The Go-Between Issue 121 February 2015 Information for Information Users

http://www.bcs.org/server.php?show=ConWebDoc.13667
The Go-Between
Information for Information Users
The Go-Between would like to hear from potential
contributors. Articles should be on health informatics
related matters and around 250-400 words in length. Copy
deadline for Issue 122 is 20 March 2015.
For contributions etc. please write to the Editor
(address on back page).
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In This Issue
Caldicott2 Progress Review
Diary
GS1 & PEPPOL Standards
News in Brief
Patient Online
TECS
UK eHealth Week
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UK eHealth Week
UK eHealth Week for 2015 is the week of 2 March. The
highlight of the week is the HC2015 event, which takes
place on 3 and 4 March at the National Hall, Olympia,
London.
It brings together the traditional e-Health
community but also a huge range of policy makers making
key pre-election announcements that will directly impact IT
in your organisation. The event brings together clinical
leads, nurses and suppliers.
The event is supported by NHS England, BCS (The
Chartered Institute for IT) and HIMSS UK and will feature
lively pre-election debates from two former health
ministers, keynote addresses from the Secretary of State,
Jeremy Hunt, and NHS CEO Simon Stevens, and an
innovative and exciting exhibition floor. Key decision
makers from NHS England, the nursing community, health
IT industry, frontline staff and entrepreneurs will also take
to the stage to demonstrate best practice and discuss the
most topical and critical issues in healthcare IT.
Issue 121 February 2015
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Integrated care: new pathways to empower quality
and safety
Getting from information to intelligence
Energising leadership and professionalism
Real world deployment: barriers and solutions
Operational
improvement
through
business
intelligence
Demonstrating benefit: productivity and efficiency
case studies
mHealth: information at the point of care
Better data, better services: What does your data say
about you?
More information:
http://ukehealthweek.com/
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TECS
Technology enabled care services refers to the use of
telehealth, telecare, telemedicine, telecoaching and selfcare in providing care for patients with long term
conditions that is convenient, accessible and costeffective. There is the potential for these solutions to
transform the way people engage in and control their own
healthcare, empowering them to manage their care and
conditions in a way that is right for them.
The aim of NHS England’s Technology Enabled Care
Services (TECS) programme is to create the right
commissioning environment that supports and encourages
the innovative use of technology to improve health
outcomes for patients with long term conditions and
deliver more cost effective services.
Continued on page 2.
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The main stage presentations include:
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Jeremy Hunt, Secretary of State for Health
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Simon Stevens, Chief Executive, NHS England
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Bruce Keogh, National Medical Director, NHS England
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Tim Kelsey, National Director for Patients and
Information, NHS England
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Bryan Sivak, Chief Technology Officer, US Department
of Health and Human Services
The BCS Health HC conference will cover important topics
such as:
The future is here – Patient Online – see page 3
More information:
http://www.commissioningassembly.nhs.uk/dl/cv_cont
ent/157329
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Caldicott2 Progress
Review
In 2013 the Government accepted all the 26
recommendations in the Caldicott2 Report.
A new
independent panel was established to provide annual
updates on progress being made in implementing them.
The first Annual Report was published in December 2014.
The key principles underpinning the Caldicott2 Report were
that “Every citizen should feel confident that information
about their health is securely safeguarded and shared
appropriately when that is in their interest.” Citizens should
feel similarly confident about their social care information.
“Everyone working in the health and social care system
should see information governance as part of their
responsibility.”
The Report details the progress being made against each
of the 26 recommendations made in the original Caldicott2
Report.
Progress against key recommendations is
summarised below.
People must have the fullest possible access to all the
electronic care records about them, across the whole
health and social care system, without charge. Good
progress was reported as the Patient On-Line project is
progressing well.
For the purpose of direct care, relevant personal
confidential data should be shared among the registered
and regulated health and social care professionals who
have a legitimate relationship with the individual. Good
progress was reported as work has taken place on consent
and data sharing protocols.
