Digital Technology

Digital technology and innovation can help us to transform the way we provide health and care and offer new ways to support people to stay well.

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Across the region we are looking for ways to harness the latest digital technology and innovation to transform the way we deliver health and care services.

This includes finding new ways to share information between different health and care providers to enable safer, more joined-up care. It also means using digital technology to create new ways for patients to access advice, support and care.

It involves supporting our clinicians and other professionals to work together across organisations and our large geographies. In addition, as a Partnership we are supporting innovation in our local health and care economy through initiatives such as the Humber Care Tech Challenge.

Digital Fast Forward Strategy

The Digital Fast Forward Strategy sets out our digital ambitions, plans and opportunities for the Partnership.

The plan has been developed by local digital leaders in response to the digital challenges facing us, but ultimately for the benefit of the public, patients and service users.

The Partnership is committed to its delivery and it will be at the heart of our digital recovery both at local level and across the wider area.

Sharing Information to Improve Care:

Working Together to Improve Care

We are working together to develop a digital strategy for the partnership. The strategy will identify an overarching vision for digital transformation.

If you would like to get involved in helping to shape our future digital strategy, you can join the conversation on twitter #HCVDigitalFutures or get in touch to find out more.

Read our progress report here.

Shared Care Records

The challenge

There are hundreds of clinical computer systems across our region. They all hold clinical information about patients who have used services provided by their GP, at a local hospital, community healthcare, social services or mental health teams. Each record may hold slightly different information about a patient or individual using a particular service.

When patients move between different organisations for different aspects of their care their records don’t automatically travel with them, and so clinical teams spend a lot of time checking vital information such as current and past treatments, test results and allergies with patients themselves or with other care providers. This also creates the potential for important information to be missed making it harder to provide good quality, safe care.

What we are doing about it

Our partners are working together on different programmes to enable the sharing of critical health and care information between clinical teams who need to see it so that they can provide safe and effective care for patients. We are also looking at how we can support individuals to view and add information into their own health and care records directly, enabling them to have greater control over their own health.

To support this work, we have asked local people what they think about how their information should be shared. You can read the Joined Up Yorkshire and Humber report here.

We will continue to involve local people in this work and welcome views and ideas.

Yorkshire and Humber Care Record

The Yorkshire and Humber Care Record is being rolled out across the area with the aim of improving care for people who use NHS and social care services.

What is it?

There are hundreds of clinical computer systems across Yorkshire and Humber. They all hold clinical information about patients who have used services provided by their GP, at a local hospital, community healthcare, social services or mental health teams. Each record may hold slightly different information.

The Yorkshire and Humber Care Record will bring together certain important information from all of these systems so that medical and care information held about a patient or service user can be centralised into one easy-to-use system.

All of your records will still be strictly confidential. They will only be looked at by clinical care staff who are directly involved in your care.

What difference will it make?

The Yorkshire and Humber Care Record will support people working in health and social care services to provide you with better and more joined-up care. It will make care safer because everyone involved in treating you will have access to the most up-to-date and accurate information about the medicines you are taking and any allergies that you have, for example.

It will also help to avoid unnecessary or duplicate tests and procedures, and reduce paperwork for doctors, nurses and other staff, giving them more time to spend on patient care.

You can choose not to have a Yorkshire and Humber Care Record. It is your choice but sharing your medical and social care information through a Yorkshire and Humber Care Record will make it easier to provide the best quality care and support for you. Read more about how to object in the FAQs section below.

FAQs

  • What is the Yorkshire and Humber Care Record?

Now, every health and social care organisation that you use has a different set of patient or service user records for you. These records may duplicate information or one record might hold information about your treatment, care and support that another one doesn’t. To provide the best care to you as a patient or service user, it is essential that health and social care professionals have access to the most up-to-date information.

It will be a secure virtual health and social care record. It will pull key information from different health and social care records and store it in one combined record. This enables health and social care professionals to find all the key information for your care in one place.

  • Why do you need to share my information?

