An Introduction to the

Dorset Care Record

Welcome to An Introduction to the Dorset Care Record

This is appropriate for health and social care professional staff across Dorset,

who need to access the Dorset Care Record (DCR) as part of their role.

This module provides general information about the DCR including: who is

involved, the key benefits, the types of information available, contacts and support information.

1. 2. 3. 4.

This module can be

stopped and

restarted at any time.

Please remember to

take regular screen

breaks.

Please step through

this module in order

initially to familiarise

yourself with all the

information

available.

At any time in the

future, you can

return to this module

and use the menu to

navigate to the

topics you are

interested in viewing

again.

Please attempt the

assessment at the end to

check what you have learnt.

Please use the evaluation

link to give us feedback on

this module, to help us

improve the DCR training.

Objectives

This module will help you to

Be aware of why the DCR was introduced

Understand the benefits of the DCR

Know who has access to the DCR

Discover the types of information available in the DCR

Know who to contact for support

What is the Dorset Care Record?

The Dorset Care Record (DCR), launched in March 2018, is an electronic repository

providing a consolidated view of information from health and social care systems across

Dorset.

Through collaboration of the partner organisations, DCR is enabling better sharing of

information for health and care professionals, to enable details of a person's medical or care

needs, to be summarised in the same place and improve the care of people in Dorset.

DCR currently brings together information from

Dorset hospitals and GPs.

Work is underway to bring in further information

from hospitals, community health teams and

social care information from Dorset councils.

The Dorset Care Record

Dorset Care Record provides a joined up view of information from partner systems for the first time in Dorset.

Sharing appropriate information electronically to a single place offers direct access for authorised health and social care professionals, which includes Yeovil Hospital and Community Pharmacies to provide as full a picture as possible of a person’s history, needs, support and service contacts.

In the longer term, the aim is to offer the

residents of Dorset access to their own

record, through a citizen portal.

DCR Partner Organisations

Local Authorities

Bournemouth, Christchurch and Poole

Council

Dorset Council

Acute Hospitals

Dorset County

Poole

Royal Bournemouth & Christchurch

NHS Dorset Clinical Commissioning Group

GP practices

Dorset Healthcare University Foundation

Trust

The Dorset Care Record is a

collaboration between these

organisations:

Benefits of DCR

Citizens

• Improving safety and care through better decision making

• Better continuity of care

• Better understanding of a person’s situation

• Better experience and outcomes

• Information is secure and shared appropriately

• Less time and worry for individuals repeating basic information to different professionals

• Access to their own record online

Staff

• Reduced time searching for information

• Reduced time responding to queries

• Quicker access to better information

• Ability to make more informed choices

• Longer term:

• Improved data quality

• Reduce duplicate recording

• Help predict demands (plan future services)

Partner organisations

• Enabler for integrated working

• More effective workforce

• Faster provision of care

• Better directing of public funds

There are a number of benefits from linking health and social care records:

Who will have a Dorset Care Record?

A DCR will be automatically generated for most people, with appropriate information

about a person's health and social care needs shown in the DCR system - unless a

person chooses to opt out. Opting Out is covered in the separate e-learning module

“Information Sharing and Security”.

Initially a DCR will only be

created for people who

have a record on the

hospitals’ Patient

Administration System

In phases, information will

be brought in from local

authority social care, mental

health and community

health systems

What Information will be available?

Demographic data

Hospital admission and

discharge information

Medical appointments, attendances

Test results and reports

Diagnosis and medicines

Alerts

Allergies

Professionals involved with the person

Assessments and Care plans

What Information will be available?

Future phases of the DCR 2019/2020

Additional Hospital Information

Allergies

Discharge Medications

Correspondence

Single Sign on

Councils & Dorset Healthcare

Social care information

Mental health services

Community health services Maternity Pathway

Cancer patients follow-up care

The Citizen Pathways

Who can access the DCR?

