www.england.nhs.uk

Michael A. Bewell

Interoperability Engagement Lead

Engaging on interoperability

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Critical Success Factors

1. Leadership, control and governance

2. Implementation management

3. Staff engagement and involvement

4. Citizen engagement and activation

5. IG solutions

6. Priority care use case

7. Dataset described

8. Capabilities

9. Map of current Systems and interoperable assets

10. Interoperable architecture model

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A tool to support

• Engagement of care professionals in leading and deciding

• Description of requirements• Directing implementation activity• Representing complex elements simply

Lets start….

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I am born

My development is tracked

I am living well

I am living with a condition

I need and want specialist input

I am at the end of my life

Citizen journey; life’s stages

Who are we looking to prioritise within integration and

interoperability projects?

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Citizen Health journeys; life happens

My

situ

atio

n ha

s ch

ange

d

Ord

ers

I ne

ed t

o di

rect

/ in

form

my

care

My

care

is t

rans

ferr

ed

My

wis

hes

I am

in c

risis

I ne

ed e

mer

genc

y /

trau

ma

care

I am

ale

rted

or

feel

wor

ried

What is happening to that person that impacts on the care they need?

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First, use Pareto (80/20) to establish the area to

focus on prioritise. “what is the problem we

want to solve?”

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Then identify the key steps and actors across the system that

supporting the person

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Establish the mechanisms for communication (verbal, phone,

system) and any protocols (form, checklist, SBAR)

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Detail the information that is required to flow across the

boundaries

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Digital capabilities

A common language to describe for systems features / requirements

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Key to RAG colours

• Red; not digitised• Amber; digitised, not connected beyond

systems• Green; digitised and available beyond

system, team and organisation• Grey; not currently relevant

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Review system capabilities

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Add a narrativeWhat works well

What are blockersAre all steps necesary

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Use cases raisedUse Case Provider Detail

gathered?Ambulatory care Leeds Care Record Yes

Decision support (including out of hours)

LPRES, Leeds care record and Bristol Connecting care

Yes

Medication review by Pharmacist (following fall by an older person)

Bristol Connecting care Yes

Accelerating discharge using cross system MDT

Bristol Connecting care and Leeds care Record

Yes

Post discharge continuity of care supported by community care team

Bristol Connecting care No

Compulsory hospitalisation discharge for people with Mental Health disorders

LPRES No

Electronic prescribing for hospices LPRES No

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Wordle of datasets described by IDCR projects

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Want to know more

• Knowledge being gathered is being processed and will published through the support offers imminently

• Want to use the tool, need support?• Contact Michael.bewell@nhs.net