Dorset Care Record

Introduction BackgroundSolution
The Dorset Care Record links health and social care information to improve care in Dorset. It Underpins our ambitions to deliver better and safer care closer to home, prevent ill health and reduce inequalities.

The Dorset Care Record is helping Dorset re-engineer the way it delivers health and care across the region.

The record currently draws data from three acute hospitals and the majority of Dorset’s GP practices. Data sets from other partner organisations will be added soon. A wide range of providers, including social care and mental health, can view the record. Access for the South Western Ambulance Trust is in the pipeline.

The solution, which uses an Orion Health technology platform, is one of the key digital enablers of Dorset’s Sustainability and Transformation Plan.

Maturity
Level 1 - Sharing one care setting or planning sharing
Scale
Medium - 5-10 Organisations
FOCUS ON: Coordinated Person-Centred Care

“As we build the Integrated Care System, more multi-agency teams will have to co-ordinate around the needs of the person. The Dorset Care Record will support this.
For us, it’s not a question of simply digitising existing processes. We want to really change the way teams work – allowing them to make collective decisions using digital technology to help them.
It is early days in our delivery of DCR, but it is starting to have an impact already. On the first day it went live, a member of staff from one of the early adopter social care teams was able to make an informed decision about an adult on their caseload when heavy snow prevented care workers visiting them at home. The team thought the adult might be in hospital and so not at risk, but
looking at DCR they quickly established that this wasn’t the case and were able to take appropriate action.”

Andy Hadley, Solution Architect for Dorset Care Record

  • Central Repository Model DCR is delivered through a portal solution based on Orion Health technology.
  • It uses the MIG to provide a view of data from GP systems.
  • End users request data through the DCR portal. This request pulls the data either directly from the system, or from the central repository using the Integration Engine and Enterprise Master Patient Index.
  • The Master Patient Indexes between the three Acute hospitals has been reconciled, and work is progressing on adding those of the other organisations too.

Business Capabilities

Individual Patient Care
  • Dorset Care Record supports individual patient care by giving staff a more holistic view of the current status of a person’s health and care, and improving their ability to make informed decisions about people’s treatment.
  • The record currently provides access to patient demographics including name, date of birth, address, next of kin, NHS number and ethnicity, as well as diagnosis, events, examinations, investigations, medication and allergies from the GP record.
  • DCR has been made available to a broad range of organisations early in the programme. This was a deliberate move intended to build momentum. Staff from the three local authorities, three acute hospitals, the combined mental health and community provider, and GP practices across Dorset CCG can all access the record, with the South Western Ambulance Trust due to gain access as the rollout continues.
Cae Planning and Coordination
  • As the data in DCR becomes richer and the solution becomes more embedded, it will drive more coordinated working practices and allow multi-agency teams to plan care collaboratively.
  • DCR will also support pioneering projects such as the Weymouth and Portland Integrated Care Hub, which currently aims to deliver more joined up care for elderly patients with long term conditions. The Hub assesses people’s needs and ensures the right support is provided, as well as coordinating the different care professionals involved. Early indications show that the Hub is impacting the number of people admitted to hospital, and the length of their stay. DCR are also exploring creating shared care plans to enable collaborative sharing of care between organisations and ensure patients have a seamless care experience.
  • In order to enable more streamlined working across organisations, the DCR programme is keen to ensure standards are adopted. For example, partner organisations are in the process of developing letters to the Academy of Medical Royal Colleges (AoMRC) standards. Similar work is ongoing in order to establish collaborative care plans that are meaningful for all contributing teams.