How do we manage Practices that will not meet IM&T DES accreditation? A local LES has been extended for this year. Need to monitor progress and need for support over the long term to Practices needing extra support. CLOSED.

How do we manage those who after an audit, no longer meet the Paperlight accreditation standards? No answer as yet -need to monitor. OPEN

Training on GP Systems for SCR. The plan is for `train the trainer for EMIS/InPractice.(Mandy Skinner is aware).We do not have dates for these systems a s yet and need to monitor this going forward. CLOSED

LL would like to see a 2 year resource plan with the maximum amount required for SCR over this timescale. This has been done by DP and approved by LL. CLOSED

A follow-up paper detailing HealthSpace forecast costs is required. This has been done. CLOSED.

Engagement event - discussions still need to be had. It may have to be with Amanda Kenney. Accepted there is no longer a requirement for a specific event, planning will be ongoing via the new Engagement post. CLOSED

Communications plan to be circulated when complete. DP to send to MW who will get SCR Communications Manager (Siobhan) to review it. Progress to be reviewed by DP. OPEN

PIP - 30 calls have been received by CRS Helpline. A number of these have reportedly been `more aggressive' than received elsewhere in the country. The volume is as expected.

GP Practices - there have been requests for 20 - 30 opt out forms, exact numbers awaited.

Recruitment - Interviews for Engagement & Change Lead will be 24/03/09

Synchronisation between SPINE & locally held Patients details will be required in each GP Practice to enable ongoing upload. Clarity is being sought as to the work required for each Practice.

Meddoc staff are all getting Smartcards, issue by Jordan Rutty. BG said Adastra will be attending SCR Leads meeting on 21/04.

LL would like planning to start for Wave 2. DP believes there could be 10 practices in the next wave. A plan is now required for potential second wave with dates for PIP start.

Of the 5 risks discussed at SHA, the main one discussed at the meeting was the `lack of detail on Consent Model'. An end to end description of process is required. In terms of the 93c3 - what will the impact be in the longer term when greater data sharing becomes common? This has been escalated, but BG will also write to Gillian Braunold.

Planning & Reporting Tool - The description of milestones will be changed & version 2 will then match the milestones in the generic plan. MW expects metrics & reports that will provide statistics including the opt-out rate & clinical accesses to SCR. MW to keep Medway informed of progress.

End of Life Care - Bury & Bolton are looking into this at present. LL suggested focusing on Commissioners at a local level. Medway have an NHS hospice, & although End of Life Care is supplementary to SCR, LL suggests talking to Jackie Fisher & David Oliver (Medway Clinicians) about SCR now to find out how useful they feel it will be.

HealthSpace - Greater emphasis by CfH subject to affordability, it is recognised there is more that can be done to promote it. The Business Case for this is to be published. It is important to note that there have been huge problems with HealthSpace in some Early Adopter areas. MW to update Medway.

There is a CfH proposal for e-Consultation - All concluded this was potentially not a good idea. Following this, LL explained Ken Lavery - a Consultant at Queen Victoria - had asked if there could be medical claims `if certain information is used rather than the whole record'? BG will follow up, but said that SCR should always only be used as a guide.

The PIP has been reduced from 16 weeks to 12 weeks. There will be no National Media Campaign; no television ads - there will be some PR work however.

National Mail house should be ready 01/04. This should be cheaper & as SPRINT will deal with them directly it should result in co-ordinating a simpler PIP. MW to update.

The revised Communications Toolkit will be ready end of May. There is a good video that has been made which promotes a clear & simple message. MW to update on progress and provide the video.

There is a new template opt-out form. It contains more legal information & is more direct & to the point. It is not mandatory; just a guidance. This new form is in response to increased interest in opting out. The board wanted editor's guidance on the form & felt the new form was too long as it spanned 3 pages. BG to review document and escalate questions.

In terms of an SLA, it was emphasised no plan exists to pay GPs to use our systems i.e. SCR. But Practices could be paid for extra work they need to do in readiness for our systems.

LL is concerned that key documents such as the care record guarantee is being reviewed in line with the new Consent Model, yet it is still available - and the whole CfH website is still up. MW said all documentation containing the consent model were being pulled down from the website however, he will get exact dates as to when all documents with the consent model will be updated.

Issues for action/decision

What is the scale of the synchronisation between SPINE & patients records issue. Full understanding is required

Stephan has about 15 questions which MW will try to get answers to. These have been sent to Steve MacDonald.

Conference calls will continue with CfH and have been booked for 2pm Mondays.

LL said risk grading should be reviewed and brought in line with PCT expectations. Red should be reserved for risks which mean the project cannot move forward or go live.

The plan has been created until upload but the follow-on phase is required

Mail house can only deal with 100,000 letters / day. MW has said that dates need to be put into the tracking database as soon as possible. DP to draft next wave plan.

Progress the End of Life Care issue locally

MW needs to be the point of contact for communication between Medway SCR team & Steve MacDonald

LL discussed patient letter to Marion Dinwoodie the Chief Executive. LL believes the response should be short, concise & impersonal but the communications team have said his letter deserves a more fulsome response. BG will take the letter back to the SHA for input into the response. It has also been suggested having a member of the public (such as the letter writer) as a member of the project Board/Team.