Clinical Content Assurance

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Clinical Content Assurance

• Helen Hood
• Clinical Content Assurance
• Senior Project Manager

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What is clinical content?

• Clinical content for inclusion in the Care
  Record, refers to all of the information
  recorded to support delivery of patient care
  services. This information needs to be recorded,
  exchanged and processed.
• The content developed for National Programme
  applications needs to be seen as being high
  value, professionally assured and fit-for-purpose
  by working clinicians, healthcare professionals
  (e.g. AHPs, Pharmacists) and patient/ carer
  representatives, in order that
• clinical risk will be minimised by facilitating
  the adoption of agreed standards of care.
• cross boundary care will be implemented rather
  than organisational care based around application
  modules
• stakeholder input to NPfIT will be maximised

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Clinical Content Development

• In the NPfIT contracts with suppliers, it is the
  NHS responsibility to determine best practice
  and to inform the suppliers of that best
  practice.
• The development of clinical content is being
  carried out by local clinicians on a pragmatic
  basis to meet the implementation needs of the
  local Programmes.
• In order to maximise the use of clinical input
  and time, it is critical to carry out as much
  work as possible on a generic basis
• Clinical content developed for the new
  applications need to be seen as being high value,
  professionally assured and fit-for-purpose.
• NHS Connecting for Health (NHS CFH) has piloted
  the development of professional standards
• Funding the multi-professional development and
  assurance of the Professional Clinical Standard
  for Record Keeping

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National Clinical Content Assurance

• Professional assurance of clinical content
  products will ensure that applications are able
  to support high quality professional practice
• Principles
• Content where there is value in having one
  nationally agreed product e.g. National Pathology
  Catalogue, Record Keeping Standards
• Focus on generic, priority areas
• Content supported by National Guidance e.g. NSFs,
  NICE
• Content professionally assured by national bodies
  e.g.
• Academy of Royal Colleges, Individual Royal
  Colleges, Professional Associations

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Clinical Content Assurance Programme

• Programme in place since mid 2007
• Aims to accelerate and de-risk the implementation
  of national and local implementations by
• Managing the national assurance of clinical
  content
• Involving the NHS to ensure balance between local
  flexibility and national conformity
• Ensuring that professional bodies assure clinical
  content as fit for purpose and in keeping with
  current evidence and best practice
• Facilitating sharing across Programmes for IT and
  applications to minimise duplication of effort
• Supporting interoperability through the promotion
  of an NHS record architecture standard

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Examples of commissioned activity

• Generic Medical Documentation
• Assured headings for Acute Admission, Handover,
  Discharge
• Development of lower level detail for clerking
• Generic Nursing Documentation
• Nursing Assessments and Care Plans
• National Catalogues
• Pathology, Radiology, Service Requests
• Renal dialysis and transplant
• Diabetes assessment/podiatry assessment
• Choose and Book diagnostic referral forms
• Example of planned activity
• Mental Health generic documentation identified
  through local development .

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Joe McDonald, National Clinical Lead for IT
(Mental health)

• joe.mcdonald_at_nhs.net
• 07803040470

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You might be onto something there, Bill
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Why Mental Health Needs NPfIT
Early Intervention

Psychotherapies
In Patient
Outpatient
Non-psychosis Services
Assertive Outreach
Psychosis Services
Crisis Home Treatment
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You got an ology!
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Do you feel lucky?

• Go ahead, change how I work

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Secrets of Londons Success

• 1. Clinical engagement right from day one.
• 2. CEO support to enable commitment to attend by
  clinicians.
• 3. Terms of reference that have supplier, sub
  contractor, NHS and LPfIT all in attendance.
• 4. Ensure that proper debate is held,
  particularly when there are diverse views on
  'what is right'!
• 5. Everyone signing up to a 'we must all agree'
  attitude.
• 6. Agreement that minority dissention has to be
  factually backed up.
• 7. Making sure that clinical safety is paramount.
• 8. Having a chair who has good clinical standing
  within the setting.
• 9. Making sure that LPfIT supports the process,
  but that the NHS drives it

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Mental Health Rising to the Informatics
Challenge

• London
• March 27th 2009
• An infrastructure for mental health informatics
• (Mental Health Rubber Stampy Board thingy?)

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Will we get the electronic records we deserve?