Better Together Connected Nottinghamshire Connecting Information Systems Andy Evans, Programme Director Ben Halliday, Local Digital Roadmap Lead

Topics covered in this presentation What is Connected Nottinghamshire? Who is involved? Why are we doing it? What are we delivering & what has been achieved? Moving forward? Questions

What is Connected Nottinghamshire? A Programme of work supporting Vanguard(s) and transformation (through Information Management and Technology enablement) across Health and Social Care in Nottinghamshire

What is Connected Nottinghamshire? Objectives: Improved sharing of Health Information to improve the citizen's experience of care and support business transformation Improved sharing of Health and Social Information to improve the citizen's experience of care and support business transformation Improvements in collaborative working between Health and Social Care IT Providers

Who is involved? Health members: Nottingham University Hospitals, Nottinghamshire HealthCare FT, Sherwood Forest Hospitals FT, NEMS, Circle Partnership, East Midlands Ambulance Service, CityCare & PICS Local Authority members: Nottinghamshire County Council, Nottingham City Council, District Councils and Housing

Priorities Priorities: Making Comprehensive Geriatric Assessment (CGA) available across Nottinghamshire Delivery of an End of Life, Electronic Palliative Care Coordination System across Nottinghamshire Sharing of key information (GP record) to support management of patients requiring Urgent / Emergency Care Long term conditions management*

Capability requirements & enablers Vanguards X5 Mid Notts Better Together Greater Notts GP5YFV Better Care Fund STP Transformation 5YFV Electronic workflow Information Sharing Risk Strat Capability requirements & enablers Infrastructure maturity – mobile/Wi-FI NHS number Personalised Records/Self Care Project dependencies Emergency Care Solution Integration tools CareCentric/Orion/Viper Portals Slide showing the transformation programmes and their required technical capabilities and how they link to some of the key projects Social Care Systems/ Care Act Urgent & ED Care/MIG Electronic Comprehensive Geriatric Assessment End of Life (EPaCCS) TPP S1 sharing EDSM eHealthscope GPRCC Project Assistive Tech/Care Homes

Local CQUIN/Contract levers Controlled Information Sharing for direct care and electronic workflow Primary Care EPS R2 Mobile Working Map of Medicine GP2GP GPSoC Compliance Friends & Family GP Extraction Service GP Practice Federation System One (eDSM) MIG 1/2 SCR eHealthscope2 GP Repository for Clinical Care 2 Patient Online Access Assistive technology FLO Child Protection IS Safeguarding EoL (EPaCCS) eCGA Community Care Co-ordination access to records Call for Care Directory of Services MIG1/2 Assistive technology Directory of Services eHealthscope Child Protection / Safeguarding Care Coordination Teams Discharge Processes Secondary Care Care Navigator e-Observations e-Prescribing e-Discharge and Letters EM Radiology EPRCore Clinical Noting e-Referrals System CareCentric Assistive Technology Directory of Services Records Digitisation Discharge processes Mental Health RiO Viper360 Physical Health Management Diagnostics and letters Ambulance e-PRF Computer Aided Dispatch integration Emergency Care Solution Triage replacement Social Care Social Care system integration Client Access Portal Carefirst Replacement NHS number PDS matching Telemonitoring Mobile working (TotalMobile) Care Act management Local CQUIN/Contract levers Slide showing the key projects currently underway within the care sectors Interoperability (SCR1/2, MIG1/2,Total Mobile,TPPs1, CareCentric) NHS Number, Data item identification (system wide Data Dictionary), Data Quality Video/Secure Communications, Network access (COIN), Mobile working

Improved patient/citizen outcomes Information sharing Improved quality of care Informed decision making Improved admission avoidance Improved discharge management (S2 & S5) Better referral decision making Reduced risk of errors Better prescribing Better coordination of care Proactive identification of citizens requiring intervention(Health & Care) More patients cared for in the community (not in care homes) Reduced length of inpatient episodes More effective services More time for care delivery More proactive and self care Reduction in cost Sustainable organisations Reduced repetition Improved patient/ citizen feedback Slide showing the benefits the programme is helping to achieve

Information Governance Records and Information Group well established County wide consent model for direct care agreed and in place Interim arrangements in place for Secondary uses of data Proof of concept complete for whole system reporting

Progress Access to information systems in interim phases now complete Medical Interoperability Gateway (MIG) implemented across all U&EC providers eHealthscope and GPRCC project in phase 3 Nottinghamshire wide “Health and Care Portal” implementation underway and live at Nottm University Hospitals and Sherwood Forest Hospitals Social Care information now exchanged daily and on demand

Moving forward Vanguard foundation & lessons supporting system wide delivery Local Digital Roadmap (LDR) is the new five year plan Workstream 1: Information sharing Workstream 2: Infrastructure Workstream 3: Citizen access to information and care records Workstream 4: Digital maturity (How good are our systems and how well are we using them) Workstream 5: Assistive technology Nottingham looking to move at significant pace to support the STP (Technology Enabled Care is a high impact area) LDR is an opportunity to finance some of the integration work (at least up front and initial running costs)

Questions?