1. SCI-DC ImplementationNHS Grampian Lorraine Urquhart Project Manager

2. AGENDA • Overview of SCI • SCI-Network • SCI-Clinical • SCI Integration with Retinal Screening • Questions

3. SCI-DC • SCI-DC - Scottish Care Information – Diabetes Collaboration • With Diabetes prevalence figures expected to double by 2015 but resources not doubling, SCI-DC is underpinning regional managed clinical networking for diabetes. • This IT initiative is aiming to support collaboration right across the clinical community – including retinal screening to reduce duplication of effort and minimise costs

4. What is SCI-DC? • SCI-DC Network is a central website bringing support information and clinical data together from the MCN’s, hospital clinics, general practice, the national patient identifier (CHI) and National Retinal Screening. • The SCI-DC Network website is available to ALL general practices in Scotland regardless of what GP system they use and holds a diabetes register for all practices in Scotland

5. Principal Concept of SCI-DC • Deliver a shared electronic record for use by all involved in the provision of diabetes care

6. SCI-DC Overview • Over 700 practices and most diabetes clinics feed data into SCI-DC Network each night • Remaining GPASS practices will feed-in by the end of 2005 (permissions dependent) • Interfaces for non-GPASS practices will be available from early next year (nearing completion now as part of Scottish National GP System Accreditation).

7. SCI-DC Products • Clinical • Network • Validation database • GENIE • The SCI-DC system is a suite of core products

8. NHS-NET Hospital Clinic Health Board Area Local Clinical Server HEP SCI-DC Clinical Genie Exporter Gateway Server CHI Lookup Genie Importer SCI-DC Network Server GP Surgery Genie Exporter SCI-DC Network Local GPASS Server SCI-DC Data Flow Viewable Data

9. Lets Look at SCI-DC Network

10. All Boards have a diabetes homepage…

11. From the homepage, you can login to SCI-DC Network. You can access different screens & capabilities depending on who you are

22. http://training.diabetes.scot.nhs.uk/

23. Lets Look at SCI-DC Clinical

35. What does SCI-DC contribute to retinal screening? • SCI-DC Network supplies the Siemens call/recall software with the names and details of patients who are eligible for screening for all practices in Scotland. • This list is updated daily dealing automatically with new registrations, patient migration and death. • SCI-DC Network maintains the list of active practices and deals with practice and GP migration

36. What does SCI-DC contribute to retinal screening? • All practices can maintain the list of eligible patients from the SCI-DC Website. • Regional screening administrators can review statistics regarding which practices have reviewed their patient lists and when • Grading results and retinal images from the National Programme are visible from the SCI-DC Network website

37. Sample Screens…

38. A GP sees this screen when logged-in. Notice the Diabetic Retinal Screening link above…

39. The website has facilities for managing the eligible screening population and generating various statistics

40. This page shows the list of eligible patients, allows you to edit the list and mark the list as officially checked

41. This page shows patients who are permanent exclusions from screening – and why

42. You can set exclusion criteria and otherwise check and update any patient including checking (and potentially temporarily overriding) National CHI details

43. You can see the full patient record – including screening results and images

44. Any image ever taken as part of the National Screening Programme will be available – within practices and hospital / community clinics

46. An audit page shows you when your list of eligible patients was last checked, by whom and which patients are overdue for retinal screening

47. A retinal screening administrator sees this page when they login

48. The administrator can look at details for any practice in their area

49. The practice page shows when the list of eligible patients was last checked, by whom, how many patients are eligible and how many are overdue for screening

50. There are a variety of regional statistics web pages available to the administrator