Working
Together
Sponsors: Louise Barnett (CEO). Sewa Singh (MD)
Project Manager : Adam Drury / Robin Drummond-Hay

Barnsley
Hospital NHS
Foundation
Trust
Doncaster and
Bassetlaw
Hospitals NHS
Foundation
Trust
Chesterfield
Royal Hospital
NHS
Foundation
Trust
The Mid
Yorkshire
Hospitals NHS
Trust
The Rotherham
NHS
Foundation
Trust
Sheffield
Children’s NHS
Foundation
Sheffield
Teaching
Hospitals NHS
Foundation
Trust
Trust
Feb 2013 Sept 2013 Jan 2014 Sept 2014
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Programme Initiated
– Scoping Work
Business Cases for
Development
Approved
Project Team /
Central PMO in place
First projects begin to deliver benefits
Working
Together

Make collective efficiencies where the potential exists
Meet commissioner intentions to improve the health and wellbeing of the people being served in the most efficient and effective way
Deliver safe, sustainable and local services to people in the most appropriate care setting
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Working
Together

CCG Collaborative
Working Together
Partnership
Working Together
Programme Executive
Clinical Reference
Group
PMO
Commissioners
Working Together
Programme Office
Trust Chairs
Trust PMO/Leads
Working Together
Workstreams
Sharing and
Adopting
Good Practice
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Sustainable Service
Configuration
Sustainable Care
Quality
Informatics
Working
Together

Sharing and Adopting
Good Practice
• Procurement
• Medical Locums
• Shared Services
Creates new opportunities
Creates funds to support
Sustainable Service
Configuration
• Smaller/Vulnerable Specialties
• Specialised Services
• Children's Services
Creates a structure to enable
Informatics
• Data Sharing
• Paper light future
• Joint Procurement
• Supportive EPR Transition
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Creates a
Cross-Trust
Care
Environment
Sustainable Care Quality
• Access to Diagnostics
• Access to specialist opinion
• 24/7 care
Working
Together

Aim
• To identify the potential areas where collaboration on informatics systems, services or infrastructure between Trusts could take place
Orders and
Results
Sharing of pathology tests and results between acute
Trust providers
Cancer Waiting
Times
Implement inter-
Trust solution to support 31/62 day cancer waiting time tracking
Document
Management
Joined up procurement of scanning service and storage of archived records
Wifi Access
Easy to use reciprocal Wifi access across Trust sites for NHS supplied devices
Video
Conferencing
Replace existing room based facilities and implementation of standardised desktop solution
Good Practice ‘Information Sharing’ Events
Information Governance / Data Sharing Agreements
Workforce Development / Training / Culture Change
Collaborative Forums for Informatics Directors, IT Managers and BI Leads
Working
Together
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Jan 2014
Oct 2014
Apr 2015
Page 7
Working
Together

Jan – Sept 2014
Phase 1 – ‘Quick Wins’
• ICE OpenNet deployment
• Information Sharing
Events
• Information
Governance
Agreements
• Access to low cost training and development
• Establish Collaborative
Working Forums
(Informatics Leads, BI
Leads, IT Managers etc)
Oct 2014 – Mar 2015
Phase 2 – Short Term
Strategy
• Reciprocal Wifi deployment
• Cancer Waiting Time
Tracking solution
• Standardised desktop videoconferencing
(VC) solutions
• Improved room based dedicated VC facilities
• In-patient minimum edischarge summary implementation
• Development of standards and architecture for South
Yorkshire Shared Care
Record
Apr 2015 onwards
Phase 3 – Medium /
Long Term Strategy
• Specification and implementation of
South Yorkshire
Shared Care Record
• Informatics solutions to support service redesign workstreams
• Cancer clinical information sharing solution (including chemotherapy medicines management)
• PACS image and radiology report sharing
• Maximising the use of
Summary Care Record
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Working
Together

Working
Together
Phase 1 – ‘Quick Wins’

Benefits
• Faster access to results from other hospitals
• Reduced demand for duplicate tests
• Reduced clinical risks
• Quicker treatment and improved outcomes
• Supports follow up care provided by GPs
/ local hospitals
• Supports delivery of care pathways across multiple organisations
• Reduces demand for direct access to other hospital ICE systems.
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Milestones
• Pre-deployment technical readiness assessment –
Completed (August 2014)
• System Training and Configuration
– Completed (August 2014)
• Complete pilot work in Trusts and close deployment project – 12 th
September
• Local clinical governance approval and formal go-live at all Trusts –
30 th September
Working
Together

12 formal Information Sharing Events completed – Information Sharing now on-going within established collaborative working forums
Lead / Organisation
Date
COMPLETED
7 th February
25 th February
6 th March
11th March
18 th March
27 th March
3 rd April
10 th April
24 th April
29 th April
14 th May
13 th June
Event Title
Benefits Realisation Approaches
‘Fit for Purpose’ Business Cases
Sharing of Primary Care Data
Mobile Devices and Solutions
Jason Bradley (Barnsley)
Steve Parsons (Doncaster)
Sally Soady (CSU)
Steve Parsons (Doncaster)
Electronic Document Management Systems (EDMS) James Rawlinson (Mid Yorks)
PACS EMRAD Consortium (external)
GP Orders and Results Reporting
Bedside Entertainment / Patient Wifi
Project Governance
Clinical Coding
Engagement for EPR
Virtual Desktop Infrastructure (VDI)
Eddie Lewis (Chesterfield)
Steve Parsons (Doncaster)
Paul Barrett (STH)
Jason Bradley (Barnsley)
Trisha Bain (Rotherham)
James Dackombe (Doncaster)
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Working
Together

