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Shared records – shared care

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  1. Shared records – shared care Richard Pope Airedale NHS Trust Richard.pope@anhst.nhs.uk

  2. Background • 1998 district diabetes system required • 1999 “common clinical system” (SystmOne; TPP, Leeds) • 2000-3 in-service development • 2004 on dramatic growth 5M patient records >400 practices routinely >5000 concurrent users increasing secondary care links

  3. “SystmOne” • Central data centre • Fully functional GP system • Records shared with other units • Sharing procedure – evolved

  4. Diabetes Homeless project Palliative care Emergency depts (Airedale and Bradford) Renal medicine Surgery Rheumatology Cancer MDTs HM Prison service Child Health ………. “SystmOne” in Airedale and Bradford - links with:

  5. Shared records – clinical use • Clinic consultation/comms • E-referral • E-consultation • Clinical alerts/warnings • Governance • Health needs assessment

  6. Clinic consultation /comms • In-clinic use • All “shared” data available • Interactive • Real time communications • Targeted messaging /alerts

  7. E-referral • Referrals for clinic review direct booking possible record viewable from time of referral • Within team referrals

  8. E-consultation • Request for opinion without face to face consultation • Access to full record • Timely • Triage possible in ~40% cases • Medical/nursing/podiatry contacts

  9. Clinical alerts/warnings • Set automatically or manually • Flag the record • Recalls can be set by third party • Safety flags • Outstanding test results

  10. Governance • Central view of clinical performance • Validation/revalidation GPwSI, etc

  11. Health needs assessment • Predict future demand microalbuminuria +ve type 1 diabetes risk of renal failure ~10yrs planning renal replacement services

  12. Shared records-shared care • Highly valued clinical system • Allows secondary care to support local service delivery in new ways • Very rich data set • Critical mass effects • “Operational” training crucial • Scale of future deployment?

  13. Success due to:- • The Phoenix Partnership (Frank Hester/Sat Virk) • Dr John Parry / Dr John Connelly • Tony Megaw / Ian Roberts • IT depts Airedale/Bradford Trusts/PCTs • Clinical colleagues