#77
Aug & Sep
2015
www.tpp-uk.com
ALAN’S
STORY
A patient’s perspective on the
benefits of data sharing.
PAGE 2
5 MINUTES WITH...
SYSTMONE COMMUNITY BENEFITS
Dr Andrew Daley, Consultant in
Palliative Medicine at Bradford
District Care Trust.
Hear about how SystmOne Community
is being utilised by trusts.
PAGE 4
PAGE 6
| TPP News Stories |
A SHARED RECORD
ALAN’S STORY
In many cases, particularly for patients with complex conditions, the shared record
plays a vital role in delivering the best care. Clinicians can ensure a co-ordinated care
response, taking into account all aspects of a person’s physical and mental health.
W
hilst some
patients have
extensive
knowledge of
their conditions and care
requirements, many do not.
Additionally, when patients are
asked about their medical
history some are understandably unable to provide a
full clinical account. The shared
record alleviates the need for
patients to repeat their medical
histories at every care setting
and ensures clinicians have the
most accurate information.
Similarly, patients who are less
able to manage their own care
are more reliant on carers
sharing accurate and relevant
data in a timely way to support
safe and efficient care.
The benefits of shared care,
whilst important for the
clinician, are ultimately most
relevant to the patient
themselves. In the following
account, Alan shares his
experiences as a patient
receiving complex care from the
NHS. He explains how having a
shared record contributes to
improving his health, the care
he receives and enables him to
be empowered and more
independent.
2
ALAN’S WORDS:
THE BENEFITS OF SHARING
I was diagnosed with rheumatoid arthritis 22
years ago. This began as a stiff neck but went on
to destroy many of my joints – both hips, then
shoulders, elbows and knees. Since then, I’ve had
seven joints replaced. I’ve had all my joint
replacement surgery at Wrightington hospital in
Wigan (a specialist orthopaedic hospital for
people in the North of England.)
In 2013, I thought I was having bad indigestion
but it turned out to be a massive heart attack. I
was taken by ambulance to Bradford Royal
Infirmary (BRI) where I suffered life threatening
been severely damaged by the heart attack,
making the diagnosis very difficult. I was given a
mobile monitor whilst I was in the ward which
recorded my heart constantly. One day, when I
was standing in the ward looking out the window
as my family left from a visit, I suddenly
collapsed. I just remember waking up lying on a
bed with chest pains, having been resuscitated
because the dangerous rhythm had recurred.
Luckily, as I was wearing the monitor, it meant
staff knew I had collapsed straight away and were
able to resuscitate me.
“50% of my heart had been severely
damaged by the heart attack,
making the diagnosis very difficult”
heart rhythm problems. I was rushed to Leeds
General Infirmary (LGI) where the doctors decided
the attack was so serious I needed three stents
fitting immediately. Of these, one of them worked
fully but two were only working at about 50%
capacity and the medical staff were unable to fix
this. I stayed at LGI for a week, and then as it was
nearing Christmas, I moved back to BRI to be
closer to home.
The doctors still couldn’t find the cause of my
heart rhythm problem and 50% of my heart had
TPP Times Issue 77 - August & September 2015
This collapse happened on a Friday, and I
remember, because the monitor was taking
readings the whole time, the doctor requested a
full report by the Monday. This meant after the
weekend he was able to make an informed
decision about the next steps for my treatment.
The doctor advised I get an Automatic Implantable
Cardioverter Defibrillator (AICD) to help my heart,
and I had this fitted in January 2014. This meant I
could be monitored at home and that the device
would kick in whenever my heart needed it.
| TPP News Stories |
Left: Alan was rushed to
hospital when a heart
attack severly damaged
50% of his heart.
Below: Alan carries
documents on him to let
people know his
electronic record is
available, giving him
peace of mind should
there be an emergency.
over one litre of fluid. All through this, it was
important all my different doctors knew what
was going on in case it affected my other
care, so it was great they could all see it
straight away on the shared record.
