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SHSW commitment to proceed

 Safer Hospitals Safer Wards (SHSW) commitment to proceed

Project title and reference​Technology integration and innovation model (TiiM)
Project overview​

Norfolk and Suffolk NHS Foundation Trust (NSFT) is a diverse mental health service covering nine major sites with 4000 staff and also covers a huge geographical area (3500 square miles; which is 7%, or just over 1/14th, of the whole of England) with a low density of population. This creates numerous logistic and clinical problems.

Central to all of its initiatives is the desire to create a healthcare system that promotes the flow of information from the Trust's core services of mental health, IAPT and substance misuse and integrates that flow of information into partner organisations, third sector, primary and secondary care settings as well as Acute services.

The delivery of an integrated patient record that will take feeds from both the Trust’s PAS and EPR estate and tertiary systems, as well as external systems feeds, from pathology, social care, community and GP systems. This will ensure clinicians based in all care settings will have access to the right information at the right time to enable them to have a richer, clearer picture of our service users, enabling them to make sound clinical judgements which will reduce clinical risk and support efficiencies when seeing patients as all clinical information will be in one place.

In addition to this is the ability for the Trust to share, through this technology platform, clinically pertinent information with service users and carers that will involve them directly in the care and the decisions that will need to be made, but also gives them a mechanism to participate in their care.

The solution will be delivered through 3 mechanisms, for internal staff this will be through a clinical portal viewed through our intranet, which will integrate with existing clinical workflows and applications.

Healthcare professionals within our geographic area of responsibility will be able to access the clinical information through a professional portal that will contain e-referral, clinical guidance and signposting as well as the clinical portal.
Our service users and carers will have a similar portal tailored to their needs, with access to appropriate clinical information pertinent to their care, this could include e-CBT, chat and IM functionality, additional self-help material as well as access to personal budget information. ​

Key dates​This project is a multi-year, multi-phased project as detailed below:

Phase One Goal:

Complete data integration to support the Clinical Contact Centre (CCC) for NSFT.
The CCC is a fundamental part of the Trust’s service redesign and supports all of our care pathways by delivering a single secure point of access to our services.

Implement a patient viewer tool, which collates feeds from numerous key Trust systems to assist with the Access and Assessment team.

Phase one is now complete.

Phase Two Goal:

To support the go-live of the Norfolk Recovery Partnership (NRP) and to continue with the integration of Trust systems to support the CCC. This phase will consist of integrating a variety of patient management data sources. There are additional programmes of work being completed by both NSFT and other partner organisations to assist in delivering the overall objectives of the project.

The external professional portal will go live and publish some initial applications to provide an interface between GPs and other health professionals with the Pervasive Health patient viewer.

Phase 2 is in progress.

Phase Three Goal:

To deliver innovation to support both NRP and Suffolk Wellbeing Service (SWS) bids and to continue supporting the CCC. It is proposed to integrate community care and Social Care data sources into the patient viewer along with initial information and guidance for GPs to inform on Clustering, Payment by Results (PbR) and TDM.

Phase 3 go live: Q3 2014/15.

Phase Four Goal:

To complete all of the data integration activities by integrating the remaining data sources for the Probation Service and Pathology.

In addition to these data sources the Trust will be releasing its own service user viewer application based on the patient viewer tool API allowing service users access to a limited view of the data that is pertinent to their care.

Phase 4 go live: Q3/4 2014/15.​
Cost​£1,687,000 capital cost
Contribution from SHSW Tech Fund​The amount of funding the project will receive from the Technology Fund is £735,300​
Point of contact​NSFT communications team