1. Stockport Health Record sharing health records to improve patient care 1 Stockport Health Record Awareness Event 16 th September 2009 Stockport Town Hall Paul Gaskin SHR Programme Manager

2. Stockport Health Record sharing health records to improve patient care 2 Does anybody remember? The eight doctors who failed to diagnose my dying wife Penny Campbell, 41-year-old journalist, died in March 2005 Thirty-five die after out-of-hours GP care fails June 2007

3. Stockport Health Record sharing health records to improve patient care 3 What have we set out to do? “To improve the healthcare and safety of patients registered with a Stockport General Practitioner. The Health Care Providers are working collaboratively to provide a secure, integrated electronic care record which will be held locally and available only to clinical partners at the point of care.”

4. Stockport Health Record sharing health records to improve patient care 4 Patient Clinical Database Master Patient Index High Level Summary - Target Integrated Care Record Patient Care Reports Anonymous Reports e.g. CVD Risk Factor Screening & Smoking Cessation LES Pseudo-Anonymous Reports e.g. Improving quality of disease registers Identifiable Reports e.g. Diabetic Retinopathy Screening Programme Local Health Community patient information feeds

5. Stockport Health Record sharing health records to improve patient care 5 Release 1 – Share GP records with OoH Service Patient Clinical Database Master Patient Index NHS Exeter System Integrated Care Record Patient Care Reports Anonymised Reports CVD Risk Factor Screening & Smoking Cessation LES Identifiable Reports Diabetic Retinopathy Screening Programme Out of Hours Service (Mastercall) Public Health Dept (NHS Stockport) Local Health Community patient information feeds 53 x Stockport General Practices 4 x GP Systems Read Coded Data (e.g. Medications / Allergies / Medical History ) Filter out exclusions circa 295,00 Patients

6. Stockport Health Record sharing health records to improve patient care 6 Benefits  Patient  Improved co-ordinated patient care across Health Care Providers  Increase confidence in care provided  Reduce time in duplicating patient information  Practice  Reduce time and effort in collating and sending patient information  Assist in data quality improvements  Access to complete patient journey information (future)  Out of Hours  Provide efficient delivery of safer high quality care  Increased productivity and responsivess to patients  Reduced referrals to ED  Reduced duplication of clinical tests  Reduced wastage in prescribing  PCT  Improved information for planning, monitoring and commissioning  Provide a Business Continuity solution e.g. Flu Pandemic

7. Stockport Health Record sharing health records to improve patient care 7 Concerns (1 of 2) ?  Patient consent  Patient can Opt Out at any time  Public Information Campaign  2005 - leaflet drop 300k houses, leaflets / posters in practices  2009 - leaflet / posters in practices / PALS / local media articles / website  No patient consent required to stream data  Explicit consent to view record  Adopted consent model approved by GMC, BMA, CFH  Governance and data security  Project Board  Discussion and approval with various groups  LMC / Information Governance Group / IM&T Strategy Group / NWSHA / Other Trusts…  Information Sharing Agreement  NHS N3 secure infrastructure  Role Based Access  Audit Log  Freedom of Information Act  Security Testing NCC Group

8. Stockport Health Record sharing health records to improve patient care 8 Consent SHR PatientClinician Consent

9. Stockport Health Record sharing health records to improve patient care 9 Concerns (2 of 2) ?  PCT “Big Brother”  Information Sharing Agreement  Project Board oversight  National Summary Care Record buy another means  NHS Stockport developed solution  Stockport Health Care Providers  Stockport people  “Baby Steps” not big bang

10. Stockport Health Record sharing health records to improve patient care 10 Sharing your electronic GP records  It is free!  No hardware costs  No software costs  No maintenance costs  No additional staff costs  No installation costs  All that we ask is ….  Sign Information Sharing Agreement  Provide a Test Patient  Nominate a contact point  Inform patients, if they ask?

11. Stockport Health Record sharing health records to improve patient care 11 Future Releases - TBA  Share information with Hospital A&E, MAU  Stream data from Hospital e.g.  Discharge Summary  Hospital pathology results  Summary hospital patient history  A&E card details  Maternity summary record….  Stream data from Social Care (CAF Project)  Share information with Practices  Enhanced information reporting  Community modules  Mobile Access  …….

12. Stockport Health Record sharing health records to improve patient care 12 Thank you for listening Welcome your thoughts and feedback at the end My Contact Details Paul.Gaskin@nhsstockport.nhs.uk 0776-967-8956 Web Site www.nhsstockport/shr