Camden Vision Agnès Rieu & Hasib Aftab Working with the people in Camden to achieve the best health for all

Page 2 NHS Camden Clinical Commissioning Group 39 GP practices EMIS Searches & Reports Module EMIS Web Dermatology Camden Clinical Assessment Service University College Hospital Via C&B Royal Free Hospital CNWL Community Provider C&I FT Mental Health Provider Whittington Health Data Sharing Agreement (Aggregate level) 2011 Urgent care Centre 2011 EMIS Web Diabetes 2012 EMIS Web Integrated care Via C&B WHEN DID IT ALL START IN CAMDEN?

Page 3 NHS Camden Clinical Commissioning Group 2012 EMIS Web CICS (Camden Integrated Care Services) Geriatricians IAPT’sCOPD Heart Failure DiabetesCKD Frailty MDT Data Sharing Agreement (Patient Level data) Royal Free Hospital CNWL Community Provider University College London Hospital C&I Mental Health Provider CAMDEN INTEGRATED CARE SERVICES - CICS Memory Service 39 GP practices

Page 4 NHS Camden Clinical Commissioning Group IMPLEMENTATION & DEPLOYMENT  Gathering requirements from each service CICS Implementation Plan FINAL docx  Configuring EMIS Web (Adding services, locations, users and of course the ….  Installing EMIS WEB client at different locations also on N3 i.e. Community clinics, hospital so Consultants can triage

Page 5 NHS Camden Clinical Commissioning Group IMPLEMENTATION & DEPLOYMENT CONTINUED  Patient Level Data sharing agreements successfully deployed to all GP practices. (37/39 practices) How did I achieve this? EMIS Web Camden Community Services Care Record DSA GP-CICS doc  Training users – (seconded EMIS trainer) Cost effective. Accentuated on obtaining consent from patients prior to clinicians accessing the patient GP record  Developing data entry templates  For future activity & outcome reporting  Using QOF Read Codes where possible

Page 6 NHS Camden Clinical Commissioning Group CARE PLANS & CICS GP REFERRAL  Building an EMIS WEB CICS GP referral forms CICS Referral proforma.pdf  Building care plans for each clinicians Via the secure Docman.nhs.net

Page 7 NHS Camden Clinical Commissioning Group "EMIS web community has helped us break down barriers in our integrated care multidisciplinary meeting for helping to manage frail, complex patients in Camden. Up-to-date medical notes from the GP means the group are much better informed to make the right decisions about care for these vulnerable and challenging clients, and it is a stable and quick and reliable platform to use." Dr S. Mackay-Thomas (Frailty MDT Lead) “Has certainly helped me as it means I have an accurate list of patients medication and have access to previous results which gives me a more detailed idea about the patients’ diabetes care up to that point.” Dr S. Naik (Consultant Endocrinologist) “Being able to access shared record from the GP to check past consultations, history, results, letters from hospital appointments etc. Prevent duplication of care and can help co-ordinate care more appropriately.” V Sawmynaden (Specialist Diabetes Nurse) FEEDBACK FROM USERS

Page 8 NHS Camden Clinical Commissioning Group Community Matrons WHAT NEXT IN CAMDEN? GP EMIS Mobile Children Services Telederm Episode Management October 2013 Q4 2013/14 Q3/Q4 2013/14 November 2013

Page 9 NHS Camden Clinical Commissioning Group Questions