June 2016 - Issue 1

Welcome to our new e-

bulletin

We're making some improvements to

the ways we communicate with you at

Connected Nottinghamshire and the

first of these is our new e-

bulletin. Hopefully it will mean faster,

better communications direct to your

inbox to keep you updated with all of

the developments in digital health

locally. As a result, this month we are a

little later than usual - we're sorry for

the delay, but there are so many

exciting things happening that we

wanted to pack as much in as possible.

know what you think. usDo let

Programme update

Starting with the Nottinghamshire health

and care digital roadmap document,

Vicky Bailey

Rushcliffe CCG Chief

Operating Officer

and Programme Owner

Andy Evans

Programme Director

we've made significant developments

following the release of the Local Digital

Roadmap (LDR) guidance from NHS

England. We are ensuring that our work

in Connected Nottinghamshire

is aligned with the Sustainability and

Transformation Plan (STP). STPs are

the new national blueprint for health

and care services for the next five years

and are currently being developed in 44

local areas, including the STP

for Nottingham and

Nottinghamshire. The LDR takes the

same approach as STPs in asking us to

look at the current gaps and provides a

checklist to identify any funding stream

and capability gaps. On Wednesday 8

June we held an LDR workshop to

agree the final publication of our

Nottinghamshire roadmap; this event

explored local options for delivering the

LDR guidance and helped to identify

key areas for funding and support. The

final roadmap document deadline is the

end of June, the same deadline as for

the STPs.

100% success for

patient online access

Savi Cartwright

Programme Manager

and Digital Roadmap

Lead

Dr Ian Trimble

GP and Chair Executive

Committee

Dr Mike O'Neil

Patient online access achievement

From just 47% at the beginning

of March to 100% in May, the patient

online access project has hit success.

This month all eligible GP practices in

Nottinghamshire have enabled patients

to view detailed coded information from

their medical records online.

The determination of the project board

led by Karen Mellors, Project and

Business Change Manager at

Nottinghamshire Health Informatics

, resulted in 100% achievement Service

in Nottinghamshire by the deadline of

the 31 March 2016.

Alan Oliver, Implementation Lead for

NHS England Midlands and

East, recognised this achievement and

said,

“To get to 100% compliance is truly

remarkable, particularly in the context of

all the other pressures on practices

currently, and hasn’t gone unnoticed

nationally."

Congratulations to everyone involved.

GP and SIRO

Councillor

Alex Norris

Portfolio Holder for

Adults, Commissioning

and Health, Nottingham

City Council

Councillor

Muriel Weisz

Chairman of Adult

Social Care and Health

Committee,

Nottinghamshire

County Council

CareCentric hits the

road

Following the successful

Project demonstration to our CareCentric

Board in April, we're going to be hitting

the road to show more colleagues what

the Community and Patient portal can

do. Stand by for dates and locations for

roadshows coming up.

The CareCentric Community Portal will

provide community-based teams with

access to a wider set of information

about their patients including primary

care data, outpatient referrals and A&E

attendances. The system is initially

being piloted with Rushcliffe CCG

practices.

CareCentric is also the technology

being used by Nottingham University

Hospitals to integrate clinical data from

a number of in-house systems into a

single system. This is part of the

development of fully paperless

working which will benefit both patients

and clinicians. Plans for new virtual

machines which use the new system

environment in a number of

NUH locations are being developed for

implementation from June to

Councillor Alan Bell

Vice Chair of Adult

Social Care and Health

Committee Member for

Mansfield East Division

September 2016.

Medical Gateway

starts Phase 2

We've started testing on Phase 2 of the

Medical Interoperability Gateway (MIG)

- the system that will allow data sharing

across primary, secondary and

community care services. MIG will

enable accelerated data sharing

between practices, A&E and Out of

Hours services across the county.

Currently Nottingham West CCG GP,

Dr Mike O'Neil, is testing the new

supportive care dataset. We're also

developing information for colleagues

and patients to help them to understand

the development of data sharing

systems and the benefits to them.

Meanwhile we are crossing our fingers

for success with our entry of the MIG

EHI Live 2016work with NEMS to the

awards for "Best use of IT to support

clinical treatment and care".

WiFi Hotspots

157 locations across Nottinghamshire

now have access to our WiFi network,

with more work underway to improve

the speed and coverage to users. We

are in the process of submitting a

funding bid for additional resources to

make this network available to all GP

practices.

