#88. Paul Devlin, CEO, National Association for Patient Participation. New SNUG chair Sue Herbert on why you should attend SNUG 2017.

Transcription

1 #88 June & July TPP & EMIS LAUNCH INTEROPERABILITY PROJECT PageS 2 & 3 5 minutes with... SNUG 2017 IS AROUND THE CORNER Paul Devlin, CEO, National Association for Patient Participation New SNUG chair Sue Herbert on why you should attend SNUG 2017 PageS 4 & 5 Page 8

2 EMIS INTEGRATION Since Tuesday 2 May, patients in northwest London have been given the opportunity to benefit from a landmark achievement in interoperability between the UK s two leading software suppliers, TPP and EMIS Health. Users of both systems have been clear on the benefits of this interoperability, which is now being delivered in line with the national strategy. I n a limited pilot project in Hillingdon, northwest London, the Orchard Practice and the Hillingdon Diabetes Service went live with a direct integration between EMIS Web and SystmOne. This enables s at the Orchard Practice using EMIS Web to securely view, community nursing data from Hillingdon Diabetes Service who use SystmOne. Clinical teams at the diabetes service will also be able to see their patients records from EMIS Web. At those organisations involved in the pilot, clinicians using each system will only be able to view records with a patient s consent. Together, SystmOne and EMIS Web host records for nearly nine out of ten patients in England, as well as data from community care and secondary care organisations. This interoperability project represents a fundamental step forward for patients. This will particularly benefit patients who receive care from many different providers, especially for those with multiple long-term conditions. The visibility of information between the two clinical systems now means that healthcare professionals at each organisation are able to provide safer, better care as they are both able to access relevant information from their patients Electronic Health Record. The project adopts a similar technological approach to NHS interoperability projects such as Connect, which both TPP and EMIS are currently engaged in alongside NHS Digital. By enabling more informed decision-making regarding patient care, interoperability allows clinicians to provide more proactive care in the community that can prevent future admission to hospital. This can alleviate service pressures on the acute sector and allow Clinical Commissioning Groups (CCGs) to provide more efficient, cost-effective healthcare services. Following the successful completion of the pilot, TPP and EMIS Health will examine how a phased approach for a roll-out of the interoperability to interested organisations will be adopted. 2 TPP Times Issue 88 - June & July 2017

3 Veronica Green, Diabetes Team Leader, Hillingdon Diabetes Service said: We re very excited to see the benefits of this interoperability. It will help us to provide better care for our patients, and will greatly improve communication between the patients s and us which will improve care, save time and reduce the potential for errors. Dr Mohamed Adem, senior lead at the Orchard Practice said: This will benefit not only health professionals but our patients. We will now work collaboratively to ensure patients are getting better care, which will improve outcomes for them. Sharing information like this will also save time for s and nurses by avoiding duplication of information. I look forward to taking part in this pilot and the future roll out. In a joint statement Dr John Parry, Clinical Director, TPP, and Shaun O Hanlon, Chief Medical Officer, EMIS Group said: Having access to the full, detailed record of a patient is vital to providing the best possible care. This interoperability pilot is momentous. It means that even more patients across the country will benefit from clinicians securely accessing their shared record. We are confident that organisations and patients involved in the pilot will see the benefits of this interoperability, and we re looking forward to rolling this out further. Follow us on twitter for live updates See what TPP is up to in 140 characters or fewer and send direct messages to us online. Find our profile at We re tweeting every week and continuing to follow the main health and IT profiles to guarantee we re instantly informed. Make sure you let us know if your organisation is also online so we can follow you and your updates. Visit us at 3

