NHS Connecting for Health A National Framework For Implementing Electronic SAP Summary of Recommendations - PowerPoint PPT Presentation

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NHS Connecting for Health A National Framework For Implementing Electronic SAP Summary of Recommendations

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Initiated by NHS Connecting for Health (CFH) ... Project Board representation from NHS, social services, DH, and Cabinet Office. ... – PowerPoint PPT presentation

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Title: NHS Connecting for Health A National Framework For Implementing Electronic SAP Summary of Recommendations


1
NHS Connecting for Health A National Framework
For Implementing Electronic SAPSummary of
Recommendations
2
Project 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

3
Consultation 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

4
e-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.

5
e-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

6
Potential 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

7
Current 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

8
Information 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
9
Information 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

10
Deployment 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

11
National 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.
12
Implementation
  • 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

13
Implementation (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.

14
Potential Phasing
  • Health and social care first, then other users
    over time
  • Electronic information sharing phased (documents
    first)
  • SAP first, evolving into CAF over time

15
Next Steps
  • By October
  • Implementation Plan
  • Business Case
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