To provide the best treatment, care and support to you as a patient or service user, it is essential that health and social care professionals have access to the most up-to-date information.

Information is already shared between health and social care organisations by phone and through paper records. Sharing health records allows this sharing process to happen more efficiently, enabling better care for you.

Healthcare organisations across Yorkshire and Humber are working together to further improve health and social care across the region. Health and social care professionals have a duty to share relevant information between them if they are involved in providing you with care:

  • How do I know my records are kept secure?

By law, everyone working in, or on behalf of, the NHS and social care must follow strict information governance rules designed to respect your privacy and keep all information about you safe. Information is held on secure, encrypted systems which keep a record of everyone who has accessed a patient record, the time and date when they accessed it and the information they were viewing. The laws on data protection are clear and we take them very seriously. We regularly check to make sure that only people who need to see your patient record are viewing it.

  • Can anybody see my records?

Your medical records will still be confidential. They will only be looked at by people who are directly involved in your care. Your information isn’t shared with anyone who doesn’t need it to provide treatment, care and support to you. Your details will be kept safe and won’t be made public, passed on to a third party who is not directly involved in your care, used for advertising or sold.

  • Can I access my records?

Patients have the right under Section 7 of the Data Protection Act (1998) to request access to any information that an organisation holds about them. Each individual organisation that contributes information to your Yorkshire and Humber Care Record has a responsibility to handle these “Subject Access Requests”.

Should you wish to access your records this way, contact the organisation who holds the part of the record you are interested in directly, for example: your GP, hospital, mental health trust or social care team.

  • Can I object to my records being shared?

Yes. You have the right to object to your health and care records being shared. However, if staff require access to the information shared on the Yorkshire and Humber Care Record to provide safe individual care they are legally allowed access.

For further information, contact the Access to Health Records team at Leeds Teaching Hospitals NHS Trust 0113 20 65824

Access to Health Records

Leeds Teaching Hospitals NHS Trust

St James University Hospital

Lincoln Wing/Chancellor Wing Link Corridor

Beckett Street

Leeds LS9 7TF

  • What do I do if I want to make a complaint about improper use?

Please contact the care provider alleged of improper use directly to register a complaint.

More about our programmes

System-Led Interoperability Pilot (SLIP)

Thanks to the roll-out of a new initiative, patients across the Humber region are now benefiting from more joined-up healthcare. Healthcare professionals in GP practices, community and mental health services can now see up-to-date information about their patients, even if they’ve been treated somewhere else. Read more here.

Electronic Palliative Care Co-ordination System (EPaCCS)

The challenge

Patients who are at the end of life come into contact with many health and care professionals. The challenge has been in enabling different care providers to share information about an individual patient’s care and end-of-life preferences in a safe, up-to-date and efficient way.

Treatment choices, how and where care is delivered and the preferred place of death are at the heart of end-of-life care. Patient choices are not static and often change during the last weeks and months of life. Typically, preferences for end-of-life care are collected by GPs and inputted into their GP system. However, this may not always reflect the latest wishes of the patient and may not be available to all of a patient’s health and care providers.

The emphasis being placed on improving end-of-life care is also reflected within the contractual standards being implemented for health and care providers. EPaCCS can support health and social care providers in meeting end-of-life contractual standards as part of the improvement of the full end-of-life care management process.

What is EPaCCS?

EPaCCS enables the recording and sharing of a patient’s care preferences and key details about their care at the end-of-life.  As it is electronic it can easily be shared 24/7 between all of the clinicians and carers involved in the patient’s care across organisational and geographical boundaries.

An EPaCCS record can be created, updated and shared by any member of a patient’s health and care team, subject to locally-determined pathway and user administration settings. The EPaCCS record is a summary record, intended to provide an easily accessible view of the information that carers need in an end-of-life setting.

Some of the data that populates the EPaCCS record is pre-populated from the GP record, for example, patient demographics, GP practice details, current repeat medications and diagnoses/problems. Other mandatory fields can be filled collaboratively by different health and care providers, including primary end of care diagnosis, CPR decision, preferred place of care, details on anticipatory medication and preferred place of death.