4 Interview 5minutes with... Paul Devlin Q What are some of the current projects N.A.P.P. are engaged in? Paul Devlin works part-time as the CEO of the National Association of Patient Participation (N.A.P.P) and Chair at Lincolnshire Partnership NHS Foundation Trust. Q Could you tell us a little bit more about N.A.P.P. and your role at the organisation? The National Association for Patient Participation (N.A.P.P.) A is the only UK-wide umbrella body for patient groups in primary care. Formed nearly 40 years ago, we are an independent charity with a membership of about 1,500 Patient Participation Groups (PPGs) from local practices, who collectively represent some 13 million patient voices. As a national organisation, we work with a number of other A key health organisations including the Royal College of General Practitioners (with whom we have a Memorandum of Understanding), the General Medical Council, and parts of NHS England, including its stakeholder groups for the Forward View, the /Secondary Care Forward View, and the /Secondary Care Forward View Prescribing Group. We are also an active member of NHS England s Patient Online Stakeholder Forum and we recently produced guidance for Patient Participation Groups (PPGs) to work with their practice to make online services work well for patients. We are working with an NHS England Region on a project to enable the better engagement of PPGs by Clinical Commissioning Groups. We support our membership with resources, networking and guidance, to help give patients information; without information patients will not know the choices available to them. We aim to give patients the confidence to ask questions and request preferences about where and how they receive care, and even from whom. How important is the citizen voice in national conversations Q regarding healthcare such as the benefits of sharing the Electronic Health Record (EHR) and encouraging the uptake of digital patient services? How does your work ensure the citizen voice is heard in these conversations? N.A.P.P. always starts from the belief that if patients are put A at the heart of planning and decision-making in health, then better services are likely to ensue. This principle applies to conversations about the uptake of digital patient services, including the potential of sharing the EHR. It is not for N.A.P.P. to promote the benefits of sharing the EHR per se, but to promote the involvement of patients in ways that they can fully understand and influence how such tools are developed and implemented. In practice, we work to influence key decision-makers such as NHS England and providers such as TPP to engage with patients and the public in meaningful ways to 4 TPP Times Issue 88 - June & July 2017

5 Interview enable their involvement. For example, our guide for PPGs encourages conversations between PPGs and practices to ensure that they have considered factors important to patients such as demonstrating confidentiality or ensuring patient control of data that is about them, before rolling out online services. The EHR brings additional layers of complexity that require a strong patient focus, such as ensuring that patients are able to have data shared with the organisations they want, rather than ones a professional thinks they should be shared with. What considerations should be taken when communicating Q to citizens the choices they have regarding where and how they receive care? For example correct language, sufficient support tools and guidance? Plain language is critical to the engagement of the public! A When N.A.P.P. provided evidence to the All Party Parliamentary Group on Primary Care and Public Health Inquiry into NHS England s Five Year Forward View: Behaviour Change, Information and Signposting, we drew on views from over 2,300 groups and citizens. 95% of them regarded the use of plain English (and similar in other languages) as the most important factor in making information clear. Similarly, for organisations such as TPP, engaging early on with patient groups or their representatives about the accessibility of materials and support tools can really help in the development of useable and accessible materials. What would you recommend to health and care Q professionals who wish to encourage wider patient participation at their practices? practices are expected, within the contract, to ensure A there is a PPG in place, and any practice that hasn t got one, should get one established. A good start point for any practice would be to make use of N.A.P.P. s Building better participation resources, which help PPGs and practices build and develop their patient engagement. And, of course, the practice could benefit from paying for its PPG to become a member of N.A.P.P. and access further resources and support! Q You re hosting your annual conference on 24th June in Basingstoke what can attendees expect from this year s event? This year s conference has the theme of Patients, A Partnerships and Power. Sponsored by the General Medical Council, it will bring together some 150 PPG members to explore key issues in plenaries (including keynote presentations from the BMA and the CQC) and in workshops. The workshops enable the sharing of best practice and networking. We are delighted that TPP will be joining us in our exhibition area, and I know our members will engage with you. TPP will be attending the N.A.P.P 2017 Annual Conference on 24th June. Visit us at 5

