Professional Handover of Care Keith Naylor 16 th December 2014

Set the scene Risks associated with not sharing data 2

Case Study – Mrs H 3 35 years old Teaching Assistant Mother of Two Mrs H experiences depressive symptoms GP, Dr. J prescribes Prozac on repeat 2009 Mrs H has hurt her back GP, Dr. W prescribes NSAID 15 days later she’s admitted Vomiting blood 2 major operations 2 weeks in ITU 5 weeks in Hospital 4 months recovery 2006 Experiences knee pain GP, Dr. G prescribes NSAID Mrs H has abdominal pains NSAID stopped, pain gone the allergy is recorded in unstructured free text 2011 Combination of NSAIDs and Prozac increases likelihood of severe reaction

Case Study – Mr F 4 45 years old Sales Executive 0 GP, Dr. X notices 6 recent walk-in centre visits for ‘minor ailments.’ Mr F’s BP is higher than before. Anti hypertensive drug started and a referral to a cardiologist – Mr F did not attend 6 months 8 months x3 x6 CV Sees GP, Dr. D with cold. Dr.D notices 3 recent visits to A&E, that Mr F’s Blood Pressure is 150/90 and that he is overweight. Sends Mr F for cholesterol test and to return for repeat BP checks – which Mr F doesn’t attend. Cholesterol is high, Mr F invited back and didn’t attend Mr F sees the occupational health doctor at work for ‘indigestion.’ This doctor is not aware of Mr F’s history. The doctor prescribes antacids, 3 days later Mr F collapses and dies. Post mortem reveals from a Heart Attack

NIB Framework for Action Priorities 5 Give care professionals and carers access to all the data, information and knowledge they need Support care professionals to make the best use of data and technology Electronic handover of care documents Care records to be mobile, editable and accessible to all those in the care process, including patients

Professional Leadership through PRSB 6

CDGRS 7

Core Information Models Discharge Summary Discharge Summary Workpackage Timeline CDA Produced Diagnosis Modelled Medications Modelled CDA Produced

KN Slide(s) Questions we need to ask: –Who is using what (ITK, Kettering, EDIFACT, FAX, PDF, Paper)? –Who is using locally derived specification? –Who wants to be involved going forward? –Ask for Pilots/demonstrators …. Who wants to trial the updated DS? 9

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