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#89 August & September 2017 www.tpp-uk.com

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5 MINUTES WITH...

Developing Maternity at Airedale

Karen Kirkham Assistant Clinical Chair Dorset CCG

Joining up services that care for babies and expectant mothers

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| TPP News Stories |

DEVELOPING MATERNITY AT AIREDALE Airedale NHS Foundation Trust is an acute hospital and community provider. With more than 2,000 staff serving a population of over 200,000, the hospital offers a breadth of services that cover A&E, maternity and intensive care.

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rom one part of the hospital going live with a single SystmOne module in 2011, Airedale now uses the full SystmOne Acute Care solution, including e-Prescribing, e-Discharge, Emergency Department and Bed Management. The Trust is working to integrate digital care across all of its services and SystmOne is playing a vital role in supporting shared care.

The maternity project team at Airedale From left to right: Heather Gardner, Gerry Kirby, Paula Woodrow and Dawn Swinburn

Most recently, Airedale has embarked on a huge project to develop a maternity product in SystmOne to join up the services that care for expectant mothers and their babies. This was born from a vision to create a single point of access for all healthcare professionals involved in maternity care. We met with the team that developed the new maternity functionality: Tony Bates, Programme Manager Integrated

The legacy system didn’t allow for the capture of accurate data for MSDS but this is now being captured through the system, making it easily available and allowing effective reporting. 2

TPP Times Issue 89 - August & September 2017

Health Record & IT Clinical Systems Manager; Paula Woodrow, IT Clinical Systems Configuration Lead and Clare Luby, Community Midwifery Manager and SystmOne Project Lead.

MATERNITY SERVICES AT AIREDALE Airedale supports a small maternity unit, which covers 700 square miles. The unit delivers around 2,200 babies per year and trains 120 midwives. There has been a need to enhance the quality of maternity data that the hospital records in line with the Maternity Services Data Set (MSDS) and the team has begun working on developing a series of templates within SystmOne to record more accurate data.

SERVICE CONFIGURATION The Trust recognised the need for a single data repository that would allow community midwives to capture and share data more effectively. The community midwife team is divided into five sections with distinct processes that previously didn’t always align, so having a single point of access has allowed services to become more streamlined.


DEVELOPING MATERNITY Airedale has used a combination of Community and Acute modules to develop a series of templates, designed distinctly for mothers and babies. The templates capture a vast array of data including care plans, scans, the mother’s previous health history and safeguarding information. This has allowed all information to be accessed from a single point. Community midwives are alerted to a new patient and at this point already have access to richer information than the legacy system allowed.

As information shared used to be reliant on midwives reporting back, a lot of information was lost or duplicated. Now it can be gathered into a template, with specific tabs to report the data for MSDS across the hospital.

Templates include antenatal tabs for foetal observations recorded at the Maternity Assessment Centre (MAC), and delivery data recorded at the Labour ward. The level of data recorded is incredibly detailed and gives stakeholders involved in ongoing care accurate and up to date information. Baby templates record similar data, but focus on a greater link with health visitors.

WORKING COLLABORATIVELY There can be about 30 stakeholders involved during a pregnancy. These can include mental health teams, GPs and social services. Being able to share information effectively

of area hospitals. If they are admitted, the information is easy to access and the functionality fits into other SystmOne acute functionality being used at the trust.

amongst these disparate stakeholders is vital to ensuring that care is appropriate, and delivered in a timely and safe manner. The creation of these templates in SystmOne has been a collaborative partnership from the outset, with input from organisations that include GPs and child health units.

FUTURE GOALS

“All the information that the maternity team has needs to be shared with any number of stakeholders at a time. It is incredibly helpful that so many local organisations are using SystmOne so that accessing this data, with patient consent, is straightforward.

Working closely with organisations in the development process means that we are complementing rather than contradicting work that is happening outside of the hospital. We are already seeing a lot more data and it is relevant to a number of healthcare professionals.