The DCR should only be used by health and social care staff involved in the direct care, or

support the delivery of direct care. It should not be used for research purposes.

The following roles are examples of approved NHS and Local Authority health and social

care professionals who will have access to the Dorset Care Record:

• General Practitioner

• Doctor

• Nurse

• Midwife

• Social Worker

• Occupational Therapist

• Mental Health worker

• Pharmacist

• Care Assistant

• Clinical Administrator

Security and Confidentiality

All access to

information is via a

highly secure

access portal

limited to approved

NHS and Local

Authority health

and social care

professionals.

By law, everyone

working in, on behalf

of, the NHS and social

care must follow strict

information governance

rules designed to

respect patient privacy

and keep information

safe.

The DCR will keep

a record of

everyone who has

accessed a record,

the time and date

when they have

accessed it and the

information they

were viewing.

The DCR Partnership

has signed up to the

Dorset Information

Sharing Charter

(DiSC) which governs

how we share

personal data with

each other, in line with

legislation.

The laws on data protection are clear and we take them very seriously. Please refer to the

separate e-learning module “Information Sharing and Security” for more detailed information.

What users are saying about DCR

“Shared records have the great potential to reduce harm and improve care.”

Dr Rob Willington, Consultant, Royal Bournemouth and Christchurch Hospitals

“Using the Dorset Care Record is wonderfully simple and is a great achievement. It compares favourably to other GP and primary care systems”

Dr Andrew Polkinghorn, Senior Dorset GP, Verwood

“The Dorset Care Record enables me to see when and which vaccine they’ve had – very useful – as patients, understandably tend not to have a clear recollection.”

Dr Paul Murray, Renal Consultant Dorset County Hospital.

“I have used it to find an official diagnosis and medical history for a lady regarding falls. This saved me time making several phone calls to gather information.”

Claire Collett, Occupational Therapist, Dorset Council.

A man’s life has been saved thanks to the Dorset Care Record.

The middle-aged man, who has complex learning difficulties, a

history of alcohol dependency and a form of psychosis, has in

the past often presented himself to hospitals saying he had

something in his heart or something was trying to get out of his

stomach.

Anna Cosslett, Chief Clinical Information Officer at Dorset

HealthCare, said she had noticed some weeks ago that the

man also exhibited very high cholesterol levels: “We managed

with his GP to add this information to the man’s Summary Care

Record, which feed in to the Dorset Care Record (DCR). We

said that he should be physically examined before being

discharged if he presented himself again at hospital,” she told

the DCR Programme Board.

The man presented himself at Dorset County Hospital and the

first consultant, who did not have access to the DCR, referred

him to a psychiatrist on mental health grounds. The second

consultant looked on his Dorset Care Record as the first port of

call and after tests realised he had suffered a heart attack. He

has been treated in Dorchester and is recovering.

DCR Case study:‘Data Saves Lives’

A Bournemouth, Christchurch and Poole Council spokesperson told us:

An 84 year old gentleman was becoming dizzy in the shower and having trouble standing up.

He requested a seat, but did not meet the eligibility criteria through the line of questioning.

The DCR showed that he was on some medication which meant he was in fact eligible, and was provided with the equipment he needed.

DCR Case study:‘Showered with Help’

Public Engagement

Examples of how we keep the public informed about DCR include:

DCR helpline Public Engagement Events

Posters & Leaflets Accessible Leaflets

Local Radio News coverage

Public website

Providing regular news items,

case studies and videos.

Dedicated telephone line for

enquiries and opt-outs.

Over 170 events attended

throughout 2018 and 2019.

Social Media Feeds

Including Twitter, YouTube and

LinkedIn.

In public places such as GP

surgeries, hospitals and libraries.

Easy read, audio and large print

versions of our leaflets available.

Household Leaflet

Delivered to every household in

Dorset – Dec 2018/Jan 2019

Radio advertising Jan 2019-

Wessex, Breeze and Heart FM

Newspapers such as Dorset Echo,

Lyme on Line, and radio interviews.

