1. Working Together Programme Informatics Workstream Sponsors: Louise Barnett (CEO). Sewa Singh (MD) Project Manager : Adam Drury / Robin Drummond-Hay

2. Working Together Programme – Organisations and History
Barnsley Hospital NHS Foundation Trust
Chesterfield Royal Hospital NHS Foundation Trust
The Mid Yorkshire Hospitals NHS Trust
Sheffield Children’s NHS Foundation Trust
Doncaster and Bassetlaw Hospitals NHS Foundation Trust
The Rotherham NHS Foundation Trust
Sheffield Teaching Hospitals NHS Foundation Trust
Programme Initiated – Scoping Work
Business Cases for Development Approved
Project Team / Central PMO in place
First projects begin to deliver benefits
Feb 2013
Sept 2013
Jan 2014
Sept 2014

3. Aims of the Working Together Programme
Meet commissioner intentions to improve the health and wellbeing of the people being served in the most efficient and effective way
Deliver safe, sustainable and local services to people in the most appropriate care setting
Make collective efficiencies where the potential exists

4. Structure of the Programme
CCG Collaborative Working Together Partnership
Working Together
Programme Executive
Clinical Reference Group
Trust Chairs
PMO Commissioners
Working Together
Programme Office
Trust PMO/Leads
Working Together Workstreams
Sharing and Adopting Good Practice
Sustainable Service Configuration
Sustainable Care
Quality
Informatics

5. Programme Workstreams
Sharing and Adopting Good Practice
Procurement
Medical Locums
Shared Services
Sustainable Service Configuration
Smaller/Vulnerable Specialties
Specialised Services
Children's Services
Creates funds to support
Working Together Programme
Creates a structure to enable
Creates new opportunities
Informatics
Data Sharing
Paper light future
Joint Procurement
Supportive EPR Transition
Sustainable Care Quality
Access to Diagnostics
Access to specialist opinion
24/7 care
Creates a Cross-Trust Care Environment

6. Informatics Workstream - Aims, Projects and Objectives
To identify the potential areas where collaboration on informatics systems, services or infrastructure between Trusts could take place
Aim
Core Projects and Cross-Cutting Activities
Orders and Results
Sharing of pathology tests and results between acute Trust providers
Cancer Waiting Times
Implement inter-Trust solution to support 31/62 day cancer waiting time tracking
Document Management
Joined up procurement of scanning service and storage of archived records
Wifi Access
Easy to use reciprocal Wifi access across Trust sites for NHS supplied devices
Video Conferencing
Replace existing room based facilities and implementation of standardised desktop solution
Good Practice ‘Information Sharing’ Events
Information Governance / Data Sharing Agreements
Workforce Development / Training / Culture Change
Collaborative Forums for Informatics Directors, IT Managers and BI Leads

7. Overarching Timelines and Phases
Phase 1 – ‘Quick Wins’
Phase 2 – Short Term Strategy
Phase 3 – Medium / Long Term Strategy
Jan 2014
Oct 2014
Apr 2015

8. Phases and Projects / Activities
Jan – Sept 2014
Oct 2014 – Mar 2015
Apr 2015 onwards
Phase 1 – ‘Quick Wins’
ICE OpenNet deployment
Information Sharing Events
Information Governance Agreements
Access to low cost training and development
Establish Collaborative Working Forums (Informatics Leads, BI Leads, IT Managers etc)
Phase 2 – Short Term Strategy
Reciprocal Wifi deployment
Cancer Waiting Time Tracking solution
Standardised desktop videoconferencing (VC) solutions
Improved room based dedicated VC facilities
In-patient minimum e-discharge summary implementation
Development of standards and architecture for South Yorkshire Shared Care Record
Phase 3 – Medium / Long Term Strategy
Specification and implementation of South Yorkshire Shared Care Record
Informatics solutions to support service redesign workstreams
Cancer clinical information sharing solution (including chemotherapy medicines management)
PACS image and radiology report sharing
Maximising the use of Summary Care Record

9. Phase 1 – ‘Quick Wins’

10. Sharing Pathology Tests and Results Project (ICE OpenNet)
Benefits
Faster access to results from other hospitals
Reduced demand for duplicate tests
Reduced clinical risks
Quicker treatment and improved outcomes
Supports follow up care provided by GPs / local hospitals
Supports delivery of care pathways across multiple organisations
Reduces demand for direct access to other hospital ICE systems.
Milestones
Pre-deployment technical readiness assessment – Completed (August 2014)
System Training and Configuration – Completed (August 2014)
Complete pilot work in Trusts and close deployment project – 12th September
Local clinical governance approval and formal go-live at all Trusts – 30th September

11. Information Sharing Events
12 formal Information Sharing Events completed – Information Sharing now on-going within established collaborative working forums
Date
Event Title
Lead / Organisation
COMPLETED
7th February
Benefits Realisation Approaches
Jason Bradley (Barnsley)
25th February
‘Fit for Purpose’ Business Cases
Steve Parsons (Doncaster)
6th March
Sharing of Primary Care Data
Sally Soady (CSU)
11th March
Mobile Devices and Solutions
18th March
Electronic Document Management Systems (EDMS)
James Rawlinson (Mid Yorks)
27th March
PACS
EMRAD Consortium (external)
3rd April
GP Orders and Results Reporting
Eddie Lewis (Chesterfield)
10th April
Bedside Entertainment / Patient Wifi
24th April
Project Governance
Paul Barrett (STH)
29th April
Clinical Coding
14th May
Engagement for EPR
Trisha Bain (Rotherham)
13th June
Virtual Desktop Infrastructure (VDI)
James Dackombe (Doncaster)

