South and East Belfast Trust Call South and East Belfast Trust Call Management Centre and the PARIS Management Centre and the PARIS systemsystem

By Niall O’Kane Neill Rogers

Birinder Singh

Background on SEBTBackground on SEBT

One of the twelve health trusts in NI Since 1990 has worked with In4tek– Developing a shared health and social care

electronic record system– Patient Centred Information System– AKA PARIS– First NHS site to implement PARIS

More on PARIS…More on PARIS…

The core elements of PARIS:– Registration– Referral– Assessment– Care Planning– Activity– Review– And Discharge

More on PARIS…More on PARIS…

Further tools provided– Diary scheduling– Stock– Consumable ordering– Linked through care planning

Who uses PARIS?Who uses PARIS?

Currently 27 Professional groups Including– District Nursing– Occupational Therapy– Care Management– Hospital Social Workers– Podiatry– Physiotherapy– Mental Health– Children with disabilities

Who uses PARIS?Who uses PARIS?

Proposed professional group implementations include:–Mental Health South– Crisis response team– Regional secure unit (Shannon)

The list continues to grow.

How PARIS worksHow PARIS works

Using a step-by-step example:– GP refers patient after consultation to

e.g. a physiotherapist– GP contacts Call Management Centre

(CMC)

What is the CMC?What is the CMC?

Central department which handles telephonic referrals

62,000 referrals last year7 call handlers– Receive referrals–Making sure patient referral goes to the

relevant care team– Based in Knockbracken Healthcare park

Example of a PARIS referral formExample of a PARIS referral form

How PARIS worksHow PARIS works

Using a step-by-step example:– GP refers patient after consultation to

e.g. a physiotherapist– GP contacts Call Management Centre

(CMC)– CMC retrieves patient’s record held

within Central Index

What is Central Index?What is Central Index?

Electronic database holding information on patients within SEBT

Maintained by the IT department in Knockbracken Healthcare Park– Situated close to the CMC for more effective

inter-departmental communication

Maintenance includes:– System debugging– Input/update patient records

How PARIS worksHow PARIS works

Using a step-by-step example:– GP refers patient after consultation to

e.g. a physiotherapist– GP contacts Call Management Centre

(CMC)– CMC retrieves patient’s record held

within Central Index– CMC forwards the referral to the

relevant care team

How care teams use PARISHow care teams use PARIS

Care team manager assigns referral to individual health/social care professional

If a referral is wrongly assigned, care team can return the referral back to the CMC

Security measures of PARISSecurity measures of PARIS

Username and PasswordDifferent access rights for each user– e.g. Mental health record access

restricted to relevant professionPassword protected screensaverAll actions are recorded to prevent

staff misconductSystem backed-up daily

Drawbacks of PARISDrawbacks of PARIS

Currently only used in SEBT– Lack of integration with other health

trustsNo integration with Royal Hospitals

and Belfast City Hospital

Benefits of PARISBenefits of PARIS

Staff having access to core information about the user and easily identifying other staff involvement

Preventing the duplication of information with each separate referral

Shared assessment information used by staff across the trust

The ability to share critical risk/alert information

Benefits of PARIS continued…Benefits of PARIS continued…

The ability to share caseload information, particularly with evening and night staff

Sharing case load at short notice when staff are absent

Managing case load allocation and automatically sharing client information for onward referrals

Automation of referral letters

ConclusionConclusion

PARIS has fundamentally changed the way health and social care services are delivered

The efficiency of PARIS has been recognised and is being implemented in other NHS trusts, e.g. Swansea

And finally…And finally…

The ethos of PARIS is

Bringing care to people and not bringing people to care

THANK YOU FOR YOUR ATTENTION