In Bristol, North Somerset
and South Gloucestershire (BNSSG) SCW has worked with Orion, the main
system-supplier for the Connecting Care Programme. The integrated digital care
record unifies citizen information from across 18 systems into a single view.
We led the development programme and governance framework, lending expertise in Informatics, Transformation, Finance, Procurement and Communications. Our team directed the work of multiple project work streams, managed the procurement of a technology partner, and co-ordinated the input of the participating organisations, which included acute hospital trusts, GPs, local authorities, community health providers and three clinical commissioning groups.
Through the projects we worked flexibly with each organisation’s distinct systems and data management practices, but also to their working preferences and desired level of input.
We delivered the first stage of the Connecting Care record programme so that unplanned and urgent care practitioners now benefit from better patient information at the point of care, including the patient’s medications, allergies, diagnoses, progress notes, radiology and pathology reports, referral history, inpatient and outpatient appointments, and end-of-life plans – all at the touch of a button without having to call the patient’s other practitioners.
Stage one was delivered on schedule and succeeded in providing shared-care records to improve unplanned and urgent care – a QIPP priority for local commissioners. Stage two has included broader clinician access, joint care planning and mobile access.
To encourage wider and continued use of the Local Health and Care Record (LHACR),
we monitor and share usage information with key programme stakeholders.
Together, we can then identify areas of poor uptake and plan how this should be
We can also monitor trends, which alert us to
areas where, for example, usage was high, but is reducing. This would require a
different type of intervention to explore the underlying causes and agree how
these obstacles can be overcome. The figure below is an example of the kind of usage
information that we share with the Connecting Care programme board in BNSSG on
a monthly basis to highlight usage and uptake across partner organisations.