POST DELIVERY

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he process for notifying those involved in the patient’s care is much smoother through SystmOne. Once the baby is delivered, discharge notes can be sent electronically via the system to GPs, midwives and any other relevant organisations, including out

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he team has completed phase one of the programme – capturing the dataset information. It is now working on scoping phase two, which looks more closely at community working and getting the product to suit community working conditions, such as mobile working. Phase two will also include e-Prescribing management.

What’s great about using SystmOne to develop this is that it is not an off the shelf product. The system is fully configurable, which allows us to adapt it so it works for us and not the other way round. This means we can really develop functionality that is unique and encompasses all the aspects of activity around maternity care.

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| Interview |

5

minutes with...

Karen Kirkham Q

Could you tell me a bit about your practice? For example, the number of patients and staff, key population groups, and some of the main health issues in the area.

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Karen Kirkham Assistant Clinical Chair, Dorset CCG & GP Partner at the Bridges Medical Practice

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The Bridges Medical Practice is a busy town centre practice with a branch surgery 4 miles away and a list size of a little over 14,000. We have 6 GP partners, 5 salaried doctors, 3 Advanced Nurse Practitioners, an ECP (Paramedic), 2 extended scope physiotherapists, full practice nursing team and a total of 40 staff. Our practice is in the heart of the seaside town of Weymouth, and serves a deprived population with all of the added challenges that brings with it, there is a significant health inequality gap compared with much of the more affluent areas of Dorset. We have a high proportion of young families, and also many older people in nursing and care homes. We have a rising number of people with long term conditions and among our population we have significant numbers with drug and alcohol issues and a homeless population. We have faced significant problems with recruitment of GPs, in line with much of the rest of the country.

To overcome this we have embraced new ways of working, created new roles to support the teams and have a thriving general practice offering high quality care.

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How are you providing greater integrated care in Dorset?

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For some years we have been developing new integrated teams, working in partnership with other local practices, the local community, acute hospital trusts and the local authority. The result of this has been the creation of a frailty hub based at a local community hospital. With a single point of access to health and social care – all co-ordinated by our team of health and social care co-ordinators – we work in a completely integrated way with multidisciplinary teams (MDT) around the most complex and frail people. Case finding and support to practice MDT meetings mean that we have created a system that can react swiftly and in many cases identify those with deteriorating health needs and act to try to prevent deterioration. This way of working is being


rolled out across Dorset. The system has also developed a local urgent care centre operating 8am-11pm 7 days a week which has integrated a walk-in facility with an MIU, which is now seeing over 30,000 patients a year (including many holidaymakers) and supporting the local acute A&E.

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How is SystmOne supporting you in delivering this care?

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A key enabler for integration of services is the joining up of IT systems, and very early on we realised that this needed to happen as a matter of urgency. All the local practices moved to working on SystmOne as did the community trust who worked with SystmOne to create a community module for the hub. We created local data sharing agreements and enabled access between the community and GP teams – with access also for our acute local trust. As well as the clear quality and safety advantages of better communication between services, we share and can input to anticipatory care plans. When the UCC was established, we insisted on the same operating platform and this

| Interview |

was a key factor in improving safety and quality of care for the population.

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Dorset is one of the eight areas that has been identified to lead the development of Accountable Care Systems (ACS), can you tell me a bit more about your plans to achieve this?

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Over the last 3 years, Dorset has been working on the Clinical Services review – a whole system review across acute, community, physical and mental health to improve care and services for the people of Dorset. In 2016 Dorset CCG, the three acute hospitals trust, the community trust and the 3 local authorities came together to form the Dorset STP and signed a collaborative agreement to work together towards common goals in a cohesive way to deliver better outcomes in a flat cash environment. We have in

effect been working as a system already, with good relationships, and so we were delighted to be asked to be one of the leading Accountable Care Systems in England. We are embracing the opportunities this gives us to accelerate the joint working already established.

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What are the key long term goals for the creation of an ACS in Dorset? Our goals are simple, to reduce the three gaps – health and wellbeing, funding and efficiency, care and quality.

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What role is Dorset CCG playing in the creation of the ACS?