Shared records mean your record is
accessible to all your carers and can be
seen instantly. If anything goes wrong, it
can be dealt with straight away. If you go
away, say if I was to go down South, then
my records are available. I carry documents
on me letting people know my electronic
record is available, so if I was to black out,
doctors would know they could get hold of
my record and find out how to care for me.
Not to be patronising to medical staff, but I
have so many health complications that if a
doctor was just to look at me passed out it
would be very difficult for them to know all
of those complications.
I know there are many patients like me
who have complex conditions and illnesses
and this means they can have complicated
experiences in the NHS – seeing lots of
different specialists in lots of different
places. Some of your care can be dealt with
locally, but you also need to know you will
still get the right care when you’re away
from home.
Personally, I think record sharing is life
saving. Knowing my record is shared is very
reassuring and gives me more
independence. I know wherever I go
I can get the care I need.
Visit us at www.tpp-uk.com
“
I think record
sharing is life
saving. Knowing
my record is shared
is very reassuring
and gives me more
independence.
“
By this point, as well as the care I was
getting from my GP, St Luke’s were
managing my rheumatoid arthritis, BRI was
managing my heart problem and all my joint
surgery had been performed at Wrightington. Having shared access to the record
was important for all these organisations so
that they could give me the best care.
In November 2014, I needed a hip
replacement. The anaesthetist was able to
see all of the information recorded by the
cardiology team so he could choose the
appropriate anaesthetics. My record also let
them know my AICD needed turning off for
the surgery.
In the period before my operation, Dr
Oakley took a CAT scan of my pelvis at
Wrightington Hospital. He found out that I
had developed osteoarthritis in my pelvis so
my hip replacement surgery would not be
straightforward. In a 9 ¼ hour operation, a
reconstruction specialist, Dr Shaw, had to
reconstruct my pelvis before Dr Oakley could
fit my new hip. Both doctors had access to
my full history on my record, and knew
about all my previous complications, so
could see what I needed.
Since then, I’ve still continued to have a
range of health complications. As well as my
heart and joints, a few months ago I also
suffered a serious chest infection. I had a
chest scan which showed there was fluid in
my lungs and chest cavity. I had a course of
antibiotics, then doctors were able to drain
3
5
| Interview |
minutes with...
Andrew
Daley
Dr.
Dr Andrew Daley is a Consultant in
Palliative Medicine at Bradford District
Care Trust. He’s worked alongside TPP
since the development of the SystmOne:
Palliative module. Earlier this year,
Andrew and his team at the Bradford
Palliative Care Managed Clinical Network
won the BMJ Award for ‘Palliative
Care Team of the Year’. We caught up
with him at one of the palliative sites,
Marie Curie Hospice in Bradford.
Q
Tell us about your history with SystmOne
Palliative.
We were the first palliative service to use
SystmOne back in 2001. We were approached by
Bradford Health Authority who told us they were using
this new system and they thought it could be useful for
the work we do. The Health Authority at the time were
keen to develop the use of EHRs and so we agreed to
work with them. A lot of functionality had to be built
from scratch, things like referrals and tools to help us
manage inpatients. It was a challenge, but as soon as
we got going it was obvious this was something that
was going to help us improve care for our patients, but
also help us work better together across the region.
A
4
Bradford has an impressive integrated strategy
for palliative patients – can you tell us how that
has been established?
Q
We work in what’s called a ‘Managed Clinical
Network’ and believe we’re one of the only ones
in the country. We’re essentially five different palliative
care organisations (Bradford Teaching Hospital,
Bradford District Care Trust, Airedale Foundation Trust
and the two hospices – Sue Ryder and Marie Curie)
who are all working together as one care team. In
technology terms, this means we all work from one
SystmOne hub where all our patients are registered.
