Follow Us

Shared Care Records

An ecosystem platform approach to sharing information

In Nottingham and Nottinghamshire, we currently have two shared care records using a broad definition. One of them is the GP Repository of Clinical Care (GPRCC); the other is the Nottinghamshire Health and Care Portal, also known as ‘Care Centric’. Shortly, work will begin on the Ecosystem Platform (ESP) which will eventually replace Care Centric, but it will also deliver many other capabilities and supporting projects.

 

Benefits to our people and region

  • Data available to clinicians and social care teams that will support improved decision making for direct care
  • Speedier handover processes – for example, from hospital to social care
  • More effective administration processes, giving staff more quality time to improve care provision
  • Reduction in social care worker attending appointments when citizen in another care setting
  • Patient data shared between professionals reducing the need for duplicate assessments being carried out

The Ecosystem Platform approach to digital transformation offers the local Integrated Care System (ICS) an opportunity to improve Shared Care Records across Nottingham and Nottinghamshire. Shared Care Records allow primary and secondary care clinicians to see the same information about a patient, meaning that patients only need to tell their health and care history or story once instead of multiple times. This saves time, reduces inefficiencies and ensures that patients receive the right care and support first time.

The Ecosystems programme is a high level priority delivered by the Data, Analytics, Information and Technology (DAIT) Board of the ICS. The programme is driven by a statutory requirement to have a Shared Care Record across the ICS. At a local level, the ESP project board is responsible for reviewing and providing guidance on the individual priorities.

The ESP will deliver the Shared Care Records for the ICS over a two year period. This project aligns closely to the Public-Facing Digital Services (PFDS) and Capacity and Flow (C&F) programmes.

Shared health and care record

This project aims to give every health and care professional the data they need, when they need it – irrespective of who collected it, or in what system or organisational setting it comes from. 

Benefits

  • Reduction in delays to acute hospital discharge
  • GP practice admin time saved
  • Safeguarding by reducing the time taken for a child protection review
  • Reduction in time spent preparing for pre-op assessments
  • Reduction in unfulfilled home visits by social workers
  • Reduction in time spent by hospital pharmacists on phone-calls to GPs
  • Reduction in time spent by the Multidisciplinary Team (MDT) carrying out duplicate patient assessments
  • Reduction in mental health admissions to acute hospitals
  • Reduced ambulance conveyance to A&E
  • Reduced duplicate pathology requests.

Functional outcomes

  • Reduced duplication and cost of integration by deploying a mechanism that channels all integration activities through a single hub mechanism
  • Utilising common standards and API’s
  • Shared functionality to access national solutions such as GP Connect, NHS Spine, National Event Management Service (NEMS), etc.
  • Bringing greater flexibility and independence, where the ICS can add data sets, referrals and workflow
  • Creating and managing custom views of information to suit the clinical/ operational need
  • Managing by exception with real-time event management notifications
  • View data from outside Notts e.g. South Yorkshire, East Midlands, EMOC etc, and give those areas the ability to view Notts data
  • Speeding up development/ change
  • Knowledge and data sharing in near real time, in multiple applications.

Results

Based on an exemplar benefits assessment commissioned by the NHS, the benefits potential could reach up to 25:1 when looking at the value of time released to care.  A benefits realisation approach will be put in place as part of the programme in due course.

Related news

Our plan for delivering outstanding
digital health and care 

How we will deliver a successful digital health and care strategy

Striving for greater collaboration
between all sectors in our region