Community Information Model Workshop 1

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Community Information ModelWorkshop 1

• Southampton City Primary Care Trust
• Barry Cooper Information Specialist

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Community Information Model

• Systems currently in use for community services
• Functionality Benefits
• Information Gaps
• Stakeholder engagement
• Future plans

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Background to Southampton City PCT

• One of the first PCTs formed (over 8 years ago)
• 82m turnover
• 2 main commissioners
• 2,000 staff (including 30 medical consultants)
• Dedicated information team (4 wte)
• One of the first PCTs to split Provider/Commission
  ing Ledger
• Co-terminus with City Council boundaries
  (potential to further develop working
  relationships across services systems)
• Large acute teaching hospital shared PAS PMI
  across acute trust, SCPCT and South West
  Hampshire (NF ETVS).
• 20 services including

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Services provided by SCPCT

• District Nursing
• Health Visitors
• Podiatry
• Physiotherapy
• Speech Language Therapy
• Specialist Nursing (Diabetes, Stoma Care, HIV
  etc)
• Community Matrons
• Walk-in-centres and Out-of-hours
• Paediatric Occupational Therapy and Physiotherapy
• School Nurses
• Community Neurological Rehab teams
• GU Medicine and Contraception Sexual Health
  services
• Community Beds (Rehab)
• CAMHS

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1. Systems currently in use

• Our systems range from paper based activity
  recording to electronic patient based systems.
• There are a wide range of electronic systems in
  use across our services, the majority of which
  are built for a specific service e.g. Adastra
  Lilie.
• Whilst there are benefits to having these
  specific systems it does mean they cannot be
  transferred to other services.

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1. Systems currently in use
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2. Current System functionality and benefits

• CaRs Community Activity Recording System

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2. Current System Functionality
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2. Current System Functionality
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2. System Functionality and benefits

• CICS Community Information Computer system

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3. Information Gaps

• Most services collecting aggregate data on
  activity
• Currently no common set of definitions
• Services could potentially interpret data in
  their own way (i.e. what is a contact)
• Growing need for detailed information
• Outcome measures
• 18 week waiting times
• Patient satisfaction
• Benchmarking
• Difficult to work out demand and capacity
• Choose book not able to cope with directly
  bookable service

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4. Stakeholder Engagement

• Mixed responses from services
• Justification for Clinical staff to be
  undertaking what is deemed as data input
• Perception that data goes into a black hole
• Realistic / Unrealistic expectations of services
• Change management
• Investment needed from PCT and Commissioners
• Small value contract compared to acute sector
• Commissioners keen to get outcome based measures
  as part of World Class Commissioning

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5. Future Plans - Key Information Strands
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5. Future Plans Stepped Change
The Vision
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5. Future Plans Stepped Change
15 of services
Where are we now?
25 of services
60 of services
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5. Future Plans Successes so far

• Where are we now reporting to commissioners

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5. Future Plans Dependencies
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5. Future Plans

• Which services have requirement to replace
  current system?
• Which services need to move to patient based
  recording?
• Which services need to record waiting times?
• Which services could potentially use new PAS?
• Which services would be in scope of CFH
  community solution?

• What solutions are available?
• What timescales are we working to and what can
  be achieved in that period?

• What are the requirements of services within
  scope for CFH solution and what can be learnt
  from Interim deployments?
• What are the national requirements that a CFH
  solution must meet?

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5. Future Plans

• What does the ideal state look like?

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Any questions?

• Contact details
• E barry.cooper_at_scpct.nhs.uk
• T 023 8029 6026