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
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Head of Health Informatics
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Programme Support - Minute Taker
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LL welcomed all to the meeting
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Peter Green - Medical Director
Karen Morgan - Head of Unscheduled Care
Kim Eaglestone - Head of Patient & Public Engagement
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Minutes of the Meeting of 27th January 2009
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The minutes were agreed as accurate
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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
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.
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.
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
CfH funding - as discussed under Highlight Report Red Risks
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)
What do you do with those who can not be IM&T DES accredited?
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
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
iSoft Planning - dealt with under 4.1 risks
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
As discussed in the Highlight Report
Long term plan is required for the deployment strategy
Communications Gap is looked into
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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.
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Meeting Room 2, Unit 7, Ambley Green
Meeting Room 2, Unit 7, Ambley Green
Meeting Room 1, Unit 7, Ambley Green
Meeting Room 2, Unit 7, Ambley Green
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Informatics Programme Office