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Dorset CCG has played a leading role in the creation of the ACS, and our accountable officer is also the STP ( and ACS ) lead. We are

now developing two accountable care communities to deliver the ambitions – working at a size and scale we consider necessary to deliver change at a locality level and with all partners contributing to the delivery of care to deliver improved outcomes for the population.

ongoing and real workforce challenges and we need to grow a new and invigorated workforce across health and social care . We need to embrace technology- and accelerate the pace of this. And more than anything , we need to take people and our entire workforce with us on this exciting journey.

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What challenges do you expect to encounter over the next few years?

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Delivery of the targets remains our focus and this will be difficult. There is the obvious challenge of working within funding that does not reflect the growing needs of the population. We believe that delivering care in a different and more community focused and holistic way is not only better for patients but will bring productivity gains, which in turn will bring quality improvement. There are


We are embracing the opportunities this gives us to accelerate the joint working already established.

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SNUG

KEYNOTE SPEAKERS NOW ANNOUNCED!

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he SNUG ‘One Life, One Record’ conference 2017 is getting closer and the keynote speakers can now be announced. O n day one the conference will be opened by Dr Amitava Banerjee, Senior Clinical Lecturer in Clinical Data Science and Honorary Cardiologist at UCL. Amitava has studied at Oxford and Harvard universities and, his expertise lies in epidemiology and public health, particularly relating to cardiovascular disease. The second day will be opened by Dr Arjun Dhillon, GP and Clinical Director at NHS Digital.

Around 1,000 delegates are expected this year, along with a wide range of speakers and exhibitors. No matter which area of health and care you work in, the varied agenda will contain plenty of sessions that are sure to be of interest to you. There will be six streams of talks, covering all modules and offering sessions for users of all experience levels and roles.

After the great success of last year’s conference, it is again returning to the fantastic International Convention Centre (ICC) in Birmingham.

5th -6th October 2017 Buy your tickets now at www.systmoneusergroup.co.uk

ICC in Birmingham

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COLLABORATE . CREATE . ENGAGE



Dr Amitava Banerjee

Dr Amitava Banerjee Senior Clinical Lecturer in Clinical Data Science and Honorary Consultant Cardiologist, University College London

After qualifying from Oxford, Dr Amitava Banerjee trained as a junior doctor in Oxford, Newcastle, Hull and London. He then studied for his Masters in Public Health at Oxford, focusing on preventative cardiology and evidence-based medicine, and interned at the World Health Organisation before receiving a DPhil in epidemiology from Oxford in 2010. Before joining UCL as a Senior Lecture in Clinical Data Science in 2015, he was a Clinical Lecturer at the University of Birmingham. In addition to general cardiology, he specialises in heart failure and atrial fibrillation.

Dr Banerjee’s research and policy interests concern how data can be better used to improve patient care and research, particularly the role of informatics and electronic health records.

global health) in subjects from cardiovascular pharmacology and epidemiology to global burden of diseases and access to medicines. At the Farr Institute of Health Informatics Research at UCL, Amitava

Dr Banerjee’s research and policy interests concern how data can be better used to improve patient care and research, particularly the role of informatics and electronic health records. Amitava has taught extensively at undergraduate and postgraduate level in a wide range of courses (medical, dental health, public health,

specialises in Learning Health Systems but is involved in teaching and supervision of informatics, global health and evidence-based medicine.

WHO ARE THE KEYNOTES? Dr Arjun Dhillon Arjun read medicine at University College London, after which he developed an interest in infectious diseases and gained his MRCP. He then retrained as a GP on the Hillingdon VTS and completed a Post graduate diploma in Health informatics.. Dr Arjun Dhillon Clinical Director & Deputy Caldicott Guardian, NHS Digital

Arjun became managing partner at The Argyle Surgery in West Ealing in 2009. His clinical interests include diabetes and care of the elderly. The practice launched an innovative service for the 1000 nursing home residents of Ealing in 2013, and won a number of awards including the 2016 General

