The West Midlands Innovation Treasure Map - West Midlands by dfhdhdhdhjr

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									The Information
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             Urgent Care Clinical
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                   NHS Stoke on Trent:
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                         NHS Stoke on Trent:
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                         NHS Stoke on Trent:
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                    NHS North Staffs:
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                   Family Nurse
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Warwickshire Community Health: Maximising clinical systems
Issues:                                 Solutions:
Typically, IT has never before been
central to a clinician’s work           Clinical champions

Perceived as ‘something extra to do’    User group / network
Poor data quality
                                        Training and sharing expertise
Seen purely as a commissioning tool
                                        Improving software usability
Lack of ownership
Business processes were based on what   Integration
was being done at the time, and not
what potentially could be done.         Coding and information standards
Lack of leadership
                                        Exploring mobile working

For more information, contact:          Online collaboration and communication
diane.aldersley@nhs.net                 (www.wmpfit.nhs.uk)

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PRIMIS+: Data Quality
All PCTs in the West Midlands have actively engaged Data Quality Facilitators (DQF) that have
accessed PRIMIS+ training, resources and support.

The majority of DQFs work closely with general practice clinicians and associated practice staff
to improve the quality of the patient related data held on clinical systems.
.
In addition to local audit programmes, most DQFs use PRIMIS+ query sets to assess and
analyse the quality of practice data, giving advice and support to practices regarding policies
and protocols when necessary.

By working with clinical leads within their PCTs and PRIMIS+, DQF’s across the West Midlands
have been able to ensure that their views on good data quality and related processes are
represented. In recent times they have contributed to and influenced regional data quality
guidance and standards such as: West Midlands Data Quality Guidance and QOF summarising
guidance

For more information, contact: anne-mariebygrave@primis.nottingham.ac.uk



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     NHS local is a range of digital
     services assisting healthcare staff
     to advise on how to manage
     health across the West Midlands,
     as well as promote and share
     innovation.

     NHS local also showcases
     improvements in quality of care
     through innovation and patient
     experiences, looking at national
     challenges, from a local point of
     view.

     Find out more at:
     www.nhslocal.nhs.uk



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NHS Dudley: Brett Sibley takes control of his health using HealthSpace

HealthSpace is a free, secure online personal health organiser. It can help
you to manage your health, store important health information securely, or
find out about NHS services near you.

There are a variety of features you can take advantage of and anyone living
in England, who is aged 16 or over, with a valid email address can register
for a HealthSpace Basic Account.

Brett has used his HealthSpace Advanced Account to view his Summary Care Record. In
addition, Brett uses the HealthSpace Basic Account features to record his height and track his
weight. This personal health record tool has been particularly useful for Brett, who is currently
participating in a weight maintenance programme.

For more information, go to: www.healthspace.nhs.uk

To read the full story, go to: www.wmpfit.nhs.uk



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Birmingham Heartlands Hospital: Renal Patient View
                                                Provides online information about
                                                renal patients' diagnosis, treatment,
                                                and their latest test results. Patients
                                                can share this information with anyone
                                                they want, and view it from anywhere
                                                in the world.

                                                "Renal Patient View is a real asset for
                                                the kidney team as patients can keep
                                                a check on their own results and are
                                                not totally reliant on the team - two
                                                pair of eyes are better than one!"

                                                Dr Hugh C Rayner,
                                                Consultant Nephrologist, Heart of
                                                England NHS Foundation Trust


For more information, go to: www.renalpatientview.org
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Worcestershire: Clinical Portal
A number of partners in the West Midlands have come together to meet common needs, and are now
collaborating on the development of health portals:

NHS West Midlands Whole Systems Programme
Working to identify examples of best practice, share learning to date, broker relationships between potential
partners, and to maximise the benefits from existing and planned technologies.

NHS Local
Commissioned by NHS West Midlands, NHS Local has already established an online digital health resource.
In its current state it is primarily a Content Management System, already populated with an increasingly rich
range of information, media and interactive tools for patients, citizens and care workers. It’s longer term
vision is to become an interactive portal where users can view personalised information and access online
transactional tools to allow patients and care workers to deliver and receive care. NHS Local is based on
the principle of ‘Curate not Create’ to provide access to an ‘information ecosystem’ populated by a range of
providers of content, tools and resources.

