Ambulance GDE

North East Ambulance Service

Global Digital Exemplar

Lynne Hodgson

April 2019

➢ Emergency & Urgent Care Review

➢ Three Ambulance Services Identified

➢ Local GDE Proposals Shared / Reviewed

➢ NEAS Background – NE 10 CCG’s, 7 FT

Acute & Comm.

Introduction

GDE progress to date

Context

Local Digital Roadmap Alignment

➢ Multiple LDRs

➢ A mix of solutions across each

region

➢ Ambulance trusts working on

different schemes at local pace

➢ Funding to STP has local, not

regional, focus

NEAS GDE

WS1 - Electronic Health Record

WS3 - Interoperability

WS

2In

teg

ration

WS

4In

form

ation

An

aly

sis

WS

5A

sset

Man

ag

em

en

t

• Building on existing foundations

• Integrating existing NEAS systems

• Enabling interoperability through

open standards

• Enhancing the Analysis of our

information

• Smart management of our assets

NEAS GDE

Jul

Aug

Sep

Oct

Nov

Dec Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sep

Oct

Nov

Dec Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sep

Oct

Nov

Dec Jan

Feb

Mar

WS1 Electronic Health record

WS2 Integration

WS3 Interoperability

WS4 Information Analysis

WS5 Asset Management

£0

Milestone

Payment 1

Milestone

Payment 2

Milestone

Payment 3

Milestone

Payment 4

£315,000

Assurance

Milestone 5

£0

Assurance

Milestone 6

Funding Milestones

£175,000 £423,000 £635,000

Q4 21Workstream

Q2 18 Q3 18 Q4 19 Q1 19 Q2 19 Q3 19 Q4 20 Q1 20 Q2 20 Q3 20

111 CAD, NHSN, SCR, CPIS, MIG

999 CAD, NHSN, SCR, CPIS, MIG

ePCR CAD, NHSN, SCR, CPIS, MIG

NRLSMental Health

NRLSAmbulance

DOSIntegration

Primary CareToC Messaging

Urgent & Acute CareToC Messaging

ePCR Video to Operations Center

Video to Care Homes

ePCR Video to Remote Clinician

Pathfinder Application

Info Exch.Engine 2

Zoll Bluetooth Integration 1

Simulation

Simulation Application 1st Trust

IntranetRefresh

Business Intelligence

CAREProject

RFIDMedicines Barcoding

111 SNOMED Coding

999 SNOMED Coding

ePCR SNOMED Coding

P1-4 P1-4 P1-4

P5 P5

P6

P7 P7 P7

P8 P8

P9 P11

P10

P12 P12P13 P13

P14

P15 P16

P17 P17 P17

Zoll Bluetooth Integration 2

P11

Info ExchEngine 1

P10

3 Year programme made up of 17 projects

GDE Projects and Dependencies

Ref Description of deliverableDescription of dependency with

other GDE ambulancesGDE Ambulance Trust

P1 NHS Number Retrieval None - NEAS to develop Blueprint NEAS

P2 CP-IS Retrieval None - NEAS to develop Blueprint NEAS

P3 SCR Retrieval None - NEAS to develop Blueprint NEAS

P4 MIG Retrieval None - NEAS to develop Blueprint NEAS

P5 NRLS Integration

NEAS to Develop / Collaborate with

WMAS & NTW / TEWV Mental Health

Trusts to develop Blueprint

NEAS / WMAS &

NTW / TEWV Mental Health

P6 DOS IntegrationNEAS to Develop / Collaborate with

WMAS to develop BlueprintNEAS / WMAS

P7 Video Consultation

None - NEAS to develop Blueprint

SCAS / Gateshead / Sunderland

Vanguard to collaborate with Care

Home Elelement

NEAS / SCAS &

Gateshead / Sunderland

Vanguard

P8 TOC Integration

NEAS to Develop / Collaborate with

WMAS / SCAS and Norh Tees Hospital

to develop Blueprint

NEAS / WMAS / SCAS

& NTEES

P9 Pathfinder ApplicationNEAS to develop Blueprint

NEAS to collaborate with YASNEAS / YAS

P10 Information Exchange EngineNEAS to Develop / Collaborate with

WMAS to develop BlueprintNEAS / WMAS

P11 Zoll Bluetooth IntegrationNEAS to Develop / Collaborate with

WMAS to develop BlueprintNEAS / WMAS