Practice Award for “Clinical Team of the Year- Long Term Conditions”. He worked for Ealing PCT as Clinical IT lead in 2010 and was a member of the Ealing CCG Governing Board until 2017.

engaged on behalf of the RCGP & BMA on issues ranging from the renewal of GPSoC, Care. Data to the National Laboratory & Medicines Catalogue. Arjun was appointed to Clinical Director & Deputy

Arjun has held both the deputy & chair of the RCGP Health Informatics Group and co–deputy & chair of the Joint GP IT Committee with the BMA. Arjun has held both the deputy & chair of the RCGP Health Informatics Group and co–deputy & chair of the Joint GP IT Committee with the BMA. During this time he


Caldicott Guardian at NHS Digital, where he supports the Caldicott Guardian and Senior Information Risk Officer (SIRO) across the organisation.

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2017 SEES RECORD NUMBERS OF GPS SIGNING UP TO SYSTMONE

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ince the turn of the year 95 GPs have signed up to SystmOne, including a record 68 practices who are moving from EMIS Web to SystmOne. We caught up with Bryan Taylor, Programme Manager for Digital Transformation, NHS South, Central and West CSU to find out why practices in his area are making the move:

Our area has a high coverage of SystmOne, not only in GP practices but also within local Community and Child Health organisations. This means that SystmOne provides a fuller, more detailed record allowing health professionals to provide more interoperable care for their patients. This also means that it offers better value for money, as there is no need for additional interoperability solutions.

We’re delighted that GP practices are continuing to move onto SystmOne in such strong numbers. Our vision has always been to further integration across the health and social care estate and having more GPs using our truly centralised system helps us to achieve this aim – which ultimately results in safer, better carefor patients. We look forward to this trend continuing, and to welcoming more GPs onto SystmOne as the year progresses. Rosa Murray, Account Manager, TPP

EDSM UPDATE

TPP would like to provide users with an update around the ongoing discussions regarding SystmOne’s eDSM.

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e have now developed some additional functionality in SystmOne, which gives both GPs and patients full control over who can access the patient’s record. GPs will have greater flexibility and control over which

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organisations have visibility of the GP record. We are planning to pilot these enhancements in the coming months and have selected the sites to be involved. Documentation will be released in the next few weeks. Please note that these new

enhancements will not affect any shares currently in place. These developments have been discussed with the ICO, NHS England and NHS Digital. We are confident they will not only alleviate the concerns of the ICO, but ensure SystmOne has the most comprehensive and


flexible sharing functionality of all the clinical systems available across the NHS. TPP will provide further updates on system notices and on our website once the pilot commences and when the functionality is rolled out nationally.


TPP PARTNERS WITH NHS ENGLAND ON FRAILTY CONFERENCE

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PP has agreed to be the main sponsor of the National Frailty Conference alongside organisers NHS England and the British Geriatric Society. The conference, taking place on Thursday 28th September, will explore different ways we can identify people living with frailty, and improve their care to support wellbeing and independence.

The venue for the conference is the newly renovated Cloth Hall Court in Leeds City Centre. The event is free to health and care practitioners, commissioners and policymakers and will run from 9.30am until 3.45pm.

WE ARE HIRING, VACANCIES AVAILABLE! We are looking for graduates with a strong record of academic performance to join a number of teams, including software developers and analysts. If you know anyone who is interested in a rewarding career with excellent benefits, then please let them know!


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NEW NATIONAL CHILD PROTECTION INFORMATION SHARING (CP-IS) FUNCTIONALITY AVAILABLE ON SYSTMONE NHS Digital’s new national Child Protection Information Sharing (CP-IS) initiative is now available through SystmOne.

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P-IS is a new Spine service designed to allow users to more easily identify vulnerable children. It alerts users in unscheduled care settings when a patient has a care plan with the local authority, and notifies the social care team that they have attended. It is now fully integrated into SystmOne and if a patient who is registered has child protection information recorded then a flag will be displayed to the user. This alerts healthcare professionals when a child is vulnerable or at risk, and also makes it possible to identify when a child is being taken to multiple organisations in order to mask a pattern of abuse. After a successful pilot at Bridgewater Community Healthcare NHS Foundation Trust’s (Bridgewater) Leigh NHS Walk-in Centre, TPP has rolled out the integration with CP-IS for the SystmOne A&E, MIU and Out of Hours modules.

