1. Health and Social Care Integration ASSIST Wrightington 08/10/09

2. Quality, Innovation, Productivity and Prevention. Health Care Drivers and Informatics Responses Healthier Horizons Record Systems High quality Care for All Quality Transformin g Community Services Organisational Changes The Economic Downturn World Class Commissioning Information, Clinical Leadership, Partnerships, Health, Populations, Personalised, Quality, Cost effective, Safety, Publish, Feedback, Excellence awards, Knowledge, Care Quality, Commission, Observatory, Innovate, Integrate, Interoperate, Community Services, People Leadership, partners, intelligence, public Engagement, clinical engagement, knowledge Management, Needs assessments, investment, Markets, data flows, continuous improvement, Quality, procurement, contracts, management of systems, transitions and interoperation Advancing quality, CQUINS, patient reported outcome measures, clinical audit, NICE, NHS evidence, Care Quality Commission, Assurance, Patient Safety Modern, responsive, seamless, mobile, strengthen commissioning role, clear data flows, IT infrastructure and assets, business-like, leadership, capability and capacity, confidence and competence, business continuity, assuring the process Flexibility, innovation, enterprise, social care Foundation Trust status, Local Government, Private Sector, Independent, Voluntary Sector Integrated Care, Pathways, Interoperability, CATS, ISTCs, Diagnostics, Contracts, Public, Person centred Save to Invest, Zero Growth from 11/12, Start Now, Innovation, Quality, Productivity, Prevention, Cost efficiencies, shared services Economies of Scale, Linking finance, HR and Activity Data, Incentives, Effectiveness, New Processes, Infrastructure, Waste, Green Case for change, 10 compelling reasons, Scenario planning, new relationship between public and NHS, Clinical Pathway Groups, 7 Strategic enablers, collaboration, raising game Leadership, listening understanding, Innovate, Partner, manage systems, 10 Touchstones I will…., Equality and Diversity Working With Partners A New Relationship Innovation Data to Intelligence Supporting Concepts Regional Care Record PACS Interim Solutions Community Hospitals UnScheduled Care Primary Care National Programme Mental Health Shared records Health CareHealth Informatics Themes and Topics Leadership Requirements & Content Interoperability WorkforceInfrastructure Service Management Information Governance Knowledge Management The National Perspective Global Review £

3. Working with Partners

4. Partners PATIENTS/SERVICE USERS SHA Commissioner Providers Social Care Wider local government - NWEGG Private Sector Third Sector

5. Informatics Objectives for Working with Partners Develop membership and contacts with Association of Directors of Adult Social Services and North West Electronic Government Group PCTs/LHCs to either confirm that they have appropriate connection between networks at a local level or have enabled/sponsored Councils to achieve N3 connection or to have firm plans in place to complete that by March 2011. PCTs/LHCs to have a plan for interoperability with partners which may be through National and Regional Care Records (CFH) solutions or more specific local initiatives PCTs/LHCs to assist their local government partners with the introduction of the NHS Number and to be actively achieving that or have a firm managed plan. PCTs/LHCs have a programme of process changes which aims to release the type of benefits described in some LHCs, Wigan for example claim benefits in the area of bed management, Hospital Discharge, Managing Long Term Conditions in the community, Unscheduled Care/ Intermediate Care and Hospital at Home Initiatives, Multidisciplinary working and Safeguarding PCTs understand and can work with partners on their responsibilities under Contact Point for Children PCTs to have a partnership plan in place to explore opportunities to share resources with Local Authorities (wider public sector) in the pursuit of efficiencies To find out if there is an appropriate forum/mechanism to discuss working with private and third sector organisations

6. Architectures

7. Lorenzo Release Progression

8. H O C I G R B L M X W F D A K P E T S N U V J Q H O C I G R B L M X W F D A K P E T S N U V J Q Not known Paris Northgate Swift RAISE Lancs in house ISIS OLM Carefirst Core Logic Frameworki SAP Social Care Social Care Systems Across NW

9. Target Solution Model – Lorenzo Everywhere

10. Different goals – different models Social and Health Care Integration NHS Led Social Care/ LA Led Method “Dominance” MIM/ Spine LocalOther e.g. Click Through NHSAEI Social CareBFJ NeutralCGK NoneDHL Social Care Systems Health Care System Lorenzo or TPP or Existing Spine Social Care Systems Health Care System Lorenzo or TPP or Existing Spine Shared Record/ Communication Application Car e Trus t

11. Potential Roadmaps (Need a similar view for TPP &Lorenzo) November 2008 NHS - PAS NHS - EPR NHS – Lorenzo R1 NHS – Lorenzo R1.9 NHS – Lorenzo R2 NHS – Lorenzo R3 NHS – Lorenzo R4 Social Care? Neutral System NHS – Spine TMS Social Care Content/process development Integration Engine May 2009 November 2009 April 2010 September 2010 NHS – Spine TMS (PDS) Click Through/ context passing (URL) SHA Portal

12. An Example Road Map Regardless of technical solution –Infrastructure and networks (N3) –PDS enable and connect social care system –Agree joint governance for project, developments and service –Agree overall joint business strategy –Establish Information Governance framework –Agree shared business content and processes –Set Data Quality standards then deliver to them Technical solution Road Map –Introduce a shared Integration layer which links health and social care systems –Migrate users to integration layer –Local deployments of LRC R1, R2 – introduce assessments (and produce outputs) –At LRC3 – develop a joint workflow –Introduce a “click through” process between Lorenzo and Social Care system –Migrate from local integration layer to Spine services

13. Enablers Infrastructure and networks (N3) Business analysis Content Integration Data Quality Information Governance Project, Development and Service Governance Integration at interim stage and longer term

14. SMART PROPOSED!!! Not agreed

15. Example from London

16. BT Rio Community Health System London’s Roadmap HSCI Prototype - Proof of Concept EMIS GP System BT e-SAP System Internet NB – these slides from London are not yet finalised and subject to change but included to show their thinking

17. BT Rio Community Health System Newham Whole System Demonstrator Spine TMS BT Integration Engine OLM Care First Social Care System EMIS GP System BT e-SAP System Existing Systems BT LSP Spine Services ?

18. Later Demonstrators….. BT Integration Engine BT Cerner Millennium System BT RiO Mental Health System BT Rio Community Health System BT INPS GP System BT e-SAP System BT LSP OLM Care First Social Care System Other NHS Compliant Social Care Systems EMIS GP System Existing Systems Spine TMS Spine Services Core Logic Social Care System

19. Spine TMS Spine Services Long Term Vision for London BT Integration Engine BT Cerner Millennium System BT RiO Mental Health System BT Rio Community Health System BT INPS GP System BT SPR BT LSP OLM Care First Social Care System Other NHS Compliant Social Care Systems EMIS GP System Existing Systems Corelogic Social Care System BT e-SAP System Spine SCR