This allows us to refer patients between teams but
also have complete visibility of what our other
colleagues are doing. Uniquely, most of the palliative
care consultants in the team also work on a rotational
basis between the five organisations. This gives us the
perspective of knowing what it’s like in each of those
different working scenarios. We’ve had to work hard,
and I think we have achieved a good relationship with
the commissioners and excellent communication with
primary care. Our biggest challenge is around
education and training. The majority of people who
use palliative services are cancer patients, but they
actually account for less than 30% of patients who are
approaching end of life. We have a real task on our
hands trying to identify and support the other 70%.
We do this by tracking the data across the region –
identifying repeat hospital admissions and spotting
which information in the record may mean someone
is approaching end of life.
A
TPP Times Issue 77 - August & September 2015
| Interview |
Q
Do you have any advice for other areas wanting to set up
something similar?
For the benefit of the patient, you have to work collaboratively, despite your organisational allegiances. In palliative
care especially there can be national vs. local tensions as so many
of our third-sector organisations are national charities managed
from London. You have to balance their needs with the
requirements of the local commissioners and their NHS
organisations. You also have to find people who are willing to
work together- our network is successful because we put the effort
in and we’re prepared to work hard for the best result.
We also still have people who have concerns about IG –
despite us using SystmOne for years – and that can be a
challenge because it’s clear that sharing in the vast majority of
cases is of benefit to the patient’s care. Over my lifetime of
working here, I can only remember one or two patients who didn’t
want their information shared with other clinicians.
A
Q
What’s the Gold Standards Framework and how is it being
used in your area?
The Gold Standards Framework is a national initiative,
it’s essentially a set of standards for GPs and nurses on
what patients at end of life might need. Patients are placed into
categories based on their life expectancy; a ‘red’ patient has
fewer than two weeks to live, whereas a ‘green’ patient might
have several months. Depending on the category of patient,
we’ve then developed a series of local plans to support those
patients, things like checklists to ensure district nurses are
doing everything they need to, for example proactively calling
‘green’ patients once a month.
A
Q
What’s the Goldline initiative?
The Goldline is a 24/7 phone available to end of life
patients and their carers. The phoneline has been
established in Airedale telehealth hub since October 2013 and at
Bradford since March 2014. In both situations, a trained nurse
answers the phone and has the patient’s EHR to look at during
the call. Since the project began, 5,000 calls have been received
from over 1,800 different people. Of those 1,800, 1,300 have since
died. The real benefit of Goldline is that because specialist
support and advice can be given over the phone, we’re managing
to avoid unnecessary hospital admissions. This means that
patients can remain at home for as long as possible, only 14% of
patients using Goldline died in hospital, compared to a national
average of 49% of palliative patients elsewhere in the country.
Although originally funded by the Health Foundation, Goldline
is now part of the permanent budget for CCGs in the region. The
statistics we get back speak for themselves, but even more
importantly is the qualitative data we get through interviews from
patients and their carers – and the letters of thanks we receive.
A
Q
What are the biggest challenges facing palliative services in
your area over the next few years?
The biggest challenges I think are going to be ensuring
that we have the Gold Standards Framework fully
embedded into primary care, training hospital staff to be able to
communicate effectively about palliative care and considering
whether we can use the Goldline service for other patients, like
long term conditions.
In five years time I hope we’ll have more people having their care
planned appropriately by primary care services and I hope we’ll get to
the stage where community based generalists have the experience &
knowledge they need to support a much bigger cohort.
A
Visit us at www.tpp-uk.com
5
| TPP News Stories |
FRAILTY AND
END OF LIFE
CARE
Dr John Connolly, TPP Clinical Lead,
reflects on Dr Livingstone’s talk at
the National Frailty Conference.
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6
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main health and IT profiles to guarantee we’re instantly
informed. Make sure you let us know if your unit is
also online so we can follow you and your updates.
TPP Times Issue 77 - August & September 2015
| TPP News Stories |
HOW IT WORKS
The e-FI report, because of its complexity, can be found under the ‘Miscellaneous
Reports’ section on SystmOne’s Reporting tab.
The e-FI is used to identify, for example, the ten patients with the highest e-FI
scores in the practice.
