1. IT Roll-Out Across Primary and Secondary Care in Wales Andrew Griffiths Chief Information Officer (Health) Director of NHS Wales Informatics Service

2. Optometry - Technology Refresh and Connectivity Technology Refresh and Connectivity to NHS Network for Optometrists Citrix Platform Architecture and Infrastructure in place Secure access available to NHS Network via RSA token Platform provides: NHS Email, E-library, HOWIS and WCCG access for a small number of pilot practices Practices can still register to participate by emailing: OptomICT@wales.nhs.uk Plan to connect all sites by 30 th September

3. Optometry - Technology Refresh and Connectivity Statistics at 14-09-2015: 327/392 practices signed up to the connectivity scheme 246/327 [75%] practices have connected

4. Optometry Referrals Capability delivered to enable electronic referrals using the Welsh Clinical Communications Gateway [WCCG] 3 condition specific referral templates developed [Cataract, Glaucoma and General Ophthalmology] Instant transfer of referral to chosen hospital with referral status updates available Integration work undertaken with secondary care systems to ensure receipt and management of referrals Pilot underway with 9 sites across Wales 130+ referrals made since pilot commenced in July ‘15

5. General Ophthalmology Referral Template Reason for Referral Clinical Data Sight Test Type Examination Date Referred Eye Priority Prism Occular Examination Relevant Findings Tonometry History and Health Previous Occular History Family History Relevant General Health Known Medication Clinical Alerts

6. Cataract Referral Form Reason for Referral Sight Test Type Examination Date Referred Eye Priority Clinical Data Signs, Symptoms History Lens Appearance Other Pathology Detected Tonometry Occular History Previous Refraction Clinical Alerts Impact and Health General Health Conditions Relevant Medication

7. Glaucoma Referral Template Reason for Referral Clinical Data Sight Test Type Examination Date Referred Eye Priority Signs, Symptoms History Tonometry Optic Nerve Head Visual Fields History and Health Visual Fields Family History Know Health Conditions Known Medication Clinical Alerts

8. Next Steps / The Future Optometrist creates a referral using WCCG Health Board WCRS WCP

9. Aim: The Single Record

10. R Patient Administration Systems (NPAS) National Laboratory System (LIMS) Emergency Department System (EDCIMS) Radiology Information System (RADIS) Picture Archiving System (PACS) Community Care Information System (CCIS) Pharmacy System Other Clinical and Departmental Systems Specialist Applications Single Record Applications GP Practice Systems Community Care Information System (CCIS) Welsh Clinical Portal (WCP) My Health On Line (MHoL) Indexing Services Master Patient Index (MPI) Welsh Care Records Service Index National Active Directory (NADEX) Interoperability Services Repository Services Diagnostic Reports Service (DRS) Welsh Care Records Service Repository (WCRS) National Image Sharing XDS Repository (XDS-VNA) National Reference Data Service (NRDS) Welsh Clinical communications Gateway (WCCG) National Integration Services IHR Services GP Links/Data Transfer Service (DTS) NHAIS NHS England Spine Services Patient Screening Services Child Health System (CH2000/CYPRI S) Infrastructure Network (PSBA) National Data Centres Server Infrastructure Standardised Devices and Platforms Mobile Device Management Corporate Apps Howis and Content Management Office Applications Finance and HR Secondary Uses Business IntelligenceSelf ServiceDashboardsReporting ServicesBig Data

11. Applications: 1. Discharge Medicines Reviews