Consent is one way in which personal confidential data can
be legally shared. In such situations people are entitled to
have their consent decisions reliably recorded and
available to be shared whenever appropriate. A proposal
for a consent management standard has been accepted in
principle.
An executive director at board level should be formally
responsible for the organisation’s standards of practice in
information governance, and its performance should be
described in the annual report or equivalent document.
CQC has published a Code of Practice on Confidential
Personal Information which is under review.
Regulatory, professional and educational bodies should
ensure that information governance, and especially best
The Department of Health should lead the development
and implementation of a standard template that all health
and social care organisations can use when creating data
controller to data controller data sharing agreements. A
draft template Data Controller Agreement for Joint Data
Controllers is currently being tested with the HSCIC in
relation to care.data.
More information:
https://www.gov.uk/government/publications/iigopannual-report-2014
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GS1 & PEPPOL
Standards
Every acute NHS trust is required to commence
implementation of the GS1 standards and the
corresponding barcodes to enable clear identification of
such things as patients, caregivers, locations, products,
assets and records. Scanning of barcodes enables
accurate management and tracking and tracing of
medicines, medical devices and instruments throughout
the supply chain through to the patient record. It also
enables accurate location of equipment, assets and
medical records within hospitals and other care settings.
Associated with the implementation of GS1 are the
PEPPOL standards. PEPPOL (Pan European Public
Procurement On Line) is the culmination of a multi-year
project co-funded by the European Commission and 11
Member States. It provides a set of messaging standards
that enable procurement documents (such as purchase
orders, advance shipping notes and invoices) to be
electronically exchanged without manual intervention
between buying and selling organisations through
commercial PEPPOL ‘access points’.
Catalogue
Management
This resource raises awareness of how the wide range of
TECS can support commissioning intentions and benefit
patients, commissioners, families, health and social care
professionals and provider managers. It also addresses
the demand from commissioners for information on how to
commission, procure, implement and evaluate these types
of solutions effectively.
Organisations must ensure that health and social care
services that offer virtual consultations and / or are
dependent on medical devices for biometric monitoring are
conforming to best practice with regard to information
governance and will do so in the future. Technology
Enabled Care Services (TECS) focuses on the use of the
latest technology, in particular mobile technology, in the
context of care pathways to improve outcomes.
Location
Numbering
To this end a Technology Enabled Care Services (TECS)
Resource for Commissioners has been developed to help
maximise the value of technology enabled care services for
patients, carers, commissioners and the whole health
economy.
practice on appropriate sharing, is a core competency of
undergraduate training. Very limited progress in this area.
Patient
Identification
Continued from page 1.
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Inventory management
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Purchase-to-pay processing
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Use
Product recall
eMedicines
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Surgical instrument management
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Medical records management
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Community equipment management
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Pathology sample management
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The implementation of GS1 coding and PEPPOL
messaging standards is aimed to support a number of
functions in acute hospitals. The table above shows the
core enablers that support each use:
Trusts will need to undertake an assessment of the costs
and benefits of each of the uses (above) to build their
business cases and implementation plan.
After
implementation of the core enablers, trusts should plan for
early adoption of product safety recalls; purchase-to-pay
processing; and inventory management.
Patient Identification
The ISB1077 standard requires trusts to adopt GS1
barcoding standards for use on patient identity wristbands,
enabling accurate identification of the patient, with barcode
scanning facilitating the upload of clinical data into the
electronic patient record. The GS1 standards enable
electronic records to be created that capture details of the
patient, caregiver, care location, and equipment and
consumables utilised during an episode of care, facilitating
clinical audit and product recall.
Location Numbering
GS1 provides the Global Location Number (GLN) standard
for the identification of unique locations, such as a legal
entity (e.g. a trust or a supplier); a functional entity (e.g. a
cost centre or an accounting office); and a physical entity
(e.g. a hospital or a warehouse). GLNs support each of
use case by enabling an event to be matched to a location,
whether this relates to a person; an asset; a product or a
service.