Worcestershire Local Health Community
Worcestershire shares a single health informatics service across the NHS’s primary, community, acute and
mental health organisations. Supported by NHS West Midlands, they are developing a portal that initially
focuses on meeting clinicians’ needs, but is intended to widen its capability to support patients.
The project’s scope includes enabling the portal to be scaled or replicated beyond Worcestershire   .
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Heart of Birmingham tPCT: Clinical Portal
This clinical portal has enabled the
capture of a central electronic patient
record.

The introduction of this system has
supported care pathways and
clinicians now have access to up-to-
date clinical information in all care
settings, regardless of discipline or
location.

Patients with long term conditions
are particularly benefiting from ht
new clinical portal.

For more information, contact:
manojbehal@nhs.net


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North Staffordshire: Urgent Care Clinical Dashboard
 Selected as a ‘pioneer’ site by the
 Department of Health.

 The dashboard is a toolset developed to
 provide clinicians with the relevant and
 timely information they need to inform daily
 decisions that improve the quality of patient
 care.

 It specifically relates to urgent care and
 looks at ‘real time’ information taken from
 information feeds which currently exist for: A&E attendances, admissions and discharges,
 OOH and walk in centre attendances.

 This information is presented in a user friendly, graphical way and will help GP’s to
 proactively manage the most vulnerable patients and those with LTC’s.

 For more information, contact: bob.colclough@stoke.nhs.uk


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NHS Stoke on Trent: remotely available information
25 users from a range of community services in Stoke on Trent have been issued with
Panasonic Toughbooks, as part of the DH mobile working pilot.

Benefits: significant QIPP benefits beginning to emerge from this including indications
that there is more time to care, productivity, and reduced travel .

Patient information:

     • Clinical information available remotely
     • Local patient record – using PAS system
     • Hospital test results from University Hospitals North Staffs
     •Telehealth information
     • Patient specific emails from OOH and GP (using ‘Potteries Way’)
     • Sharing of information with patients, from laptop, for education

Supporting information:

     • BNF online
     • email
     • Mileage system
     • Record activity
     • Internal documents on PCT drive

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     For more information, contact : michael.groden@stoke.nhs.uk
NHS Stoke on Trent: simple telehealth
 Simple Telehealth is the multi-award winning, NHS inspired and owned Telehealth
 solution. Simple Telehealth (STH) is designed to enable many thousands of patients
 take responsibility for the monitoring and management of their own condition or
 treatment. STH’s innovative methods allow multiple healthcare teams to share patient
 information and assist patients in the management of their own care.

 STH is used to:

     •Regularly collect, monitor and alert on any biometric observation or question tree
     and many validated questionnaires
     •Improve concordance with treatment regimes through encouragement,
     reminders and interactive contact
     •Enable improvements in clinical team productivity and outcome quality
     •Engage patients in their health and social care pathways and services


                                             For more information, contact:phil.oconnell@nhs.net


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NHS Birmingham East and North: Birmingham OwnHealth
                               Birmingham OwnHealth is designed to help people with certain
                               long-term conditions take greater control of their condition and
                               treatment through telephone support.

                             Patients currently living with diabetes, coronary heart disease,
                             heart failure, chronic obstructive pulmonary disease (COPD),
                             high blood pressure, stroke or TIA (“mini stroke”), chronic
kidney disease or are aged over 65 and would like help with a range of conditions, can
benefit from Birmingham OwnHealth.

The innovative telephone-based approach ensures that patients play a much bigger role in
the delivery of their care and are never more than a phone call away from all the information,
support and encouragement needed to improve their health and well-being.

Birmingham OwnHealth is delivered in partnership between NHS Birmingham East and
North, NHS Direct and Pfizer Health Solutions in the UK.

For more information, go to: www.birminghamownhealth.co.uk

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United Birmingham Consortia: information for GPs
“In order to effect expenditure and quality, Consortia will need to work together with specialists, patients and social services to
reorientate care. Timely, accurate and appropriate data and information is crucial; to understand activity, facilitate change and improve
services.”
Information Lead, United Birmingham Consortia

     Negotiate across all of                                                                    Use large-scale data to
                                                 Share resources to achieve
     Birmingham for quality of                                                                  model care
     secondary care




     Create a robust large
     organisation as a template for
     other Birmingham consortia




     Build on each others strengths               Engage all GPs in consortium,                 Increase quality of primary
     as a network                                 building trust                                care


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NHS Stoke on Trent: The Family Nurse Partnership (FNP)
The FNP is a preventive programme for young first time mothers. It offers intensive and structured home
visiting, delivered by specially trained nurses (Family Nurses), from early pregnancy until the child is two.