6 Bradford Virtual Ward Leading the way in Cross boundary working B radford has developed its own innovative and ambitious project to simultaneously move care closer to home, whilst also enabling more patient-centred care. The Bradford Virtual Ward began in 2012 as a discharge-to-assess model relying from the outset on health and social care teams working together across organisational boundaries. The team s work has been recognised with its win at the HSJ Value in Healthcare Awards 2017 in the Improving Value in the Care of Frail Older Patients category. The team is multidisciplinary consisting of: therapists, qualified nurses, advanced nurse practitioners, rehabilitation support workers, and local authority colleagues alongside consultant geriatrician input. In 2015, they developed an integrated hub with partners, and new pathways taking direct referrals from community matrons, general practitioners and local ambulance services. Within hours on any day of the week the hub can: escalate community support, initiate rehabilitationat-home, or directly admit to community hospital rehabilitation or a nursing home flexi-bed. Multiple hospital admissions have been entirely prevented, and the length of stay in hospital further reduced. Bradford is now in the top 5% of trusts across the country for shortest length of stay. More importantly they have also demonstrated significant improvements in patient quality of life and high rates of patient satisfaction. They proudly present this model, which champions integrated delivery of high quality seamless services to their patients key principles of the NHS Five Year Forward View, in a replicable way. The aim of the Virtual Ward hub development is to offer a single point of assessment and a range of wrap around support at home, across both the health and social care economy in order to ensure that the frail older person gets the right service at the right time with patients centred care planning. If frail older people are assessed well using comprehensive geriatric assessment, there is a greater potential for identifying the underlying cause of frailty and get back to independence. ELDERLY CARE: 5 YEARS LENGTH OF STAY (LOS) Number of Patients Number of Days 1000 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q / / / / /2016 Patients Average LOS Linear (Average LOS) The whole team uses SystmOne to monitor their caseloads and bed capacity and for usual clinical tasks like consultations and visits. Staff also use SystmOne mobile working to conduct home visits and manage to have a board round meeting every day where they discuss all of the patients who have been seen that day. As all s in Bradford are also using SystmOne, all communication can be done through the system and once a patient is discharged from the team, a task is sent back to the patient s to let them know. Lead Advanced Nurse practitioner, Andrea Allanach says, There is absolutely no way we would have been able to achieve what we have without the shared record in place. 6 TPP Times Issue 88 - June & July 2017

7 Andrea and her team are now looking forward to electronically sharing data with the social care team, which she says will help massively as there s such an overlap in the services we provide and bringing the mental health service into the loop when they make the move to SystmOne in We already work closely with the mental health teams, providing treatment to those patients who may have dementia or who might find themselves in crisis it just makes sense for us to be connected electronically, and all working from the same record. It makes us more efficient and, as we ve proven, also improves the whole experience from the patient s perspective. Bradford s most significant and measurable results: 1. Improved Quality of Life for elderly patients as measured by EQ5D (Euro-Quality of Life Score in 5 Domains) before and after the virtual ward intervention. There were improvements measured in all 5 domains: symptoms of anxiety/ depression, mobility, reduction in pain/ discomfort; improvement in ability to self-care, and completion of usual activities. 2. Reduction of length of stay, reversing a general increase over preceding years: a significantly greater reduction than that witnessed in other departments. 3. Patient satisfaction was high as measured by the PREM patient questionnaires and this has improved further during evolution of the service. 4. Re-admission rates have not increased for this frail cohort of patients despite the marked reduction in length of stay. I was able to access the team when I needed them Overall the quality of care I received was very good I had enough information about my future treatment prior to... My discharge was discussed fully with me Staff always listened to my views and opinions about my care... Staff always explained any treatment or procedure to me Staff spoke sharply to me or my relative I felt confident that staff had the right knbowledge and skills to... Staff always introduced themselves so I knew who I was talking to I was always treated with dignity and respect I felt that I had some control over my care and treatment If I had any questions staff always answered these promptly I had access to therapy staff (for example physiotherapy... I was given the assistance I needed to help me eat and drink My family were able to talk to staff about my care when they... Staff seemed more concerned with getting the job done than... Staff made time to get to know me as a person Staff did not always respond quickly if I needed help I always understood the information I was given about my... I was given enough information about my condition and its Visit us at 7

