factor Screening &

Smoking Cessation LES

Identifiable ReportsDiabetic Retinopathy Screening

Programme

Out of Hours Service(Mastercall)

Public Health Dept(NHS Stockport)

Local Health Communitypatient information feeds

53 x Stockport General Practices

• 4 x GP Systems

• Read Coded Data

(e.g. Medications / Allergies / Medical History )

• Filter out exclusions

• circa 295,00 Patients



Benefits

Patient Improved co-ordinated patient care across Health Care Providers Increase confidence in care provided Reduce time in duplicating patient information

Practice Reduce time and effort in collating and sending patient information Assist in data quality improvements Access to complete patient journey information (future)

Out of Hours Provide efficient delivery of safer high quality care Increased productivity and responsivess to patients Reduced referrals to ED Reduced duplication of clinical tests Reduced wastage in prescribing

PCT Improved information for planning, monitoring and commissioning Provide a Business Continuity solution e.g. Flu Pandemic



Concerns (1 of 2) ?

Patient consent Patient can Opt Out at any time

Public Information Campaign2005 - leaflet drop 300k houses, leaflets / posters in practices

2009 - leaflet / posters in practices / PALS / local media articles / website

No patient consent required to stream data

Explicit consent to view record Adopted consent model approved by GMC, BMA, CFH

Governance and data security Project Board

Discussion and approval with various groups LMC / Information Governance Group / IM&T Strategy Group / NWSHA / Other Trusts…

Information Sharing Agreement

NHS N3 secure infrastructure

Role Based Access

Audit Log

Freedom of Information Act

Security Testing NCC Group



Consent

SHRPatient Clinician

Consent



Concerns (2 of 2) ?

PCT “Big Brother” Information Sharing Agreement

Project Board oversight

National Summary Care Record buy another means NHS Stockport developed solution

Stockport Health Care Providers

Stockport people

“Baby Steps” not big bang



Sharing your electronic GP records

It is free! No hardware costs

No software costs

No maintenance costs

No additional staff costs

No installation costs

All that we ask is …. Sign Information Sharing Agreement

Provide a Test Patient

Nominate a contact point

Inform patients, if they ask?



Future Releases - TBA

Share information with Hospital A&E, MAU

Stream data from Hospital e.g. Discharge Summary

Hospital pathology results

Summary hospital patient history

A&E card details

Maternity summary record….

Stream data from Social Care (CAF Project)

Share information with Practices

Enhanced information reporting

Community modules

Mobile Access

…….



Thank you for listening

Welcome your thoughts and feedback at the end

My Contact Details

[email protected]

0776-967-8956

Web Site

www.nhsstockport/shr

Stockport Health Record Awareness Event 16 th September 2009 Stockport Town Hall Paul Gaskin

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