1. Integrated Digital Care Record Proof of Concept
Update - May 2017

2. Introduction
The requirement for a Doncaster Integrated Digital Care Record (IDCR) was clearly identified in the Local Digital Roadmap and the Intermediate Care Case for Change
It was agreed that a Proof of Concept for the IDCR would be developed focussed on the Rapid Response Pathway
We agreed with our partner organisation that the CCG would take the lead on the procurement of the Proof of Concept solution
A budget was secured from the BCF fund and CCG non-recurrent monies
Support for the procurement of the system was engaged from Channel 3 Consulting

3. The Vision for the Integrated Digital Care Record
Timely sharing of accurate health and social care information
An IDCR solution that can interface with all systems in use in the Doncaster region
A shared assessment and plan which will move with the patient
A reduction in paper based activities which can ultimately be eliminated
Access to the IDCR from any location
The option, where appropriate, for patients & carers to have access

4. Engagement
Engagement sessions (group and 1-1) ran January and early February
Very positive engagement with clinicians, service managers and technical staff. All keen to support the process and setting ambitious goals for the IDCR
“A solution that supports effective care delivery through timely & appropriate access to the holistic health and social care record.. supporting integration, alerting, communication and workflow on any device, at any place and time..”

5. Specification
Output Based Specification, Requirements Catalogue and Invitation To Tender developed and approved during February
It was agreed the Proof of Concept would aim to link up the following systems:
System Name
Purpose
Organisation
SystmOne Community
Community Services System
RDaSH
SystmOne Mental Health
Mental Health System
RDaSH (from 2018)
CareFirst
Social Care System
DMBC
Adastra
Out of Hours System
FCMS
MIG
Primary Care Gateway
General Practices
Symphony
A&E System
DBTH
JAC
Pharmacy System

6. Procurement
Procurement exercise for the PoC ran during March using London Procurement Partnership Framework
Evaluation team of 20 people across all IDCR partners, with mix of clinical , managerial and technical staff
6 suppliers made bids, including all well recognised IDCR suppliers
3 eliminated on capability
3 identified as acceptable suppliers
Of these 3 Orion Health scored best and had the lowest cost over 5 years

7. Procured Solution
Orion awarded Preferred Supplier status 10th May 2017
12 month fully hosted Proof of Concept solution
6 interfaced systems (JAC removed)
Implementation design and configuration service
Software licences, support and maintenance for 350 users
Implementation training
Orion/EMIS integration for 20 practices

10. Contributing Information to the Doncaster IDCR:GP
EMIS / INPS
Events
Procedures
Diagnosis
Examinations
Investigations
Medications
Problems
Risks/Warnings
Demographics GP
EMIS / SystmOne
Events
Procedures
Diagnosis
Examinations
Investigations
Medications
Problems
Risks/Warnings
Demographics
DMBC – Adult Social Care
OLM Group – Care First
Demographics
Episodes
Assessments
Referrals
Alerts / Risks
Service User Groups
Allocated Worker / Team
Support Plan
Care Package
Communication Needs
RDASH - Mental Health Data
TPP - SystmOne
Demographics
Alerts
Allergies
Diagnosis
Referrals
Appointments
Admissions
Discharge
Conditions
Risk Summary
Care Coordinator
Mental Health Summary
Care Plans
RDASH- Community Data
TPP - SystmOne
Demographics
Admissions
Discharges
Transfers
Current Problems / Client Categories
Allergies
Relationships
Special Notes
Tasks
Care Plans / Care Plan Goals GP
EMIS / INPS
Events
Procedures
Diagnosis
Examinations
Investigations
Medications
Problems
Risks/Warnings
Demographics
DBHFT – Acute
EMIS Health - Symphony
Demographics
ADTs
Alerts
Documents
TTOs
ECP Service
Advanced - Adastra
Demographics
ADTs

11. Proof of Concept Timeline - Implementation
June 2017
System Deployment Commences
Project Management and Clinical Engagement initiated
September 2017
Clinical portal go-live
Release 1a: contains GP data, Events & Alerts
December 2017
Release 1b: contains Hospital, Community, Social Care and OOH data

12. Proof of Concept Timeline - Evaluation
August 2017
Benefits Management work stream commences
December2017
Finalisation of Benefits Model
Commence development of Business Case for IDCR retention or expansion
February 2018
Business Case completion

13. Project Management Project Team to be established Sub-work streams:
Clinical Engagement
Technical
Information Governance
Communications
Business Intelligence

14. Governance Governance structure under development
Suggested that the Project Team to report to:
Intermediate Health & Social Care Project Board
Doncaster Health and Social Care Interoperability Group
Programme Board
Chief Officer/CIO level recommended