We’re delighted to be rolling out the CP-IS integration after a successful pilot with Bridgewater Community Healthcare. CP-IS is a vital national initiative, and we wholeheartedly support its aim of connecting local authority and NHS organisations together to ensure more holistic care. Ultimately the ability to readily recognise vulnerable children assists clinicians in saving lives. Dr John Parry, Clinical Director, TPP

Staff in the walk-in centre have really seen the benefit of the CP-IS flag and information on SystmOne. A clinician has around 10 minutes to assess a patient’s history and make important clinical decisions and this additional information relating to child protection and safeguarding on the electronic patient record can be invaluable in supporting decisions to be made in the patient’s best interest. As an urgent care service many patients and their carers attend the Walk-In Centre on a one-off basis with a minor illness or injury. The system shares information recorded outside of our local area to give a much fuller history when treating potentially vulnerable patients. Cath Partington Acting Clinical Service Manager, Leigh Walk-in Centre

The impact of giving our clinicians critical child protection and safeguarding information where treatment of vulnerable patients is concerned cannot be underestimated. Thanks to the hard work of our IT team and frontline staff working in partnership with TPP, we are now in a position where we can roll the CP-IS functionality out to our other urgent care services.

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TPP has worked closely with NHS Digital to develop and assure CP-IS functionality within SystmOne, and there is no cost to users for implementing it. Contact NHS Digital’s CP-IS implementation team by emailing [email protected]. Further information is available at https://digital.nhs.uk/ child-protectioninformation-sharing. Gareth Davies Director of Finance, Bridgewater Community Healthcare

| Calendar | Puzzle |

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• Health and Care Innovation Expo 11th & 12th September Manchester • Healthcare Efficiency through Technology (HETT) 27th September London • National Frailty Conference 28th September Leeds • SNUG Conference 5th & 6th October Birmingham • Best Practice 18-19 October Birmingham • EHI Live 31st Oct – 1st Nov Birmingham

PUZZLE Relax with our stress busting user competition and solve it for a chance to win a Brother label printer. AENTMRIYT LYITRFA ECOVLLITABORA UTOABCNCAEL RECA TYESSM EFONECRNEC SNH GENNLAD NTMLAE HHLAET SCAEERR

CONGRATULATIONS

SONIA CARTWRIGHT

Send your answers to [email protected] to be in with a

WHO WON OUR LAST COMPETITION

chance of winning a label printer courtesy of Brother.


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| New Functionality | Top Tips |

TRAINER TOP TIPS •

You can set up your favourite forwarding recipients for processing documents and tasks. Go to user > user preferences > forwarding recipients

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Use the same templates all the time? Try adding them to the launcher to make it quicker (press F12)

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Finding a patient’s family can be easy. Press Ctrl + F10 on the patient’s record to do a co-habitant search to see who they live with.

@TPPtrainingTips

SYSTMONE FUNCTIONALITY PATIENT CHECK-IN SCREENS UPDATED WITH NEW ‘LOOK AND FEEL’ SystmOne’s check-in screens for patients have now been updated with a more modern design and improved language options for patients who prefer not to use the system in English. The improvements bring the design of the screens more in line with the SystmOne log-on screens. The check-in screens (often used with standalone hardware kiosks from our partner Jayex) allows patients to mark themselves as arrived for their appointment without needing to visit the reception desks. The screens can also be configured to give extra information to patients about the practice, for example opening times and waiting room instructions. The changes will be released in the next maintenance cycle. The software will automatically sync to display the updated screens – if this doesn’t happen straight away after the release, please turn off the hardware that you use for your check-in screens and reset it. An example screenshot of the new design is alongside.

SYSTMONLINE DESKTOP UPDATED The desktop version of SystmOnline has also had a refresh. An example screenshot is alongside.

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