Welcome to the October update on the Thames Valley & Surrey Care Records Partnership
The benefits that a shared records platform on a regional scale can bring are hugely exciting.
We are building the infrastructure that will help us improve care for all, driving a different approach to Population Health Management for example and making improvements even in the short term in joining up data when needed for urgent care.
The benefits will only become reality if we get the ‘leg work’ done in building a rich data set across the region and ensuring our Information Governance (IG) arrangements are robust and clearly understood by all.
We will be ‘proving’ that the technology works over the coming month with Buckinghamshire data flowing into the TVS wide shared records platform. This is a key milestone for us and I’d like to thank colleagues from each of the systems in making this happen - getting a big step closer to joining up data across the region for the benefit of residents and clinicians.
Please do join us on 5 November to hear more about some of the great innovations across our patch - details enclosed at the end of this newsletter!
Senior Responsible Officer for the Programme
Buckinghamshire's My Care Record to be first to link with TVS platform
The TVS shared records platform starts to go live over the coming month with the connection of the first local care record system, which is based on Graphnet’s Care Centric. This ‘Release 1’ will be a technical go live which will focus on ensuring the essential technical elements of the TVS platform are in place.
This integrates data sets from My Care Record, the local care record in Buckinghamshire, with access then tested and demonstrated from another region within the TVS area. In later releases, this will mean that by integrating with the new TVS shared records platform, care professionals at Wexham Park Hospital A&E for example would be able to access essential patient data (eg GP, acute, community) for Buckinghamshire patients if they were taken ill when working in Slough, or data for regular patients that cross county borders for treatment. Access to this important information will provide GPs, clinicians and other care professionals with a more informed and accurate assessment of an individual’s care needs.
Following the connection with My Care Record in Buckinghamshire, work will continue to integrate other local care records across the TVS area later this autumn and into early next year – this will be 'Releases 2 and 3' of the TVS shared records platform, aiming to establish the TVS-wide records sharing platform by the end of this financial year – subject to IG agreements being in place.
A focus on benefits
Over recent weeks we have been continuing to identify and define important benefits and areas of focus for the TVS programme through the development of use cases for early focus.
In the longer term we know there are major benefits the TVS shared records platform can support across many areas of care, including cancer, maternity and mental health – such as early intervention in psychosis. But initially we are aiming for practical and realistic goals to support from the platform in this first year.
Through engagement with a variety of stakeholders, we have identified that the first two use case scenarios that we will focus on this year will be urgent care; and child health and safeguarding. Through exploring the benefits for these two use cases we will also capture and develop benefits for other use cases, which will have a greater focus next year.
We are working with both Ambulance Trusts across the TVS area to maximise the benefits that emergency and urgent care professionals (including paramedics and call handlers) can gain from relevant, timely access to essential patient information, including relevant care plans.
999 and NHS 111 call handlers have to quickly establish whether further clinical review is required – either remotely (Hear & Treat) or via direct intervention (See & Treat). Whilst the call handlers are taking details over the phone their systems are searching out and gathering data using the patient’s NHS number – and that is where the TVS shared records platform offers significant benefits.
Both services deal with patients from across the region and the TVS shared records platform improves access to information beyond what might have previously been in operation. The Ambulance services can use this extended knowledge to support their ambition of ensuring that patients get the right response first time every time.
An individual’s care can benefit from increased coverage for End of Life Plans, to better signposting for individuals in crisis who need community/mental health support rather than being taken to a crowded A&E. In addition, improved access to Ambulance service information through the patient’s intervention being recorded to their local care record brings huge benefits to GPs and the carers that pick up the ongoing patient care.
We will also be working with the Ambulance Service Business Intelligence teams to improve service and resource planning across the region, building on smaller local initiatives to bring wider benefits to health and care across the TVS area.
There are many other potential benefits of TVS records sharing for integrated urgent care, for example for Emergency Departments, mental health and in primary care – these will be the focus of one of the workshop sessions at the eventwith Digital Health on 5 November.
Child Health and Safeguarding
Effective sharing of information between local health and care organisations is essential for early identification of need, assessment and service provision to keep children safe.
Therefore the TVS Care Records Partnership is also working with primary care and social care colleagues to generate the key information needed from GP practices when a safeguarding case is underway. GP practices can receive many of these information requests from Social Care, which can be lengthy to complete and are an additional administrative cost. They currently also only include information in the local care record and vital information to support a safeguarding case, such as A&E attendances, may not be recorded.
Working initially with Buckinghamshire and using the TVS shared records platform, we will look to develop a quicker and more automated way of producing information such as attendances, vaccinations, and referrals from a GP practice to send to Children’s Social Care. As the platform develops, information from A&E, out-of-hour attendances and social care records from anywhere across the TVS area will also be available. This will both save time for GP practices, and enable Social Workers to receive information quicker - giving a full and informed picture to enable a child safeguarding assessment.
A second workshop at the Digital Healtheventon 5 November will focus on child heath/safeguarding and also the long term potential of the TVS platform to support maternity care.
TVS area at a glance
The infographic below shows the breadth of health and care organisations in the Thames Valley and Surrey Care Records Partnership and the geographical area covered. Take a look below:
Expo 2019 took place on 4-5 September 2019 in Manchester and was focused on bringing the NHS Long Term Plan to life.
Central to the conference were feature zones which provided targeted focus and deep discussion of major NHS-led innovations and developments. This included a session with Julie Fisher, Senior Responsible Officer for the TVS programme, who led a presentation in the Digital Transformation zone discussing what a region-wide records sharing programme could mean for health and social care integration.
We would like to benefit from the lived experience and insight of residents and professionals in the TVS area. If you would like to be involved in future engagement regarding the TVS programme, such as the development of communications to support Information Governance (IG), or providing feedback on the description of benefits, then visit our website here to sign up now: