6Solution ComponentsBlackBerry mobile platformScheduling visitsSecure upload of digital pen dataMessaging between carersLone worker protectionDigital pens and PaperIQ platform for processing pen dataSame technology but its the forms that drive the team, department or organisation
16Remote working for community midwives in Sheffield Tom Dowden – Deputy Service Manager, Obstetrics, Gynaecology & Neonatology
17The challenge 100+ staff working across Sheffield No access to IT, just a car and a mobile phone.Issues for The TrustIssues for The MidwivesVery poor knowledge of activityLarge spend on photocopying information for midwives.Reliance on clerical staff to relay discharges and other information on a daily basis by telephoneMidwifery time to improve data collection (c. 3.5hrs per week)No access to even basic hospital dataRequired to carry large quantities of paper – H&S and governance issues.Large amounts of time spent ‘communicating’ with hospital and each other.
18The SpecificationAbility for Community Midwives to exchange information securely with the hospital while ‘on the road’.To includePhoneRecording activityCaseload managementAccess to Trust documents
19The Initial Solution Web based system accessed via a BlackBerry. Midwives maintain their caseload based on live data from Patient Administration System (PAS).Activity recorded in ‘real time’.Data from another system (Evolution) re women transferring home are available in real time.Referrals to Antenatal clinic made electronically.Direct access to results (ICE), outpatient appointments / inpatient stays (PAS) and birth information (Evolution).Workload transparent to team and managers for planning.
20The next challengeChange in maternity tariff from payment by results to payment for pathway package.Increased requirement to collect clinical dataDesire to develop the scope of electronic referrals available to community midwives.Ongoing requirements to collect specific information for audit and CQUINS.
21VisionTo electronically record clinical information that forms the ‘hand held notes’.To ensure that the woman retains access to her hand held record at all times.To do the above in a way that is:Straightforward and convenient for staffAccessible to all client groupsAs cost effective as possible
22Why digital pens?Digital pen technology enables us to record the information electronically while maintaining a hard copy for the woman to keep.The technology is complementary to the systems that we have already developed based on BlackBerry.The solution is relatively straightforward for both staff and client groups.
23Why Anoto?We initially began a conversation with Portsmouth NHSFT as they were developing a set of maternity records using digital pens.We found that we had both been working on opposite ends of the problem, and had complementary solutions:Portsmouth had concentrated on the clinical patient records and obtaining these in an electronic form through working with a partner (Anoto).Sheffield had been working on a business focussed system, with a locally developed maternity information system designed with community working at the forefront.
24Where are we now?Completed replacement of legacy Maternity Information System (Protos/Evolution).Deploying digital pens to all community midwives.Working towards replacement of hand held notes by digital version within next two months.Objective of replacing all outpatient and inpatient maternity records with digital notes by year end.Developing full integration between digital notes and maternity information system.