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NHS Connecting for Health A National Framework For Implementing Electronic SAP Summary of Recommendations. Project Outline. Initiated by NHS Connecting for Health (CFH). Reporting to Electronic Social Care Records Board, Care Records Development Board & National Programme Board of NHS CFH.

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NHS Connecting for Health A National Framework For Implementing Electronic SAPSummary of Recommendations


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Project Outline

  • Initiated by NHS Connecting for Health (CFH).

  • Reporting to Electronic Social Care Records Board, Care Records Development Board & National Programme Board of NHS CFH.

  • Project Board representation from NHS, social services, DH, and Cabinet Office.

  • To develop an implementation plan and business case for electronic SAP for England.

  • First stage to define and evaluate options for electronic SAP by end June

  • Subsequently to develop an implementation plan and business case.

  • Focus on SAP/CAF, but seeking solution which could support other multi agency information sharing needs


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Consultation Process

  • On-line questionnaire on SAP websites of Centre for Policy On Ageing and NHS Connecting for Health – 272 registrations and 166 responses

  • Meetings with established forums (ADSS, Better Government for Older People (BGOP), Cluster Expert Reference Groups, etc.)

  • Meetings with SAP leads & NHS/social services IT managers.

  • Meetings with suppliers – Local Service Providers & partners, social services systems, SAP systems

  • Meetings with DH CAF lead, NHS Connecting for Health, Children’s Index, e-CAF and Government Connect


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e-SAP Requirements

  • Person-centred processes and records.

  • Available to health, social care and other workers, providing care to individuals at diverse locations.

  • Available to service users and carers.

  • Each item of information entered once only wherever possible and subsequently validated or updated by other users.

  • Seamless access to assessment, care planning and review information and output of multi-agency management information.

  • All relevant SAP information available to system users when and where needed (including mobile working).

  • Users having access only to the information in which they have a legitimate interest.

  • All updates to SAP information being notified to users in a timely manner.

  • Separate but linked carer’s assessments.


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e-SAP Principles

  • Information that is shared will be subject to individual consent.

  • Information governance standards across NHS and social services.

  • Systems from different suppliers interoperate using standards

  • Commonality of process from SAP to the Common Assessment Framework ( ‘Our Health, Our Care, Our Say’).

  • Support evolution of both the process and information associated with it.

  • Build on existing systems


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Potential e-SAP Benefits

  • Reducing length of stay and delayed transfers of care

  • Reducing unscheduled admissions

  • Improved management of care for people with long-term conditions

  • Improved quality of care

  • Resource savings for professional staff

  • Improving the referral process

  • Improving public health information

  • Contributing to strategic planning and commissioning


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Current Situation

  • Survey of e-SAP implementation in 27 communities:

  • Substantial gap between SAP requirements and current e-SAP implementation

  • Lack of integration between

    • SAP and other LSP systems

    • NHS and Social Services systems and consequent dual data entry

  • Lack of standards around functionality and information sets with different solutions developing in different communities

  • Small-scale adoption of mobile devices with consequent dual recording



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    Information Governance & Exchange Standards

    • Level 3 e-GIF standards recommended for confidentiality and integrity of information

    • HL7 v3 Provision of Care messages for information exchange

    • Need to publish compliance regime and accreditation of systems to meet the above standards


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    Deployment of e-SAP Solution

    • Options:

      • National approach (standards, application and integration

      • Local approach (no standards, local application and integration)

      • Hybrid

    • Recommendation: Hybrid Deployment

      • Local e-SAP implementations, agreed by local ‘care communities’

      • Operating to national information governance standards

      • Employing national standards for information exchange

      • Using national services for cross-community exchange



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    Implementation

    • To implement electronic SAP a national work programme is needed including:

      • Joint governance encompassing the NHS and social services

      • Co-ordination with other related initiatives (e.g. e-CAF, Children’s Index & Gov Connect)

      • An implementation plan and business case, including procurement strategy

      • National enabling work:

        • Definition of national information exchange standards for e-SAP

        • Definition of national information governance standards for NHS and social services information sharing

        • Definition of national reporting requirements to ensure standard reporting definitions across agencies

        • Definition of consistent electronic record retention policies.

        • Deployment of national information sharing services, including accreditation process


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    Implementation (Continued)

    • To implement electronic SAP the following will be needed:

      Local implementations:

      • Local business cases

      • Deployment of e-SAP solutions

        • change management and process change

        • education and training

        • hardware implementation

        • project resourcing, etc.


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    Potential Phasing

    • Health and social care first, then other users over time

    • Electronic information sharing phased (documents first)

    • SAP first, evolving into CAF over time


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    Next Steps

    • By October:

    • Implementation Plan

    • Business Case


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