IT
Managers
Group
Informatics
Leads
Group
Maternity
Data Set
Group
Business
Intelligence
(BI) Leads
Other Data
Set Groups
(TBC)
• Informatics Leads, BI
Leads and IT Managers meet monthly
• Sub-Groups formed as appropriate (e.g. Maternity
Data Set Group)
• Provides a productive collaborative working environment for project delivery and information sharing
Working
Together
Page 12

• Tier 1 Information Sharing
Protocol, outlining the principles and processes for sharing agreed in
March 2014
• First specific Tier 2
Information Sharing
Agreement, for ICE
OpenNet project, agreed in May 2014
• Further Tier 2 agreements to be developed as required
Working
Together
Page 13

• Partnership agreed with North West Informatics Skills Development Network
• Rotherham testing agreement until October 2014 – recommendations on wider Trust membership to follow
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Working
Together

Working
Together
Phase 2 – Short Term Strategy

Benefits
• Data transmitted electronically to another
Trust as soon as it is recorded in local systems
• Immediate access to data on patients under specific clinician care in other Trusts
• Reduced need for duplication of data entry
Milestones
• Technical due diligence of current InfoFlex systems –
Completed (July 2014)
• Requirements specification for required solution from
Operations Sub- group of
Cancer Strategy Group
(South) – 17 th September
• Business case for investment in required solution – 3 rd November
Working
Together
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Benefits
• Improves productivity of clinicians and managers who work across more than one Trust
• Supports re-design of pathway based and integrated care models
• Reduces need for ad-hoc network access requests across organisations
Milestones
• Network Infrastructure Audit –
Completed (July 2014)
• Preferred technical option for solution delivery agreed (‘NHS
Roam’) – Completed (August
2014(
• Proof of concept for technical solution tested – 30 th September
• Business case for investment approved – 3 rd November
• Complete implementation – 30 th
January 2015
Working
Together
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Benefits
• Improved quality and availability of dedicated videoconferencing facilities to support Cancer MDTs
• Reduced time lost travelling between sites for meetings
• Reduced travel costs
• Improved participation levels in meetings
Milestones
• Infrastructure Audit – Completed (July
2014)
• Requirements specification for required room based solution from Operations
Sub- group of Cancer Strategy Group
(South) – 17th September
• Business case for investment in required room based solution – 3 rd
November
• Recommendations for desktop solution from IT Managers Group – 30 th
September
• Begin implementation of Desktop
Solution – 30 th November
Working
Together
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Information Item
Registered GP and Practice
Registered GP
GP Practice Name
GP Practice Address
Patient Details
Name
Address
Date of Birth
Gender
Hospital Number
NHS Number
Marital Status
Social Context
Special Requirements
Admission Details
Consultant
Specialty
Admission Date
Admission Time
Discharge Date
Discharge Time
Discharge Ward
Method of admission
Clinical Information
Reason for Admission
Primary Diagnosis
Other Active Problems / Diagnoses
Significant Inactive Problems / Diagnoses
Important procedures performed
Significant Hx Operations / Procedures
Allergies
Summary of the Admission
Important investigation and results
Medication Changes
TTO Medication
Management Plan and Follow up arrangement
GP Actions Requested
Measures of physical and cognitive function at discharge
VTE and other assessment scales
Discharge destination
Blood transfusion during admission?
Information given to patient/representative
Other Important Information
For deceased patients only
Suspected Cause of Death
Date of Death
Time of Death
Other underlying diseases
Procedures and operations
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• Initial draft e-discharge summary developed June
2014
• Version for consultation by
Informatics Leads and
CRG released July 2014
• CRG reviewed updated final draft August 2014
• Awaiting clinical approval to implement across organisations
Working
Together

Working
Together
Phase 3 – Medium / Long Term Strategy
South Yorkshire Shared Care Record

Delivering the vision – South Yorkshire Shared Care Record (SYSCR)
BHT
Clinical
Portal
TRHT
Clinical
Portal
CRHT
Clinical
Portal
STH
Clinical
Portal
SYSCR
MYHT
Clinical
Portal
SCH
Clinical
Portal
DBH
Clinical
Portal
Primary
Care
MIG
• Vision is that clinicians will have access to the information they need for direct patient at the point of care delivery, regardless of source
• We will build on experiences of similar projects nationally
(including Leeds Care Record)
• First phase would be unidirectional feed from local Trusts and MIG in primary care to Shared
Care Record
• Second phase development would add additional data feeds (Trusts, systems etc) and enable bidirectional flow of data
Working
Together
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1. Clarity of what information will be shared between: a. Different secondary care providers b. Primary and secondary care
2. Priorities for information sharing, and timescales to support wider Working
Together programme
3. Standards for information sharing
4. Technical architecture / draft operating model of shared care record solution
5. Data quality and information governance arrangements
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Working
Together

Apr 2015 on
Mar 2015
Sept 2014
Dec 2014
Agreed vision and outline scope for
SYSCR
Agreed standards for information sharing
Agreed API for messaging
Agreed overall technical architecture
Priorities for information sharing agreed, and roadmap for deployment
Data sets for sharing for priority areas agreed
Detailed business case and plan developed for
SYSCR
Business Case for SYSCR approved
Project team put in place
Priority projects agreed
Execution of detailed project plan
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Working
Together

Adam Drury
Adam.drury@ge.com
07834 711007
Robin Drummond-Hay
Robin.drummond-hay@nhs.net
07703 719777
Working
Together
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