The Hampshire and Isle of Wight Data Repository

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The Hampshire and Isle of Wight Data Repository

• Dr Mike Thacker
• GP The Arnewood Practice,New Milton, Hants

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Content

• What is it?
• Clinical feeds/ Data entry
• How does it differ from the Spine?
• Security and consent?
• What does it look like?

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What is it?

• A browsable combined patient record with extracts
  of
• GP record
• Hospital records
• Additional record fields for
• Single assessment process
• Cancer data
• Occupational Therapy

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Receives feeds from

• 200 GP practices
• Winchester Trust
• Portsmouth Trust
• Southampton Trust
• North Hants Trust
• Isle of Wight Trust

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Feeds Available 1

• Winchester
• Admission Notification
• Baby Discharge Mother Discharge
• Emergency Assessment Unit
• Appointments dates/status
• Discharge letter
• Procedure code
• Pharmacy Summary
• Allergies Alerts
• Community Caseload Discharge
• Maternity registration
• Waiting list details
• AE visit summary

• Portsmouth Trusts
• Medical Assessment Unit Discharge Summary
• Outpatient appointment dates      
• Xray, CT Scan,  Fluoroscopy, Medical Physics, MRI
  Scan, Nuclear Medicine, UltraSound    
• Clinical Correspondence    
• Haslar
• Biochemistry, Haematology, Blood Transfusion,
  Histology, MRI Scan, Ultrasound, CT Scan, X-Ray
• Isle of Wight
• Outpatient appointment dates   

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Feeds Available 2

• Southampton
• Appointment Letter CAR, MED, NEU, OBG
• Discharge Notification
• CF Annual Review (MED)
• Clinic Letter CAR, CH, EYE, MED, NEU, OBG
• Colposcopy
• Discharge letter CAR, CH, MED, NEU,OBG,
• General Letter CAR, CH, EYE, MED, NEU, OBG,
• Home Visit CH, MED, OBG
• MDT Decision Letter (SUR)
• Memo (NEU)
• Non-invasive Cardiology ICD

• Non-invasive Cardiology Pacemaker
• Non-invasive Cardiology Reveal
• OMF Completed Discharge Summary (NEU)
• OMF Operation Note (NEU)
• Operation Notes CAR, CH, NEU
• Pre-Admission Summary
• Referral Letter CAR, CH, EYE, MED, NEU, OBG,
• Response to GP Enquiry CH, MED, NEU
• TIA Clinic (MED)
• Waiting List Acknowledgement (CAR)
• Biochemistry, Cervical Cytology, Haematology,
  Histopathology, Immunology, Medical Microbiology,
  Neuropathology, Non Gynae, Point Of Care Testing,
  Virology                 

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How does it differ from the Spine?

• Opt-out rather than opt-in

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Leaflets and Opt-outs

• Hampshire and Isle of Wight
• Population c1.5 million
• 750,000 leaflets to homes. Also waiting rooms
• Resulted in
• 4,000 phone calls (0.26)
• 1,500 requests to see records (0.1)
• 1,250 opt-outs (0.08)

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Direct data entry

• Single assessment process
• Occupational Therapy
• National Cancer Data set
• Can be partially completed and updated later
• Drop down menus and date selection

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How is confidentiality protected?

• Clinical Repository Advisory Group
• GPs
• Acute Hospital Trusts
• Mental Health Trust
• Patients/ Carers
• LMC
• Advise on security arrangements and data analysis
  requests and information to the community.

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How is confidentiality protected?

• Explicit consent required each time before record
  can be viewed, unless previously agreed
• Public information campaign through leaflet
  distribution
• Patients can opt out of Common Health Record
• Staff role determines type of access
• Read codes only (no free text) downloaded from GP
  record
• Audit trail to record who has looked at which
  record and when
• Patients have the right to see the audit trail
  and their record.

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Audit Trail

• Record of who accessed which record, and when.
• Available to Clinical Repository Advisory Group,
  Trust Caldicott Guardians, and patients

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Portsmouth Radiology
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SAP Clinical Details Form
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