1. A review of Technology in Action An overview of how Shared Care Records and other technologies can improve performance within a GP’s practice and meet Government targets Dr Amir Hannan Full-time GP Information Management & Technology Lead Tameside & Glossop PCT Member of the Records Access Collaborative Member of the HealthSpace Reference Panel (www.healthspace.nhs.uk) Member of the Clinical Leaders Network (www.cln.nhs.uk) amir.hannan@nhs.net Thornley House Medical Centre Thornley St Hyde SK14 1JY 21 st November 2007 See notes below each slideCartoon taken from www.mediclicks.net

2. Health Warning All products described in this presentation are simply examples and do NOT suggest that they are the only ones or the best of their kind. They simply represent what we are using today in our practice.

3. What government targets? Quality and Outcomes Framework Public Health agenda –Circulatory disease –Cancer –Diabetes –Obesity –Adult Mental Health –Dental Health –Sexual Health –Children’s health Patient Access Our NHS, Our Future –Fair, personalised, effective, safe

4. Practice Immediate care Continuing care Preventative care Health promotion

5. Health Authority GP practices Community Health Visitors District Nurses Community Mental Health Team Acute Trust Management Clinicians “Old” organisations working within Tameside & Glossop Practice Managers Receptionists Secretaries Counsellors Nurses Local Medical Council GPs Dr Hannan, IM & T lead, Tameside & Glossop PCT, May 2003

6. PCT Chief Executive PCT Board PEC Directors eg Finance Clinical Leads RBMS / Tier 2 Communications Manager etc GP practices Community Health Visitors District Nurses Community Mental Health Team Specialist nurses eg dermatology GPSIs Salaried GPs Out of Hours service Strategic Health Authority Acute Trust Management Clinicians Social Services Patient Participation Groups Patients Voluntary Sector MIND Victim Support Age Concern Local Government Others Health Protection Unit Immunisation Co-ordinator Oldham PCT Different organisations working within Tameside & Glossop PCT Practice Managers Receptionists Secretaries Counsellors Nurses Local Medical Council GPs Pharmacists Co-op Independents Dr Hannan, IM & T lead, Tameside & Glossop PCT, May 2003

7. SHA Community Acute Trust Others General Practice Patient PCT Social services Pharmacists Voluntary sector Local government 3-D View of Reality Today showing Complexity of Communication Acute Trust Acute trust Dr Hannan, IM & T lead, Tameside & Glossop PCT, May 2003 PCT

8. SHA Community Acute Trust Others General Practice Patient PCT Social services Pharmacists Local government Acute Trust Acute trust PCT Voluntary The NHS and Partner OrganisationsThe Patient’s World PatientFamily Friends Work TV, radio, newspaper Surgery waiting room Surgery consulting room A & E OOH waiting room 2007 Internet

9. SHA Community Acute Trust Others General Practice Patient PCT Social services Pharmacists Local government Acute Trust Acute trust PCT Voluntary The NHS and Partner OrganisationsThe Patient’s World PatientFamily Friends Work TV, radio, newspaper Surgery waiting room Surgery consulting room A & E OOH waiting room 2007 Internet

10. Towards a Partnership of Trust

11. IT solutions in General Practice Letters directed to specific patients for recruiting to RA Inviting patients following blood tests Records Access magazine Plasma screen BP machine Patient calling system Patient Access to EHRs E-mail Ordering repeat prescriptions / Booking appts on-line www.patientra.co.uk www.patientopinion.org.uk Wellness Diary Boardroom / Health Promotion Room Kiosk Practice Web-site EMIS clinical system Population Manager QMAS Mentor / www.gpnotebook.co.uk Docman Lexacom Pathology lab results Texting Referral letters PDA Practice Network –power-point presentations –Forms eg PHQ9, Tameside Sports Trust form Warfarin clinic Diabetes –Introduction –Pre-questionnaire forms www.asthma.org.uk www.mom-e.comwww.mom-e.com www.onmedica.net Chart and Chart Online EMIS /PAERS linked to Mentor Map of Medicine & Practice Based Commissioning Dr Fosters and Practice Based Commissioning Google maps HealthSpace NHS Choices / NHS Direct NHSmail Choose and Book EMIS & QUTE EMIS Mobile Electronic Transfer of Prescriptions Blood tests ordering Reviewing PACS data HealthSpace Advanced account (PACS) PatientPractice Red indicates to be introduced soon

12. The Quality and Outcomes Framework (QOF) 4 domains – each domain consists of a set of measures of achievement known as indicators against which practices score points according to their level of achievement Clinical domains (655 points) Coronary heart disease (10 indicators) Heart failure (3) Stroke & TIA (8) Hypertension (3) Diabetes (16) COPD (5) Epilepsy (4) Hypothyroidism (2) Cancer (2) Palliative care (6) Mental health (4) Asthma (2) Dementia (2) Depression (2) Chronic Kidney Disease (4) Atrial fibrillation (3) Obesity (1) Learning disabilities(1) Smoking (2) Organisational Domain (181 points) Records and Information (12) Information for patients (4) Education and training (8) Practice Management (10) Medicines management (9) Patient Experience Domain (108 points) Additional Services Domain (36 points) Cervical screening (4) Child health surveillance (1) Maternity services (1) Contraceptive services (2) Holistic Care payment (20 points)

16. www.primis.nhs.uk

17. Chart data down to individual patient (only viewable by the practice)

18. Once data from a practices is uploaded, it can be compared with others via Chart Online

21. Choose and Book www.chooseandbook.nhs.uk

22. The Best IT solution as determined by the practice!

24. Quality and Outcomes Framework Public Health agenda –Circulatory disease –Cancer –Diabetes –Obesity –Adult Mental Health –Dental Health –Sexual Health –Children’s health Patient Access Our NHS, Our Future –Fair, personalised, effective, safe Immediate care Continuing care Preventative care Health promotion Government Practice

25. Any Questions ? Practice ID 7399 Access ID 2558 Password HAUGTON1 Click on “Viewing Medical Record” 2 nd password HAUGHTON Pictures taken from www.mediclicks.net Practice ID 10028 Patient ID 2450 Password qwert123 Pass phrase qwert123 Example record on EMIS main-server You can also try this out by logging on www.patient.co.uk/surgery.aspwww.patient.co.uk/surgery.asp