12. Collaborative Working Forums
Informatics Leads, BI Leads and IT Managers meet monthly
Sub-Groups formed as appropriate (e.g. Maternity Data Set Group)
Provides a productive collaborative working environment for project delivery and information sharing
Informatics Leads Group
IT Managers Group
Business Intelligence (BI) Leads
Maternity Data Set Group
Other Data Set Groups (TBC)

13. Information Governance Arrangements
Tier 1 Information Sharing Protocol, outlining the principles and processes for sharing agreed in March 2014
First specific Tier 2 Information Sharing Agreement, for ICE OpenNet project, agreed in May 2014
Further Tier 2 agreements to be developed as required

14. Low Cost Access to Training and Development
Partnership agreed with North West Informatics Skills Development Network
Rotherham testing agreement until October 2014 – recommendations on wider Trust membership to follow

15. Phase 2 – Short Term Strategy

16. Cancer Waiting Time Tracking Project
Benefits
Data transmitted electronically to another Trust as soon as it is recorded in local systems
Immediate access to data on patients under specific clinician care in other Trusts
Reduced need for duplication of data entry
Milestones
Technical due diligence of current InfoFlex systems – Completed (July 2014)
Requirements specification for required solution from Operations Sub- group of Cancer Strategy Group (South) – 17th September
Business case for investment in required solution – 3rd November

17. Reciprocal Wifi Access Project
Benefits
Improves productivity of clinicians and managers who work across more than one Trust
Supports re-design of pathway based and integrated care models
Reduces need for ad-hoc network access requests across organisations
Milestones
Network Infrastructure Audit – Completed (July 2014)
Preferred technical option for solution delivery agreed (‘NHS Roam’) – Completed (August 2014(
Proof of concept for technical solution tested – 30th September
Business case for investment approved – 3rd November
Complete implementation – 30th January 2015

18. Videoconferencing Projects
Benefits
Improved quality and availability of dedicated videoconferencing facilities to support Cancer MDTs
Reduced time lost travelling between sites for meetings
Reduced travel costs
Improved participation levels in meetings
Milestones
Infrastructure Audit – Completed (July 2014)
Requirements specification for required room based solution from Operations Sub- group of Cancer Strategy Group (South) – 17th September
Business case for investment in required room based solution – 3rd November
Recommendations for desktop solution from IT Managers Group – 30th September
Begin implementation of Desktop Solution – 30th November

19. In-patient minimum e-discharge summary standard
No.
Information Item
Mandatory
Preferable
Registered GP and Practice ü 1
Registered GP 2
GP Practice Name 3
GP Practice Address
Patient Details 4
Name 5
Address 6
Date of Birth 7
Gender 8
Hospital Number 9
NHS Number 10
Marital Status 11
Social Context 12
Special Requirements
Admission Details 13
Consultant 14
Specialty 15
Admission Date 16
Admission Time 17
Discharge Date 18
Discharge Time 19
Discharge Ward 20
Method of admission
Clinical Information 21
Reason for Admission 22
Primary Diagnosis 23
Other Active Problems / Diagnoses 24
Significant Inactive Problems / Diagnoses 25
Important procedures performed 26
Significant Hx Operations / Procedures 27
Allergies 28
Summary of the Admission 29
Important investigation and results 30
Medication Changes 31
TTO Medication 32
Management Plan and Follow up arrangement 33
GP Actions Requested 34
Measures of physical and cognitive function at discharge 35
VTE and other assessment scales 36
Discharge destination 37
Blood transfusion during admission? 38
Information given to patient/representative 39
Other Important Information
For deceased patients only 40
Suspected Cause of Death 41
Date of Death 42
Time of Death 43
Other underlying diseases 44
Procedures and operations
Initial draft e-discharge summary developed June 2014
Version for consultation by Informatics Leads and CRG released July 2014
CRG reviewed updated final draft August 2014
Awaiting clinical approval to implement across organisations

20. Phase 3 – Medium / Long Term Strategy South Yorkshire Shared Care Record

21. Delivering the vision – South Yorkshire Shared Care Record (SYSCR)
Vision is that clinicians will have access to the information they need for direct patient at the point of care delivery, regardless of source
We will build on experiences of similar projects nationally (including Leeds Care Record)
First phase would be uni-directional feed from local Trusts and MIG in primary care to Shared Care Record
Second phase development would add additional data feeds (Trusts, systems etc) and enable bi-directional flow of data
SYSCR
STH Clinical Portal
SCH Clinical Portal
Primary Care MIG
DBH Clinical Portal
MYHT Clinical Portal
CRHT Clinical Portal
BHT Clinical Portal
TRHT Clinical Portal

22. Delivering the Shared Care Record vision will require...
Clarity of what information will be shared between:
Different secondary care providers
Primary and secondary care
Priorities for information sharing, and timescales to support wider Working Together programme
Standards for information sharing
Technical architecture / draft operating model of shared care record solution
Data quality and information governance arrangements
Check if at this point if there is anything else needed here in terms of elements of this

23. Developing the South Yorkshire Shared Care Record (SYSCR)
Agreed vision and outline scope for SYSCR
Agreed standards for information sharing
Agreed API for messaging
Agreed overall technical architecture
Priorities for information sharing agreed, and roadmap for deployment
Data sets for sharing for priority areas agreed
Detailed business case and plan developed for SYSCR
Business Case for SYSCR approved
Project team put in place
Priority projects agreed
Execution of detailed project plan
Apr 2015 on
Mar 2015
Dec 2014
Sept 2014

24. Any Questions? Adam Drury Adam.drury@ge.com 07834 711007
Robin Drummond-Hay