8 BRADFORD MENTAL HEALTH Bradford District Care NHS Foundation Trust (BDCFT) and TPP have signed a contract that will see the deployment of SystmOne across Mental Health services at the trust. The five year contract (mirroring the trust s existing Shared Business Services contract) will mean the trust will replace their current Servelec Rio system with the SystmOne Mental Health module. BDCFT provides a range of mental health services to the people of Bradford, Airedale, Wharfedale and Craven, as well as community and disability services. The trust has two hospital based care facilities, along with psychological therapy teams and a 24-hour First Response service for those in crisis. Within their inpatient facilities, the Care Trust also offers specialist services for dementia assessment and a low security unit. The trust made the decision to move to SystmOne to achieve its commitment to having a fully integrated electronic health record across the Bradford district. They are also hoping that the move will bring about new efficiencies and improved ways of working, giving staff a single portal to access people s mental and physical health records to support patient care. This follows the trust s work as a national lead in this area for Positive Practice in Mental Health. Plans are now underway to implement the system with TPP in summer Dr Andy McElligott, BDCFT s Medical Director, said the move was a major step towards truly integrated health and care records: NHS and other care organisations in our district are beginning to work ever more closely as we start to create Accountable Care Systems; an integrated record will be a key enabler of the kind of high quality, joined-up, right first time care that we wish to provide for all of our citizens. We believe that our service users, staff and partners will see significant benefits from day one. Paul Wye, TPP s Account Manager for the Bradford area, said the move would be transformational for the people of Bradford. Recent evidence shows that patients with mental health issues are much more likely to also experience physical ill health. Therefore, it is more important than ever to recognise the value of a holistic approach to healthcare. As there are a large number of services already using SystmOne in this area, it s likely that the vast majority of citizens already have a completely integrated health and care record. All of the practices in the Bradford area are using SystmOne, along with all of the community and child health services. In addition, Bradford Adult Social Care service began using the system across their 17 locations in August last year. A MESSAGE FROM THE NEW SNUG CHAIR, SUE HERBERT As the newly appointed Chair of the SystmOne National User Group, I m delighted to announce that tickets for the SNUG conference 2017 are available to buy now! The SNUG represents all users, not just clinicians, using SystmOne and the conference is aimed at everyone who uses the system, from administrators to doctors. It is very much a learning event to keep you up to date with all the new functionality and hear about innovative ways others are using the system to benefit their patients. It will be an extremely interactive conference and we are excited to be hosting a number of excellent sessions and speakers. We really look forward to seeing as many of you there as possible, because without your support, we couldn t put an event like this on. Tickets are available from the SNUG website: 8 TPP Times Issue 88 - June & July 2017

9 SystmOne Supporting Homeless Care at Beacon House Beacon House is a primary healthcare centre that provides holistic care services to those who are homeless, in temporary accommodation or at risk of homelessness. Located in Colchester, Essex, Beacon House provides a range of services to its 500 clients. These include occupational therapy, haircuts, cooked meals and access to medical care. Beacon House adopted SystmOne as its Electronic Health Record (EHR) provider four months ago. We met with members of the clinical and administrative teams to find out how SystmOne has been helping them to provide much needed healthcare services to the community. Improved Clinical Care Vivienne Wiggins, Chief Executive, highlighted the benefits they are already seeing from having access to the shared record. As SystmOne is used in local and acute services, having access to the shared record has been helpful in retrieving the medical histories of patients who may not remember this information. This has significantly reduced the amount of time needed to register and treat patients. SystmOne is helping us improve the care we provide because all the information needed is readily available and shared with other health services in the areas. We can access information that has been shared in by other providers, and also share out information to other providers. This is invaluable in transferring patients to another SystmOne organisation. As there is high mobility amongst the clients that receive care, it is particularly helpful to be able to record information in one place, which can be accessed easily by any SystmOne organisation across the country. it s the most amazing system From an administrative perspective, Information Governance Officer George Ambrose has found that SystmOne revolutionises the way data is recorded at Beacon House. Registering patients is so quick and easy and SystmOne provides all the right tools we need to generate key patient information. Issues that Beacon House have faced in the past have included not being able to identify those who come for treatment because they have chosen not to disclose their real names, or confirming that a client is over the age of 18. The availability of risk assessment tools has helped to understand their patient population better and ensured that they are able to provide the right care. long term impact As well as the benefits for those that work at Beacon House, Vivienne values the positive impact that recording and sharing information on SystmOne will have on the wellbeing of its clients long term. With the availability of immediate appropriate healthcare in the form of correct diagnosis and prescriptions, people who are in the transitional stages, between prison and their housing, between housing placements, between hospital discharge and the street are less likely to re-offend; less likely to need emergency out of hours care. They are more likely to manage their current housing provision, and maintain their tenancy. future projects Vivienne believes that using SystmOne will improve the quality, efficiency and safety of care for Beacon House s clients. The average life expectancy for a person in the homeless community is 47 years of age, and through using SystmOne she is hoping that health concerns will be picked up and treated earlier. This will also have an impact on reducing emergency care admission and secondary care referrals. Beacon House is now working with St. Helena Hospice to improve end of life care for marginalised people. Access to SystmOne will play a big part in this. The vision of truly joining up care across a number of distinct services in Colchester is being realised and Beacon House is ensuring that those who are most vulnerable are included. At the moment, health care provision for marginalised people seems to be in the perfect storm, when services are being reduced in both general and mental health provision and yet the needs of marginalised individuals are becoming increasingly complex. Having access to SystmOne has encouraged us to persevere with our community health support, and to work with a range of statutory and third sector organisations to improve the healthcare opportunities for the most disadvantaged groups. Visit us at 9

