Bristol Connecting Care

Bristol, North Somerset, South Gloucestershire

Safeguarding

Patient records include safeguarding alerts such as attendances at out of hours services.

Saving Time

Health and care professionals have access to patient information. This prevents the need to manually request information.

Preventing Admissions

Health and care professionals have access to patient’s information. This improves clinical confidence and has an indirect benefit of preventing admissions.

Safeguarding

Patient records include safeguarding alerts such as attendances at out of hours services.

Helps care teams track risks and manage them.

Saving Time

Health and care professionals have access to patient information. This prevents the need to manually request information.

Saves time chasing information.

Saves time triaging patients.

Saves time unnecessarily visiting homes.

Preventing Admissions

Health and care professionals have access to patient’s information. This improves clinical confidence and has an indirect benefit of preventing admissions.

Improves clinical confidence.

Safeguarding

Patient records include safeguarding alerts such as attendances at out of hours services.

None identified.

Saving Time

Health and care professionals have access to patient information. This prevents the need to manually request information.

Estimated annual saving of £5,447 in the pilot, if one call per week per user was saved where the medium salary is between NHS bands 7-8.

Preventing Admissions

Health and care professionals have access to patient’s information. This improves clinical confidence and has an indirect benefit of preventing admissions.

Preventing admissions: Estimated cost saving of £10,052 in the pilot [2 months].

Introduction BackgroundSolution
Ensuring that the people who are providing care have the information they need, when they need it.

The Connecting Care Programme has implemented a read-only shared care record across Bristol, North Somerset and South Gloucestershire. The record is used to share information across a range of health and care settings and support the provision of integrated care.

The solution uses the Orion Health technology platform.

Maturity
Level 3 - Sharing three or more care settings at read only
Scale
Large - More that 10 organisations
  • Connecting Care is a read-only shared care record solution which uses the Orion Health product.
  • A record contains summary information about the patient drawn from GPs, hospitals, community, mental health trusts and social care records from the council.
  • Phase 1 of the project focused on providing access to urgent and unscheduled care services.
  • Phase 2 has increased the number of users and datasets accessible with the shared record.
  • Teams that use the solution include community  rapid response, emergency care, homeless health service, Brisdoc out of hours, and pharmacy and safeguarding.
  • On average 9,950 records are viewed each month.
  • Central Repository Model Connecting Care uses the Orion Health solution.
  • Health and Care Workers request information through the Connecting Care web-based portal. This access is read-only. This pulls information from the system or a central repository using the Rhapsody Integration Engine and Nextgate Master Patient Index.
  • Social Care information in the central repository is refreshed every 24 hours.
  • Primary and Community Care information is real-time.
  • GP data is integrated using the Medical Interoperability Gateway.
  • Connecting Care now uses Care Connect to integrate the Theseus substance abuse management system with the Connecting Care shared record.

Business Capabilities

Records Access
  • Provides a read-only view of the patient record within a web-based portal.
  • The record includes access to:
    • Patient medications
    • Hospital attendances
    • Diagnosis
    • End-of-life wishes
    • Allergies
    • Immunisations
    • Test Results
    • Social and community care information
  • Flags are shown on the record when patients are in child or adult protection databases. Contextual information from the children’s database is also shown.
Tranfers of Care
  • When a patient is handed-on via a referral, transfer or discharge relevant information becomes available in Connecting Care.
  • GPs, social and community care organisations are able to see the appropriate information such as discharge summaries, future appointments and test results.
  • This supports safe and effective continuation of care.
Information Sharing Rules
  • A cross-community programme governance and information governance framework has been set up to facilitate the creation of data sharing agreements between organisations.
  • All 16 organisations and GPs have signed the single information sharing agreement.
  • The process for patients to access their data is currently through a manual request process for patients to access their patient record.
Mobile Working
  • The Connecting Care portal is accessible through mobile devices.