Integrated Digital Care Record Proof of Concept Update - May 2017

Introduction The requirement for a Doncaster Integrated Digital Care Record (IDCR) was clearly identified in the Local Digital Roadmap and the Intermediate Care Case for Change It was agreed that a Proof of Concept for the IDCR would be developed focussed on the Rapid Response Pathway We agreed with our partner organisation that the CCG would take the lead on the procurement of the Proof of Concept solution A budget was secured from the BCF fund and CCG non-recurrent monies Support for the procurement of the system was engaged from Channel 3 Consulting

The Vision for the Integrated Digital Care Record Timely sharing of accurate health and social care information An IDCR solution that can interface with all systems in use in the Doncaster region A shared assessment and plan which will move with the patient A reduction in paper based activities which can ultimately be eliminated Access to the IDCR from any location The option, where appropriate, for patients & carers to have access

Engagement Engagement sessions (group and 1-1) ran January and early February Very positive engagement with clinicians, service managers and technical staff. All keen to support the process and setting ambitious goals for the IDCR “A solution that supports effective care delivery through timely & appropriate access to the holistic health and social care record.. supporting integration, alerting, communication and workflow on any device, at any place and time..”

Specification Output Based Specification, Requirements Catalogue and Invitation To Tender developed and approved during February It was agreed the Proof of Concept would aim to link up the following systems: System Name Purpose Organisation SystmOne Community   Community Services System RDaSH SystmOne Mental Health Mental Health System RDaSH (from 2018) CareFirst Social Care System DMBC Adastra Out of Hours System FCMS MIG Primary Care Gateway General Practices Symphony A&E System DBTH JAC Pharmacy System

Procurement Procurement exercise for the PoC ran during March using London Procurement Partnership Framework Evaluation team of 20 people across all IDCR partners, with mix of clinical , managerial and technical staff 6 suppliers made bids, including all well recognised IDCR suppliers 3 eliminated on capability 3 identified as acceptable suppliers Of these 3 Orion Health scored best and had the lowest cost over 5 years

Procured Solution Orion awarded Preferred Supplier status 10th May 2017 12 month fully hosted Proof of Concept solution 6 interfaced systems (JAC removed) Implementation design and configuration service Software licences, support and maintenance for 350 users Implementation training Orion/EMIS integration for 20 practices

Contributing Information to the Doncaster IDCR: GP EMIS / INPS Events Procedures Diagnosis Examinations Investigations Medications Problems Risks/Warnings Demographics GP EMIS / SystmOne Events Procedures Diagnosis Examinations Investigations Medications Problems Risks/Warnings Demographics DMBC – Adult Social Care OLM Group – Care First Demographics Episodes Assessments Referrals Alerts / Risks Service User Groups Allocated Worker / Team Support Plan Care Package Communication Needs RDASH - Mental Health Data TPP - SystmOne Demographics Alerts Allergies Diagnosis Referrals Appointments Admissions Discharge Conditions Risk Summary Care Coordinator Mental Health Summary Care Plans RDASH- Community Data TPP - SystmOne Demographics Admissions Discharges Transfers Current Problems / Client Categories Allergies Relationships Special Notes Tasks Care Plans / Care Plan Goals GP EMIS / INPS Events Procedures Diagnosis Examinations Investigations Medications Problems Risks/Warnings Demographics DBHFT – Acute EMIS Health - Symphony Demographics ADTs Alerts Documents TTOs ECP Service Advanced - Adastra Demographics ADTs

Proof of Concept Timeline - Implementation June 2017 System Deployment Commences Project Management and Clinical Engagement initiated September 2017 Clinical portal go-live Release 1a: contains GP data, Events & Alerts December 2017 Release 1b: contains Hospital, Community, Social Care and OOH data

Proof of Concept Timeline - Evaluation August 2017 Benefits Management work stream commences December2017 Finalisation of Benefits Model Commence development of Business Case for IDCR retention or expansion February 2018 Business Case completion

Project Management Project Team to be established Sub-work streams: Clinical Engagement Technical Information Governance Communications Business Intelligence

Governance Governance structure under development Suggested that the Project Team to report to: Intermediate Health & Social Care Project Board Doncaster Health and Social Care Interoperability Group Programme Board Chief Officer/CIO level recommended