1. Community, Children’s & Mental Health National User Conference Thursday 3 rd October 2013 Nottingham

2. Welcome A whole day dedicated to Community, Children’s and Mental Health for the first time at the EMIS NUG. Customers, Prospects and Partners invited and very much welcome. A chance for our community to have a conversation with itself.

3. Welcome…!...

4. About EMIS EMIS clinical systems are already used by over 5,000 healthcare organisations across the UK – from community, children’s and mental health organisations, to GP practices, out of hours services and clinical services across the UK. By using the same system, everyone can access the same information about their patients - no matter where they are treated - making the prospect of integrated care a reality. By utilising the EMIS Group integration solutions, information from all healthcare settings can be linked, exchanged, shared and accessed – Acute, Community, Children’s Mental Health, Social Services, Private, Independent, Community Interest Companies…… Truly – Healthcare Without Boundaries

5. Today 9.40 to 10.10 - Bromley Healthcare - Why we moved to EMIS Web from Rio - Andrew Hardman 10.15 to 10.45 - Camden Vision - Hasib Aftab and Agnes Rieu 10.45 to 10.55 – Break and a chance to explore the stands, network with friends and colleagues and find out more about how EMIS can help you 11 to 11.30 - Liverpool Community Health NHS Trust - Our Vision - Exploiting technology to improve patient care - Caroline Rand and Ian Bailey 11.35 to 12.15 - Liverpool Mobile Project - plan to move to paper light working - Jenny Bradshaw, Gemma Lloyd and Lois Silvano 12.20 to 12.45 - Integrated care in Cheshire - Vicki Barnes 12.45 to 1.55 – Lunch, Networking and Exhibition.

6. Today 2.00 to 2.30 - EMIS Web: Completing the jigsaw for children's services in Greater Glasgow & Clyde - Karen McFadden, Tom McCluskey and Graham Tytler 2.50 to 3.25 - Clinical Leadership Karen King 3.30 to 4.00 - Connect Physical Health - Using EMIS Web to join up healthcare across all areas - Mark Jenkinson and Mark Philpott 4.00 to 4.15 - Coffee & Exhibition 4.15 to 4.45 - Interoperability – the benefits of sharing data across healthcare – Martin Bell, Peter Anderson & Markus Bolton 4.45-5.00 – Wrap up and close 5.00 – Further chance to network and enjoy the stands, or head of home!

7. Martin Bell Director of Community, Children’s and Mental Health at EMIS

8. –Reflections. –Roadmap and Development Plans. –User Group, User Engagement and Involvement. Overview

9. –Met with as many customers, prospects and partners as possible – Listening and learning. –Building a new dedicated division within EMIS – focused on Community, Children’s and Mental Health. –Key priority of getting the product developments right, delivered and a revised roadmap. –Developing a new deployment model focused around Trust type organisations and their needs. –Evolving the solution to offer the widest value to customers – now including integration with Ascribe, and partners such as Graphnet in London and the South. Day 78…..

10. –Developments need to be delivered when EMIS say they will be delivered. –Ensure core functionality is all in place – and improved mobile offering. –More help and support needed to get best value from investment in EMIS Web. –Improved connectivity and interoperability and clearer offering. –Specific focus on Community, Children’s and Mental Health. –A bit less paperwork! You have told me…..

11. EMIS Solution Healthcare EMIS Diabetes EMIS Community EMIS GP EMIS Child Health EMIS Mental Health EMIS Pharmacy EMIS Inpatient Care EMIS Outpatients EMIS PAS EMIS Maternity EMIS Unscheduled Patient PHR technology EMIS Connect MIG Cerner Orion PASDTS AdastraGraphNet SPINE

12. Q42013 Jan2014 2015 PA Configuration Death Notification Service Prescribe Family Links Care Planning Full Child Health Assessments Community Mobile Reporting Q2-Q42014 2015 Bed Management Mental Health Enhancements to Safeguarding Appointments Registration / DBS Family Linkages Record Utilities Sexual Health School Health Maternity / New Born EMIS Community, Children’s & Mental Health Roadmap Spine Services CAB Provider PA multi-workflows Recall Schedules Apr2014

13. Delivered in 2013 Integrated functionality for –Cross org Appointments –Cross org Tasks –Cross org Safeguarding alerts/warnings Core Care Planning Centile charts Summary screen configuration EMIS Mobile for Primary Care

14. Underway in Q4 2013 Patient Administration Configuration –Improvements to user views and list configuration –Improvements to rules engine for improved performance –Preparation for multiple workflows Death Notification Service Level Prescribing Family Links Care Plans - Sharing

