The Future for Information Sharing in Sexual and Reproductive Health: Making I'T Work

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The Future for Information Sharing in Sexual and
Reproductive Health Making I.T Work

• 15 March 2007

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The Future for Information Sharing in Sexual and
Reproductive Health Making I.T.
WorkIntroduction

• Dr Simon Eccles
• National Clinical Lead for Hospitals

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Confidentiality and sharing

• Sexual and Reproductive health
• Need for confidentiality
• Desire for better information sharing
• The benchmark for our solutions

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So hows the day going to work?

• This is your day.
• Interactive and all the feedback goes straight
  into the programme.
• We have the technology.

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Knowledge test
Syphilis
Chlamydia
Genital warts
Put these STDs in order of prevalence (by HPA)
with the most common first
Gonorrhoea
Trichomoniasis
Genital herpes
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Sexual health diseases in order of prevalence

• 1. Chlamydia 109,958
• 2. Genital warts 81,137
• 3. Genital Herpes 19,837
• 4. Gonorrhoea 19,329
• 5. Trichomoniasis 5,632
• 6. Syphilis 2,814

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Some terms

• Client patient service user
• Clinician nurse / hospital doctor / GP /
  community doctor / allied health professional
• PDS Personal Demographics Service
• The summary and detailed care records
• SUS the Secondary Uses Service

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Summary record

• Available anywhere
• Starts with medications and allergies, then GP
  summary, then OPD, Inpt and ED discharges
• Later results and care plans

Detailed record
Organisational notes the Electronic Patient
Record or EPR Initially organisation specific
later able to cross local boundaries (primary
care, community and hospital)
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Consent or dissent

• Consent to store and share
• You have an electronic record and it can cross
  care boundaries
• Consent to store, dissent to share
• You have an electronic record in each
  organisation but not joined together
• Dissent to store or share
• You have paper/stand alone records

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Balancing competing aims
Security Confidentiality Patient
empowerment Individual autonomy
Informed care Clinical safety Public interest NHS
efficiency Simplicity Pragmatism
Law
Thanks Malcolm
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• How familiar are you with NHS CFH and how much
  information have you had about it?
• A fair amount
• A great deal
• Not very much
• Not at all

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Jan/Feb 2006 Mori SurveyHow familiar you are
with NHS Connecting for Health and how much
information you have had about it?

• A fair amount or a great deal
• Allied Health Professionals 40
• Nurses 17
• Doctors 35

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• How favourable are you towards what NHS CFH is
  trying to do in the future?
• Favourable
• Not favourable
• Undecided

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Jan/Feb 2006 Mori SurveyHow favourable are you
towards what NHS CFH is trying to do in the
future?

• Favourable
• Allied Health Professionals 72
• Nurses 59
• Doctors 62

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• How do you feel National Programme for IT will
  affect the confidentiality of information
  (including test results) in your clinical
  environment?
• Will improve
• May improve
• Unlikely to impact
• May worsen
• Will worsen

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• Is there an issue not on the agenda that you
  would like us to cover today?
• From this point on, the issues and questions
  box will be displayed whenever appropriate.