Newsletter September 2016 -

Issue 3

Welcome to...

....our latest newsletter. The colder mornings,

golden colours, mists and the sights of the Goose

Fair mean only one thing...it's autumn. And just

one month to go to our Connected Nottinghamshire

Health and Social Care IT Summit.

This year it takes place on Tuesday 22 November

and will include a review of our Local Digital

Roadmap plans, and presentations of new

technologies which will include a re-launch of the

highly successful e-Healthscope. You can read

more about e-Healthscope developments in this

newsletter.

In the meantime, we're planning for the this year's

IT summit to be bigger and better than ever - we're

extending the invitations to colleagues from across

the Midlands, as well as nationally. If you would

like to book a place or find out more details, please

.email us

Vicky Bailey

Rushcliffe CCG Chief

Operating Officer &

Programme Owner

Andy Evans

Programme Director

In this edition of the newsletter, we'll update you on

progress with our Local Digital Roadmap plans and

also on the latest developments to meet the

Transfer of Care initiative for the electronic delivery

of e-Discharge summaries between primary care

and acute, mental health and community providers

(this requirement covers all NHS funded care

including independent sector providers) by

1 December 2016. This initiative is fully aligned

with the National Information Board and NHS

England Five Year Forward View and is one of our

Local Digital Roadmap core objectives.

Click for our new-look

website

We're pleased to announce that the all new

is now up and Connected Nottinghamshire website

running. We hope that it will provide you with even

more news, information and updates to support

you in your digital work. We'll keep on developing

the content so that it continues to meet your needs.

In the meantime please take a look and see what

you think. We hope you'll like it.

Savi Cartwright

Programme Manager

Dr Ian Trimble

GP and Chair Executive

Committee

Dr Mike O'Neil

GP and SIRO

Nottinghamshire digital plan

is a national leader

We received what can only be described as

absolutely great feedback from NHS England

on our Local Digital Roadmap (LDR), the plan for

transforming health and care through digital

technology which we submitted at the end of June.

NHS England has told us, “your submission should

be celebrated as an exemplar and potentially used

as a blueprint for others” which is testament to the

hard work of those involved across both health and

social care organisations in

Nottinghamshire. Thank you to everyone who

has helped us to develop our plans so far.

The LDR supports the vision and ambition in the

Nottingham and Nottinghamshire Sustainability and

Transformation Plan (STP) which is due to be

completed in October. Like the STP, our LDR is

co-ordinated through the Health and Well Being

boards for Nottingham and Nottinghamshire and

has been developed by working with colleagues

across health and social care as well as with

patients.

We are now actively working on the wider delivery

plans for the LDR engaging with health, social and

third party organisations. This work is being led by

Andy Evans and Savi Cartwright. Five key

workstreams have been identified which are:

Councillor

Alex Norris

Portfolio Holder for

Adults, Commissioning

and Health

Councillor

Muriel Weisz

Chairman of Adult

Social Care and Health

Committee

&31616# Workstream 1 – Information sharing

&31616# Workstream 2 – Infrastructure

&31616# Workstream 3 – Providing access for

patients and local people to health

information

&31616# Workstream 4 – Digital maturity.

Maximising the impact of technology and

transforming health and social care services

&31616# Workstream 5 – Assistive

technology. Supporting patients to manage

their health at home

Our vision for a fully digital and interoperable

Nottinghamshire requires change and commitment

from across the entire health and social care

system. Whilst we are aware that the delivery of

this Local Digital Roadmap is ambitious we firmly

believe that with your support, it can be achieved

by 2020.

Workstream 1 - Information

Sharing

Community Portal

The Portal enables data to be shared more widely

with clinical teams outside the hospitals. Phase 1

of this extensive project is due to go live

this autumn and will enable the provision of data

Councillor Alan Bell

Vice Chair of Adult

Social Care and Health

Committee Member for

Mansfield East Division

for both Nottingham University Hospitals and

Sherwood Forest Hospitals via CareCentric. This

phase will be supported by a clinical reference

group who will also support the full project over its

lifetime.

