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

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

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

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

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

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

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

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

Example of a PARIS referral form neill

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

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

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

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

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

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

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

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 neill

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 neill

And finally… The ethos of PARIS is Bringing care to people and not bringing people to care neill THANK YOU FOR YOUR ATTENTION