A
t the National Frailty
Conference on the 11th of June,
sponsored by TPP, one of the
most well-received workshops
was led by Dr Helen Livingstone, Consultant
in Palliative Care at Airedale General
Hospital. She described the importance of
GPs and their teams looking beyond the
group of patients known to have advanced
malignancy when considering which
patients are likely to be in the last year of
their lives. Dr Livingstone emphasised that
a significant proportion of patients, whose
deaths were not unexpected, did not during
their last year of life receive the support and
care coordination which is routinely offered
to those with a malignant diagnosis.
With encouragement from Dr Livingstone, some practices have started using the
electronic frailty index (e-FI) in SystmOne to
resolve this. The e-FI is a method of
identifying and grading frailty based on the
Cumulative Deficit model. This model
measures frailty on the basis of the accumulation of a range of deficits which can be
clinical signs, symptoms, diseases, disabilities, and abnormal test values. It was
developed using the ResearchOne database.
There are 36 deficits in total and the index is
calculated by counting the number of deficits
present in a patient’s record based on
around 2,000 Read codes. Higher scores
indicate increasing frailty and this score is
strongly predictive of adverse outcomes1.
SystmOne users have welcomed the
introduction of the e-FI to help them stratify
their populations and predict future needs.
Some users are using the Patient Groups
function, which is a list action available in the
e-FI report, so that the outputs of the e-FI
report can be joined to other reports
generated in clinical reporting. This makes it
possible to identify your frail patients who
are not already on the Palliative care register.
This list of patients is then added to a new Patient Group with a suitable name.
(Select all 10 in the list; right click and choose the action Add to Patient Group.)
In clinical reporting, a report is then built which identifies all the patients in
that Patient Group by choosing to report on GP registration type and selecting
the Caseload/Team option and ticking the box Restrict to Patient Group and
selecting the relevant Patient Group:
Joining this report to another report which identifies all patients already on
the QOF Palliative Care register (using the option Read code in a cluster and
choosing the cluster PC1) makes it possible to identify patients who are not already
on the Palliative care register but are amongst the most frail in the practice:
The records of these patients could then be reviewed to establish whether there are
grounds for them to be added to the register.
Such a review may help to identify a patient’s other health deficits which are
currently lacking in their record, especially if the patient has not been reviewed in
person recently. In this way, more patients who will benefit from Advanced Care
Planning and other interventions detailed by the Gold Standards Framework can
be identified and supported.
References: 1) Clegg A, Young J, Iliffe S, Olde-Rikkert M, Rockwood K.
Frailty in elderly people. Lancet 2013;381(9868): 752-62.
Visit us at www.tpp-uk.com
Please note, all patient data in
this article is fictitious.
7
| TPP News Stories |
THE BENEFITS OF
SYSTMONE
COMMUNITY
HEAR FROM OUR USERS!
IMPROVED COMMUNICATION
A solid, innovative community IT system is
the backbone of creating a connected
health economy. Now used by more than
2,000 community services, SystmOne
Community is completely configurable to
allow the delivery of connected, efficient
healthcare. With tailored care plans and
patient directed goals, care is centred
around the individual.
We spoke to some of our users, the
majority of whom have used the module for
a number of years, about the benefits they
found from using SystmOne Community, as
well as how they’re using the module to
deliver care in new ways.
Across the board, improved
communication was cited as a major
benefit to using SystmOne.
ACE has been using SystmOne since
2005, when they were a ‘first of type’ in
Essex using the SystmOne Child Health
module. Switching on Enhanced Data
Sharing Model (EDSM) in 2013, the
organisation has seen huge benefits. Not
only are they able to easily and safely share
information across services when multiple
services are caring for that same patient,
they are also able to set sharing at an
organisational level in line with policies
and procedures.
8
TPP Times Issue 77 - August & September 2015
“[If we did not have SystmOne],
the locality would be hit with a huge
backward step. They would lose
interconnectivity between Primary
and Secondary Care. There would
be no information shared between
different healthcare modules.”
