1. Development of Electronic Shared Care Record The Dumfries & Galloway experience Mike Lundy - IT Project Manager

2. Dumfries & Galloway Approx - 125 miles

3. Background Development commenced in Nov 2001 6 month consultation with all stakeholders and potential users System to match development of ICP for mental health Electronic information was available for all admissions/discharges etc, but not community activity 4 months programming

4. Background (Cont) Buy off the shelf or build in-house 9 Community Mental Health Teams and Team Leaders all established Not all teams co-located into single offices All records currently paper based Poor activity recording Information only accessible within office hours

5. Aims Effective information sharing and access to clinical information to all community based clinical staff Active involvement of stakeholders through consultation Improved quality of information 24\7 access to client information Enhanced communication. Improved quality and ease of reporting.

6. Progress to Date All Community Mental Health Teams connected to system 130+ users 95+% of all CMHT clinical staff trained in use of system Ongoing review and rewriting of system as required to meet changes in practice Continuing support and training for all practitioners

7. Progress to Date (Cont) Accessible regionwide Provision of additional hardware to support the rollout. Improved and quicker reporting Additional networking and infrastructure Links to other IT developments (SSA, SSD) Improved computer literacy across clinical staff Improved sharing of information/Joint working

8. Progress to Date (cont) Development of Information Sharing Protocol across NHS D&G and DGC.

9. Difficulties Encountered Infrastructure Training Staff Resistance Technophobia Roles & Responsibilities Rewriting/reprogramming Data Transfer/Information Sharing Etc, etc, etc