Shared care record

South Central SHA (formerly Hampshire and IoW SHA)
Population served: over 1.65 million

In launching a successful shared care record, the former Hampshire and Isle of Wight SHA overcame problems of public and clinical concern about patient confidentiality through a comprehensive change management and education programme. This process included local radio discussions, a postal campaign and extensive consultation with the Local Medical Committee prior to the implementation of their shared care record. The success of this programme resulted in a large scale implementation which involves both primary and acute trusts   The number of NHS organisations participating has expanded since the initial implementation and the system now serves over 1.65 million people. Additional functionality has been added to the system for example physiotherapy and podiatry community systems.

Unscheduled care summary record

Gwent Healthcare NHS Trust
Population served: 600,000

The information governance framework deployed by Informing Healthcare, supported by local patient and medical groups, was key to the success of the project. Implied consent is used to draw data from GP practice systems into the IHR database. Out-of-hours clinicians then ask patients each time they call for their permission to access the IHR and log their response. This combination of implied and explicit consent is supported by a full audit trail within the Graphnet system. This approach helped reassure LMC concerns about patient consent which was instrumental in enabling the summary care record, known as the Individual Health Record in Wales to be implemented on schedule and on budget.
This system currently serves 1 in 7 of the Welsh population and was nominated in the 2007 e-Government National Awards. The Welsh Health Minister, Dr Brian Gibbons said "This new system is providing on-call medical staff with vital information at the time it is needed most, helping doctors make informed decisions and improving the safety and quality of care.”

Community systems

Western Cheshire PCT
Population served: over 240,000

This clinically-based system implemented in Western Cheshire PCT, obtained substantial clinical “buy in” which overcame the most difficult issue relating to the deployment and usability of a shared record system. The Graphnet community solution at this trust contains data from GP practices across the trust including with other local data such as diabetic registrations, data from GPs with special interests and a summary care record system used for out-of-hours treatment. After the initial implementation, the system has expanded to give additional functionality for example, reporting and auditing.

Hospital

Poole Hospital
Population served: 477,000

This award winning hospital system now provides clinical information to 3,500 healthcare professionals both inside and outside the hospital. Usage of this system has grown significantly since the initial implementation. This is a result of Poole and Graphnet working in partnership to provide a clinically driven system. Other benefits have also been realised; following the initial deployment, an independent cost benefit study found that the cost of implementing this system had been recovered in less than six months.
This system has subsequently expanded in a number of phases with the implementation of additional hospital modules such as discharge summary bar coding and image collection.

Trafford General Hospital
Population served:216,000

Trafford General Hospital has followed the “best of breed” approach and chose to implement the Graphnet hospital system connected to the Ultragenda scheduling system.
The hospital’s system has subsequently expanded to link with the GP software systems within Trafford PCT resulting in improved patient care and safety for this population.

Diabetes

Salford PCT
Population served: over 230,000

This award winning and much acclaimed diabetes system provides the clinical data needed by patients and healthcare professionals to manage this condition and help prevent life-threatening complications. This pan-community system, which integrates with the iSoft system in Hope Hospital as well as GP and community systems, is also used to analyse efficiency of treatment, clinical outcomes, predict patients at risk and anticipate complications.

Mental Health

South Staffordshire Health Informatics Service
Population served: over 600,000

A system originally designed specifically for the Mentally Disordered Offenders (MDO) team was implemented at South Staffordshire. The system allows for standardised case assessment and co-ordination of treatment for offenders within the area. It also covers the unique legal and data security implications associated with mental health treatment. Mark Smith, leader of the South Staffordshire MDO team said: "The system is intuitive and easy to use and will undoubtedly deliver a user friendly informatics system to support care co-ordination and inter-agency working”.