1. Why Practices need to change Paul Baughan GP Roslynne O’Connor Practice Manager

2. Overview  Examples of some changes we have introduced  Impact of changes on GP Practice  Why practices must change with eHealth  Group Discussion

3. - Became ‘paperlite’ 1997 when changed to EMIS - Scanning into EMIS 2001 - Introduced e-booking of appts 2005 - e-mail prescription request service - truly paperless this year with back- scanning of old paper records. Dollar Health Centre

4. We are not IT geeks, and are not even particularly IT knowledgeable…

5. But we do like change – even if we do not always understand the full implications.

6. We are not IT geeks, and are not even particularly IT knowledgeable… But we do like change – even if we do not always understand the full implications.

7. Three examples: 1. Docman transfer 2. Backscanning old records 3. Electronic transfer of clinical information

8. 1. Docman Transfer -piloted in Ayrshire Dec 06 -rolled out to Borders, Fife, Dumfries and Galloway Health Boards -Forth Valley Health Board June 08

9. Impact on practice - Exporting patients – great - Importing (registering) new patients – some problems

10. 2. Back-scanning

11. Back Scanning Impact  Initial preparation work prior to scanning  Space on server  How to import 4500 PDF files into Docman  Handling of new patients’ records  Requests for copies of medical records

12. 3. Electronic transfer of information  SCI-DC backfill Scottish Care Information – Diabetes Collaborative Electronic Management of data  SCCRS (Scottish Cervical Call and Recall System)  SCI Gateway – some immediate discharge letters being sent  Out of Hours correspondence  SPARRA information (patients at risk of admission)  NHS Mail clinical e-mail  Patient e-mail  Hospital correspondence scanned via Docman  Occasional fax And non-electronic  Prescription box  Lab van  Post  Telephone messages (converted to e-tasks)

13. Impact  Several places to check for information  Lots of different passwords which expire at different times  Back-ups  Once information has been ‘gathered by admin team needs to be transferred to GP  Need good audit trails  Need good back-up of info  Need procedures to file information within single e-Health record

14. Conclusion  eHealth has transformed clinical practice  Lots of new initiatives which improve speed and efficiency of processing patient information  Direct benefits for patient care  But – sometimes we are slow to assess the impact on GP practice. –sometimes we are not good at sharing information on how we need to adapt our internal practice systems

15. Questions?

16. What are the wider implications of:  Lab results back fill  GP Connect  Palliative Care Summary (ePCS)  Developments to Emergency Care Summary (ECS)  Chronic Medication Service