Doctor taking the bllod pressure of an elderly man

Over two million patients now served by CHIE shared care record

The UK's oldest and biggest shared care record supports better quality and faster care for patients - and no more having to repeat medical histories.

The challenge

Back in 2014 the Care Quality Commission, Public Health England and others announced all NHS patient and care records must be digital, real-time and interoperable by 2020. But for health and social care providers in Hampshire and the Isle of Wight, those plans held no terror. They’d been on that path since 2003, thanks to services provided by SCW and its predecessors.

The challenge had been how to share data from separate sources – data controlled by GPs, hospitals, community services and others – in a way that was safe and compliant but still effective.

The goal was a system that allows prompt access to medical and social care information at point-of-care and prevents duplication and error.

This system really was the first of its kind. At the beginning there was some reluctance from individuals and organisations about sharing their data. By 2014 that reluctance was being challenged with people starting to be asked ‘You need to share, so why aren’t you sharing?’ said SCW’s operational manager William Baird.

Our approach

It started with 1,000 patient records but expanded to 1 million within two years. Within a decade that had almost doubled again as more providers and commissioning bodies came on board. 

At that point, 60% of the region’s GP practices were sharing data and most local organisations agreed they should also be involved.

Today the region’s Care and Health Information Exchange (CHIE), operated by SCW, hosts 2 million-plus patient records, which are accessed over 90,000 times per month. The number of unique users rose by around a quarter in 2020 alone. 

What does CHIE do?

CHIE takes information held by 36 health and social care organisations and makes it available to front-line teams via a secure portal. The portal design was user-led – meaning only the most relevant information appears, in turn ensuring high rates of use.

Access to some data is set by job function. All accessible data is read-only and data controllers retain control of their datasets.

The benefit to clinical and social care staff is immediate access to accurate, relevant medical data leading to better, timelier decisions.

For patients, it means better quality and faster care, fewer unnecessary referrals and not having to repeat their medical history and regimes – information some patients struggle to articulate.

And with all these benefits come substantial efficiency savings.

It’s fantastic ... particularly in the case of patients who hop from one hospital to another within the region allowing continuity of care, and minimising repeat investigations. Consultant in Elderly Medicine 

The results - Hampshire and Isle of Wight CHIE in numbers

  • 2 million+ patient records
  • 94,000 unique patient records accessed per month
  • 9,500 unique users per month
  • 166 GP practices
  • 8 CCGs
  • 5 Acute hospital trusts
  • 2 community and mental health trusts
  • 4 local authorities

(Figures accurate December 2020) 

In this new world of COVID-19 the need for shared care records and management has never been clearer. The CSU continues its dialogue with healthcare professionals in developing the essential tools needed for improving patient care. This year has been a particular challenge as CHIE adds in new data feeds and works towards national standards and objectives. It continues to support and improve healthcare across Hampshire and the Isle of Wight. Dr Emma Davis Clinical Lead for CHIE

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