JET “Joint Electronic Transfer”

Who we are Miles Freeman, Health Partnerships Manager Tony Ellis, IT Manager Social Services Beverley McDonald, GP and PCG IT lead

Geoff Alltimes, Director of Social Services

OUR E-GOVERNMENT PEDIGREE On-line Electronic Care packages New in-house web-based Client Index system (XML compatible) Residential Care orders Council-wide e-payments Web Based Training (WBT) On-line recruitment system (in partnership with iMPOWER Corporate Gazetteer/Geographical Information System (GIS)

Current Situation Benefits Housing NHS, GP’s Client Info Name Address Health Details Social Services Client Info Name Address Health Details

What we intend to do  Newsflash!  Client data exchange  Secure web based data exchange between Health Practioners and LBHF  Information/guidance data exchange  Fully compatible with NHS Plan, Information for Social Care and E- Government agenda  Cross agency  Builds on current applications, data sets and business processes  Project aims are: Security, Accessibility, Simplicity and Flexibility

Our Solution Benefits Housing NHS, GP’s Client Info Name Address Health Details Council Services Client Info Name Address Health Details Extranet

Goes to WWW page via secret URL Firewall Health CentreGP’s home SSD Data e.g. client referral info Other council databases Health information Pages Login again Login to Secure Extranet area

Health Information Pages Click here to search with the given information Access to SSD client data (OASSIS)

Health Information Pages Meals on Wheels Recent hospital discharge The columns represent : B - Blind register. D - Deaf register. M - Mental Health. P - Physical disability. L - Learning Difficulties. Access to SSD client data (OASSIS)

Health Information Pages Access to SSD client data (OASSIS) All the Meals on Wheels data is stored in this frame.

Health Information Pages E.g. Richford Gate would only see Blue Badge applications for their clients E.g. Blue Badge form Confirmation for diabetics Emergency Housing Medical GP Pick Up Page for each surgery Access to SSD client data (OASSIS)

Health Information Pages GP Pick Up Page for each surgery Secure Service Booking Area Access to SSD client data (OASSIS)

GP Pick Up Page for each surgery Questions & Answer page Secure Service Booking Area GP & SSD Discussion Page Guidance & Policy Links Page SSD Contacts & secure Access to SSD client data (OASSIS) Health Information Pages

HOW WE WILL DO IT Identify business process Consultation with all clients Consultation with partners Data match Social Service client data with NHS Ref tracing service Internet based secure Extranet area for GPs to exchange information, host a question and answer page. Integrated into council website

Client Involvement  Already started with involvement of BGOP members  Client approval for linking data  Databases upgraded to record permission to share  Full audit trail on who accesses data and when  Clients updated on progress  Client evaluation survey on project  "Just once" notification of life cycle event e.g. client moved

Client Benefits Access council services from multiple sites Multiple services from a single site Faster, flexible service Better information, more appropriate service Solutions lays foundation for client accessing their information (Caldicott)

MOW Example Clients comes into GP surgery with various symptoms including problems with their diet

MOW Example GP can check whether the client has a MOW service

MOW Example X GP can now check on the type of meals that the client is getting.

MOW Example After further tests the client is diagnosed as diabetic and GP can advise SSD on dietary requirements

Our vision in practice

Improved Clinical & Social Care Secure single access point for Social services client Information for GP’s GP’s will be able to update client’s regarding patients position in referral/assessment/management pathway Immediate access for HCW to a particular patients care package GP’s will be able to easily refer client’s for services and monitor service changes Less time chasing person that holds the information in Social services More opportunities to access information that will assist our clients in a simple and responsive manner Increase knowledge among health care workers about services that are available

GP Benefits Supports the overall stategy of integrated care and would be a step in developing the Electronic Health Record Patient care will become patient centred and more holistic GP’s will be able to concentrate on patient care rather than phoning SSD Client information will be available 24 hours rather than just working hours Less paper flying around so less admin time required at surgeries

Project Plan - Phase 1 Budget - £73k JunJulAugSepOct Datamatch with NHS REF Tracing service Datamatch with EHH GP data OASSIS customisation Client consultation Extranet development "Live date"

Project Plan - Phase 2 Evaluation of pilot System/practice changes required after evaluation Rollout to other health centres Client consultation OctNovDecJanFebMar

Scaleability  Business problem common to all. Solution common to all  Web based solution  Low rollout cost  Works with legacy data systems  Future proof process that can cope with changes in policy/practice.  Extranet web area is as scaleable as the Health practitioners want. They will dictate content and access

Changing Map Social Services Health Authority Community Trusts GP’s

Changing Map Social Services Health Authority Community Trusts GP’s PCTGP’s Hammersmith Brent Ealing Hounslow Westminster K&C Single Health Authority

Summary Secure Accessible Simple Flexible Achievable