Professional Handover of CareKeith Naylor

16th December 2014

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Set the scene

• Risks associated with not sharing data

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Case Study – Mrs H

• 35 years old • Teaching Assistant • Mother of Two

Mrs H experiences depressive symptoms

GP, Dr. J prescribes Prozac on repeat

2009Mrs H has hurt her back

GP, Dr. W prescribes NSAID

15 days later she’s admitted

Vomiting blood

2 major operations

2 weeks in ITU

5 weeks in Hospital

4 months recovery

2006

Experiences knee pain

GP, Dr. G prescribes NSAID

Mrs H has abdominal pains

NSAID stopped, pain gone

the allergy is recorded in unstructured free text

2011

Combination of NSAIDs and Prozac increases likelihood of severe reaction

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Case Study – Mr F

• 45 years old• Sales Executive

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GP, Dr. X notices 6 recent walk-in centre visits for ‘minor ailments.’ Mr F’s BP is higher than before. Anti hypertensive drug started and a referral to a cardiologist – Mr F did not attend

6 months

8 months

x3x6

CV

Sees GP, Dr. D with cold. Dr.D notices 3 recent visits to A&E, that Mr F’s Blood Pressure is 150/90 and that he is overweight. Sends Mr F for cholesterol test and to return for repeat BP checks – which Mr F doesn’t attend. Cholesterol is high, Mr F invited back and didn’t attend

Mr F sees the occupational health doctor at work for ‘indigestion.’ This doctor is not aware of Mr F’s history. The doctor prescribes antacids, 3 days later Mr F collapses and dies. Post mortem reveals from a Heart Attack

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NIB Framework for Action Priorities

• Give care professionals and carers access to all the data, information and knowledge they need

• Support care professionals to make the best use of data and technology

• Electronic handover of care documents

• Care records to be mobile, editable and accessible to all those in the care process, including patients

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Professional Leadership through PRSB

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CDGRS

Mar 15

Dec 14

Jun 15

May 15

CoreInformation

Models

DischargeSummary

Discharge Summary Workpackage Timeline

CDAProduced

DiagnosisModelled

MedicationsModelled

CDAProduced

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KN Slide(s)

• Questions we need to ask:– Who is using what (ITK, Kettering, EDIFACT, FAX, PDF, Paper)?– Who is using locally derived specification?– Who wants to be involved going forward?– Ask for Pilots/demonstrators …. Who wants to trial the updated

DS?

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