The next phase will include Nottinghamshire

Healthcare Trust data (estimated for December)

with all phases of the project due to be completed

by 2018. The Community Portal is being hosted by

Nottingham University Hospitals NHS Trust. For

more information contact Katya Anthony,

Community Portal Senior Deployment Lead,

NUH

Medical Interoperability Gateway (MIG)

We are half way through the delivery of the second

phase of the Medical Interoperability Gateway

(MIG). MIG allows sharing of data across primary,

community and secondary care. It is a starting

point which allows for the fast implementation of

key data sharing between GP practices,

Emergency Departments and Out of Hours

services. MIG allows access to GP records plus

an additional supportive care dataset which

supports patients receiving End of Life care (this

will link with the Community Portal work, currently

happening at NUH).

The communications process (CCGs and GP

practices) is complete and there is a range of

information on the new Connected

Nottinghamshire website to support this work.

Final testing is underway and GP practices are

receiving information sharing agreements (ISAs) to

authorise. The system is already up and running in

Gastro services at Nottingham University Hospitals

and we will shortly be rolling it out to CityCare

(enabling data to be viewed on their

nominated SystmOne units). For more

information contact John Catterick, Senior

Project & Business Change

Manager, Connected Nottinghamshire.

GP Repository for Clinical Care (GPRCC)

There is more excellent progress to report on

information sharing using the successful e-

Healthscope system. We now have 109 practices

signed-up to use e-Healthscope (and the number is

rising weekly). e-Healthscope allows data sharing

to support the care of patients by joining up a

complete picture of an individual's care across

different services and interventions.

e-Healthscope is the route to access a range of

data held in the GP Repository for Clinical Care

(GPRCC). The GPRCC is as a new centralised

repository, enabling a small subset of GP data to

flow from GP clinical systems so that it can be

viewed through e-Healthscope. The reports will

improve direct patient care and support multi-

disciplinary team meetings - for example the ability

to link patients on the reports to Admissions, A&E

attendances and community services (such as

COPD and Heart Failure nurses, falls and stroke

teams).

So far the GPRCC is able to provide 100% data

from health services with the first flow of social

care data due to commence shortly. Social care

data will initially include Nottinghamshire County

Council data for over-75s (once the

final Information Governance and consent process

have been approved). Further improvements to

the infrastructure to support this important work are

also being planned. For more information

contact John Catterick, Senior Project &

Business Change Manager - Connected

Nottinghamshire.

Electronic Discharge Contractual Target

As part of the Transfer of Care initiative which is

supported by NHS Digital; the 2016/17 NHS

standard contract sets out requirements for

the electronic delivery of e-Discharge summaries

between primary care and acute, mental health

and community providers (this requirement covers

all NHS funded care including independent sector

providers) by 1 December 2016. This initiative is

fully aligned with the National Information Board

and NHS England Five Year Forward View and is

one of our Local Digital Roadmap core objectives.

Connected Nottinghamshire hosted an initial

workshop on 28 July (supported by NHS Digital)

where organisations including Nottingham

University Hospitals, Sherwood Forest

Hospitals/Nottinghamshire Health Informatics

Service, Nottinghamshire Healthcare, and

Nottingham City and Nottinghamshire County

councils met to discuss and understand the

requirements. The workshop also

reviewed the current state of readiness to deliver

this objective, and what work they needed to do to

initiate this in order to meet the deadline.

This work is continuing with a further workshop

early in October to ensure we maintain our focus to

help providers across Nottinghamshire meet the

1 December deadline. The current position for our

main acute providers is:

&31616# NUH has estimated they will

haveMESH (Messaging Exchange Social

and Health) running and be able to have the

correctly formatted XML submissions on

time

&31616# SFH has plans in place to enable e-

Discharges from Orion (inpatient and

daycase) to include the AoMRC headings

and are working with GP practices. MESH

(Messaging Exchange Social Care &

Health) is already live at SFH for ICE but

most GP practices are receiving data via

email, rather than ICE.

&31616# Nottinghamshire Healthcare is also

on track to meet the deadline.

Data Advisory Group

The Data Advisory Group work will be transferred

under the leadership of the Data Management

Group based at Rushcliffe CCG to align all key

activities relating to data and quality standards

across Nottinghamshire. To support this move a

workshop will be held end of October which will be

led by Dr Mike O’Neil (GP and SIRO for

Nottingham West CCG).

