Lincolnshire Care Portal David Smith MSc, MBCS CITP (STP Lead Officer for ICT) Liz Jones (STP Project Manager for ICT) Care Portal Youtube

What Is It? The Care Portal is a view into an integrated care record for the patient It brings together selected patient data from multiple systems It can notify users when relevant patient events occur It provides secure communication between care providers to support integrated patient care

What are the benefits? Improved clinical decision making Improved patient management though the use of portal notifications Improved quality of care Improved patient experience Improved cost effectiveness through reduced duplication Increased time to care through reduction in administrative burden

SystemOne /TPP GP Social Care System MOSAIC TeleHealth/TeleCare Monitoring Platform Summary Care Record Clinician Social Care Worker Patient Electronic Master Patient Index EMISWeb GP Community Health Mental Health EPR Acute Departmental Systems Anonymised Clinical Data Repository Note: the systems detailed are for illustration and can easily be expanded. Authentication Security Audit Logs Complete Record Charts Document Viewer Professional View Appointments Messages Patient View Health Links Integrated Care Record Aggregated on demand Consent Management Real Time Analytics Population Health Research Reporting Care Plans End of Life Long Term Conditions Now Now scoping Notifications Ambulance Future modules

Sector Systems Status ULHT Patient Administration System, Radiology reports, Lab test results, Electronic Discharge Documents & Outpatient Letters LIVE Spine Mini Services Summary Care Record Patient Demographic Service Child Protection Information Sharing In progress (LIVE May/Jun 18) LPFT Patient Administration System & Psychological Therapies System End of Life Care Electronic end of life care plans In progress (LIVE Jun 18) Lincs County Council Adult Social Care System Primary Care TPP SystmOne/EMIS On hold pending national GP Connect programme – NHS Digital have not provided updated timescales LCHS TPP SystmOne Community On hold pending national Care Connect programme – exploring alternatives over Apr/May 18 Community Lab test results Tertiary Sites North Lincs & Goole/Peterborough & Stamford Scoping Maternity System Scoping (estimate LIVE by Sept 18) Inpatient Observations System EMAS Electronic Patient Record

What does it look like? Patient Record

Access & Audit Role Based Access Legitimate Relationships Sealed Off Data Auditing Capability

Where are we deploying the Portal? First phase: ULHT – acute care LPFT – mental health LCHS – community health GPs – primary care LCC – adult social care St Barnabas – palliative care Future Phases: Care Homes EMAS Pharmacy Other LCC departments, eg Children’s Services Fire & Rescue

LPFT Staff Feedback The Portal “enables us to see whether our patients have been admitted [to ULHT] and what outpatients appts they are having. This is helpful when trying to contact our psycho-oncology patients with appointments.” Assistant Psychologist “I’ve found it really helpful in terms of finding out about previous and future outpatient appointments at ULHT which has helped me to ensure that appointments are kept and facilitated.” Physical Healthcare Practitioner

LPFT Staff Feedback “It was useful in finding out whether the patient had been referred to ULHT, whether they were seen and sometimes the outcome of that appointment, ie follow on, discharge etc. …it was useful when we had formulations for the MDT being able to find out whether xrays had been completed and the outcome of these, especially for the Physios.”   Qualified Practitioner, Lincs West Learning Disability Team “I was asked to get a chronology of attendances. We were led to believe the patient had multiple attendances for self injurious behaviour, when it was in fact for a gastro problem. This obviously had a massive impact upon the work we were doing and changed our planned course of care. Therefore, without access to the system we wouldn’t have been as informed.” Qualified Practitioner, Lincs West Learning Disability Team

Patient Portal

Questions