Hampshire Health Record Improving clinical care through sharing

Hampshire Health Record Improving clinical care through sharing information Stockport Health Record Awareness Event 16 th September 2009 Ian Bacchus – HHR Programme Manager

Overview Hampshire Health Record • Covers three PCTs and four Acute Trusts • 1. 1 million patients on the HHR at present • Feeds from 60%+ of GP systems • Feeds from ¾ acute hospitals • Used in OOH, emergency & unplanned care • Starting to be used in more routine care (Community, Out patients, admission wards, GP surgeries) • Used by community teams as electronic record (physiotherapy, OT, podiatry)

Data flow Hampshire Health Record Website Blackberry Integrated Form HHRc Data warehouse HHRa GP GP GP Hospital Exeter

Information Governance & Security Hampshire Health Record Individual log ins – have to register before use Full audit and active monitoring of access Role based access controls Additional restrictions to certain areas (i. e. Mental Health) Only available via N 3 Explicit consent required before all accesses Working with: • LMC • Information Commissioner’s Office • Area wide Information Governance groups • Clinical Records Advisory Group

Current activity Hampshire Health Record • Ongoing work to increase GP feeds • Developing feeds from remaining local acute hospital • Working with outlying acute trusts to develop feeds • Specifying feeds from local community and mental health trusts

Current activity Hampshire Health Record • Increasing numbers of users through local promotion • Re-visiting security, consent and infrastructure • Public awareness campaign

Next steps Hampshire Health Record • Increasing the use of the HHR as a clinical system and primary method for sharing information across the area • Working with NIGB, LMC and ICO to ensure Consent Model enables full integration of record with normal use • Standardising processes, interfaces and protocols, to enable expansion of service to cover more areas (i. e. social care, out of area, private sector)

Next steps Hampshire Health Record • HHR is underlying database for Hampshire Common Assessment Framework (CAF) Project • Patient and carer remote access to information • Developing analysis potential of HHR information