Overdue Ongoing Completed/On Agenda For future meeting

ICT STRATEGY GROUP ACTION TRACKER 9 th July June 2014 Outstanding Action List Items Mtg Date 5.3.14 Agenda Item Action Action By Status 3 Prepare a financial summary of ongoing projects GJ/SV 11.4.14 7 CWP Physical Health Services use of Wifi from GP Practices CSU to carry out risk assessment CSU to look into bandwith issues 5 practices to be turned on and report given at next meeting. To BE COMPLETE BY 24/7/14 8 Request for Investment into CWP OPHS ICT Infrastructure GJ to take to CDC for decision and will update at next meeting. 9.7.13 3. Funding Update Laura to ask Huw Charles Jones to raise the issue of CWA s financial commitment with Brenda Dowding Chair of the health and Wellbeing Board. CSU GJ LM 5. Update on implementation of health economy wide wifi: John Glover to circulate report as soon as it is available. JG 7. Summary Care Record in Community Pharmacy Kerry Winsland to forward further information when available KW Overdue Ongoing Completed/On Agenda For future meeting Minutes of Governing Body Sub-Committees 1

ICT STRATEGY GROUP Notes of meeting held on Wednesday, 11 th June 2014 Dr Andy McAlavey (AMcA) Chair Laura Marsh (LM) Medical Director, NHS Commissioning Group West Cheshire Clinical Director of Commissioning, NHS West Cheshire Clinical Commissioning Group Present Apologies Dr Dan Jones (DJ) Gareth James (GJa) GP Clinical Lead ICT NHS West Cheshire Clinical Commissioning Group Chief Finance Officer, NHS W est Cheshire Clinical Commissioning Group Mandy Skelding-Jones Cheshire and Wirral Partnership Kerry Winsland (KW) Neil Sykes Phil Eagle (NS) John Glover (JG) Sean Capper (SC) Dermot Lacey (DL Tracey Cole (TC) Stuart Lee (SL) Relationship Manager Primary Care NHS Western Cheshire & W irral ICT Solutions Assistant Account Delivery Manager, Merseyside and W irral CSU Head of Account Delivery CMCSU Director of IM&T, Countess of Chester Hospital Head of ICT, Cheshire & Wirral Partnership Trust Head of ICT Strategy, Cheshire W est & Chester Cheshire and Merseyside Commissioning Support Unit Cheshire and Wirral ICT Solutions Julie Critchley (JC) Cheshire and Wirral Partnership Trust NHS England Area Team to attend as and when required Cathy Rowlands Cheshire, Warington and Wirral Area Team Minutes of Governing Body Sub-Committees 2

No Item Action 1 Apologies & Welcome Andy McAlavey opened the meeting no apologies were received. 2 Action Tracker and Minutes of previous meeting: The minutes of the meeting held on 11 th June were agreed as an accurate record. All actions completed with the exception of : Prepare financial summary of ongoing projects Gareth to bring to next meeting Request for investment into CWP OPHS ICT infrastructure: Agreed due at next CDC for ratification Fiona please can you chase Gareth for the financial summary sufficiently ahead of the next meeting GJ GJ 3 Funding Update : Gareth reported that all parties had previously agreed in principle to funding a share of the costs of the new shared record. A detailed costing plan has been produced and was considered at the June meeting of the Shared Health Record Project board. With the exception of Cheshire West and Cheshire LA and Clatterbridge Centre for Oncology all parties have now formally agreed to the proposed funding shares for the next 3 year period. Dermot agreed to seek final agreement from the local authority (ACTION). Tracey suggested that the costing model will need to be flexible as some of the support costs are, as yet, uncertain. This concern was noted. DL LM Laura agreed to ask Huw Charles Jones to also raise the issue of CWAC s financial commitment with Brenda Dowding as Chair of the Health and Wellbeing Board Update from Shared Care Record Programme Board : Shared care record meeting to follow this one. John Glover reported that he is happy with where the project is currently. Pilots are planned for end of July possibly August - some delay due to decisions with regard to Graphnet Version 3 still awaited. Also summer holidays may interrupt flow of work. Privacy Impact Assessment: Data sharing agreement has been circulated and signed and finalised by all except 2 and discussions are ongoing re information governance. Suzanne Crutchley has been involved as the CCG Information Governance link and raised the concern regarding the inclusion of data for those outside West Cheshire CCG. This issue has been discussed at length within and between organisations It was noted that CSU provide IG advice to the CCG but ultimately it is the CCG who makes decisions. John updated the group on the discussions he had been having with CCO regarding the above issue and at the moment CCO have chosen to limit the data extraction to West Cheshire patients but will review this position in 3 months time. It was noted that a meeting is being scheduled to bring together organisations Caldicott Guardians and IG leads. Minutes of Governing Body Sub-Committees 3

