Common Clinical Information System The Journey

1
Common Clinical Information System The Journey

• by
• Steve Roscoe

2
The Position

• Ageing GP Systems
• Do nothing
• Upgrade in an un co-ordinated way
• Do something different
• What about the clinicians other than within a GP
  Practice? (e.g. Community Nurses)

3
The Vision

• A centrally hosted system
• The patient at the centre of the system
• Information to support the care of the patent
• Each clinician would have access to and
  contribute to the single patient record
• Each clinician would have an appropriate view of
  the patient record

4
The Procurement

• OJEU Notice
• Short listing
• Output Based Specification
• Contract Negotiations with three separate
  suppliers

5
The Negotiations

• Time Consuming (long long summer/autumn in
  2002!!)
• Preferred Supplier Chosen
• Contract signing May 2003
• GP Systems implementation started August 2003

6
GP Migration

• 56 Practice migrations (most completed by 2005)
• 568000 Patient Records (240000 current)
• 620 Concurrent users at peak times
• 197000 Consultations added (Jan 07)
• 15.25 Million transactions (Jan 07)

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Organisation centred records
Out of hours
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Patient centred records
The Patient Record
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