P12 Simulation Software None - NEAS to develop Blueprint NEAS

P13 Enhanced Business Intelligence

NEAS to develop Blueprint (for specific

area of BI)

Collaborate with all Ambulance GDEs

NEAS / WMAS / SCAS

P14 CARE Project None - NEAS to develop Blueprint NEAS

P15 Equipment RFID None - NEAS to develop Blueprint NEAS

P16 ePCR Barcoding None - NEAS to develop Blueprint NEAS

P17 SNOMED CodingNEAS to Develop / Collaborate with

WMAS to develop BlueprintNEAS / WMAS

• Working with staff and Patients to ensure

we capture the challenges.

• Working close with other ambulance

GDE sites to shape overall ambulance

solutions.

• Working in collaboration with Acute

Hospitals to enhance our interactions.

• Working in Partnership with suppliers to

understand and shape future challenges

and solutions.

Project 15 – Equipment RFID

Aims

• High value, large size equipment.

• Proactive alerting when equipment

missing

• Remote alerting / auditing of

equipment

• Equipment tracking across vehicles

Considerations

• Passive or Active Tags

• Administration

• Monitoring

Project 15 – Equipment RFID

Benefits

Benefit Name/Description National Objective Beneficiary Benefit Type

Improved asset management resulting in lower

losses of equipment

Better Care

Better Quality of information

Staff

Wider Health System

Public / Patient

Cash releasing

Qualitative

Improved information sharing between internal

functions within NEAS (Fleet, Equipment etc).

Better Quality of informationStaff

Wider Health System

Public / Patient

Non-cash releasing

Qualitative

Improved efficiency by promoting lower

ambulance cost avoidance / reduced downtime

Better Care

Better Quality of information

Staff

Wider Health System

Public / Patient

Cash releasing

Qualitative

Help to prevent further harm by ensuring the

appropriate equipment is managed on

ambulances. Better Health

Better Care

Patient

Staff

Wider Health System

Public / Patient

Non-cash releasing

Qualitative

Project 16 – ePCR Barcoding

Aims

• Drug administration

• Batch tracking / Recall

• Alerting (OOD / Dosage)

• Stock management

Considerations

• User acceptance

• Process alignment / practicalities

• Administration

• Monitoring

Project 16 – ePCR Barcoding

Benefits

Benefit Name/Description National Objective Beneficiary Benefit Type

Improved information sharing by using

a common coding system to compare

Better Care

Better Quality of

information

Patient

Staff

Wider Health System

Public / Patient

Non-cash releasing

Qualitative

Improved efficiency by reducing

ambulance cost / avoidance / downtime

or comparing outcomes.

Better Care

Better Quality of

information

Staff

Wider Health System

Public / Patient

Cash releasing

Qualitative

Help to prevent further harm by

ensuring outcomes can be commonly

viewed (same coding)

Better Health

Better Care

Patient

Staff

Wider Health System

Public / Patient

Non-cash releasing

Qualitative

• NHS Number (P1)

– Identifying patients

• Transfer of Care (P8)

– Hospital integration

• SNOMED Coding (P17)

– Common coding across settings

Joining up

Timeline

• RFID

– Started June 2018

– Two systems trialled on Ambulances

– Neither system meets fully the functionality or financial envelope envisaged.

– Reviewing Scope

• Barcoding

– Started January 2019

– Reviewing Scope

• Likely to combine both programmes of work and extend the scope as a result of

initial assessment.

Questions &

Thank You