1. The Cumbria Common Platform
Dr William Lumb, CCIO NHS Cumbria CCG

2. (Health & Social Care enterprise architecture)
Tital

3. Interoperability Connectivity
Networks, Wireless, Virtual Platform (VM Ware), Core Software (EMIS Web)
Communication
Active Directory leading to Integrated Video & Voice, Intranet, IP telephony
Clinical record sharing (Medical Interoperability Gateway)
Real-time data sets, document transfer
Cumbria eReferrals (Map of Medicine & Strata, eRS)
Integrated Navigation & Knowledge Management
EW GP & Community Services

4. Strata
Real time capacity and competency resource management system for whole health & social care economy
“air traffic control for patients”, “end-to-end total logistics solution”
Both Acutes, CCMH, OOH, 999, GP, Social Care and 3rd Sector
Outbound/transfers but will be inbound as well
Deployed for all referrals other than planned care (eRS)
Currently 1.5K referrals/month in > 20 care streams. Mature figure 15-20K/month
All social care assets (beds/domiciliary etc.) live by late summer in Cumbria
Defined data-sets, electronic generation/transmission and acknowledgements
Measure and control the unmeasurable
Seamless link between Map of Medicine (knowledge) & Strata (navigation) for GPs

5. MIG-Medical Interop. Gateway
Real time view of clinical data-sets embedded or stand alone
Migrating from MIG v1 (10 tab view) to MIG v2
10 tab plus free text, EoL, Care Planning, Special Patient Notes & Social Care
Live in OOH, Acutes (ED), Mental Health, Community Pharmacy.
Agreement in place for 999 & Social Care ? 2016
Supported by Digital Information Sharing Platform
eDocument transfer-fixed HL7 type, integrated with MS Office 10 or web portal
CDA compliant (demographic and clinical meta-data)
When mature 250K documents (data bursts) month

6. Successes/Challenges/Lessons
Introverted decision making-no design authority
Organisational independence writ large
Impact of national/regional policy-improving
Procurement-role of Shared Business Services
Inherent complexity of healthcare and lack of understanding
Budgetary control matters
Always think strategically
Always start with the user case
Always put the individual at the centre