– DEAN DAVIDSON, BDCT
Since using SystmOne, Locala have
benefited from greater visibility across
health and care services. They are able to
see, for example, if and when a patient in
hospital has been discharged and needs to
be sent to another service. Community
teams consequently have much more time
to prepare for the patient’s arrival. In turn,
this also improves patient confidence and
increases productivity.
At BDCT, communication between
community staff, GP and Mental Health
services has improved due to the majority
of GP adult mental health referrals (86% in
Airedale and 71% in Bradford) now being
sent electronically.
| TPP News Stories |
WHO DID WE SPEAK TO?
BRADFORD DISTRICT CARE FOUNDATION TRUST (BDCFT) provides mental health, community health
and specialist learning disability services. It has over 3,000 staff with over 20,000 patients living in the
Bradford, Airedale and Craven areas.100% of their community services use SystmOne.
LOCALA COMMUNITY PARTNERSHIPS is an independent Community Interest Company. It provides NHS
Community units to 400,000 people in Kirklees and the surrounding area.
SOUTH EAST ESSEX (FORMERLY PART OF THE CENTRAL EASTERN CSU) – The area is using SystmOne
across multiple care settings. 100% of Community services in the area use SystmOne.
ANGLIAN COMMUNITY ENTERPRISE (ACE) is a Social Enterprise that provides a wide range of NHS
Community Health Services to the population of North East Essex. They employ over 1,100 staff. ACE has
been using SystmOne since 2005.
LINCOLNSHIRE COMMUNITY HEALTH SERVICES NHS TRUST is one of the largest healthcare communities in the country, providing community health care services for the population of Lincolnshire. It employs
2,800 staff caring for thousands of patients every day. 100% of the community services use SystmOne.
QUALITY DATA
SystmOne enables clinicians and staff to
record data in a structured and easy way.
Using SystmOne on a trust wide basis
has allowed Lincolnshire Community Health
Services to standardise data. This has meant
the quality of data recorded has greatly
improved, allowing users to make truly
informed clinical decisions about their
patients. Time savings have also been made
where staff were historically re-entering the
same information multiple times and asking
for consent to view records at every service.
In South East Essex, the visibility of
quality data has seen dramatic improvements in order to benefit patients. One
example of this is whilst previously
approximately 60% of people on the end of
life register were achieving preferred place
of care, since using SystmOne the figure is
now approximately 90%.
EFFICIENCY
At Locala, staff have reported that they
now spend very little time on administrative tasks, other than those that are
directly related to client care or clinical
activity. The use of certain functions of
SystmOne, such as instant messaging and
the sending of tasks to colleagues, appears
to have cut down or in certain cases
almost eliminated the need to return to
base to carry out other administrative
work. Travel costs have also been shown to
have been reduced significantly.
“Using SystmOne has absorbed
much of the pressure that
has increased in the recent
years. Without it things would
be much much worse.”
– LOCALA
Staff in the Minor Injuries Unit (MIU) at
ACE have benefitted from the use of instant
messaging to streamline their processes.
For example, if a patient is sent for an X-ray
and is sent back to reception, the receptionist can then instant message the
clinician to alert them that the patient is in
the waiting room. This enhances the patient
experience by potentially reducing the
waiting time of the patient. Another benefit
is the overview screen, which enables staff
to be able to see a running order of how
long patients have been waiting in time
order. This means that staff can also report
on waiting times across a period of time
and flag when patients have been waiting
longer than the target time.
Visit us at www.tpp-uk.com
INNOVATION
One of the most exciting advancements is
that teams are sharing and passing on
knowledge to others across different
localities. For example, Locala’s safeguarding
team uses flags, alerts and comments within
SystmOne to capture all sorts of reporting,
ensuring the whole Safeguarding team can
immediately see if there’s something
unusual or of importance in a patient’s
record. Although this has been developed
locally, the team were taught about how to
do this from community services based
in Sheffield. Locala have subsequently
passed on this knowledge to community
services in Wakefield.
