1. Live Healthy Live Happy
Single Patient Record
Birmingham Women’s & Children’s NHS Foundation Trust
Birmingham Solihull United Maternity & Newborn Partnership (BUMP

2. The NHS Five Year Plan – The Challenge
Reducing variation of quality and delivery in healthcare
Addressing inefficiencies

3. Setting the Scene?
STP Strategy sets out key priorities for improving services by working together – This is key !!
The Challenge
Approximately 20,000 women are seen across Birmingham Women’s (40%) and University Hospital Birmingham (60%)
The NHS Organisations involved are using the same Maternity Patient Record and sharing the same patients and are unable to access the Patient record efficiently
Having to exit application and then re-login into application to see patient records is time consuming
Cannot write to the record as it is read-only ! So constantly having to flip between records to make changes – very time consuming
The above makes operability challenging when working in community

4. Overcoming the Challenges
What is the Single Patient Record?
A collaborative work that took place with the following NHS Trusts:
Birmingham Women’s NHS Foundation Trust
University Hospitals Birmingham (Heartlands, QE, Goodhope and Solihull)
A Data Sharing Agreement was established with the Trusts involved
A new way of accessing the records is now in place, went live on 1st April 2019
Staff now have to “break-glass” when accessing records in other trusts, same individuals do not need to repeat break-glass
Record is read-write!
For special cases, patient records requiring additional security have a “second-level” break-glass
All access is audited

5. Our Partnership
Intro of what our STP is (i.e. moving away from what NHSE say it is and people think it is)
Why we are all in the room- we are in roles you make a difference for local people and many of us maybe local residents, employers, employees
This is about our collective effort, harnessing that so we can do more together to make improvements in outcomes in peoples lives be that social, health, economically or educationally.
Its our recognition that people are and our communities don’t see themselves or experience life in a silo of a sector or service or dealing with a single disease or social issue they are a person in a community in their journey of life that each of us and collectively support and enable for that to be as fulfilling as possible and to support their overall wellbeing.
The STP enables us to focus on the person, their journey in life and the thing are agencies we quite frankly should be joining us better to do so we can do the most for our local people.
Paul- add local resident and line on why as leader he is passionate about our partnership and ambition for what we can achieve.
We come together because we wants to come together and recognise that in coming together we are stronger and bring about more sustainable , transformational and resilience change to improving outcomes for local people

6. All the above leads to inefficiencies !!
Single Patient Access
Currently, women refer themselves via their local GP this is known to take up to 4 – 6 weeks for a referral to be accepted by the preferred hospital
Administration overhead and delays, in terms of financial impact and time
Paper based – referrals can be lost which introduces delay
Working with the Maternity Voices Partnership we have also learnt that referrals are sometimes not submitted which adds additional delays !
All the above leads to inefficiencies !!

7. Single Patient Access NHS Long Term Plan:
By 2023/24, all women will be able to access their maternity notes and information through their smart phones or other devices.
An Online Referral Portal
Completed by women (self-refer)
Collects basic info, and provides links to information
Dependent on existing medical conditions, will direct referral to specialist for shared care
Reduces overhead and completing a referral time is considerably reduced from 4-6 weeks to 5 minutes and end to end processing to 5 days
Completing details on a woman’s behalf and managing out of area referrals
GPs/ primary care staff or other agencies like pharmacies, family, friends etc.
Significant points to emphasise re this refresh
Collective piece with all the system partners
starting point and golden thread is JSNA, and desire to improve outcomes
holistic approach and wider determinants of health and wellbeing,
focus is on place and the citizen not institution,
life course approach,
it represents those things we can and should only do collectively to improve outcomes not Business as usual activities.

8. Single Access Portal

9. Single Access Portal Current Status
BadgerNet application has been rolled out to pilot at the following practices facing each of our maternity sites:
BG Health (inc. Griffin Brook Medical & Banbury Medical Surgery)
KHATTAK Memorial Surgery
West Heath Surgery
Early feedback has been very positive!
Naila Ahmed, Practise Manager Khattak Memorial Surgery said:
We are very excited to pilot the project where referrals can be made by patients too. This will enable them to progress their individual care plans without the need to contact the practice. I am sure this was be a very efficient Programme.