A New Health Service for Liverpool

Transcription

1 Welcome to Liverpool A New Health Service for Liverpool Kate Warriner, Deputy Head of IM&T, Liverpool PCT Dr Simon Bowers. GP & Clinical Lead for IM&T, Liverpool PCT

2 Background: The sick man of Europe City of Sport City of high CVD mortality City of Architecture City of massive deprivation City of Comedy City of huge health inequalities City of History City of smokers City of Music City of poor access to services New Health Service for Liverpool Primary care infrastructure Hospital rebuilds Neighbourhood model PBC Cash to spend! (or so we thought!) Quality in GP agenda Patients views Big Health Debate

3 What will A New Health Service for Liverpool look like? 3 Neighbourhood Treatment Centres An Artists impression on how the new facilities on the Sir Alfred Jones site will look

4 What will A New Health Service for Liverpool look like? 3 Neighbourhood Treatment Centres 22 Neighbourhood Health Centres Picton Neighbourhood Health Centre

5 What will A New Health Service for Liverpool look like? 3 Neighbourhood Treatment Centres 22 Neighbourhood Health Centres Virtual Services Service redesign with a focus on delivery in Primary Care 95 practices, 95 separate systems 4 PBC Consortia with different ideas 7 provider organisations with different systems Was a challenge even with loads of cash but

6 CRUNCH! 7 years of fat Who knows how many years of famine Massive risk / Even bigger opportunity PBC to the fore: Service Redesign Demand Management Pathway Implementation Clinical engagement & leadership vital ++++ Nothing can change without the IT to back it-up 18 months to save the NHS

7 Shared information Picture of closer working emerges Clinician to clinician information sharing is vital National Programme won t deliver in time, NHS Liverpool is now, Challenge IM&T! Development of local primary care modernisation programme to deliver NHS Liverpool requirements Interoperability between systems is key

8 Strategic Systems in the Mix

9 The Last 12 Months, Technical Progress.. Implementation of Shared Records for a variety of services through EMIS Web Integration with Adastra Interop testing with Anglia ICE Interop Testing with INPS Discussions with other Suppliers

10 Clinical Services Secondary Care Services: Benefits Snapshot: Emergency Department Heart Emergency Centre Acute Medical Unit Primary PCI Service CCU at specialist centre Access to EMIS Web seriously cuts down the time spent by AMU staff contacting GP practices for patient information. In addition, it drastically improves the quality of information and assists with us meeting our NICE targets AMU Consultant Pharmacist, August 2009 Over 3000 shared records accessed to date

11 Clinical Services Extended Primary Care: Benefits Snapshot: Out of Hours GPs City wide Minor Surgery Joint Injections Anticoagulation Service Community Matrons EMIS web enables us access to real time patient records, for us this it is a major development to help us in our day to day jobs seeing patients. It is essential to inform safe clinical practice. What we have access to has already enhanced our work. Access to accurate medication data, investigations, consultations, demographics at the click of a button. EMIS web has already saved a vast amount of time and aids clinical practice. Community Matron, Liverpool Over shared records accessed to date

12 Governance For Each Service we need... Clinical Leadership Data Sharing Agreements Confidentiality Agreements LMC Sign Off PBC Sign Off Data recording templates Agreement of audit trail process

13 Patient Case Study Community Anticoagulation Service

14 GP Notification Anti Coagulation Consultation On 20 Aug 09

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23 GP Notification GP Consultation On 7 Sept 09

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26 Joining up Secondary and Primary Care Electronic Discharges

27 Discharge Summary Project Priority for PBC Long term moan little buy in from trusts Clinical Reference Group agreed dataset Contract enforcement through CQUIN Paper based initially Clinical Governance Small pilots in one trust Whole health economy approach

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32 Strategic Benefits Reduces clinical risks and enables high quality, safe consultations Underpins the delivery of the New Health Service for Liverpool Strategy through enablement of joined up care Reduces duplication in tests Protects patient confidentiality: Patient clinical data is not held and stored by a service provider after discharge in a standalone system Gaining patient consent to access their primary care record fully informs the patient as to what information is being accessed to support their delivery of care Electronic and clear audit trail information allows the monitoring of appropriate access to records

33 Feedback so far??? Still early days, small controlled steps being taken along the way as new services / Trusts are added... Over records accessed so far across various services Positive patient experiences Clinician feedback

34 Services in Development Diabetes Primary Care Dermatology Respiratory Weight Management Primary Care Gynae ENT And many many more!!!!!

35 Where Next? Continued service by service approach Community Closer working with neighbours More secondary care integration Explore working with social care The credit crunch to end? Liverpool to win the premiership? Everton to win.well.anything? Jedward to win X Factor??

36 Any Questions?