YHCR – IG / Social Care / Clinical engagement session

Agenda

12 noon – Welcome; Lee Rickles 12:15 – Integrated Care – Project Update; Julia Millman 12:30 – Making the Clinical Case for Integrated Data; Dr Jason Broch 12:45 – Clinical Safety; Rebecca Wilson 13:00 – Lunch 13.30 – Social Care; Neil Bartram 14:00 – Focus on Use Cases, Group working; Johnny Chagger 15:00 – Tea & Coffee 15:15 – Information Governance, Summary and Close; Johnny Chagger 16:00 – Depart

12 noon – Welcome; Lee Rickles

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12:15 – Integrated Care – Project Update; Julia Millman

YHCR Integrated Care Record IG, Social Care and Clinical Workshop 29/10/19 Julia Millman – Programme Manager

Integrated Care Project Focus • We will provide clinically useful live data by March 2020

• We will ensure the essential infrastructure is assured and scalable

• We will enable innovative data flows with ‘ready’ organisations

• We will improve GP/ social care data provision across the region

• We will significantly improve ambulatory transfer of care

What’s the approach to ‘live’ data

Wave 1 Pilots Wave 2 Provision Wave 2 Provision

Rotherham Leeds

Humber YAS

Doncaster YAS

NYCC

York

Bradford

Harrogate

Hull

NLAG

A bit about the system Accessible regional solution (Cloud based)

Scalable

Minimal impact on partners

Not use case constrained

Nov’19

Dec‘19

Jan’20

• Wave 1 pilots live • Cloud hosting • Wave 2 on-boarding

Key Events

Feb’20

Rotherham encounters information available to Brachytherapy team in Leeds Teaching Hospitals

Humber mental health crisis plan available to Yorkshire Ambulance Service

Yorkshire Ambulance Service Transfer of Care available to current consumers

YHCR migration to Cloud complete

Products associated with functional hardening and scalability delivered

York Teaching Hospitals Trust core record viewable within the Yorkshire & Humber Care Record

Cloud hosting established

North Yorkshire County Council dataset viewable within the Yorkshire & Humber Care Record

Generic viewing portal available to organisations who wish to use it

GP data provision available to contribute to care planning

Spring’20

12:30 – Making the Clinical Case for Integrated Data; Dr Jason Broch

The NHS Long Term Plan

October 2014 – 5YFV • Integrated Commissioning • Integrated Provision • New Models of Care

January 2019 –NHS Long Term Plan

• Make sure everyone gets the best start in life • Delivering world-class care for major health problems • Supporting people to age well

The NHS Long Term Plan

1. Doing things differently 2. Preventing illness and tackling health inequalities 3. Backing our workforce 4. Making better use of data and digital technology 5. Getting the most out of taxpayers’ investment in the NHS.

‘The future is already here - It’s just not very evenly distributed’, William Gibson

The NHS Long Term Plan

Delivery Integrated Care Systems

• ‘Self regulating systems’ • Less competition / legislative change • Region-System-Place-Locality

New contracts, incentives Technology initiatives – GDE’s, LHCRE’s, NHSx

The NHS Long Term Plan

Primary Care Networks Community-centric Dissolve organisational boundaries What does it mean for Clinical pathways across H&SC? What Information Governance issues arise?

Population Health Management Multiple Definitions

‘By using information better and personalising care based on underlying need, a Left Shift of resource-use will be able to occur, focussing on prevention of disease and disease progression; ensuring an increase in the health & wellbeing of a whole population will be achieved by focussing on the needs of individuals and the different populations they are part of.’

Population Health Management Features to support PHM Integrated Commissioning for Outcomes rather than activity

• Population segmentation • Aligned incentives across all contracts

Integrated Provision of Health & Care Services

• Working across organisations – eg. care programmes • New roles and skill-mix

Business Capabilities

• Risk stratification / Predictive Analytics / Impactability • Integrated data for care and analytics / Virtual care

REQUIRES USE OF INTEGRATED DATA

Population Health Management

YHCR

• Governance - CTDA • Use-case approach

• Cancer • Urgent & Emergency care • PHM use-cases

• New undefined clinical roles being developed • System of Systems approach

• Information contribution • Information consumption • ‘Does it let the cat of the bag?’ – what are the IG implications?, Clinical

Safety Implications?

12:45 – Clinical Safety; Rebecca Wilson Email: R.Wilson123@NHS.Net

Clinical Safety (CS)

DCB 0129 and DCB 0160 are mandated NHS Standards published under the Health and Social Care act 2012. Therefore any organisations responsible for the development and maintenance of Health IT Systems for use within the health and care environment must comply. From May 2020 the MHRA will regulate the new Medicines Device Regulation included in this is stand alone software. Therefore Clinical Safety is an integral part of the YHCR SofS programme. To ensure that the System of System is clinically safe there is an appointed Clinical Safety Officer, Clinical Lead and a Clinical & Technical Design Authority group. The YHCR have developed a bespoke Clinical Assurance Process with Clinical Safety Framework, on-boarding checklist to aid in the Clinical Assurance between the YHCR SofS and users.

CS Compliance with the standards

YHCR are classed as the manufacturer of the product therefore are responsible for the DCB 0129 as well as a DCB 0160 as a deployer. Any Trust/supplier/third party which wish to join the YHCR must comply with the standards DCB0160 and provide several key documents and assurances- These include: A Hazard Log, Clinical Safety Closure Report Clinical Test Reports which must be reviewed and approved by their own CSO.

Clinically Safe for Go-Live

Once all the relevant testing, clinical testing, training, fallback solutions, service management have been completed and both parties are satisfied that the system is clinically safe, sign off will be provided and a YHCR Clinical Authority to Release provided. Once Go-Live has commenced all live incidents would be reported using internal incident management policy however any flagged issues would need to be escalated to the YHCR Clinical Safety Team

13:00 – Lunch

13.30 – Social Care; Neil Bartram

14:00 – Focus on Use Cases, Group working; Johnny Chagger

Legal Basis – Direct Care Article 6 (1)(e) “processing is necessary for the performance of a task carried out in the public interest or in the exercise of official authority vested in the controller;”

Article 9 (2)(h)

“processing is necessary for the purposes of preventive or occupational medicine, for the assessment of the working capacity of the employee, medical diagnosis, the provision of health or social care or treatment or the management of health or social care systems and services on the basis of Union or Member State law or pursuant to contract with a health professional and subject to the conditions and safeguards referred to in paragraph 3”

ISA’s, DPC’s & Privacy Notices

How it works…..

RBAC RBAC role

Staff types (examples) Read List [Summary information only]

Read [access to full record]

1 Receptionist Demographic data only

2 Administrator Yes No

3 Administrator Yes Yes

4+ Registered and Regulated Health Care Professional

Yes Yes

5 Social Worker Yes No

15:00 – Tea & Coffee

15:15 – Information Governance, Summary and Close; Johnny Chagger

16:00 – Depart