Hampshire Health Record

1. Hampshire Health Record Toby Cave HHR Programme manager

2. HHR overview Acute provider Community health Path & Radiology Summary Path & Radiology EDS & Clinic letters EDS & Clinic letters HHR HHRA CCG Coded information Pathology ordering Referral letters GP Practice Social Care Referral letters

3. GP feeds- signed up by year77% signed up Jan 2012

4. Clinical staff use

5. Information accessed – staff roles

6. Patient access – why & what • No decision about me, without me Access to records Consent / sign up Complete / interpreted Information sharing Mental health / sensitive Clinical trials SUS / Billing SMS / email reminders Changes / updates Two way comms Updating demographics Patient assessments Booking appointments Contacting clinicians Repeat prescriptions

7. Patient access - How • Via GP systems • 75% of NHS patient contact with GP • But not complete acute or community record • Direct access to the HHR • Covers most providers • No booking of appointments or updating demographics • Via 3rd party eg Microsoft Health vault • Unproven – Googlehealth • Requires wide provider buy-in

8. Patient access - Challenges • User accounts • Citizen identification and account administration • Separate usernames and passwords • 2 factor authentication • Sharing access: Parent / guardian / carer access • Record management • Full vs summary record • Interpretation of records • Clinician checking of records – nothing to harm the patient or ID third party