APPROVED
NHS GRAMPIAN
Minute of the eHealth Committee held on Friday 13 th May 2011 at 10.00am in the Seminar Room, Summerfield House
Present:
Councillor Kate Dean (Chair)
Dr Steven Baguley, Clinical Director, eHealth
Mr Richard Carey, Chief Executive, NHS Grampian
Mrs Alison Hawkins, General Manager, eHealth
Mrs Linda Juroszek, Area Clinical Forum representative
Dr Olive Robb, Consultant Radiologist
Dr Bill Simpson, Consultant, Chemical Biochemistry
Dr Pauline Strachan, Chief Operating Officer
In Attendance:
Mrs Pam Buckingham, Personal Assistant
Item Subject
1.
2.
3.
Board Meeting
04 10 11
Open Session
Item 8.8
Apologies
Dr Roelf Dijkhuizen, Medical Director
Dr Izhar Khan, Chair, Consultant Sub-Committee
Minute of previous meeting held on 18 th February 2011
The minute of the meeting held on 19 th November 2010 was agreed as an accurate record of discussion with a small addition in 3.3:
“installation of Citrix to support the Carestream system”.
Matters Arising from meeting held on 19 th November 2010
3.1 Kiosks
Dr Baguley reported that the costs of the pilot and roll out had been deemed too high and therefore it had been decided to invest the funds in additional wireless network hardware instead.
3.2 Picture Archiving Computer Systems (PACS)
Mrs Hawkins provided confirmation that Elgin images are available to be seen on all sites. There are proposals to centralise PACS and costs and timescales are being gathered.
A business case will be prepared and the roll out planned.
Action
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Item Subject
Mr Carey pointed out on behalf of the Committee that this is a very positive development. The Radiologist post in Elgin remains unfilled and it was agreed that discussion regarding support for the Service should take place outwith the meeting.
3.3 eHealth Role and Remit
This has now been sent to OMT for information.
3.4 Wireless LAN, ARI
An instruction guide is almost ready for circulation regarding access to the wireless LAN. It will be taken to the GP Sub-
Committee in June. The network is currently being installed at
Royal Cornhill
Hospital and it is hoped that Dr Gray’s will follow.
4.
Action
5.
Patient Management System
Mrs Hawkins updated the group on the progress with the PMS implementation. There is a substantial improvement in functioning of the system, although some problems remain with clinic scheduling remain. Mrs Hawkins noted that Mr Khan had highlighted issues at
Woolmanhill Hospital, which were currently being addressed. The 18 week RTT reports for February and March have been sent to the
Scottish Government. There has been an improvement in the level of data and analysis using PMS as the data source compared to PAS, but there was still an element of manual data gathering. It is hoped to further improve the level of automation of reporting in the next few months.
New Ways needs to be reported as soon as possible and it is hoped that all reporting will be up to date by the end of July.
A feedback meeting with the software owners is planned, as the quality of support following implementation needs to be addressed.
There are issues surrounding the delivery of Mental Health Services, with some gaps having been identified in the PMS specification. Mrs
Hawkins will hold a teleconference with Intersystems today to discuss this.
Two Boards have yet to go live with their implementation which could impact on Grampian in the coming months, particularly as the funding for PIMMS expires in March 2012.
Mrs Hawkins will bring a further update to the next meeting.
Draft National e-Health Strategy Consultation
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AH

Item Subject
6.
7.
8.
9.
The national eHealth Strategy has changed as given the national financial situation it has moved from a capital investment focus to a non recurring revenue support model. The current draft strategy out for consultation already reflects input from eHealth clinical and national leads. It was agreed that this needs to tie in with local delivery plans and in particular the Change Fund in terms of health and social care and the Integration Agenda. It was agreed that a strategic approach to this is required and Mrs Hawkins will speak to Heather Kelman,
General Manager Lead for the Change Fund to discuss support for information flows.
Mrs Hawkins will draft a response to the consultation for Dr Strachan.
Change Management
Mrs Hawkins requested that the Committee support the view that all changes/updates/connections etc to existing IT systems need to be channelled through the same process to ensure a unified approach to governance. A communication will be sent from eHealth to relevant users.
The Committee endorsed the proposal.
IT Systems Update
Mrs Hawkins reported that whilst there are some reds and ambers on the RAG report, there are no immediate concerns and work is ongoing.
1 new appointment has been made to the Development Team, however there are some staffing concerns in Information Governance at a senior level. Temporary solutions are being sought and the
Committee noted that national support could be drawn upon if necessary.
Report to the Performance Governance Committee

Roll out of PACs to the Community.

Update on PMS.

New eHealth Strategy Consultation.

Change Management
AOCB
9.1 Update from Moray – Mr Andrew Fowlie
Mr Fowlie joined the meeting by videoconference to give an update on Elgin eHealth initiatives.
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Action
AH
AH
AH/PB
AH
AH

Item Subject
9.

Digital Health Network: including Telecare; home based monitoring of lifestyle, monitored centrally by the hub in
Aberdeen; Telehealth from home to a central point; further scope for web health or TV/hand held devices.
This web science is known as Assistive Technologies.

Life Sciences Agenda: works well with the above alongside existing interventions and commercial partners. One of the projects has been shortlisted for a national prize. In addition, the Community Alarm which has been in operation for about 30 years has been updated as a fashion item in collaboration with an Art
School to enhance its image and encourage use. This has attracted interest as a commercial proposition from overseas. It was noted that intellectual property should be explored in relation to this.

Some key Moray staff have been involved in many project developments linked in with NHS 24/ISD.

Education: the first Web Science Course is being run in
Elgin with links to RGU and Aberdeen University.

Mobile phone Applications (Apps) have been developed in conjunction with Apple around various initiatives:
Menopause Matters, Bladder Matters etc.

Risk Stratification tool for use in General Practice
– there is a need to develop a governance framework as a
Grampian-wide approach.

Scotland-wide interest in Assistive Technologies with a figure of between £10 - £20M in funding available from the Scottish Government and private enterprise. Work will be in conjunction with NHS 24 who have overall responsibility for Telehealth and Telecare.
Microsoft approached Moray approximately 6 – 12 months ago to look at areas suitable for collaborative working, however 3 months ago they became involved in a legal dispute with NHS
Scotland and no progress has been made to discussions. On behalf of the Committee, Mr Carey applauded the innovations within eHealth by Moray but emphasised that due process of local and national guidelines must be followed with a robust governance procedure. Mr Fowlie will write a paper for the
Committee with terms of reference, progress to date and plans for the future to ensure clarity and adherence to an overall governance structure.
It was agreed that this will be discussed at Executive Team level and also that a regular report from Mr Fowlie and the
Scottish Centre for Telehealth would be valuable.
Dates of Future Meeting
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Action
AF
AC/AF
/JF

Item Subject
19 th Aug 2011 (ASM 5 th Aug at 9am in Roelf Dijkhuizen’s office) – 1000
– 1200 in the Seminar Room, Summerfield House
11 th Nov 2011 (ASM 28 th Oct at 9am in Roelf Dijkhuizen’s office) –
1000
– 1200 in the Seminar Room, Summerfield House
Action
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