15. Roadmap – Community Mobile Online & offline working on iOS, Android and Windows tablets Full Caseload availability, RTT support User diary, scheduled and book appointments, maps View clinical record, documents, shared records Record activity including mileage and encounters EMIS & organisation defined assessment templates with data seamlessly integrated with EMIS Web Task creation and prescribing Access essential patient data Wherever you are Apr2014

16. Roadmap – Assessments & Care Plans Assessments Assessment template creation and distribution New assessment view with grouping and trending Cumulative assessment fields showing latest values Incorporate form fields, mail merge and calculations Care Plans Create master care plan templates Personalisation and tailoring of each care plan Electronic sharing of the care plan with external organisations Q42013 Apr2014

17. Roadmap – National Spine Services PDS Allow Personal Demographic Service search and retrieval – trace patient details in from the spine to improve data quality SCR Viewer View patients Summary Care Record on the spine – including those outside of local EMIS Web sharing agreements CAB Provider Allow publishing of appointments slots to the spine Jan2014 Jan2014 Jan2014

18. Roadmap – Child Health Child Health Core Data & Registrations Vaccs & Imms Administration Child Health Recall Schedules Dedicated Child Health Views Apr2014

19. –Strategic, operational and clinical involvement. –All sectors covered, special interest groups, helping us improve the solution we can offer. –Early information and involvement in development and direction. –Dedicated events and networking opportunities, with EMIS, and with each other. –Shared learning and exchanges, reference sites, user case studies, experience swaps. –Pathfinder customers. Run by you – supported by us User Group – Community, Children’s & Mental Health

20. Martin Bell Director of Community, Children’s and Mental Health at EMIS 07442 492 775 Martin.bell@e-mis.com

21. Why EMIS?

22. Bromley Healthcare – Why we moved to EMIS Web from Rio Andrew Hardman

23. Bromley Presentation

24. Proven benefits Cost effective and more responsive care Almost 14,000 consultations have been delivered closer to home in Merseyside thanks to EMIS Web. Clinical time saved Access to patients’ records has freed 15-20% of clinical time for community healthcare teams in Cumbria. Access anywhere, at any time Using EMIS Mobile, you can view core elements of the system whatever the care setting.

25. Camden Vision Hasib Aftab & Agnes Rieu

26. Camden Presentation

27. Healthcare Without Boundaries

28. Break Please be back in 10 minutes

29. EMIS Web: for community, children’s and mental health PATIENTS BENEFITING: IN BRISTOL IN NORTH MERSEY IN THE NORTH EAST & LONDON

30. Liverpool Community Health NHS Trust – Our Vision - Exploiting technology to improve patient care Caroline Rand & Ian Bailey

31. Liverpool Presentation

32. EMIS Web: for community, children’s and mental health

33. Liverpool Mobile Project – plan to move to paper light working Jenny Bradshaw, Gemma Lloyd & Lois Silvano

34. Liverpool (2) Presentation

36. Integrated care in Cheshire Vicki Barnes

37. Cheshire Presentation

38. Lunch, Networking and Exhibition Please be back at 1.55pm…..

40. Welcome Back…..

41. EMIS Group Divisions

42. EMIS Web: Completing the jigsaw for children's services in Greater Glasgow & Clyde Karen McFadden, Tom McCluskey & Graham Tytler

43. Glasgow Presentation

44. Rationale – Strategic Fit in Adjacent Markets Ascribe’s customers primarily within hospitals across UK, Australia and New Zealand. Entirely complementary to EMIS Group’s market leading position in UK primary care, community pharmacy and JEDHI sub-contract Significant growth prospects: Enables movement into on Specialist Care, Pharmacy and CCMH Markets Facilitates UK’s strategy of integrated healthcare 44 EMIS Group Ascribe Mental Health market (11.1% penetration - #3 in the market) Pharmacy & Medicines Management market (30.6% penetration - #2 in the market) Unscheduled Care/A&E market (20.9% penetration - #2 in the market) 4,727 of 13,549 High Street Pharmacies) in Community Pharmacy market (35% penetration - #2 in the market) 5,170 of 9,858 GP Practices in the Primary Care market (52% penetration - #1 in the market) Growing penetration in Community & Child Health market PAS/EPR market (rising penetration)

