Integrated Care Records in the NHS

1. Integrated Care Records in the NHS A STRATEGY FOR BUILDING AN ICRS (Integrated Care Repository System) Charles GoodyChairman West Midlands South SHA West Midlands South Strategic Health Authority

2. OUR (WMSSHA) VISION RIGHT CARE RIGHT PLACE RIGHT TIME West Midlands South Strategic Health Authority

3. OUR (WMSSHA)VISION RIGHT CARE RIGHT PLACE RIGHT TIME Right Information Right Clinician Right Time This sets the IT Agenda West Midlands South Strategic Health Authority

4. THE NHS ENVIRONMENT FOR IT • MINIMAL INVESTMENT OVER THE YEARS • INFORMATION NOT SEEN AS STRATEGIC • BOARD TEAMS DO NOT UNDERSTAND ITHENCE DO NOT MANAGE IT • DELEGATED TO IT DEPT. – TOO LOW LEVEL • IT NOW RECOGNISED AS CRITICAL TO DELIVERING THE NHS PLANS • QUALITY OF CARE • VOLUME OF CARE • PATIENT CHOICE • CLEAR UNDERSTANDABLE STRATEGY NEEDED TO DELIVER THE REQUIRED SOLUTIONS West Midlands South Strategic Health Authority

5. THE NHS ENVIRONMENT FOR IT • Rapid expansion of healthcare providers • GPs + Specialist GPs • Community services • District Nurses, Podiatrists, Physios …. • Community Mental Health + Social Services • Acute Trusts, Foundation Trusts (? Communities), Mental Health trusts, Specialist/Tertiary Trusts, Children's Trusts; Care trusts • Private Hospitals, Overseas hospitals, Overseas consultants • Diagnostic & Treatment Centres, • Specialist Units e.g cataracts… • Govt. Introduced Structure Changes • IT MUST NOT PREVENT/FRUSTRATE ORGANISATIONAL CHANGE • Patient can now choose where to receive treatment • Standard Ref. Costs West Midlands South Strategic Health Authority

6. IMPLICATIONS OF THE NHS ENVIRONMENT • Right Information • Any available - that the clinician might need • Right Clinician • The person who is treating the patient - wherever they are !!!!!!! • Right time • When required to treat the patient – it arrives when the patient arrives West Midlands South Strategic Health Authority

7. End Users – NHS ++ Patients / Carers Social Services, Public, Support Groups Presentation Layer Unknown IT Devices Process Layer ICPs Applications ICRS Network A STRATEGY FOR BUILDING AN ICRS FUTURE West Midlands South Strategic Health Authority

8. Presentation Layer Applications M A T P A T H A&E P A S A STRATEGY FOR BUILDING AN ICRS TODAY FUTURE End Users – NHS Patients / Carers Social Services Support Groups Public Presentation Layer Process Layer-Paper Process Layer eICPs Applications ICRS Network West Midlands South Strategic Health Authority NETWORK

9. Presentation Layer Presentation Layer Applications M A T P A T H A&E P A S ICRS A STRATEGY FOR BUILDING AN ICRS TODAY FUTURE End Users – NHS Patients / Carers Social Services Support Groups Public Process Layer-Paper Process Layer eICPs Applications COPY ICRS PMI or EXETER LINKS Network West Midlands South Strategic Health Authority NETWORK

10. Presentation Layer eICPs Presentation Layer Applications M A T P A T H A&E P A S ICRS A STRATEGY FOR BUILDING AN ICRS TODAY FUTURE End Users – NHS Patients / Carers Social Services Support Groups Public Presentation Layer Process Layer-Paper Clinicians Can Choose the Application that they prefer NEW Type of APPLICATIONS Process Layer eICPs Applications COPY COPY ICRS PMI or EXETER LINKS Network West Midlands South Strategic Health Authority NETWORK

11. Presentation Layer eICPs Presentation Layer ICRS A STRATEGY FOR BUILDING AN ICRS TODAY FUTURE End Users – NHS Patients / Carers Social Services Support Groups Public Presentation Layer Process Layer-Paper NEW TYPE of APPLICATIONS GP Systems Process Layer eICPs Applications M A T P A T H A&E GPs Applications COPY ICRS PMI or EXETER LINKS Network West Midlands South Strategic Health Authority NETWORK

12. Presentation Layer eICPs Presentation Layer ICRS A STRATEGY FOR BUILDING AN ICRS TODAY FUTURE End Users – NHS Patients / Carers Social Services Support Groups Public Presentation Layer Process Layer-Paper National Spine NEW TYPE of APPLICATIONS Process Layer eICPs Applications URL M A T P A T H A&E GPs Applications COPY ICRS PMI or EXETER LINKS Network West Midlands South Strategic Health Authority NETWORK

13. End Users – NHS Patients / Carers Social Services Support Groups Public Presentation Layer eICPs Presentation Layer Process Layer eICPs Applications M A T P A T H A&E GPs B O O K I N G PRE SCRIBING ICRS Applications ICRS Network A STRATEGY FOR BUILDING AN ICRS TODAY FUTURE Presentation Layer Process Layer-Paper NEW APPLICATIONS GP Systems COPY PMI or EXETER LINKS West Midlands South Strategic Health Authority NETWORK

14. Organisation 2 Organisation 1 Departments Problem Patient’s Journey West Midlands South Strategic Health Authority

15. West Midlands South Strategic Health Authority

16. A STRATEGY FOR BUILDING AN ICRS Presentation Layer The Future eICP :AcrossMultiple Organisations eICP Across an Organisation eICP across a department Applications Country Applications Integrated Care Repository System West Midlands South Strategic Health Authority

17. A STRATEGY FOR BUILDING AN ICRS Presentation Layer eICP :AcrossMultiple Organisations The Modernisation Agenda eICP Across an Organisation eICP across a department The NHSIA Applications Country Applications The Trust IT Agenda Integrated Care Repository System Charles Goody West Midlands South Strategic Health Authority

18. West Midlands South Strategic Health Authority