Dr John Parry General Practitioner Clinical Director SystmOne

1. Dr John ParryGeneral PractitionerClinical Director SystmOne The place of the detailed care record in the developing Telehealth arena, and how community wide electronic clinical systems can enable the delivery of transformed care

2. Detailed Care Record Summary Care Record Local Caseload Approach Systematised global or scaled up approach • Issues: • Facilitating the catalogue of services & case selection • Patient first, patient informed, patient enabled • Clinician supported, responsibility defined / embedded • Evidence base • Structured care, handover of care • Information for all providers of care • Outcome performance

3. Detailed Care Record Summary Care Record Local Caseload Approach Systematised global or scaled up approach • Issues: • Facilitating the catalogue of services & case selection • Patient first, patient informed, patient enabled • Clinician supported, responsibility defined / embedded • Evidence base • Structured care, handover of care • Information for all providers of care • Outcome performance

4. Example of narrative record sharing

5. What can the system suppliers add to this agenda? Call centre functionality Case control Referral processes Record sharing Appropriate date recording Support patient control / information