The use of EPaCCS

EPaCCS is available to health and care providers across our region, including GPs, community providers, hospitals, hospices, out of hours services and ambulance providers.

After an initial pilot in the Vale of York, Scarborough and Ryedale and North Lincolnshire, EPaCCS is now available in the East Riding of Yorkshire, Hull, North East Lincolnshire and Whitby.

How can my organisation get involved?

To find out more about the roll-out of EPaCCS please contact Tara Athanasiou (tara.athanasiou@idealts.co.uk).

More information for clinicians

The roll-out of EPaCCS is part of our vision for the Yorkshire & Humber Care Record to provide a joined-up electronic record for our patients, that is accessible by and can be inputted into by all of the services involved in their care.

Dr Avi Pillai, a North Lincolnshire GP, explains the importance of GP surgeries adopting EPaCCS across the area.

EPaCCS enables the recording and sharing of a patient’s care preferences and key details about their care at the end-of-life. In this section health and care organisations can download further information about the EPaCCS roll-out and access all training and on-boarding materials.

GP Connect

GP Connect allows GP practices and Integrated Urgent Care (NHS 111) to share and view GP practice clinical information and data between IT systems, quickly and efficiently. This will make sure patient medical information is available to clinicians when and where they need it, improving patient care.

The GP Connect programme is supporting the development of products which will enable different systems to communicate. In the first instance we will be using GP Connect to:

  • Enable NHS 111 (Yorkshire Ambulance Service) to book direct appointments with GP Practices and GP Record Access for Urgent Care Clinicians in NHS111 in read-only format.
  • Enable appointment booking and record sharing between GP practices within Primary Care Networks (PCNs).

We will continue to engage with you as additional functionality is added to GP Connect.

More information and videos can be found at: https://digital.nhs.uk/services/gp-connect

Why are we doing this?

It will improve patient care. Currently when finishing a call to NHS 111, patients need to contact their practice to make an appointment if required.  Instead, using Appointment Management they can be booked immediately into an appointment by NHS 111, reducing the burden on practice admin and improving the patient experience.

Making appointments available to NHS 111 is a national contractual requirement in the 2019/2020 GP Contract.  This system will help meet this contractual requirement.

It will also improve clinical experience. By being able to view a patient’s record, clinicians in NHS 111 can make a better decision about patient need, resulting in more appropriate action and referrals.

Guidance and audit requirements for General Medical Services contract

What is the Information Governance approach?

NHS Digital requires GP Practices to have been informed about what information will be shared using GP Connect and to provide an outline of the method for sharing information.

When you configure your Practice’s clinical system to enable the data sharing through GP Connect, this will be taken as your Practice’s agreement to the terms of the GP Connect Information Sharing Statement.

How can we configure our practice’s clinical system to enable GP Connect?

GP Connect in EMIS system guide

GP Connect in TPP SystmOne guide

These training guides provide detailed instructions on how to configure your EMIS or TPP SystmOne clinical systems to enable NHS 111 (Yorkshire Ambulance Service) to directly book appointments with Practices and for clinicians in NHS 111 to access a read-only view of a patient’s GP record.

More information

If you need further support, please contact your CCG’s Primary Care Lead or tara.athanasiou@idealts.co.uk

Digital Inclusion Principles

The NHS, and the wider health and care system, is committed to delivering information and services digitally wherever appropriate.  For patients, digital health can mean better access to information and care, increased convenience, and more opportunities for greater control of their own health and shared care. For the health and care system digital health can mean more effective delivery of care, better outcomes and reduced costs. However National statistics show that many of the people who could most benefit from digital services are the least likely to be online.

The ‘Digital Inclusion Principles’ developed by the HCV Digital Inclusion Group are intended to be used as consistent guide and aid all HCV organisations when developing projects which may have a digital element. The principles are based on existing good practice (e.g. NHS Digital guidelines).

Find out more via our Digital Inclusion Strategy document.

Featured Programmes

To view all of our programmes click here.