1. Urgent and Emergency Admissions:
The digital opportunity for Yorkshire Ambulance Service
Ola Zahran & Peter Dyke

2. Agenda A little bit about YAS NHS Number
Skills for the YAS Ambulance Patient Record
Standards
Interfacing to multiple STPs/LDRs
Ambulance Record Standards
Special Patient Notes
Care Record Proliferation
The opportunity for Yorkshire
Questions/Discussion

3. YAS is critical part and core of the urgent and emergency care

4. About YAS 999 111 PTS 5m population 6,000 square miles 5,000 staff
1,200 volunteers
23 CCG’s
999
895,700 calls per year
111
1,570,254 calls per year
PTS
1,020,621 journeys per year

5. Key priorities for YAS Digital Road Maps
Regional and National Initiatives
Local Initiatives
National Record Locator
E-Integration to GP/Hosp
Clinical Assessment Service
Virtual Mobile working /Apps
ePR
ESN Airwave replacement
NHS No
SCR/ eSCR/ MIG/TPP/EMIs

6. YAS Electronic Ambulance Record

7. Future and Next Step Hospital Integration Pathfinder JRCAL Integration
NHS No
Defib Integration
In House
Spine Integration (SCR/eSCR, CP-IS)
Mobile Dos
GP Post event message (PEM)
Access to GP record (TPP/EMIS/MIG)
National Record Locator Integration
External support

8. Clinical Assessment Service 111/999
The reduction of A&E attendances and emergency admissions
Increasing levels of self-care and improving patient experience, outcomes and quality 1 4 2
Deliver improved efficiencies, with patients reaching the right service first time.
Deliver a reduction in the mortality rate where services such as stroke, cardiac and major trauma are provided around the clock 3

9. CAS Modern Multi-channel, Virtual and Multi-skills Call Centres
WiC
GP/
GPOOH/
Primary Care//Pharmacy/Dental Centre
Patient
Care Record
PTS
Book Ready
Hospital or GP Online Booking
Control Room
Patient
Hospital or GPs

10. Progress so far 1
Implemented interface to pass calls electronically and 999/999 Ambulance will be enabled 12th DEC (NWAS, EMAS) 2
Improved usage and wider deployment of SCR/eSCR/TPP/eDOS in the 999 clinical Hub and front line staff will follow. 3
111 (online live in Leeds and next step for Humber coast, Harrogate STP and WY in 4th Dec ) 4
Direct Booking for GP in hours
(42 surgeries signed up, we are aiming for 100 by March 2018) 5
NHS Number : 96.6% for 111, 60% for 999
Work is on the way with NHSD to provide NHS no to ePR 6
Home Working Clinician, 29 clinical specialists have remote access to 111 from home 7
MIG has been enabled in 111 call centre for Barnsley area

11. Broadband Communication and Multi Sims communication Hub
Digital Ambulance
Broadband Communication and Multi Sims communication Hub
Tele Consultation
MDT
ePRF
SCR
PDS/NHS No
eDos
Clinical Hub/Pathfinder
Handheld Smart Phone
Video Conf
Social Media
Telematics
Equipment Management
Medicine Management
Defib
Imaging

12. YAS Apps

13. Opportunity/Challenges
NHS No
Ambulance Record ( Standard)
Special Patient Notes
Interfacing to multiple STPs/LDRs
Retain/Recruit expertise
111 direct booking
Special patient notes (SPN)/Patient flagging
Outcome for patient journey 
Working with Ambulance NAA and National Ambulance
 Care Record Proliferation
Which of: SCR, MIG, EMIS, TPP, Leeds Care Record, Bradford Care Record, Other care records, NRLS, GP Connect, Care Connect is a clinician supposed to look at?