NHS Connecting for Health A National Framework For Implementing Electronic SAP Summary of Recommendations

1. NHS Connecting for Health A National Framework For Implementing Electronic SAPSummary of Recommendations

2. Project Outline • Initiated by NHS Connecting for Health (CFH). • Reporting to Electronic Social Care Records Board, Care Records Development Board & National Programme Board of NHS CFH. • Project Board representation from NHS, social services, DH, and Cabinet Office. • To develop an implementation plan and business case for electronic SAP for England. • First stage to define and evaluate options for electronic SAP by end June • Subsequently to develop an implementation plan and business case. • Focus on SAP/CAF, but seeking solution which could support other multi agency information sharing needs

3. Consultation Process • On-line questionnaire on SAP websites of Centre for Policy On Ageing and NHS Connecting for Health – 272 registrations and 166 responses • Meetings with established forums (ADSS, Better Government for Older People (BGOP), Cluster Expert Reference Groups, etc.) • Meetings with SAP leads & NHS/social services IT managers. • Meetings with suppliers – Local Service Providers & partners, social services systems, SAP systems • Meetings with DH CAF lead, NHS Connecting for Health, Children’s Index, e-CAF and Government Connect

4. e-SAP Requirements • Person-centred processes and records. • Available to health, social care and other workers, providing care to individuals at diverse locations. • Available to service users and carers. • Each item of information entered once only wherever possible and subsequently validated or updated by other users. • Seamless access to assessment, care planning and review information and output of multi-agency management information. • All relevant SAP information available to system users when and where needed (including mobile working). • Users having access only to the information in which they have a legitimate interest. • All updates to SAP information being notified to users in a timely manner. • Separate but linked carer’s assessments.

5. e-SAP Principles • Information that is shared will be subject to individual consent. • Information governance standards across NHS and social services. • Systems from different suppliers interoperate using standards • Commonality of process from SAP to the Common Assessment Framework ( ‘Our Health, Our Care, Our Say’). • Support evolution of both the process and information associated with it. • Build on existing systems

6. Potential e-SAP Benefits • Reducing length of stay and delayed transfers of care • Reducing unscheduled admissions • Improved management of care for people with long-term conditions • Improved quality of care • Resource savings for professional staff • Improving the referral process • Improving public health information • Contributing to strategic planning and commissioning

7. Current Situation • Survey of e-SAP implementation in 27 communities: • Substantial gap between SAP requirements and current e-SAP implementation • Lack of integration between • SAP and other LSP systems • NHS and Social Services systems and consequent dual data entry • Lack of standards around functionality and information sets with different solutions developing in different communities • Small-scale adoption of mobile devices with consequent dual recording

8. Information Sharing Model

9. Information Governance & Exchange Standards • Level 3 e-GIF standards recommended for confidentiality and integrity of information • HL7 v3 Provision of Care messages for information exchange • Need to publish compliance regime and accreditation of systems to meet the above standards

10. Deployment of e-SAP Solution • Options: • National approach (standards, application and integration • Local approach (no standards, local application and integration) • Hybrid • Recommendation: Hybrid Deployment • Local e-SAP implementations, agreed by local ‘care communities’ • Operating to national information governance standards • Employing national standards for information exchange • Using national services for cross-community exchange

11. National Services To Support Local Implementation

12. Implementation • To implement electronic SAP a national work programme is needed including: • Joint governance encompassing the NHS and social services • Co-ordination with other related initiatives (e.g. e-CAF, Children’s Index & Gov Connect) • An implementation plan and business case, including procurement strategy • National enabling work: • Definition of national information exchange standards for e-SAP • Definition of national information governance standards for NHS and social services information sharing • Definition of national reporting requirements to ensure standard reporting definitions across agencies • Definition of consistent electronic record retention policies. • Deployment of national information sharing services, including accreditation process

13. Implementation (Continued) • To implement electronic SAP the following will be needed: Local implementations: • Local business cases • Deployment of e-SAP solutions • change management and process change • education and training • hardware implementation • project resourcing, etc.

14. Potential Phasing • Health and social care first, then other users over time • Electronic information sharing phased (documents first) • SAP first, evolving into CAF over time

15. Next Steps • By October: • Implementation Plan • Business Case