CCG News

NHS Doncaster Clinical Commissioning Group picks Orion Health

NHS Doncaster Clinical Commissioning Group has signed a deal with Orion Health to develop an integrated digital care record (IDCR).

The IDCR is being piloted by a rapid response team that has been set up to support people at home after a fall or deterioration in their health, and prevent unnecessary visits to hospital and repetition of information.

The multi-disciplinary team, including a range of clinicians and social care workers, was set up in January and takes referrals from the ambulance service and local GPs. In its first seven months, it helped 207 people; 83% of whom were able to stay at home with its support.

Debbie Aitchison, head of strategy and delivery for intermediate care, said it had been difficult to share vital information prior to the IDCR. “The team have had to go back to using some paper, because the different health and care IT systems don’t talk to each other,” she said. “The IDCR should change all that. It has really highlighted just how important technology is to a service like this.”

If the proof of concept is successful, the IDCR is likely to be extended to other services, as Doncaster develops a new model of joined-up care across the borough.

Andy Clayton, head of health informatics, said, “Like other health communities, we were asked to draw up a local digital roadmap. That confirmed what we already knew – which is that there is not much information sharing going on in Doncaster. In response, we created a plan for a local IDCR. We wanted to run a proof of concept, so we formed an alliance with the intermediate care team, which had already discovered how problems with information sharing can hold up the transformation of care. If the proof of concept shows that the IDCR is robust, and that it adds value, we will extend it to other care settings. We already have clinicians wanting something similar for children’s services, urgent care and end of life care.”

NHS Doncaster CCG used the London Procurement Partnership framework to find a supplier for the IDCR. It picked Orion Health because it could demonstrate that it had already delivered effective information sharing projects in the UK and best met the requirements. These include a clinical portal that is in use at the neighbouring Sheffield Teaching Hospitals NHS Foundation Trust and a shared care record that is being implemented by NHS Dorset CCG.

In its first phase, the IDCR project is integrating systems from the local acute trust (which uses the CaMIS patient administration system, Symphony A&E system, and JAC pharmacy system), community services (SystmOne Community), local authority (Carenotes), GPs (EMIS Web and SystmOne) and out-of-hours service (Adastra).