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OUR VISION . . .

The West Midlands Programme for IT (WMPfIT) is working towards providing the NHS in the West Midlands with:

• New IT systems which will help to deliver better, safer and more connected care.

• Better information will lead to better health and care - for every patient.

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Quality, Innovation, Productivity and Prevention (QIPP)

• Improve quality of patient care

• Create a climate of sharing

• Greater integration of care

• Mapping & Recognition of good practice

• Gems

Labdate

GPHospitalmedicalrecords

PACS

EyeVan

Investigations

Opticians Pharmacy

Screening

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Gems Criteria

• ‘Quick wins’

• Easily transferable

• Cost effective

• Beneficial

• Current practice

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• NHS Mail

• West Midlands QIPP Challenge

• Adding to the map

• Map

• Contact us

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Mobile Working

• Nursing Home ward round:

“by the way, whilst you are here, do you mind seeing Mrs Smith?”

• Real time access to patient records at point of care

• Real time sharing of record with other clinicians and increased clinical activity

“ I now have to see six more patients when I get back, as I am able to finish all my clinical documentation at the Nursing Home”GP Registrar, Bellevue Medical Practice

“Much better than the previous system, where I had limited or no access to patient information until I returned to the surgery”GP, Hall Green Health

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Choose & Book

• Sandwell PCT - top rated PCT in the West Midlands;

• 90% referral target;

• Directly bookable appointments at local acute trust;

• Advice and guidance functionality;

• Directory of Services includes updated referral criteria;

• Reduces DNA rates, appropriate referral;

• More likely to be successful if care is integrated between primary, community and secondary care;

• Map of Medicine integrated into C&B within North Staffordshire.

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Map of Medicine (MoM)

In the West Midlands there are various local healthcommunities using the MoM to assist them withvarious transformational projects:

• North Staffordshire and Stoke-on-Trent have localised a number of Musculoskeletal (MSK) and Chronic Obstructive Pulmonary Disease (COPD) pathways in order to support their ‘Fit for the Future’ Programme

• A web based visual representation of evidence-

based patient care journeys

• Provides doctors with the information they need to make informed decisions based upon national guidance and also local processes

• Accessible for patients to see through the NHS Choices website

• Empowering patients to give them choice and control

“The Map provides doctors with the information they need to make informed decisions based upon national guidance and also local processes.

It is accessible for patients to see through the NHS Choices website. This empowers patients to give them choice and control.”Quote from James Davies, NHS North Staffordshire

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Lorenzo Podiatry

• Clinical notes: record consultations, upload photos of wounds, treatment plans and facilitates work flow.

• Forms: monitor wounds, assess foot risk, record nail surgery assessments and treatments.

• Clinical documents: letters back to referrers and referrals onto consultants. • Very stable and reliable, even when used out and about in patient’s homes via 3G mobile broadband.

Revolutionised how the team works: “we no longer relying on paper documents, never lost a note, and never failed to find a patient.”

Amanda Cadge, Head of Podiatry at NHS South Birmingham

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• Calls to ambulance service are recorded through an Electronic Patient Record.

• Information is sent to the ambulance

which is fitted with a Panasonic

Toughbook to view patient details and

access to decision support software,

helping to improve patient care.

• The collated information is used to

assists with commissioning processing,

operational efficiency, an electronic

database for clinical audit.

West Midlands Ambulance ‘award winning ’Emergency Care System

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Accident and Emergency Department

• Able to view Ambulance ECS patient information on the Webex Application within in the A&E department at University Hospitals Coventry and Warwickshire (UHCW);

• Able to improve efficiency and safety in the A&E department:

“You know what to expect and the information helps in terms of planning”Dr Ward, Consultant in Emergency Care Medicine at UHCW

• Technology updates should allow for data to be assimilated into NHS Care Record Service compliant A&E records.

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“An extremely impressive and ambitious use of technology”.

HSJ Awards, 2006.

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• Enabling clinical images to be stored electronically and viewed on screen;

• Access at the touch of a button, patients can benefit from much speedier diagnoses and more informed consultations;

• PACS enables the comparison of old and new patient images - measuring the effectiveness of their patients' treatment and monitor their progress;

• Images are easily accessed and can be shared;

• Able to view images at home, changing the way people work. “The best thing that has happened in radiology in the last 20 years”

Dr Richard Wellings, Consultant Radiologist at UHCW.

Picture Archive and Communication System (PACS )

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Electronic Discharge Summary(EDS)

• NHS Hereford has developed Electronic Discharge Summary system with all its GP practices using DOCman.

• EDS significantly speeds up communication between clinicians. Able to share EDS with wider team. Community Matrons and District Nurses are also able to access the information.

• Improving the quality and quantity of information sent to a patient's GP.

“We are looking at expanding EDS to include Clinic Letters to improve communication with the practices.”Dr Jake Burdsall, Consultant Gastroenterologist at NHS Hereford.

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Using Choose and Book to book a physiotherapy appointment

• A GP or patient can book physiotherapy

appointments using Choose and Book at

University Hospitals Birmingham and NHS Hereford;

• Offers the patient an appointment at a time and place convenient to them.

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NHS Mail – electronic discharge

information A secure means of sharing clinical data:

• SMS text reminders for appointments

• Electronic Discharge Summaries taken from NHS Mail straight into patients GP records (via Docman)

• NHS South Birmingham :

- DESMOND Diabetes Education Programme, self- referral - hghdesmond@nhs.net

- Cancel Appointments - hghcancelappts@nhs.net

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The West Midlands Quality, Innovation, Productivity and Prevention Challenge

• To improve patient care we need to share information;

• The spread of innovation will improve quality;

• Technology can help improve patient safety;

• The examples shown on the map can be shared across West Midlands to reduce inequalities in healthcare;

• The sharing of the treasures on the map will help to address the challenges.

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To Come:

Adding to the Treasure Map. . . .

• Wider sharing of PACS images;

• Summary Care Record;

• HealthSpace;

• Communicator;

• Telehealth.

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For further information, contact West Midlands Clinical Leads:

Masood Nazir: masood.nazir@nhs.net

Karen King: karen.king@westmidlands.nhs.uk

“We will wield technologies wonders to raise health care quality and lower its cost.” Barack Obama’s inaugural speech, January 2009.

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Discharge Summary NHS Hereford

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ECS West Midlands Ambulance Station @ Dordon Warwickshire

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NHS Stoke on TrentMap of Medicine

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Choose and Book at NHS Sandwell

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PACS University Hospitals

Coventry and Warwickshire (UHCW) - Coventry

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(UHCW) - Coventry

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University Hospitals Birmingham: Choose and Book for Physiotherapy