“The CSU has overcome many technical challenges to develop this system but, at all times, has kept at the heart of the project the aim of improving patient care. They have committed to an ongoing dialogue with care professionals to make sure they have full buy in and can tap into ideas for even better features to improve outcomes for patients. There is no doubt this system is improving healthcare across Hampshire.” Mark Kelsey, GP IT Lead, Southampton CCG
The Hampshire health system wanted to integrate the community and mental health system in Hampshire and the Isle of Wight (HIOW) with the Hampshire Health Record (HHR), now called Care and Health Information Exchange (CHIE), which holds GP, acute hospital, social care and other information about patients. Following the success of similar work for other systems, SCW began integration work with Southern Health Foundation Trust (SHFT), the community provider for Hampshire in December 2016. The work was to introduce a direct link into the main case record in use across the Trust.
Following the success of similar work for other systems, SCW began integration work with Southern Health Foundation Trust (SHFT), the community provider for Hampshire in December 2016. The work was to introduce a direct link into the main case record in use across the Trust.
SHFT began a pilot in one of their localities in April 2017 and, following an evaluation period, the remaining Trust users went live in September 2107. Access to CHIE gives community and mental health staff immediate access to their patients’ full medical history, enabling clinicians to deliver more holistic, integrated care.
For example, if a patient presents in the emergency department with shortness of breath and confusion at 3am, clinicians are able to view their GP records to see what their social situation is, whether the patient has recently visited their GP, whether their medication was changed, and which medicines are prescribed for the patient. This enables better care to be provided and can reduce duplication and waste.
Feedback from community staff was very positive. Having a system that is accessible and easy to navigate results in more people using it, and this, in turn results in patients receiving better care. This can be seen in the chart below which shows the uptake of access to CHIE over the course of 2017. The average use during the period increased by a factor of 10 from around 2,000 documents accessed per month to more than 20,000.