1. Electronic handover (eHandover): towards safer medical care Quality Improvement Team: Dr. Adam Hexter, FY1 Doctor at Manchester Royal Infirmary, CMFT Mr. Stuart Morrison, IT Business Analyst (Specialist Medicine & Surgery), CMFT Mr. David Van Dellen, Transplant Surgeon, CMFT

2. Handover: Service Delivery General Surgery Word document handover template only accessible on one computer Clinical Audit (August – September 2013) Poor compliance with Royal College of Surgeons standard Handover ItemCompliance Clinical presentation Investigations/results Bed number Early warning score 82% 63% 20% 4% Suboptimal service delivery

3. Handover: Working Environment Questionnaire of current FY1s (n=26) at CMFT, January 2014 74% - current handover template / patient list is inefficient 68% - spend >20 minutes/day updating basic details One-computer access – spend >30 minutes/days on average walking/waiting Suboptimal working environment

4. Electronic Patient Record (EPR)

5. Electronic-based ‘live-list’ for all current inpatients Autopopulates basic information: demographics, consultant, location, EWS etc. eHandover platform

6. Functionality Alerting if a handover task if overdue Integration with EPR – transparency Handover uniformity across specialties Everything is recorded and auditable Compliance with BMA, RCP & RCS guidance

7. Cost Analysis The £1500 will be used to pay for the customisation work required to make the facility work on any appropriate mobile device. Time Frame: Q2 financial year 2014/15 Surgical division has highlighted this as an area of priority

8. SWOT Analysis STRENGTHS Patients Staff accessible throughout the trust flexible and time-saving specific instructions for nights/weekends training/education NHS consistency across specialties transparency weekend discharges WEAKNESSES cultural shift locum doctors (access) OPPORTUNITIES ongoing EPR support dissemination paperless NHS THREATS Caldicott

9. Technology in Medicine Government Target: NHS should be paperless by 2018 RCP: in the current technological climate, where possible, electronic handover processes should be encouraged. Thoughts of current FY1s at CMFT: 96% - welcome eHandover and deem it essential 96% - improve working environment 100% - improve patient safety

10. Expansion

11. Summary of Our Bid £1500 towards development for electronic portable devices Health Secretary, Jeremy Hunt: “Only with world class information systems will the NHS deliver world class care”