1. All Wales Accelerating Cardiac Informaics
(Click)

2. Hello Richard Thomas National Cardaic Informatics Manager
Wales Cardiac Network
NHS Wales Health Collaborative
Public Health Wales
(Click)

3. Improving the availability of appropriate patient information at all stages of a patient’s journey
Improving the availability of appropriate patient information at all stages of a patient’s journey (Click)

4. 1. Background & Objectives
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5. Background Information
Funding
Once for Wales
Overall Objective
What's in it for you and me
Partnership working
Accelerated
Act as a trailblazer speciality
Enable patients to receive their diagnosis and care, from the right clinician, in a shorter time and in a safer auditable pathway.
The project is funded by Welsh Government through the Efficiency Through Technology Fund (Click)
This is a Once for Wales scaling up and accelerating of the development and implementation of cardiology e-referrals, diagnostic requests and clinical communications to transform cardiology pathways. (Click)
The overall objective is to improve availability of appropriate patient information at all stages of a patient’s journey through cardiac services. (Click)
In turn, this should help enable patients to receive diagnosis and care, from the right clinician, in a shorter time and in a safer auditable pathway. (Click)
Prompt and appropriate access to not only diagnostic testing and specialist cardiology advice but access for all patients to clinically and cost effective treatment and care in line with latest evidence, national standards and guidelines . (Click)
We are working with partner organisations to ensure IT and communication links enable clinical staff fast, safe and secure access anywhere in Wales to support the information needed to care for patients. (Click)
Working with leading suppliers to maximise the features of existing IT infrastructure to support effective sharing of clinical records/care plans (Click)
Supporting the development of community cardiology projects in all Health Boards to enable and maximise the benefits to patients from community cardiology services especially in rural areas. (Click)
A Complete review of current referrals and results pathways with a view to the creation of a once for wales solution to allow access from any Health Boards PC at any time, including cross border reciprocal sharing with NHS England. (Click)

6. 2. The Plan
(Click)

7. NWIS Welsh Clinical Portal Roadmap
Viewing – WCP allows the:
- viewing of clinical documents via the Welsh Care Record Service
- viewing of diagnostic reports and results via the Welsh Results Reporting Service
- viewing of medical images via the Welsh Imaging Archive Service
- viewing of a summary of your medical record held at your GP Practice via both GP System Suppliers in Wales (InPS & EMIS)
Requesting – WCP allows a clinician to:
- utilise the Welsh Pathology Handbook to view and select the appropriate pathology test
- request pathology test via the Welsh Laboratory Information Management System
- request diagnostic tests using eDocs held in the Welsh Care Record Service
Medicines Transcribing and Electronic Discharge – WCP allows a clinician to:
- issue a Discharge Advice Letter electronically via the Welsh Clinical Communication Gateway
- utilise the formulary to search medicines to complete pharmacy orders or for discharge
Referral Management – WCP allows a clinician to:
- electronically prioritise and schedule a referral from a GP practice via the Welsh Admin Portal in Secondary Care and the Welsh Clinical Communication Gateway and GP System Suppliers in Primary Care

8. Health Board Readiness
Organisation
Welsh Clinical Communication Gateway
Welsh Patient Referral Service
Patient Administration System
Welsh Clinical Portal
Clinical letter Software
Local Portal
ABHB
Yes No
WPAS
Pilot - v3.7.6
Medsec
ABM
WAP Lite
Cellma DMS
C&V
Full Clinical Prioritisation
PMS
Yes - v3.7.6
Generic Letters HD
WPAS & Personal Drive CT
BCU
WPAS from Nov 16
BCU East - e-POC for medicine letters & personal drive
Central & West – Personal Drive
Powys
Personal drive
Vel
Yes - V3.7.6
This project is dependent on the following projects:
The Welsh Care Record Service (WCRS) for availability of the WCRS to store cardiac service clinical documents
The Welsh Results Report Service (WRRS) for the availability of storage for all cardiac service diagnostic results and reports across Wales. Additionally to generate Notifications for new Results or Reports.
The eDocs project to allow WCP to generate cardiac service electronic documents and facilitate electronic requesting.
The Welsh Patient Referral Service (WPRS) to deliver primary care referral prioritisation functionality to the Cardiac network.
Welsh Patient Administration System (WPAS (previously known as Myrddin)) and local PAS systems for referral management
Third party Suppliers – Cardiac Physiology systems e.g. McKesson and GE for electronic requesting and reporting
Local Health Board implementations of the Welsh Clinical Portal (WCP)
The project also interfaces with Welsh Clinical Communication Gateway for interactions with WPRS for referral management

9. Project Deliverables
Explain deliverables from slide (Click)

10. Project Plan Electronic Reporting of Cardiac Diagnostic Services
Explain plan from slide (Click)
Cwm Taf – Pilot Go-Live – 7th December 2016

11. Governance Structure
An All Wales Accelerating Cardiac Informatics Project Board has been established. The Board will be accountable to Judith Paget as Project Executive of the Heart Disease Implementation Group and Welsh Government.
The Welsh Clinical Informatics Council (WCIC) will govern any design and functional changes to the Welsh Clinical Portal. The project will be assured though the Welsh Informatics Assurance Board.
Clinical Reference Groups – benefits planning

12. Thank you! Diolch yn fawr! Email: ricky.thomas@wales.nhs.uk
Mobile: Phone: Ext 2297
WHTN:
Thank you for you time and attention, if you would like any further information please use the contact details shown  (Click)