Electronic Prescribing

Service takes off

106 out of 143 GP practices are now

using the Electronic Prescribing Service

(now on its second release) which

supports paperless prescriptions, by

transferring the information directly to a

nominated pharmacist.

Child Protection IS

Project Manager

Welcome to Mary Whetstone who has

been appointed as the Cross Authority

Project Manager to take forward the

implementation of migration of

children's NHS numbers to local

authority systems, and development of

local solutions. The role is funded by

NHS England and will also connect to

the national project team and trailblazer

sites. Mary will be working with the

Connected Nottinghamshire Records

and Information Group.

NHS Mail 2 is coming

If your NHS email account currently

ends with nhs.net, then your account is

now being moved to a new service

In total it will take . NHSMail 2called

around 3 months for everyone's email

to be transferred, but services will be

maintained throughout the transfer

process.

If your current NHS email account ends

in nhs.uk, then there is a local plan

to standardise email services across

the Nottinghamshire health community

and to ensure compliance with the

Information Standards Board’s email

security standards. This will mean that

uk email will be transferring nhs. NHIS

accounts to NHSMail 2 starting from the

end of the year. These changes will

affect users in all of the

Nottinghamshire CCGs and GP

practices, NEMS, PICS, and 360

Assurance.

More work to do on

mobile working for

GPs

The Mobile Working for GPs pilot has

been completed and the evaluation

should be available later this month.

Initial feedback has been varied. Some

practices have found using the devices

(and SystmOne mobile) extremely

useful when visiting patients. Others

experienced difficulties due to network

issues and lack of WiFi in practices.

There were also some problems with

the devices themselves. All-in-all the

pilot has identified that more work is

needed to provide the optimum solution

for GPs. As a result, the roll-out has

now been postponed until September

2016 to allow time for more testing

of mobile devices and for changes to be

made to the network (which is

happening as part of the

Nottinghamshire-wide COIN project

which you can find out more about in

this bulletin).

GP Repository for

Clinical Care Phase 2

We're ready to start the next phase of

this project, having agreed the Project

Initiation Document (PID) and

objectives. There's a lot of work to do

between now and our anticipated

completion date of January 2017. The

worked is being phased across direct

care, secondary care and to support the

Vanguards, as well as integration with

social care. We have already started

joint work with Nottinghamshire County

Council. The data relating to service

users over the age of 75 years will be

the first to flow from the County Council

to the NHS e-Healthscope system,

which will start to build a more complete

picture of each person and their needs

across health and care services.

The new centralised data repository is

also supporting multi-disciplinary team

working by providing access to a small

sub set of GP data to be viewed by

wider clinical and social care teams. For

example, patient records will link

admission, A&E attendance and

community services data with GP data.

From the GP record side of the system,

the SystmOne reporting unit is now

configured and working. There is some

final work on bug fixing in the EMIS

reporting tool to be done. The next

stage is to develop the work with

Sherwood Forest Hospitals to progress

data flow. Alongside this there are

related infrastructure upgrades being

done by NHIS including to the SQL

environment and the replacement of an

old Win2003 server.

The whole project is supported by

advice and guidance from patient

representatives, as well as the Local

Medical Committee and Information

Governance leads.

NHS 111 and

SystmOne messaging

98% of GP practices using SystemOne

can now receive information from the

NHS 111 service about their

patients. Through the addition of the

Interoperability Toolkit (111) to practice

systems, GPs will receive a message

when a registered patient has been in

contact with the NHS 111 service.

Community of Interest

Network

Nottinghamshire-wide connectivity has

taken a step closer through the work of

Nottinghamshire Health Informatics

Nottinghamshire Healthcare Service and

Together they . NHS Foundation Trust

are setting up a single Community of

Interest Network (COIN) which will meet

the specifications for Public Sector

Networks (PSN) providing safe and

secure access for both NHS and other

public sector services, including local

authorities. This network will support

mobile working and help to improve the

quality and reliability of services for all

users.

Comprehensive

Geriatric Assessment

update

We've tested a prototype which will

enable us to deliver the aim of

supporting a single assessment for

older people. We're now doing further

work around data quality to support the

roll-out through the Connected

Nottinghamshire Data Quality

workstream. This is one of the main

focuses of the Data Quality workstream

along with support for management of

patients with Long Term Conditions.

Copyright © 2016 Connected Nottinghamshire, All rights reserved.

You are receiving this newsletter to keep you updated on the latest developments with Connected

Nottinghamshire the programme for digital health and care.

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Nottingham, Nottinghamshire NG11 6LQ

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