This is an HTML version of an attachment to the Freedom of Information request 'Information regarding the SCR/TPP Project: February2009'.

MEDWAY PRIMARY CARE TRUST

Minutes of the Meeting of the Summary Care Record Project Board

held on Thursday 19th February 2009, 10:00am to 12:00pm

in Room 2, Unit 7 Ambley Green, Gillingham Business Park

Present:

Lois Lere (LL) CHAIR

Head of Health Informatics

Becky Gayler

SHA

Matthew Watson

Connecting For Health

David Payne (DP)

Project Manager

Funmi Immanuel (FI)

Programme Support - Minute Taker

1

Welcome

LL welcomed all to the meeting

2

Apologies for Absence

Peter Green - Medical Director

Karen Morgan - Head of Unscheduled Care

Kim Eaglestone - Head of Patient & Public Engagement

3

Minutes of the Meeting of 27th January 2009

The minutes were agreed as accurate

4

Items for Discussion

4.1

4.2

4.3

4.4

4.5

Project Update

  • Highlight Report was discussed.

  • MW got a question via CRS direct line from a Practice Tutor in a Surgery in Rochester who wanted to know how to promote SCR as their Practice is not in the 1st wave of the SCR roll out. Response was to email [email address] for more information.

Highlight Report Red Risks

  1. CfH funding - there is some money, but amount is still uncertain. It may be £12,000 per surgery (£36,000 for Medway) or £12,000 per PCT. Richard Corbridge should confirm but is away so Siobhan will confirm.

  2. It is granted that full roll out may not be possible if the IM&T DES is not implemented within all practices. 30% may not be ready.

  3. iSoft's 8-week deployment plan should start with a Kick-off meeting with the PCT, iSoft (Tracy Morris) & the CfH deployment team (Fiona Dillon) in attendance. Details are still awaited.

Patient Mailout & Feedback

  • The mailout is complete. Some deceased patients received mail shot but Information Governance reasons as to why these patients could not be removed from mailing list.

  • Ongoing planning is under way.

Issues for action/decision

  1. CfH funding - as discussed under Highlight Report Red Risks

  2. Finance Modelling (SHA) - BG presented a financial model. The following points summarise the discussion:

  • The Programme Benefits Manager role should sit within the Informatics Programme Office (IPO) LL

  • In the Care Records Service LL wants 2 data quality people

  • For a clinical lead, we should look to release a GP for about 2 sessions per week.

  • IM&T DES should be 63 in total - 65% complete by the end of 2009. The remaining 35 - 40% will be a more difficult task. This leads to 2 questions - (to be added to the Issues Log)

  1. What do you do with those who can not be IM&T DES accredited?

  2. What do you do with those who after an audit, no longer meet the Paperlight accreditation standards?

  • GPs could be told that unless they have the right accreditation their contracts or enhancements with the PCT will have to be stopped. This was discussed partly in response to the 2 questions above. It was noted however, that it would be better if this is carried out on a national level by CfH.

  • Train 1 person (Mandy Skinner was suggested) on Vision

  • Concern over EMIS delivering full SCR accreditation

  • LL would like to see a 2 year plan with the maximum amount required for SCR over this timescale

  • It is proving difficult to secure anyone from the Domain Office even though we pay for 20% of their time. Therefore BG has suggested discussing this at the next Kent & Medway SCR Project meeting.

  • For hardware review & upgrade of SCRa sites & GP sites, LL said Capital allocation is available

  • It was noted by DP that there was no helpdesk cost in the financial model. LL suggested that our HIS should be able to handle this therefore no separate cost should be required.

  • DP asked who would be called e.g. if a clinician queried the correct prescription history in the SCR. Confirmation given of a single HIS helpdesk contact

  • BG expressed concern about paying GPs to enhance records as it would prove difficult to stop, suggesting the enhancement should be around data quality not SCR, Board agreed.

  • BG said it should be impressed upon GPs that this was new way of working. Being proactive instead of only being reactive.

  • In conclusion, LL said we could work with the financial model. Also, that the benefits of this exercise will be realised by organisations other than ours in 2010/11. This then leads to question the necessity of a Benefits Lead person sitting in the IPO

  1. HealthSpace Planning - The SCR HealthSpace Registration Options Review v0.3 paper was reviewed. The following was decided:

  • The Registration offices should be based in GP surgeries

  • Dedicated GP staff should be trained as HealthSpace agents

  • The cost for this should be paid as part of LES

  • 1 new member of staff required as part of Registration Authority

  • `Switch on' of PCT on the HealthSpace website is automatic, and should be scheduled for after the 1st surgery's SCRs have been uploaded.

  • It is recommended that there is a `champion patient' whose SCR can be viewed via HealthSpace day after upload has taken place

  • A follow-up paper detailing HealthSpace forecast costs is required

  1. iSoft Planning - dealt with under 4.1 risks

  2. MedOCC/Adastra - noted that this is an ongoing task.

Communication and Engagement

  • Discussion around Kim Eaglestone & Amanda Kenney's role and the need for ongoing communications support. Joanne Stevens leaves at the end of March.

  • Louise Hodges - Acting Programme Office Manager has asked FI to cover for the interim

  • Engagement event - discussions still need to be had. It may have to be with Amanda Kenney

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

Risks and Issues

  • As discussed in the Highlight Report

Next Steps

  • Long term plan is required for the deployment strategy

  • iSoft Kick-off

  • HealthSpace continues

  • Communications Gap is looked into

MW

MW

MW

DP

LL

DP

DP

DP

DP/BG

DP/

LL

DP/

FI

DP

DP

DP/

MW

DP/MW

5

Any Other Business

i) Planning & Reporting tool -

  • LL wants data about the mailout entered into the tool

  • LL wants the PMO to carry out these activity monitoring tasks

ii) During the meeting Sue Wanstall & Caroline Chick came in with a communications issue. BBC Radio Kent had called and wanted to speak with someone about SCR, two particular questions around security and UK wide access.

DP/

LL

Date of next meeting

19th March 09

10:00 to 12:00

Meeting Room 2, Unit 7, Ambley Green

17th April 09

12:00 to 14:00

Meeting Room 2, Unit 7, Ambley Green

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

0x01 graphic

Informatics Programme Office

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