Catalogue Management
Suppliers are required to place standardised master
product data into a GS1 certified data pool. The GS1
Global Data Synchronisation Network links these data
pools and an NHS Product Information Management
system will be established to enable trusts to draw supplier
master data from the data pools into their local catalogue
solution. This process will ensure that accurate and
consistent product information is used consistently across
the NHS and its supporting supply chains.
To maximise the benefits of GS1 and PEPPOL associated
information technology will need to be deployed. This will
include devices to read and issue barcodes and possibly
electronic tracking technologies such as RFID. System
interoperability – such as accessing pathology sample
management from the patient’s electronic record – will
enhance the usability.
More information:
www.peppol.eu
www.gs1uk.org
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Patient Online
The General Medical Services (GMS) and Personal
Medical Services (PMS) contracts (2014/15) include the
requirement for general practices to offer and promote to
patients: online appointment booking, online ordering of
repeat prescriptions and, by 31 March 2015, online access
to summary information as a minimum in their patient
record.
Patient Online will enhance the quality of care you provide
by offering online services; increasing choice and
convenience for your patients. Patient Online is an NHS
England programme designed to support general practices
to confidently offer these online services to patients,
increasing choice and convenience for patients and
responding to their needs.
Patients want to be offered more convenience, choice and
control in how they access GP services, and to be informed
and involved in decisions about their own care and
treatment.
Evidence shows that patients who are
informed and involved in their own care have better
outcomes and are less likely to be hospitalised.
NHS England has a Patient Online Programme that has
developed guidance materials.
Accelerator GP Practices have be leading the
implementation of Patient Online and providing learning.
Practices that promote and enable record access, as well
as appointment booking and repeat prescription ordering
online, have found a very positive response from many
patients, particularly those with long term conditions who
are in frequent contact with the practice.
Practices have found that patients have managed their
online services well, although there are still only a small
percentage of practices offering access to summary
information. This service should be available for any
patients who wish it, but not required to be used by every
patient as some patients don’t want to use electronic
systems. Some patients are concerned that those who do
not have Smartphones, PCs, laptops, tablets and internet
connection will miss out on booking appointments.
Practices who offer a higher proportion of their
appointments online find the systems work more easily
and effectively. Online services are an extra option for
those who wish to use them and will not replace other
ways of contacting your practice, such as by phone or in
person. By freeing up phone lines and reducing the need
for people to visit in person, it is hoped that patients who
do not have a computer will find it easier to contact their
practice.
Patients have said they found access to their summary
information (e.g. allergies) helpful when completing the
forms provided by the health service.
When the development of online patient access is linked
to another GP system function, such as Electronic
Prescription Service (EPS), the process becomes more
streamlined and hugely benefits the patients.
Most practices find shared examples from other practices
their most useful resources. The practices that use a wide
range of promotional tools, including waiting room TV, the
website, prescription notes, newsletters, and business
cards for patients, are successfully increasing the number
of patients who sign up for online services.
Some GP system suppliers’ software is not available or
does not work appropriately, which has slowed progress
for those practices.
The benefits of Patient Online may be summarised as:
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Improved access to care services
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Expanded health knowledge for patients
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Increased information sharing
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Reduced administrative workload for practice staff
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Increased patient satisfaction
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Improved communications between practices and
patients
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Increased operational efficiencies for practices
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Reduction of DNAs
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Reduced travel for patients
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Increased ability of patients to make informed
decisions
More information:
http://www.england.nhs.uk/ourwork/pe/patientonline/po-gp/
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News in Brief
Project Start-Up
BCS PROMS-G is running a series of Spring Schools on
the challenging area of Project Start-up. For many project
managers this is an extremely critical phase because if the
objectives, funding and commitment of all stakeholders are
not fully in place and understood, the whole project may be
doomed from the start.
The school runs over four
Wednesday evenings in March 2015 at BCS London, The
Davidson Building, 5 Southampton Street, London, WC2E
7HA.
For more information see: http://www.promsg.bcs.org/eventbooking/showschool.php?eventid=psg1425.