10 PRACTICE MOVEOVERS TPP has seen 50 s switch to SystmOne in the last three months, and 72 since January! A large cohort of these are in Northumberland and Dorset and the majority of these were previously using Emis Web. CHRIS BATES DIRECTOR APPOINTMENT Dr Chris Bates has been appointed as Director of Research and Analytics at TPP. Chris first joined TPP in 2006 and is now responsible for the company s work in public health, clinical research and healthcare analytics Chris has special interests in the use of data and technology to facilitate improved healthcare outcomes. He spoke at the Datapalooza international conference in Washington D.C. in May about how data can be utilised to help prevent hospitalisation of frail patients. Chris holds a position as a Visiting Research Fellow at the Medical Research Council s Leeds Institute of Data Analytics (LIDA) and was recognised as one of the top 50 innovators in UK healthcare by HSJ. TPP wins Top IT Company award for a second year TPP has placed first as the Top IT Development and Consulting Company at TheJobCrowd awards for the second successive year. The software company took home the industry award at a ceremony in London last month. TheJobCrowd is the UK s leading graduate job review website. The site hosts thousands of reviews, all written by graduate employees. Recent graduates (those who have worked at the company for fewer than three years) are asked questions on their pay and benefits, the company s management, the level of responsibility they are given and any international opportunities they have. TheJobCrowd s annual awards are based on responses from graduates working at hundreds of different companies, all over the country. As a leading graduate employer in the Yorkshire region, over 40 recent graduates responded to this year s survey. A number of these employees attended the ceremony alongside company directors to pick up the industry award. This latest recognition comes as TPP launched its #TPPtop50 campaign this year, looking for the top 50 brightest graduates from across the country. TPP held recruitment events at the universities of Oxford, Cambridge, Warwick, Durham and York at the beginning of the year, and will be hosting further events in the autumn. More than 30 graduates are due to start at TPP in the coming months. 10 TPP Times Issue 88 - June & July 2017

11 Calendar Puzzle events Calendar JUNE JULY The Commissioning Show 28th 29th June London N.A.P.P. Annual Conference 24th June Basingstoke The King s Fund Digital Health & Care Congress 11th 12th July London PUZZLE Relax with our stress busting user competition and solve it for a chance to win a Brother label printer. Find the words relating to this issue: BEACON HOUSE BRADFORD HOLISTIC CARE SNUG JOBCROWD AWARDS INTEROPERABILITY NAPP SYSTMONE CONNECTING WELL DONE! Claire Rooke who won our last competition Send your answers to newsletter@tpp-uk.com to be in with a chance of winning a label printer courtesy of Brother. Visit us at 11

12 New Functionality Top Tips SystmOne functionality Mobile Working Improvements TPP will soon be adding an enhancement to Mobile Working, which will allow users to link a care plan instruction to a Template or Questionnaire. The ability to create reminders in Mobile Working has been added. There is now a new option on the patient menu for New Reminder. This launches a new screen where users can record pertinent information for a reminder, such as priority level, expiry dates and notes. Patient Risk Information As of 8th June, risk information recorded by a mental health worker will now be made available in all SystmOne modules. Previously, this information was only available in the SystmOne Mental Health module. The risk node will be added to the clinical tree as a read-only option for non-mental health organisation. Trainer top tips You can right click on the task to set a task rule. This means that it can always match to a person or group of people. You can set up your favourite forwarding recipients for processing documents and tasks. Go to user > user preferences > forwarding recipients. To launch a data entry template from the clinical tree, double click on SNUG CONFERENCE 5th - 6th October 2017 ICC in Birmingham With new dates, the 2017 SystmOne National User Group (SNUG) Conference is set to be the biggest and best yet. More information coming soon! COLLABORATE. CREATE. ENGAGE 12 TPP Times Issue 88 - June & July 2017