1. By Niall O’Kane Neill Rogers Birinder Singh
South and East Belfast Trust Call Management Centre and the PARIS system By
Niall O’Kane
Neill Rogers
Birinder Singh
birinder

2. Background on SEBT One of the twelve health trusts in NI
Since 1990 has worked with In4tek
Developing a shared health and social care electronic record system
Patient Centred Information System
AKA PARIS
First NHS site to implement PARIS
birinder

3. More on PARIS… The core elements of PARIS: Registration Referral
Assessment
Care Planning
Activity
Review
And Discharge
birinder

4. More on PARIS… Further tools provided Diary scheduling Stock
Consumable ordering
Linked through care planning
birinder

5. Who uses PARIS? Currently 27 Professional groups Including
District Nursing
Occupational Therapy
Care Management
Hospital Social Workers
Podiatry
Physiotherapy
Mental Health
Children with disabilities
niall

6. Who uses PARIS? Proposed professional group implementations include:
Mental Health South
Crisis response team
Regional secure unit (Shannon)
The list continues to grow.
niall

7. How PARIS works Using a step-by-step example:
GP refers patient after consultation to e.g. a physiotherapist
GP contacts Call Management Centre (CMC)
niall

8. What is the CMC? Central department which handles telephonic referrals
62,000 referrals last year
7 call handlers
Receive referrals
Making sure patient referral goes to the relevant care team
Based in Knockbracken Healthcare park
neill

9. Example of a PARIS referral form
neill

10. How PARIS works Using a step-by-step example:
GP refers patient after consultation to e.g. a physiotherapist
GP contacts Call Management Centre (CMC)
CMC retrieves patient’s record held within Central Index
niall

11. What is Central Index?
Electronic database holding information on patients within SEBT
Maintained by the IT department in Knockbracken Healthcare Park
Situated close to the CMC for more effective inter-departmental communication
Maintenance includes:
System debugging
Input/update patient records
birinder

12. How PARIS works Using a step-by-step example:
GP refers patient after consultation to e.g. a physiotherapist
GP contacts Call Management Centre (CMC)
CMC retrieves patient’s record held within Central Index
CMC forwards the referral to the relevant care team
niall

13. How care teams use PARIS
Care team manager assigns referral to individual health/social care professional
If a referral is wrongly assigned, care team can return the referral back to the CMC
neill

14. Security measures of PARIS
Username and Password
Different access rights for each user
e.g. Mental health record access restricted to relevant profession
Password protected screensaver
All actions are recorded to prevent staff misconduct
System backed-up daily
Birinder

15. Drawbacks of PARIS Currently only used in SEBT
Lack of integration with other health trusts
No integration with Royal Hospitals and Belfast City Hospital
niall

16. Benefits of PARIS
Staff having access to core information about the user and easily identifying other staff involvement
Preventing the duplication of information with each separate referral
Shared assessment information used by staff across the trust
The ability to share critical risk/alert information
niall

17. Benefits of PARIS continued…
The ability to share caseload information, particularly with evening and night staff
Sharing case load at short notice when staff are absent
Managing case load allocation and automatically sharing client information for onward referrals
Automation of referral letters
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18. Conclusion
PARIS has fundamentally changed the way health and social care services are delivered
The efficiency of PARIS has been recognised and is being implemented in other NHS trusts, e.g. Swansea
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19. And finally… The ethos of PARIS is
Bringing care to people and not bringing people to care
neill
THANK YOU FOR YOUR ATTENTION