1. Information Sharing The Sunderland Journey Presented by
Andrea Adams, Head of PMO and
Janine Gillespie, Project Manager Digital Solutions

2. Where we started from…Dec 2015
General Practice (EMIS)
Community Nursing
(EMIS)
MDT
Coordinators
(EMIS)
Sunderland Care and Support (EMIS)
A number of disparate systems = no sharing
Social Care (Swift)
Acute
(Meditech)

3. Challenges
No culture of sharing data outside of organisational boundaries or systems in Sunderland
Concerns over Information Governance
Concerns over levels of sharing – all or nothing
Concern that a solution would be costly

4. Digital Solutions
Start conversations with key stakeholders – understand and identify issues to progress
Identify IG advisor for the programme – local and national
Discussions with suppliers to identify solutions to introduce more granular sharing
Use what we have (current capabilities)

5. EMIS to EMIS Sunderland General Practice MDT Co-ordinators
Community Nursing

6. X Levels of sharing in EMIS Web using job categories No Sharing
Phlebotomist
Receptionist
Community Administrator
Occupational Therapist
Desktop Support Staff
System Administrator
Healthcare Assistant
Physiotherapist
Physiotherapist Specialist Practitioner
Community Team Manager
Specialist Nurse Practitioner
Community Nurse
Consultant
General Medical Practitioner
No Sharing
Minimal Sharing
Partial Sharing
Full Sharing
Information Sharing Agreement X
Care Record Summary
Warnings
Medication
Investigations
History
Consultations
Problems
Diary and Appointments
Attachments
Referrals

7. Information Sharing Gateway
Electronic information sharing agreement system.
A single place to host ISA’s
Monitor and review sign off electronically

8. Medical Interoperability Gateway (MIG)
City Hospital Sunderland
NDUC
NEAS
NTW
Northumbria Healthcare
Newcastle Hospitals
South Tyneside FT
County Durham & Darlington
South Tees FT
GATDOC
Tees Esk & Wear Valley FT
View only - 10 datasets from the GP record
Sunderland GP Practices

9. MIG Next Steps - End of Life Data (EPaCCS)
Sunderland GP Practices

10. The Journey Establishing the Information Sharing Group
IG knowledge and Support
Involvement of Primary Care, specifically Practice Managers
Representation from all involved organisations including suppliers
Comms and Engagement – Staff
, Meetings, Practice Visits, TITO
Benefits of a Phased Roll out
Comms and Engagement – Patients
Posters, Leaflets, News articles, Website,
Digital screen messages.

11. Sharing Agreements Work through the detail!
Can’t underestimate importance of practice manager involvement, including part of the Digital Solutions Team
Information Sharing Gateway
- electronic sign up
- faster, easier process than paper
- initial work to set up
- becomes ‘business as usual’ for practices

12. What we now have…
EMIS to EMIS Sharing
Sharing between Sunderland General Practice, STFT Community Nursing, Sunderland GP Alliance MDT Co-ordinators and Sunderland Care and Support Reablement
MIG
GP Practices sharing regionally with:
City Hospital Sunderland
NDUC
NEAS
NTW
Northumbria Healthcare
Newcastle Hospitals
South Tyneside FT
County Durham & Darlington
South Tees FT
GATDOC
Tees Esk & Wear Valley FT
Each one is a separate agreement on the gateway for the practices to sign off
More importantly we have a culture of sharing that we can build upon

13. Next steps for sharing…
GP practices sharing EOL data:
CHS – Agreement signed and with Healthcare Gateway and Meditech
NEAS – Agreement to be set up on ISG
NDUC – To be discussed at Information Sharing Group
GP practices sharing frailty data:
CHS – specialised data set to be agreed

14. Thank you for your time and any questions?