THE PRSB AN INTRODUCTION TO THE WORK OF

THE PRSB AN INTRODUCTION TO THE WORK OF THE PRSB NOVEMBER 2017

VISION AND MISSION To optimise the health and wellbeing of UK citizens through the wide spread adoption of high quality, standardised records. To become the authoritative voice for the development and widespread use of standards that ensure all digital health and social care records are of the highest quality. WHAT IS A STANDARDISED RECORD? A record is the information that health and care professionals, and increasingly patients themselves, capture for their ongoing care. Standardising the information will make sure the records are of a consistently high quality and the same information is captured every time. High quality records are about good patient care – we all need to be interested in that.

WE ARE UNIQUE We work with member organisations who represent more than 750, 000 frontline clinicians and care professionals as well as patients and the public. PRSB MEMBERS Academy of Medical Royal Colleges Royal College of Nursing Royal College of General Practitioners Royal College of Paediatrics and Child Health Royal College of Pathologists Royal College of Physicians Royal College of Psychiatrists Royal College of Surgeons of England Royal College of Obstetricians & Gynaecologists Royal College of Emergency Medicine Royal College of Anaesthetists Royal College of Midwives Royal College of Radiologists Royal College of Occupational Therapists National Voices British Computer Society British Psychological Society Royal Pharmaceutical Society Association of Directors of Adult Social Services Association of Directors of Children’s Services Care Provider Alliance Allied Health Professions Federation Public Health England Resuscitation Council (UK) Institute of Health Records and Information Management INTEROPen HL 7 Tech UK

ABOUT US WE BUILD NATIONAL CONSENSUS We work across all of the professions, patient groups and the public to build support for standards. Our job is to bring all the right people together from across the UK - clinicians, social care workers, patients and the public. WE ARE A ‘NOT FOR PROFIT’ COMMUNITY INTEREST COMPANY We are an independent voice owned by our members. Our members are the professional bodies who represent the health and care professions and patient/carer representative groups

HOW WE WORK Advisory board We have a multi-disciplinary board representing our members which guides the work of PRSB Clinical and professional leadership We have clinical and professional board directors and advisors who bring expertise and pragmatism to standards development and adoption. Patients and the public We work with patients and the public to develop standards that support patients with information to better manage their own health and care. Strategic partnerships Our partners – the Chief Clinical Information Officers network, NHS Digital, INTEROPen, Royal College of Physicians Health Informatics Unit - work with us to develop the systems and standards to deliver the digital agenda.

DEVELOPING A STANDARD 8 7 6 1 Keeping standard up to date – revision process PRSB puts together an expert group In consultation the PRSB identify a priority area 2 Implementation and support Member organisations sign off and endorsement Work collaboratively to develop a standard ✔ 5 PRSB independent assurance committee 4 NHS Digital creates technical messaging 3 ✔ Online surveys (UK wide) ✔ Professional standards authoring ✔ ✔ Workshops Literature review

WHY STANDARDS MATTER FOR PATIENTS AND PUBLIC FOR SAFETY Only need to give details once Take control of their own records Reduce risk of medical errors Full and immediate access to complete information FOR CLINICAL PRACTICE FOR RESEARCH Professionals jointly agree best practice Structured, standardised care records Access to personal health information No more fragmented systems and free text Better access to shared information enabling access to greater quantity and far higher quality data to improve research potential FOR INTEGRATED CARE FOR PERSONALISED CARE Information needs are agreed by all involved: Care can be created for a specific clinicians/professionals/patients Accessible by everyone who needs it individual using genotype and phenotype data Video - CCIO Keith Mc. Neil - the benefit of using standards

CURRENT RECORD STANDARDS PUBLISHED RECORD STANDARDS ü Standards for the clinical structure and content of patient records ü Revised e-discharge summary ü Emergency care discharge summary ü Ambulance handover process ü Mental health discharge summary ü Crisis care (Healthy London) üOutpatient letters IN DEVELOPMENT/PLANNING o Care home information flows o Child health events o Digital care and support plans o Referrals o Maternity o SNOMED/DM+D/GS 1

PUTTING STANDARDS INTO PRACTICE – CHANGING THE CULTURE HOW ARE WE DOING THIS? Engaging frontline professionals and leaders Supporting frontline implementation Aligning system levers and incentives Build into education and training Raise public awareness Shape how next generation will work Unleash people power HOW DOES THAT HELP? Promoting the changes to happen nationally and locally ‘Pull from users’ Support providers to implement using evidence of what works from trusted peers Make it easier to do the right thing

SEVEN WORK PRIORITY AREAS 1 2 3 Person centred care & shared decision-making Supporting integrated care Standardising key data flows and transfers of care 4 Prioritising social care 5 Enabling audit, research and precision medicine 6 Improving Safety 7 Getting the right foundations in place

CHANGING THE CULTURE SUPPORTING FRONTLINE Engaging frontline ENGAGING FRONTLINE • Developing the narrative • Member organisations – 750, 000 professional front-line staff • CCIO/CIO engagement plan • ‘How to’ guides • FAQ EDUCATION AND TRAINING • Digital Academy input • College and professional workforce development • Mobilise junior doctors • • Field work Case studies Evaluation Framework for implementation LEVERS AND INCENTIVES • • NICE guidelines CQC regulatory regime NHS improvement NHS resolution Public awareness PUBLIC AWARENESS • Compelling personal stories • Partnership with patient organisations • Wellcome Trust – public understanding

CONTACT US www. theprsb. org info@theprsb. org @Prof. Record. SB