Care Planning Paper to Electronic Mary Clarke – RGN Inpatient Nurse Manager Kate Sant – RGN Project Clinical Secondee

How it all began 2009 agreement to be care planning early adopter March 2010 invited to CAG September 2010 Clinical Secondee appointed Go Live date set for January 2011

What we had

New paper

Test Patient

What went well More comprehensive and up to date care plans using standardised content from NHS Connecting for Health Library Staff more involved in the development of the care plans therefore more consistency in patient care Piloting of paper version invaluable Excellent training and support from team Better accessibility to computers

What could have been better Timing from pre-op go live to wards. Training took place too early and refresher training not mandatory Did not recognise staff needed basic IT skills More support post go live

Lessons learnt Early Involvement of Clinical staff Importance of Paper pilot Consideration of Business process/patient pathway Clinical staff involved with testing More Senior Management level involvement Dedicated IT support Ongoing floor walking support Equipment:- Computers Infection control Storage Security

Ongoing benefits Auditing Record keeping Comprehensive records Version control Less paper

Next steps Discharge letters. Referral letters. Coding.

Further Information Birmingham Women’s Hospital Electronic Care Planning Project contact: Mary Clarke, Inpatient Nurse Manager, Gynaecology, Birmingham Women's NHS Foundation Trust NHS Library Care Plan Content NHS Care Plan Content project contact: Su Wilkinson, Strategic Alignment Lead, NHS Connecting for Health Access NHS Library of Care Plan Content (technical view) registration is free for NHS or SNOMED CT licence holders - download the Care Planning pack - Via: /home

Questions