BDCT is part of the Bradford and
Airedale integrated digital care record
project, in which multiple care services are
working in partnership to deliver seamless,
integrated care to over 550,000 patients.
The project aims to create a pooled record
that builds on the widespread local use of
TPP’s SystmOne EPR system and the RiO
EPR system. Various care services across
the region are involved in the project,
reaching across primary, secondary, mental
health and social care.
Want to know more about our SystmOne
Community module? Contact our account
team on 0113 20 500 93.
9
| TPP News Stories |
T
THE KING’S FUND
ENHANCED
HEALTH IN
CARE HOMES
POST EVENT REPORT
he conference is
particularly relevant,
as there is an
increasing need to
focus on the care given to the
half a million people cared for
in the country’s 17,000 nursing
and residential homes1. The
British Geriatric Society has
highlighted how residents
living in care homes often have
the most complex care
needs, especially around the
management of long term
conditions, disabilities
and frailty2.
Age UK raised a similar
issue which was highlighted by
other delegates throughout the
conference: when a person is
discharged to a care home, it is
often seen as the last solution.
There is an assumption that the
care home will be solely
responsible for that person’s
care, despite their complex
needs. The reality is that
currently there is no coordinated model of healthcare in
place to meet the needs of care
home residents.
To address these issues,
NHS England’s ‘enhanced
health in care homes’ new
model of care aims to offer
‘older people better joined up
health, care and rehabilitation
services’. Six vanguard sites
have been selected to trial the
new model of care:
®® NHS Wakefield CCG
®® NHS Gateshead CCG
®® East and North
Hertfordshire CCG
®® Nottingham City CCG
On 2nd July, The King’s Fund hosted a
conference building on one of the five new
models of care outlined in the Five Year
Forward View: Enhanced Health in Care
Homes. The topical, lively conference was
full of debate and interesting conversation.
References:
1) https://www.laingbuisson.co.uk/MediaCentre/PressReleases/
CareofElderly201213PressRelease.aspx
2) http://www.bgs.org.uk/index.php?option=com_content&view=articl
e&id=1487&Itemid=719
10
®® Sutton CCG
®® Airedale NHS
Foundation Trust
At the event, both NHS
Wakefield CCG and Airedale
NHS Foundation Trust
presented their approaches to
tackling the needs of care home
residents. The goal for both of
these organisations is to
improve the coordination of
care planning, and ultimately
improving the quality of life
for residents.
One of the findings from
both vanguard sites is how the
TPP Times Issue 77 - August & September 2015
use of technology is central to
the success of the projects. The
technology was presented in
two main guises:
1. The better use of telehealth
and telecare to engage with
elderly residents and
improve the management of
care, all from the persons’
usual place of residence.
2. The use of a common
electronic patient record
system across multiple
health and care providers.
You can read more about the
enhanced health in care homes
vanguard site projects on the
NHS England website - http://
www.england.nhs.uk/ourwork/
futurenhs/5yfv-ch3/new-caremodels/care-homes-sites/
The clear message given
throughout the event was that
there is an increasing medical
demand placed on both nursing
and residential homes. It is
clear that the demand for
healthcare does not stop at the
front door of a care home.
There needs to be a focus on
re-enablement and rehabilitation, coordinated with the
relevant care teams across the
health and care spectrum.
Since its launch last year, the
SystmOne Care Homes module
is enabling staff in care homes to
improve the experience for
residents (and their families). It
provides the appropriate staff
within care homes with access to
the electronic patient record,
resolving some of the national
issues surrounding elderly care.
NHS services can use the data
recorded by NHS services
including GPs, multidisciplinary
teams and acute providers to not
only coordinate that person’s
care with other teams but make
more informed, personalised
decisions for that person.
FIND OUT MORE
You can read more about
SystmOne Care Homes,
including a case study, here:
http://www.tpp-uk.com/
products/systmone/modules
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ATTENTION
GP USERS!
Select SystmOne as your clinical system for the
end of the Local Service Provider (LSP) contract
On the 7th of July 2016, the contract you
currently use to procure your IT services, the
LSP contract, is due to expire. With just 12
months to go, now is the time to re-select
SystmOne as your clinical software supplier.
