Dr John Parry General Practitioner Clinical Director SystmOne The place of the detailed care record in the developing Telehealth arena, and how community wide electronic clinical systems can enable the delivery of transformed care GP pioneers driving telehealth - JP How Government can enable uptake of telehealth Pathway redesign embracing telehealth Telehealth Telecare telemedicine

Detailed Care Record Summary Care Record Local Caseload Approach Systematised global or scaled up approach Issues: Facilitating the catalogue of services & case selection Patient first, patient informed, patient enabled Clinician supported, responsibility defined / embedded Evidence base Structured care, handover of care Information for all providers of care Outcome performance Some credentials GP 26 years Shared records in GP OOH GP commissioning chair til March 2009 SystmOne as enabler of organic growth / change in service delivery Is there an argument for DCR access? Ie there is no argument, it should be a given A local caseload approach A systematised global / scaled approach Issues are the same for all models Facilitating catalogue of services, pointers to suitable services for suitable patients Patient first, patient informed, patient’s life enabled (c/f call buttons). Clinician to be supported in this provision of care Clinical responsibility defined / embedded Interventions evidence based Structure, audited handovers of care AND Information for all others providing care now and in the future How are outcomes going to be monitored?

Detailed Care Record Summary Care Record Local Caseload Approach Systematised global or scaled up approach Issues: Facilitating the catalogue of services & case selection Patient first, patient informed, patient enabled Clinician supported, responsibility defined / embedded Evidence base Structured care, handover of care Information for all providers of care Outcome performance Some credentials GP 26 years Shared records in GP OOH GP commissioning chair til March 2009 SystmOne as enabler of organic growth / change in service delivery Is there an argument for DCR access? Ie there is no argument, it should be a given A local caseload approach A systematised global / scaled approach Issues are the same for all models Facilitating catalogue of services, pointers to suitable services for suitable patients Patient first, patient informed, patient’s life enabled (c/f call buttons). Clinician to be supported in this provision of care Clinical responsibility defined / embedded Interventions evidence based Structure, audited handovers of care AND Information for all others providing care now and in the future How are outcomes going to be monitored?

Example of narrative record sharing

What can the system suppliers add to this agenda? Call centre functionality Case control Referral processes Record sharing Appropriate date recording Support patient control / information What are the requirements for successful outcomes?

outcomes