Title: NHS Connecting for Health A National Framework For Implementing Electronic SAP Summary of Recommendations
1NHS Connecting for Health A National Framework
For Implementing Electronic SAPSummary of
Recommendations
2Project Outline
- Initiated by NHS Connecting for Health (CFH).
- Reporting to Electronic Social Care Records
Board, Care Records Development Board National
Programme Board of NHS CFH. - Project Board representation from NHS, social
services, DH, and Cabinet Office. - To develop an implementation plan and business
case for electronic SAP for England. - First stage to define and evaluate options for
electronic SAP by end June - Subsequently to develop an implementation plan
and business case. - Focus on SAP/CAF, but seeking solution which
could support other multi agency information
sharing needs
3Consultation Process
- On-line questionnaire on SAP websites of Centre
for Policy On Ageing and NHS Connecting for
Health 272 registrations and 166 responses - Meetings with established forums (ADSS, Better
Government for Older People (BGOP), Cluster
Expert Reference Groups, etc.) - Meetings with SAP leads NHS/social services IT
managers. - Meetings with suppliers Local Service Providers
partners, social services systems, SAP systems - Meetings with DH CAF lead, NHS Connecting for
Health, Childrens Index, e-CAF and Government
Connect
4e-SAP Requirements
- Person-centred processes and records.
- Available to health, social care and other
workers, providing care to individuals at diverse
locations. - Available to service users and carers.
- Each item of information entered once only
wherever possible and subsequently validated or
updated by other users. - Seamless access to assessment, care planning and
review information and output of multi-agency
management information. - All relevant SAP information available to system
users when and where needed (including mobile
working). - Users having access only to the information in
which they have a legitimate interest. - All updates to SAP information being notified to
users in a timely manner. - Separate but linked carers assessments.
5e-SAP Principles
- Information that is shared will be subject to
individual consent. - Information governance standards across NHS and
social services. - Systems from different suppliers interoperate
using standards - Commonality of process from SAP to the Common
Assessment Framework ( Our Health, Our Care, Our
Say). - Support evolution of both the process and
information associated with it. - Build on existing systems
6Potential e-SAP Benefits
- Reducing length of stay and delayed transfers of
care - Reducing unscheduled admissions
- Improved management of care for people with
long-term conditions - Improved quality of care
- Resource savings for professional staff
- Improving the referral process
- Improving public health information
- Contributing to strategic planning and
commissioning
7Current Situation
- Survey of e-SAP implementation in 27 communities
- Substantial gap between SAP requirements and
current e-SAP implementation - Lack of integration between
- SAP and other LSP systems
- NHS and Social Services systems and consequent
dual data entry - Lack of standards around functionality and
information sets with different solutions
developing in different communities - Small-scale adoption of mobile devices with
consequent dual recording
8Information Sharing Model
FUNCTIONALITY DESCRIPTION
E-SAP application Assessment, care planning and review functionality, including associated management reporting provided as an integral part of electronic care records so that they are seamless to the user.
Index Index of service users or patients, used to identify individuals uniquely.
Services Directory index of care professionals and the organisations by which they are employed.
Security broker Services used to authenticate users and control their access to information, taking account of individual consent, user role and their relationship with the individual
Messaging Services to support the exchange of information between systems.
Publish Services to enable assessments, care plans and other updates to an individuals electronic record to be published to a central store where they can be accessed by other care professionals involved in their care.
Subscribe/notify Services to identify users who are working with an individual and have a legitimate interest in updates to their record. Services to notify these users of changes to an individuals record.
Citizen access Services to enable individuals (and agreed carers or family members) to access their electronic SAP records directly, including self assessment
9Information Governance Exchange Standards
- Level 3 e-GIF standards recommended for
confidentiality and integrity of information - HL7 v3 Provision of Care messages for information
exchange - Need to publish compliance regime and
accreditation of systems to meet the above
standards
10Deployment of e-SAP Solution
- Options
- National approach (standards, application and
integration - Local approach (no standards, local application
and integration) - Hybrid
- Recommendation Hybrid Deployment
- Local e-SAP implementations, agreed by local
care communities - Operating to national information governance
standards - Employing national standards for information
exchange - Using national services for cross-community
exchange
11National Services To Support Local Implementation
FUNCTIONALITY SERVICE
Personal demographics index NHS CRS Personal Demographics Service
Services directory NHS Spine Directory Service
Security broker NHS Spine Security Broker
Messaging NHS Transaction Messaging Service
Publish NHS Personal Care Information Service
Subscribe/notify Secure email (NHS CJIT email)
Citizen access Healthspace if extended to support SAP, but also investigate links with Gov Connect Citizen Account.
12Implementation
- To implement electronic SAP a national work
programme is needed including - Joint governance encompassing the NHS and social
services -
- Co-ordination with other related initiatives
(e.g. e-CAF, Childrens Index Gov Connect) - An implementation plan and business case,
including procurement strategy - National enabling work
- Definition of national information exchange
standards for e-SAP - Definition of national information governance
standards for NHS and social services information
sharing - Definition of national reporting requirements to
ensure standard reporting definitions across
agencies - Definition of consistent electronic record
retention policies. - Deployment of national information sharing
services, including accreditation process
13Implementation (Continued)
- To implement electronic SAP the following
will be needed - Local implementations
- Local business cases
- Deployment of e-SAP solutions
- change management and process change
- education and training
- hardware implementation
- project resourcing, etc.
14Potential Phasing
- Health and social care first, then other users
over time - Electronic information sharing phased (documents
first) - SAP first, evolving into CAF over time
15Next Steps
- By October
- Implementation Plan
- Business Case