ACTION NOTE OF OUTCOMES AND PERFORMANCE MANAGEMENT. Outcomes and Performance Management Thursday 27 th April NHS Lothian (Chair) NHS Lothian

Transcription

1 ACTION NOTE OF OUTCOMES AND PERFORMANCE MANAGEMENT Meeting Title Meeting Date Outcomes and Performance Management Thursday 27 th April 2017 Participants: Tracey McKigen (TMc) Tom Byrne (TB) Dr Philip Conaglen (PC) Lynda Munro LM Linda Stark (LS) NHS Lothian (Chair) National Prisoner Healthcare Network NHS Lothian NHS Grampian (Teleconference) NHS Lothian In attendance Claire McAuslane (CMc) (minutes) National Prisoner Healthcare Network Apologies: John Porter (JP) Fiona Young (FY) Jayne Miller (JM) 1 Welcome and Introduction National Prisoner Healthcare Network Criminal Justice Authority NHS Greater Glasgow & Clyde TMc opened the meeting and apologies were noted. 1. TMc Noted 2 Minute of previous meeting The action note of the previous meeting was reviewed and agreed. 1. TMc Agreed

2 3 Matters arising from previous meeting a. LTC data prescribing of asthma Inhalers TB advised that Lloyds had now provided prescribing data for the month of January re the prescribed asthma medication in the five prisons chosen for the study. LM has supplied TB with data re the number of asthma sufferers coded on the system. A cross check between the data for those coded on the Vision as having an asthma diagnosis with those receiving prescribed medication showed that very few were coded. TB informed the group that he had had been informed by e-health leads at SG and NSS IT leads that GP s are stopping coding nationally and that they will now use a process called SNOWMED to move towards the introduction of a global coding system. In the interim everyone is still to use the existing diagnostic codes. Pam McVeigh of NSS IT is enquiring if as to how SNOWMED will be applied to the prisons setting. PC suggested it may be worthwhile having someone involved from ISD linked in to this work stream given that they have the most experience nationally in this field. b. Lothian BBV outcome data PC provided a paper on Hep B and Hep C which examined certain measures extracted from Vision in order to review the accuracy and validity of the data held on the system. His findings were discussed with the group and a number of suggestions were made that might improve the process of obtaining accurate data both in Lothian and nationally if this approach is adopted. Copies of this paper were not available on the day but will be circulated to the group once he has updated it. A question was also raised regarding the approaches taken by all prisons to offering Hep C testing; was this opt out or opt in. The group agreed that an opt out process should be adopted by all prisons and that this would assist with collection of data. TB asked LM about GP to GP system which allows surgeries to see what other records are on file re their Produced by: C McAuslane Page: 2 of 6

3 patient. LM advised that they are running two pilots which do not include prisons. LM was of the opinion that prisons would only be able to use the system for prisoners on a longer term sentence or who had a clinical need. A question was raised as to whether or not it was planned for prisons to have access to such a service. LM advised that she is on the Project Board group and, as she understands it, there are no plans at the moment for prisons to have access. The group were of the opinion that prisons must have access to this development to facilitate throughcare across the pathways. NHS Lothian Needs Assessment c. TMc explained that in Lothian the out of hours service is currently provided by Lothian Unscheduled Care Service (LUCS). However they are currently reviewing the needs of the service with the intention of supporting the existing system. They are in the process of developing an out of hours model. d. Vision Codes TB confirmed that six core Vision codes had been circulated around the prison health centres and they had been asked to start using these from now on. The use of these codes nationally can then be monitored by LM to provide data to the outcome and performance group to allow some initial reporting to begin. The group agreed to continue highlighting the use of these codes through the Health Leads Board meetings and HCM meetings in preparation for using more codes at a future date a. 1. Results of the study to be monitored and reviewed again in 6 weeks to see if coding is making a difference. 2. Contact Pamela McVeigh to confirm SNOWMED status for prison GPIT b. 1. PC s paper to be updated and circulated to the group 2. PC to meet with LS and once happy with the data format, he will be invited to a Team Leads meeting to discuss processes and measures. He is to have something prepared for next meeting on the 27 th July. Produced by: C McAuslane Page: 3 of 6

4 3. Emma Easton to be contacted to clarify some of the issues that arose from the group s discussion re data collection. 4. TM to have a discussion with Sabina MacDonald re BBV Opt out instead of opt in approach 5. Project Board to be asked if there are plans to give prisons access to GP system 6. Feedback from the next Facilitators meeting to be provided to the group c. A copy of the admissions guidelines is to be circulated to the group a. 1. TMc 2. TB b. 1. PC 2. PC 3. LS 4. TMc 5. LM 6. LM c. LM To be completed by 9 th June 2017 At the next meeting of the Project Board Once the Facilitators meeting has taken place 4 Prison GPIT Update This is now to be discussed as part of item 6. 5 Vision Issues There was a general consensus that the issues arising from Vision were not really IT related but were generally caused by lack of training in how to use it. TMc suggested that this item Produced by: C McAuslane Page: 4 of 6

5 be renamed IT issues in future meetings. 6 Health & Sport Committee Meeting TB advised that at the committee the issue of clinical IT was discussed at length and as a result Professor Sir Lewis Ritchie has been approached to pull a group together to look at how to resolve the issues surrounding GPIT. Following a recent FAI, where the Sheriff raised concerns about the lack of clinical IT, NHS GGC have pulled together a group to review the requirements that TB and a multi-disciplinary group had previously produced. Gail Caldwell, Director of Pharmacy at NHS A&A, who is a member of the SG ehealth Safer Use of Medicines workstream, is going to lead a group to review requirements and TB understands that they will be looking for further representatives to join the group. The SG e Health Department and NSS IT SBU will be joining the group. There is a meeting on the 12 th May in relation to the requirements review which can be joined by WebEx. TB suggested that LM should join the WebEx as he believes that it would be very useful. A discussion of what the representation might be will be undertaken at that time too. TB confirmed that Prisoner Healthcare will be represented. Give LM details of Webex TB before 12 th May AOCB None Produced by: C McAuslane Page: 5 of 6

6 TMc Noted 8 Date and time of next meeting 27 th July, 10am-12 noon, The Gyle, Meeting Room A Contact Laura Williamson to try and change venue for the next meeting to Waverley Gate CMc Produced by: C McAuslane Page: 6 of 6