Key Roles and Responsibilities

• Each organisation will provide support for their staff using the DCR system.

• Contact details will be available on the DCR Staff Area website, which can be accessed below, or from the LINKS area on the main DCR menu

Service Desks / IT Support

• Data security and ensuring Information Governance compliance

• Person to contact for staff queries relating to data sharing, data protection and Subject Access Requests

Privacy Officer

• Responsible for setting up accounts, permission levels unlocking accounts. Any account issues need to be raised with your own ICT Service / Help Desk.

System Manager

You can use the link

to the DCR Staff

Area and save this

as a “favourite” or

“bookmark”, to make

it easier to check for

news and

information.

Key roles within the DCR to provide support include:

https://news.dorsetforyou.gov.uk/dcr-staff-area/

Information Links

If you would like further information, please use the details below (optional):

• For general DCR queries please use the email address: dorsetcarerecord@dorsetcouncil.gov.uk

General DCR queries

• For further information about the Dorset Care Record please visit the website: www.dorsetforyou.com/dorset-care-record

DCR Website

• For further information about the Dorset Information Sharing please visit the website: https://www.dorsetforyou.gov.uk/disc

DiSC Website

• For further information for STAFF about the Dorset Information Sharing please visit the website: https://news.dorsetforyou.gov.uk/dcr-staff-area/

Staff Website

mailto:dorsetcarerecord@dorsetcouncil.gov.ukhttp://www.dorsetforyou.com/dorset-care-recordhttps://www.dorsetforyou.gov.uk/dischttps://news.dorsetforyou.gov.uk/dcr-staff-area/

Other Shared Care Records

Connecting Care

Bristol, North Somerset and

South Gloucestershire

Care and Health Information Exchange

Hampshire Health Record

Care Integrated Digital Record

Camden, Islington boroughs

Leeds Care Record

Northern Ireland

Electronic Care Record

Kent and Medway

The UK Government has committed to a wide scale roll out of shared care records across

the country. If you would like to know more about other organisations in the UK providing

shared care records, please use the links below (optional):

https://www.connectingcarebnssg.co.uk/http://www.careandhealthinformationexchange.org.uk/https://cidrportal.nhs.uk/https://www.leedscarerecord.org/https://www.nidirect.gov.uk/articles/northern-ireland-electronic-care-record-niecrhttps://kentandmedway.nhs.uk/latest-news/digital-update-new-shared-care-record-kent-medway/

Objectives Recap

Having completed this module, you should:

Be aware of why the DCR was introduced

Understand the benefits of the DCR

Know who has access to the DCR

Be aware of the types of information available in the DCR

Know who to contact for support

Further Learning

Thank you for completing the “An Introduction to the Dorset Care Record” learning module.

To complete all of the training available for the Dorset Care Record, if you haven’t already,

please view the additional DCR learning modules, to support your understanding of DCR:

An Introduction to the Dorset Care

Record

DCR Information Sharing & Security

(mandatory)

DCR Navigation

DCR Radiology, Pathology and

ReferralsDCR Allergies

Next Steps

You have completed the module “An Introduction to the Dorset Care Record”!

In order to check your knowledge and

confirm you have undertaken this training,

please complete the short assessment

which you can access using the link here:

An Introduction to the Dorset Care Record

Assessment

Your comments and feedback are

very important to us, so please

complete a training evaluation for this

module.

Training Evaluation

https://dorset-self.achieveservice.com/service/Training_assessment_An_Introduction_to_the_Dorset_Care_Recordhttps://dorset-self.achieveservice.com/service/Training_evaluation

Disclaimer

The screenshots in this training guide are taken

from a test system and as such may vary slightly

to the live DCR system.

Screenshots in this training guide do not contain

any real patient data.

Data provided by source systems is read-only in

DCR; e.g. the patient’s address from a source

system will be shown in DCR but if this needs to

be updated, this must be done in the source

system.

End of module

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