No Item Action 5. Update on implementation of health economy wide wifi : Following the initial meeting held to discuss this, John Glover has commissioned an external piece of work to review the issues and report back. John has not had the final version of this report and when chased, the company who did the work informed John this was not complete due to illness. John will circulate the report as soon as it is available. JG 6. Update on development of solutions subgroup: Laura informed the group that Paul Hackett will be working for the CCG for the next 6 months to support the organisation s ICT development as well as supporting the CCG in its system wide ICT development. As part of this, Laura expects Paul to take on the establishment of the solutions subgroup. The agenda for the solutions subgroup will be driven by our shared strategy which Paul will also be completing. The Solutions subgroup will report to the IT Strategy Group. The first priority will be taking forward the integrated wifi but Laura hoped the group would also be able to support the development of the use of technology to support self-care (including assessing existing pilots). 7. Roll out of Summary Care Record in Community Pharmacy: Kerry reported that interest has been registered on behalf of four CCGs (West Cheshire, East Cheshire, South Cheshire and Vale Royal ) by NHS England, see attached document. She is awaiting further information and will forward to the group when available. It is intended patients will be automatically opted in with an opt out choice. KW 8. Integrated teams roll out ICT issues: DL explained that there were a number of issues involved here such as unsuitable accommodation, lack of planning around office space and need for mobile working increasing. However, on a positive note, issues are being resolved. The Integrated Health and Social Care Board are acting as an oversight group and an Ageing Well IT Group has been established to try and resolve operational issues. Shaun noted that he attends the Ageing Well IT Group and will feed into this forum where there are strategic issues that need to be resolved. 9. AOB Primary Care Operation Group exception report and Ageing Well IT Group minutes to be standing items on agenda in future. 10 Date of Next Meeting 3 rd September Room E, 1829 Building Minutes of Governing Body Sub-Committees 4

Minutes of Governing Body Sub-Committees 5 Area Team Reference 01815 Community pharmacy access to Summary Care Records Identifying the proof of concept areas If, subject to satisfactory level of patient and professional engagement, we were to progress with a PoC and your local health economy is willing to support, please complete the following details Area Team : Cheshire, Warrington & Wirral Q44 Key contact details name, e-mail, role, tel. no. Pam Soo, Clinical Advisor Community Pharmacy pam.soo@nhs.net Q44-Cheshire, Warrington & Wirral Area Team 1829 Building I Countess of Chester Health Park I Liverpool Road I Chester I CH2 1HJ Tel: 01138252299 Fax: 01244 650516 Statement from Senior local sponsor in support of the project in principle (eg Director of Commissioning) As an Area Team we are interested in IT developments that will further enhance service provision and improve patient experience. Glenn Coleman, Head of Primary Care Detail Likely Area Team willingness to support (as commissioner of pharmacy services) CSU willingness to support (may need to support implementation and governance arrangements) Current Project, RA and IG resource capacity Local Professional Network and pharmacy colleagues willingness to support (LPN area and LPN chair) Local Pharmaceutical Committee Brief comments on current known position Very supportive of new developments within scope of primary care. AT proactively working with CCG s and Local Authority to develop a whole systems approach to primary care and delivery of services to patients. The AT is keen to explore how technology can underpin the patient pathway in particular when there is patient transition between services and providers. Fundamental to current IT projects e.g. EPS project / CAB / SCR Could work alongside EPS project board, good participation from stakeholders including LMC/LPC/CCG. Keen to development of innovation, as will support further projects within the collaborative working agenda. SCR will give opportunities to improve current commissioned services to another level and allow new service development. The AT historically has worked with the LPC to deliver a

Minutes of Governing Body Sub-Committees 6 Area Team Reference 01815 support. Briefly detail their position and support on EPS to date CCG willingness to support Local Medical Committee willingness to support. Briefly detail their position and support on SCR to date Detail the mix of pharmacy providers in the proposed area (eg. independents, differing multi-nationals) Detail the mix of GP system providers in the proposed area SCR Upload percentage for the whole health area covered Briefly describe any known IT/connectivity issues within your community pharmacies EPS R2 use at local practices (to highlight use of smartcards in both practices and pharmacy) Which major acute hospitals are served in this area collaborative approach to development of services, innovative working and new pathways. This can be evidenced in their active roles in the LPN, EPS Project, PNAs and other stakeholder forums. The CCG s are keen to explore collaborative working within the wider primary care agenda. The ability of pharmacies to access SCR has been seen as a positive opportunity to support the practicalities of joint working e.g. pharmacists working as part of integrated care teams. Cheshire CCGs are putting forward a bid to be Proof of concept pilots to give community pharmacy access to the Summary Care Record LMC to date have been happy to support use of technology in practices and IT use in primary care i.e. EPS roll out The proposed areas are West Cheshire, South Cheshire, East Cheshire & Vale Royal CCGs. Within these geographical areas there is an opportunity to observe SCR in a wide range of providers. We have a good mix of small multiple, larger national multiples and independents, each represented on the LPN committee. Within these providers there are a range of formats including high street, edge of town, 100 hour, shopping centres and rural (reserved localities). East CCG 23 practices all EMIS Web, except 3 Microtest sites. South CCG -18 practices EMIS Web Vale Royal CCG - 12 practices EMIS Web West Cheshire CCG 37 practices all EMIS Web except 2 Vision sites [SCR programme can complete this] None encountered during the comprehensive EPS roll out. Currently a programme of work to roll out EPS R2 before March 2015 across all GP practices (over 50% GP practices currently live) which supports the use and management of smartcards. 94% of pharmacies in the CWW AT are declared live for EPS Release 2. Countess of Cheshire Trust, Wirral University Teaching Hospital, Macclesfield District General, Leighton Hospital Crewe. Please complete the table above and return to Mohammed Hussain and Sharon Wilson by 7 th July. More detailed discussions will then take place, and it is expected that work will begin with the pilot areas in July. For further information, please contact sharonwilson@hscic.gov.uk or call on 07879 491781.