1. North East and Cumbria Digital Care Event
Cumbria E-referral and resource matching system
John Roebuck
Interim Programme Director – IM&T

3. Source : Age UK  Published on 17 June 2015
In the last year alone, April 2014 to March 2015, shortages in community health and social care services have meant the NHS has wasted hundreds of thousands of bed-days whilst patients wait for the right care and support in the right place, including;
174,138 days waiting for a place in a residential home
215,662 days waiting for a nursing home place to become available
206,053 days for help from social care workers or district nurses to enable people to return to their own home
41,389 days for home adaptations ranging from grab rails to ramps and stair lifts.

4. Cumbria position – Paperless NHS
CCG invested in e-referral and resource matching software (Strata pathways) in October 2012 for all health and care providers.
Began implementing in Feb 2013 and undertaken roll outs across health and care providers over the past 2 years
Integrated e-referral software with prime electronic patient records of our providers; ongoing process
Steady increase in take up of e-referrals; now achieving around 1500 e-referrals per month 
Support from AHSNs and NHS England has helped to facilitate roll out of software to front line staff
Tital

5. Strata User Conference 2013
Achieving Interoperability across Cumbria
Interoperability
STRATA
NCUHT
Realtime
UHMB
Lorenzo
GPs
EMIS / Vision
Map of Medicine
CPFT
EMIS Web Community
/ Rio
CHOC / MIU
Adastra/
EMIS
NWAS
ERISS
Cumbria CC
IAS
Hospices
Tital
Example of research undertaken into the need for integrated care. Lucien leape Institute includes people like Don Berwick, IHI lead and current patient safety czar to our Government.
Could have used examples from across the world, including UK and Canada, where recent research was indicating that the LHIN in Ontario, were still encountering problems
Integration as a key component of deployment

6. Strata User Conference 2013
Deployment of Strata in Cumbria
Unique innovation in England
First dynamic e-referral system to be implemented across an entire health and care economy
CCG pays for cost of software: providers put in resources; training and deployment
Included in all our strategic plans, BCF, BCT, Success regime
Requirement for all providers in Cumbria to use electronic transfers; built into provider contracts
Fully IG compliant
Phased roll out across organisations
Integrated with providers’ Electronic Patient Records i.e. Lorenzo, Realtime (Allocate),EMIS, and IAS (Liquid Logic)
Working with Rio and ERISS (NWAS)
Tital
Alberta health challenge? Sole software supplier?
Integration as a key component of deployment

7. Strata User Conference 2013
Progress to date / Opportunities
All referrals to Adult Social Care sent electronically
GPs come on the system, via Map of Medicine, from April 2016
Rolled out to all hospices in Cumbria by mid 2016
5000 contracted care and nursing beds to be on the system by end of Summer 2016
Now being rolled out into Lancashire County Council and Blackpool Teaching Hospitals
System is capable of being used on a regional and national basis e.g. Tier 4 beds, adult and paediatric Critical care beds
Tital
Alberta health challenge? Sole software supplier?
Integration as a key component of deployment

8. Strata User Conference 2013
University Hospitals of Morecambe Bay
As a sender
Used by 62 teams across the Trust
E-referrals to 79 different services
775 combinations of referrals
Use 10 different care types
As a receiver
About to receive, from GPs:
Cancer 2 week waits
Emergency eye clinic referrals
Tital
Alberta health challenge? Sole software supplier?
Integration as a key component of deployment

9. Strata User Conference 2013
Critical success factors
Collaborative approach with health and care organisations across Cumbria
Engagement and support of front line staff across organisations
Funding support from the CCG and external organisations
Proven product, used across Canada for the past 12 years
Flexibility of use, either stand alone or integrated with prime electronic patient records
Standardised electronic forms across Cumbria, improving timeliness and quality of clinical information, and reducing variation
Transparency across senders and receivers in realtime
Tital
Alberta health challenge? Sole software supplier?
Integration as a key component of deployment

10. John Roebuck Interim Programme Director – IM&T Tel: 01768 245240