Change Management and

Information Governance Toolkit

A Change Management Toolkit and Framework

has been developed and meetings with

stakeholders to obtain feedback are

underway. The toolkit will be tested with existing

projects/stakeholder groups. The toolkit will be

refined for launch at the IT summit in November.

A model for utilising data for non-direct care has

been developed, consent models for direct care

and sharing policy have been reviewed and all

documents have been presented to the RIG on

13 September for endorsement or

comments. Once this endorsement has been

received they will be rolled out to the wider

stakeholder group.

Child Protection Information Sharing Project

Nottinghamshire County and Nottingham City

councils are deploying new information systems

towards the end of the year. It is anticipated that

the CP-IS functionality will be incorporated into

these upgrades. NHS Smart Cards in all local

areas impacted by the deployment of CP-IS have

been updated so that users of SCR and clinical

systems, that have been integrated with CP-IS, can

view CP-IS information. This means that children

who visit unscheduled care services in

Nottinghamshire, who have CP-IS flags on their

records from other areas, will be visible. Full

training will be undertaken once the systems are

live.

Infrastructure -Workstream 2

Wi-Fi

Wi-Fi is currently available from approximately 150

organisations across Nottinghamshire (health and

social care). Work continues to increase this

number and the NITMAN group have discussed

options for partner Wi-Fi access, focusing on the

Government Digital Services (GDS), Common

Technology Services (CTS) Architectural

pattern. A working group is being setup to

progress a proof of concept for the GDS/CTS

solution, for delivery by the end of 2016.

Community of Interest Network (COIN)

Due to issues with the BT infrastructure, there is a

revised implementation date of February 2017 for

this network. Around 80% of the work is completed

and was on track for the original December

timescale. However technical issues with core

circuits at the Kings Mill Hospital site which require

additional support from BT are resulting in delays.

Workstream 3 - Access to

information

Patient Online

Online patient information systems have a number

of benefits, particularly for people with long-term

conditions, giving them greater access to

information about their care and their results

whenever they need it, including when their GP

practice is closed. The pilot that included 8

practices is now complete and a final report has

been produced. Different devices are being tested

and work is currently underway to order devices

and plan the rollout.

Care Homes

Care homes in Rushcliffe are getting ready to pilot

using patient online services to access certain

parts of the patient’s GP records. This will provide

a secure and reliable method of viewing and

requesting medication and viewing the detailed

coded record including End of Life data. This will

provide the care home with valuable up-to-date

information from the GP record in a simple way.

Feedback from the pilot will be shared once

collated.

Focus on Pharmacy

In the last newsletter we reported on a number of

projects supporting pharmacy services. Here is the

latest news on these developments:

&31616# A pilot to evaluate how effectively

community pharmacists can support the

delivery of Primary Care has enabled over

6,400 consultations to take place, saving

1,250 hours of GP time, in a year.

&31616# The consultations have covered a

wide range of support; complex medication

reviews (complex disease reviews or

patients on high risk medications such as

anticoagulants and anti-rheumatic

drugs), long term condition management

and support (including hypertension

reviews, AF reviews, asthma reviews,

chronic kidney disease reviews) and other

areas including helping with minor illness

care, hospital discharges and general

medicines queries.

&31616# To get an insight into the impact it is

having on GP practices, let Dr Swinscoe

from the Wellspring Surgery in Nottingham

City CCG tell you about their experiences of

the pilot.

&31616# Recent analysis of outcomes has

highlighted the following:

Patient experience is excellent. With

100% satisfaction from completed

surveys

100% patients surveyed agreed that their

health would improve following the

consultation

Medicines were changed in 59% of

consultations

Blood tests were initiated in 15% of

cases

Medicines review improved side effects

in 18% of cases

Changes to improve disease

management were made in 64% of

cases

The pilot is working across

six locations including Abbey Medical Group,

Giltbrook Surgery, and Wellspring Surgery in

Nottinghamshire, along with three in Derbyshire.

Update on Pharmacy Summary Care Record

Across Nottinghamshire we are now up to 82% of

pharmacies live. Nationally the position shows

only 17% live.

For further information or for copies of quarterly

.Gerald Ellisprogress reports please email

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