East London

Access To Results

Healthcare professionals have access to patient’s previous test results:
  • This reduces the number of unnecessary duplicate tests.
  • This reduces the need to find information held elsewhere.

Access to Record

Clinicians in A&E and hospital have access to a patient’s GP record.

Access To Results

Healthcare professionals have access to patient’s previous test results:
  • This reduces the number of unnecessary duplicate tests.
  • This reduces the need to find information held elsewhere.
Saves time doing duplicate tests.
Saves time chasing information.
Estimated time saved by 1 GP surgery is 482 hours per year.

Access to Record

Clinicians in A&E and hospital have access to a patient’s GP record.
Saves time chasing information.

Access To Results

Healthcare professionals have access to patient’s previous test results:
  • This reduces the number of unnecessary duplicate tests.
  • This reduces the need to find information held elsewhere.
Reduces costs from duplicate tests.

Access to Record

Clinicians in A&E and hospital have access to a patient’s GP record.

None.

Introduction BackgroundSolution
To ensure professionals have access to all of the relevant information about a patient at the point of care regardless as to which system that information is stored in.

The east London Patient Record (eLPR) shares ‘read-only’ patient records across health and community organisations in the 5 London boroughs of Waltham Forest, Newham, Tower Hamlets, Hackney and City of London, as well as with GPs in West Essex.

The Health Information Exchange (HIE) has been implemented to facilitate continuous improvement in the delivery of direct patient care.

Maturity
Level 3 - Sharing three or more care settings at read only
Scale
Medium - 5-10 Organisations
  • Federated Record Locator Model The East London Patient Record shares patient information across different organisations in the network using the Medical Interoperability Gateway (MIG) and Cerner’s Health Information Exchange (HIE).
  • Health and care professionals view patient records through existing clinical systems, with no additional log on process.
  • The information is shared at the point of request and provides an up-to-date view of the record.
  • Patients give their consent to view the record at the point of care.
  • Federated Record Locator Model The MIG and HIE share information using a hub and spoke model.
  • Enables real-time information sharing without changes to local systems (e.g. at GP practices) using a record locator.
  • There is no central data repository.
  • Records can be viewed in context by clicking a link within the core clinical systems with no additional log-in.

Business Capabilities

Records Access
  • Provides a read-only, single-view of the patient within the existing clinical systems.
  • The record includes access to:
    • Patient medications
    • Hospital attendances
    • Diagnoses
    • Discharge summaries
    • Outpatient letters
    • Immunisations
    • Allergies
    • Test results
    • Future appointments
Information Sharing Rules
  • A cross community information governance agreement was chartered.
  • A Waltham Forest East London and City (WELC) information governance committee has been established.
Transfers of Care
  • Patient letters shared with GPs using Messaging Exchange for Social Care and Health (MESH), a complimentary solution.