MEDWAY PRIMARY CARE TRUST

Minutes of the Meeting of the Summary Care Record Project Board

held on 17^th April 2009, 12:00am to 14:00pm

in Meeting Room 2

Present:	Lois Lere (LL) CHAIR	Head of Health Informatics
	Karen Morgan (KM)	Head of Unscheduled Care
	David Payne (DP)	Project Manager

1	Welcome
	LL welcomed all to the meeting
2	Apologies for Absence
	Becky Gayler, Matt Watson, Peter Green.
3	Minutes of the Meeting of 19^th March 2009
	Update of Actions
3.1	How to manage Practices who no longer meet Paperlight accreditation standards. Agreed to monitor. OPEN			DP
3.2	Communications plan to be circulated when complete. New document being drafted, DP to progress. OPEN			DP
3.3	Limited SCR support from the K&M DPO. BG will obtain a benefits framework from Lynne Smith that our local benefits can be incorporated. OPEN			BG
3.4	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. OPEN			DP
3.5	Key risk identified at SHA level is `lack of detail on Consent Model'. An end to end description of process is required. This has been escalated, but BG will also write to Gillian Braunold. OPEN			BG
3.6	Planning & Reporting Tool - The description of milestones will be changed & version 2 will then match the milestones in the generic plan. MW to keep Medway informed of progress. OPEN			MW
3.7	End of Life Care - 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. DP to follow up. OPEN			DP
3.8	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. OPEN			MW
3.9	LL is concerned that key documents such as the care record guarantee is being reviewed in line with the new Consent Model, yet the current version 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. OPEN			MW
3.10	Synergy & the new Consent model -MW to clarify perceived problems with the current build. There is a CCN for the new build. MW will let the board know of expected timescales and detail of the CCN. OPEN			MW
3.11	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 has circulated the plan and to put dates in the PRT. OPEN			DP

4	Items for Discussion
4.1	Project Update Update from DP. The PIP was ongoing, expected levels of calls (~30) were recorded by the CRS Helpline in first month. No significant issues reported by the Practices. Varying levels of opt out forms reported from first wave Practices, 7 in Napier Rd, over 100 in Walderslade Village. Work ongoing to progress the iSoft upload process, engagement with iSoft proving difficult, CfH joining weekly calls. MedOCC/Adastra update to follow.
4.2	Adastra Planning and Funding DP explained that RA was progressing via JR and registration for Smartcards was progressing though Adastra are required to load gemplus software to support the RA process which would be chargeable. A kick off meeting was held with Adastra. This presented a clear project plan and costs for the required work - PDS link, hardware upgrades, version upgrades, implementation. The issue of funding had been escalated to the SHA and CfH, no clear guidance had been received. The expectation is that some funding will be available at some point but that this would not meet our timescales. DP tabled a quote from Adastra to deliver all required work. KM said the revenue charge would be a problem. The Board agreed that we should press ahead and seek local funding at risk. LL requested an options appraisal paper from DP, this to go to the Medway HIB. Suggested that a separate quote be requested/ordered for the RA enabling work in advance of the main order. KM is planning a MedOCC awareness/training session in early June and will liase with DP to plan.			DP DP KM/DP
4.3	Update on SCR escalations and SEC Action Plan The SEC Action Plan was discussed. DP explained that no updates on progress had been received back via BG, but that the plan was due to be reviewed at the SHA leads meeting on 21^st April. Revised Concept Training was due to be delivered 23^rd April. It was noted that a number of due dates for documentation had passed without any indication of progress. DP to attend the SHA Leads meeting and discuss with BG.			DP/BG
4.4	Second Wave Plan The second wave plan was reviewed. DP explained that this covered 22 Vison Practices with IM&T DES accreditation. The majority (14) of Practices were identified as fully ready (green) the remainder (7) need review but should be ready. The Plan details three monthly mailouts over June to August, starting 18^th June with all PIPs complete by 19^th November 2009. The mailout would cover around 120,000 patient in total. The Practices are yet to be engaged and this would commence following Board approval of this plan. The Board approved the plan timescales and agreed that the mailouts should proceed to all 22 practices. DP to proceed.			DP
4.5	Risks and Issues Current red risks both relate to the consent model and the Board agreed that these did not prevent the current scope of the project progressing (basic upload only). Progress on the consent model to be monitored. A risk needed to be added concerning Adastra funding.			DP
5	Date of Next Meeting
15th May 09		12:00 to 14:00	Meeting Room 1, Unit 7, Ambley Green
18th June 09		10:00 to 12:00	Meeting Room 2, Unit 7, Ambley Green

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Informatics Programme Office

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