“I am thrilled (with OCS) – the problem list alone is worth a king’s ransom.” GP, Clinical Lead for OCS
"OCS is a superior way to make a more informed decision. I am hugely optimistic.” Lead Pharmacist, Oxford University Hospitals NHS Trust
System interoperability – getting the right patient information to the right people at the right time – is a critical enabler of health and social care transformation and a key objective in the National Information Board Framework for Action:
“All patient and care records will be digital, real-time, and interoperable by 2020”
The Oxfordshire Care Summary (OCS) is a clinical decision-support tool that provides a real-time view of information held in disparate systems about patients registered at Oxfordshire GP practices.
We were commissioned by health and social care organisations in Oxfordshire to lead the programme to develop and deploy the tool, making it securely accessible to care professionals across the region.
The user interface we developed gave clinicians and care providers access to patient diagnoses, medications, lab results, care plans, out of hours encounters, and end-of-life plans.
The programme of work was delivered by first establishing a core programme team comprising SCW staff and commissioners. Key stakeholders were engaged across the system to co-design the OCS solution and supported development of a full business case.
We appraised and selected the technical solution and developed the technical infrastructure, developing Information Governance processes to ensure the solution was lawful and would be trusted by patients and care providers.
A clinical safety audit was conducted and implemented an access control and audit system and we managed the patient consent process and collated data from GP, acute and community care providers.
The OCS solution has improved patient safety, confidence and wellbeing, increased pathway efficiency, and gives commissioners the potential to transform service delivery. It has enabled commissioners and care providers throughout the region to deliver significant benefits in patient care including:
> More effective medicines management
> More appropriate referral
> Better end-of-life care
And seen a reduction in:
> Diagnostic investigations
> Hospital (re)admissions
> Accident and Emergency attendance
> Improved quality of care and patient safety and experience
> Cost of care