Continuing to use SystmOne is easy. Just ask
your CCG to log on to the GPSoC tracking
database and select your supplier: https://
nww.tdb.nhs.uk/ifhtracking/default.aspx
They will need to select SystmOne GP, and
any further subsidiary modules such as
Advanced Appointments, Advanced
Documentation and Workflow & Tasks.
Why should you continue to use SystmOne?
®® Centrally hosted, shared care solution
®® Monthly free of charge functionality updates
®® Advanced functionality including document management and clinical support tools
®® Interoperabilty with over 80 integration partners
®® Shared working solutions to support new models of working
®® Mobile working with the online/offline capabilities
®® Free of charge patient facing services
SystmOne continues to be centrally funded under the new GPSoC contract.
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Q
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A
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4. Management
10.Healthcare
R
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5. Palliative
11.Bed Management
I
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B
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A
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6. TPP
12.General Practice
Q
O
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T
L
G
R
N
C
A
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N
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Q
N
D
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11
| Did you know | Top tips | New functionality |
NEW FUNCTIONALITY
SYSTMONLINE
MESSAGE
PRESETS
When sending a message to a patient via
SystmOnline, the New Message dialog
will now have a Presets button in the
bottom corner. Selecting this will allow
you to configure and use preset
messages for your organisation to make
it easier to send standardised messages
to patients.
New messages can be recorded via
the Messages tab of the Online Services
node in the patient record.
SYSTMONLINE
ACCESS
A new System Wide Patient Status
Alert is now available to notify you if a
patient does not have any verified
contact details. The alert has been
added because before using an email
address or mobile phone number for
Online Services, it should be verified
via a confirmation email or SMS. This
new alert type allows you to see which
patients still need to verify their
contact details.
REGISTERING
CARERS
ALLOCATED
STAFF MEMBERS
In mental health organisations, you will
now be able to register someone as a
carer and link them to a patient record
existing at your organisation. This will
enable you to record information relating
to a carer that is not appropriate to add
to the patient record.
When searching for carer records,
they will show up in purple in the
patient search.
Previously, a patient could only be on
one caseload per referral. However,
there may be multiple teams and
members of staff that care for the
patient during their referral.
You will now be able to record which
staff members are allocated to a
patient’s referral. This will allow you to
record the relevant staff caring for the
patient at different times throughout the
duration of the referral.
Located in the Workflow menu, the
Allocated Staff Management screen
provides an overview of patients that
have staff assigned to their referral. The
screen will show a list of patients that
you are currently caring for or have cared
for between specified dates. You can also
use the screen to see the same list for
other members of staff.
You will also be able to record and
manage allocated staff from the patient
record on the Allocated Staff node. An
allocated staff member represents a care
relationship between a staff member and
a patient and is linked to a patient’s
referral. This can be used to capture
information about who is/has been
caring for the patient during their care at
the organisation. The Allocated Staff
node will allow you to view and amend
current and historical staff allocations
for referrals into the organisation.
INFORMING
STAFF OF
CARE PLANS
At secondary care organisations, you can
now include Social Worker in the list of
people who can be informed about a
patient’s care plan.
At mental health organisations, you can
also record the following as people who
can be informed of a care plan:
®® Responsible Clinician
®® Community Psychiatric Nurse
®® Carer’s Support Worker
This will help staff appropriately share
details of a patient’s care plan, and
therefore deliver a more co-ordinated
care approach.
12
TOP TIP
GOT A TIP?
To add a quick action button to your
home screen for the screen you are
currently viewing, hold ctrl+shift
and press F8 #TPPTrainingtips
Let us know your tips for using SystmOne
Do you use a shortcut or little known functionality
you think more people should hear about? Tweet us
at twitter.com/TPP_SystmOne or email [email protected]
to see your tip in the next edition of the TPP Times.
TPP Times Issue 77 - August & September 2015
© TPP 2015