Development of Electronic Shared Care Record

The Dumfries & Galloway experience

Mike Lundy - IT Project Manager

Dumfries & Galloway

Approx - 125 miles

Background

• Development commenced in Nov 2001• 6 month consultation with all stakeholders and

potential user’s• System to match development of ICP for mental

health• Electronic information was available for all

admissions/discharges etc, but not community activity

• 4 months programming

Background (Cont)

• Buy “off the shelf” or “build in-house”• 9 Community Mental Health Teams and Team

Leaders all established• Not all teams co-located into single offices • All records currently paper based• Poor activity recording • Information only accessible within office hours

Aims

• Effective information sharing and access to clinical information to all community based clinical staff

• Active involvement of stakeholders through consultation

• Improved quality of information• 24\7 access to client information• Enhanced communication.• Improved quality and ease of reporting.

Progress to Date

• All Community Mental Health Teams connected to system

• 130+ users• 95+% of all CMHT clinical staff trained in use of

system• Ongoing review and rewriting of system as

required to meet changes in practice• Continuing support and training for all

practitioners

Progress to Date (Cont)

• Accessible regionwide• Provision of additional hardware to support the

rollout.• Improved and quicker reporting• Additional networking and infrastructure• Links to other IT developments (SSA, SSD)• Improved computer literacy across clinical staff• Improved sharing of information/Joint working

Progress to Date (cont)

• Development of Information Sharing Protocol across NHS D&G and DGC.

Difficulties Encountered

• Infrastructure • Training• Staff Resistance• Technophobia• Roles & Responsibilities• Rewriting/reprogramming• Data Transfer/Information Sharing• Etc, etc, etc