Servelec acquires Corelogic
The Servelec Group, which provides the RiO system, has
acquired Corelogic the supplier of social system
Framework-i. Servelec has said that "The addition of
Corelogic strongly positions Servelec to address the health
and social care interoperability agenda and to offer a fully
integrated solution as the market moves towards the
government's commitment to converged care for patients.
Corelogic provides Servelec with a deep presence in the
key social care market and its unique product set
complements Servelec's existing RiO offering and market
position in mental health and community trusts. "
NHSmail2
The NHSmail2 procurement process is underway, selecting
a supplier from the Crown Commercial Service managed
email framework. The contract award is due to take place
in March 2015 followed by a transition to the new service
throughout 2015 - 2016. This will involve migrating existing
users to the new service, organisation by organisation.
Care Act Info Requirements
Every council with responsibility for social care will have IT
systems in place to manage their case records. The care
and support reforms will change the requirements of these
systems. The Department of Health issued a paper
Informatics Specification for Care Act ImplementationsCore Systems in July 2014. An update document issued
this month summarises the key implications for systems
arising from more detailed regulations and guidance. See:
http://www.local.gov.uk/documents/10180/5756320/Informa
tics+Specification+for+Care+Act+Part+2+Implementation/2
aece5f2-e7de-4580-b5c9-a777d4a4aaa4
Public Contract Regulations
The Public Contract Regulations 2015 were introduced into
Parliament on 5 February and most of the provisions came
into force on 26 February. The regulations mainly deal with
high value spend (over £111,000) that requires European
wide advertising and various changes apply (for example
the abolition of Part B services which previously did not
come under the full rigour of the rules). However, the
government has taken the opportunity to incorporate into
the legislation rules concerning lower public sector spend.
The lower value rules require that where contracts for
goods and services are to be advertised and where the
value is £25,000 and above then they should be advertised
using the government’s Contracts Finder portal. There are
also requirements about award notices among other
provisions. Government guidance in regard to the rules is
awaited.
For
the
new
Regulations
see
http://www.legislation.gov.uk/uksi/2015/102/pdfs/uksi_2015
0102_en.pdf.
Integrated Digital Care Fund
There has been “a substantial reduction to the level of
funding” available in the Integrated Digital Care Fund. As
a consequence many of the applications that should have
funded have been turned down. It is understood that
shortlisted applications have been awaiting approval from
the Treasury since October.
Spine 2 Care Identity Service
The NHS Spine is currently being updated to the Spine 2
service. In February the Identity and Access Management
(IAM) Service is being replaced by the new Care Identity
Service (CIS). The CIS is now live with the remaining
transition steps taking place shortly. For more information
see: http://systems.hscic.gov.uk/rasmartcards/cis.
NHSmail SMS / Fax Service
Earlier this year the Department of Health made a decision
to withdraw funding for NHSmail SMS and fax services,
meaning the current NHSmail SMS / fax service will cease
for all organisations on 31 March 2015. However, NHS
England has now formally agreed to continue to support
SMS for primary care organisations only, including Clinical
Commissioning Groups, and Commissioning Support
Units that directly support the above groups until 30
September 2015.
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Diary
03 - 04
Mar 15
04 Mar15
HC2015, Olympia, London W14 8UX
(http://ukehealthweek.com/index.asp)
BCS PROMS-G: Project Start-Up, Spring
School, London WC2E
(http://www.bcs.org/content/conEvent/9252)
07 - 08
Apr 15
BCS: “Value Driven Project
Management”, London WC2E
(http://www.bcs.org/content/conEvent/9263)
13 - 14
Apr 15
“Cyber Security Show”, Bishopsgate,
London
(http://www.bcs.org/content/conEvent/9295)
18 May 15
Data Governance Europe Conference
2015, Portman Hotel, London W1H 7BG
(http://www.irmuk.co.uk/dg2015/)
__________________________________________________________
Address for correspondence:
The Go-Between,
c/o David Green, Director of IM&T,
SW London & St George’s MH NHS Trust,
Springfield University Hospital, Tooting,
LONDON SW17 7DJ.
[email protected]
London & South East