Practitioner Services Division

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Practitioner Services Division

• GPConnect

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GP Connect moving forward
GP Practice
GP Practice
PSD
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GPConnect

• Docman Transfer Update
• 12 NHS Boards live
• 854 practices live (84)
• Additional 20 practices live during October 2008
• All practices now off MTS
• 29 ex-MTS practices still to go live (includes 11
  NHS Orkney)

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• Docman Transfer Update (continued)
• Facility to transfer
• Data Protection Summary
• Embedded attachments from EMIS
• Guidelines distributed
• Internal PSD software developments
• Developments to Docman software

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Whats next

• Process review
• Developments in DocMan
• Developments in MedEx
• Guidance SGHD/SCIMP/SGPC

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Audit and Archiving

• Data Protection Act 1998
• Audit trail for DocMan documents cannot be
  transferred.
• Archiving of transferred records in DocMan is not
  mandatory.

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Solution

• Develop DocMan to make archiving
  mandatory/automatic.
• Audited facility to unarchive DocMan records in
  certain circumstances.

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File types printing and transferring

• Certain file types transferred cause issues when
  received or printed.
• Problem will increase with emerging technologies

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Solution

• Develop DocMan so file check is carried out
  before the package leaves the GP Practice.
• Liaise with Connecting for Health to develop UK
  wide list

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Cross Border and non-DocMan Transfer practices

• PSD print electronic documents for patients
  transferring to
• the rest of the UK (2,600 per month)
• non-DocMan Transfer enabled practices in Scotland
  (2,500 per month)

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Solution

• Investigate using nhs.net email addresses at
  source and destination to transfer these data
  electronically.

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Guidelines

• Newborns
• Reactivation
• Back scanning
• Temporary Residents

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Newborns

• Paper Medical Record folders for all newborns
• No requirement from a legislative perspective

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Reactivation of records

• Practice retains GP clinical system records and
  DocMan images once patient leaves
• DPA suggests these records should only be
  accessed for agreed reasons
• Records should not be reactivated if patient
  returns
• Clinical risk due to gaps
• Duplication of information
• Merging duplicated DocMan images

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DocMan Documents for Temporary Residents

• These are printed out by GP Practices and sent to
  PSD.
• They are not transferred electronically and
  therefore they are not archived.
• Process to continue but PSD to review transfer of
  paper records for TRs

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Back Scanning GP Medical records

• Some GP practices are pursuing their own
  solutions.
• Guidance for GP Practices to follow.
• Available on SCIMP website.