45. Clinical Leadership Karen King

46. Karen Presentation

47. EMIS Pathfinder Customers ICT Services - Engineering - Networking - Helpdesk/support - Hosting - Hardware - Tele-health / medical devices ICT Services - Engineering - Networking - Helpdesk/support - Hosting - Hardware - Tele-health / medical devices Patients - Patient.co.uk - Patient Access - Self care apps - Health & wellbeing - Local public health programmes Patients - Patient.co.uk - Patient Access - Self care apps - Health & wellbeing - Local public health programmes Data & Intelligence - Data extraction - GPES (national) - QOF Manager - Enterprise reporting - Risk stratification - Business intelligence Data & Intelligence - Data extraction - GPES (national) - QOF Manager - Enterprise reporting - Risk stratification - Business intelligence Clinical Management Systems (CMS) - GP - Community - Out of Hospital Services - Child Health - Mental Health - Specialist Services - Pharmacy Clinical Management Systems (CMS) - GP - Community - Out of Hospital Services - Child Health - Mental Health - Specialist Services - Pharmacy Mobile Working - EMIS Web Mobile - Mobile hardware devices - N3 connectivity - EMIS Web EPR viewer - Tele-health device interoperability Mobile Working - EMIS Web Mobile - Mobile hardware devices - N3 connectivity - EMIS Web EPR viewer - Tele-health device interoperability CMS optimisation - Meds Management, - LTC care pathways, - Clinical Audits, - Clinical decision support - Business continuity - National programmes (SCR, GP2GP, EPS, CAB) CMS optimisation - Meds Management, - LTC care pathways, - Clinical Audits, - Clinical decision support - Business continuity - National programmes (SCR, GP2GP, EPS, CAB) Integrated care & interoperability Data sharing Care record sharing Cross-org functionality EMIS Interoperability Services (including MIG) EMIS Partners Integrated care & interoperability Data sharing Care record sharing Cross-org functionality EMIS Interoperability Services (including MIG) EMIS Partners

48. Connect Physical Health – Using EMIS Web to join up healthcare across all areas Mark Jenkinson & Mark Philpott

49. Connect Presentation

50. NHS Cheshire “ ” It used to take up to 15 minutes for the A&E doctor to get details over the phone or by fax – if there was someone to answer the phone. Now it is done in seconds electronically, 24 hours a day. Dr Neil Paul, GP

51. Coffee & Exhibition Please be back at 4.15pm…..

52. Informatics Merseyside “ ” Direct access to patients’ medical records via EMIS Web is allowing acute medical unit pharmacists in North Mersey to see an additional 140 patients a month. Kate Warriner, Head of IM&T - Commissioning

53. Interoperability – the benefits of sharing data across healthcare Martin Bell, Peter Anderson & Markus Bolton

54. Interop Presentation

55. Aligns with ‘connect all’ strategy Improves patient care and experience Makes Care safer Improves NHS staff personal productivity – makes things easier to do. Provides efficiency savings Aligns with ‘connect all’ strategy Improves patient care and experience Makes Care safer Improves NHS staff personal productivity – makes things easier to do. Provides efficiency savings Why interoperability is important For Customers Patient data sharing means users can pick the most appropriate system. Third party partners enhance our clinical management tools (eg: Graphnet, HGL, Ascribe, and others). Document + Data Exchange tools increase & improve comms between GP and other health services For Customers Patient data sharing means users can pick the most appropriate system. Third party partners enhance our clinical management tools (eg: Graphnet, HGL, Ascribe, and others). Document + Data Exchange tools increase & improve comms between GP and other health services Standalone Market place complex, and multiple systems will always exist. Helps maximise and protect customer investments. Standalone Market place complex, and multiple systems will always exist. Helps maximise and protect customer investments.

56. EMIS Interoperability Portfolio Document Exchange Products Patient Data Exchange Products Data Exchange Products Interface Mechanisms

57. Patient Data Exchange Products MIG Detailed Care Record Service: Integrated Viewer; provides an integrated view of real-time & structured Primary care patient record data MIG Detailed Care Record Service: Online Web Viewer; provides an online web view of real time & structured Primary care patient record data Portal Connect Service; provides embedded portal views within EMIS Web, with single sign on. Partner Offerings…..

58. General Practice Real Time Request Data Feed Repository Data Feed EMIS Web Vision 360 Community, Children’s/ Mental Health Social Services/ Local Authority Hospitals/ Acute Care Reporting Services Dashboards Clinical Portal Data Services

59. “ ” NHS Cumbria I can now spend less time travelling back to the surgery to update records. I’m spending more time with patients, which is a massive plus. Dayna Hadwen, Community Nurse

60. HGL Slides

61. Graphnet Slides

62. Any questions?

63. Thank you…!...