FNP has three aims: to improve pregnancy outcomes, child health and development and parents’
economic self-sufficiency.

At NHS Stoke on Trent the data from the FNP programme can be used to self monitor individual Family
Nurse performance and is useful in supervision to identify issues and challenges.

Other outcomes include:

      •Every referral is recorded;
      •Health habits: smoking, drug taking;
      •Assessment of relationship regarding domestic violence;
      •Demographics: housing, school/ educational attainment, contraceptive use
       benefits, services received, income;
      •Infant healthcare: breast feeding, A&E or hospital admission for injury or
      ingestion, ASQ development scores, safeguarding information;
      •Client self efficacy.

For more information, contact: JulieA.Bennett@stoke.nhs.uk


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NHS North Staffordshire: Health Visitor Performance Outcomes
The systematic collection of data provides
performance outcomes based on:

Efficiency: to ensure resources are well used,                                       Sample Annual Data
                                                                           Breastfeeding at 6 weeks by Social Class
whilst measuring progress towards set targets
                                                                           32                                     High Managerial/Professional 1.0
                                                                      39
                                                                                 18
Uptake of healthy child programme                           60                          50                        Employers/Managers Lge Org 1.1

                                                                                                                  Higher Professionals 1.2

Identification of women suffering from post-natal      71                                                         Lower Managerial/Prof occupations 2.0

depression                                                                                                        Intermideiate Occupations 3.0

                                                                                                                  Small Employers/Own account workgkers
                                                                                                178
Identification of carer/family members in the                                                                     4.0
                                                                                                                  Lower supervisory, Craft & relted
household who smoke                                  115
                                                                                                                  occupations 5.0
                                                                                                                  Semi routine Occupations 6.0

                                                                                                                  Routine Occup 7.0
Efficacy: effectiveness with interventions for
                                                                                                                  Long Term Unemp/never had paid work
clients                                                                                                           8.0
                                                                 85               115

Reduction in inappropriate attendance at A&E

Increased incidence of breast feeding               For more information, contact:
                                                    RandaP.Charles@northstaffs.nhs.uk
Delay in weaning until age appropriate

38   Behaviour management intervention
    Birmingham City University: connecting informatics with
    clinical education
Aims of the project:
•        Establish the competencies required for graduates to effectively with health information and
         communication systems in practice

•        Establish whether these competencies are currently attainable through undergraduate
         healthcare programmes

•        Establish whether our graduates are equipped with essential ICT and Health
         Information skills

Findings:
Total indicative cost to the NHS nationally per year for all graduates needing more
training = £48,954,629

Recommendations:
•  Maximise links between faculty and practice staff
•  Staff training opportunities to be explored
•  Wider dissemination of effective practice in implementing HI in clinical education
•  More postgraduate training opportunities

For more information, contact: nicola.bartholomew@bcu.ac.uk


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NHS Local: junior doctor education
     An e-induction programme for doctors in training has been developed by the Workforce
     Deanery at NHS West Midlands. From April this year, junior doctors will be able to
     complete the induction materials online just once, rather than each time they rotate on
     placement. The programme, which will sit on NHS local, is currently being tested with 60
     junior doctors and 20 trainers, with the aim of providing it to final year medical students in
     August.

     It will cover 17 modules, including prescribing, infection control, child protection, the Mental
     Capacity Act, complaints and audit, clinical and information governance amongst other
     topics. It will also allow doctors in training to access free content on the National Learning
                             Management System (NLMS), and complete modules before being
                             employed by the NHS.

                          The programme has been developed by a working group led
                          by Regional Clinical Tutor Lead, Dr Kamal Nathavitharana
                          with support from NHS Midlands and Birmingham Medical
                          School.


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Hollier Simulation Centre
The Hollier Simulation Centre provides training to healthcare workers using high
fidelity manikins and standardised patients, for improving patient safety. The
centre has trained over 2,000 candidates, both civilian and military. The centre
also trains medical students, in conjunction with the Medical School at the
University of Birmingham.

Courses include:

     •   End of life care
     •   Medical students
     •   Foundation programme (F1 & F2)
     •   Military team training
     •   Medical emergencies
     •   Community dentistry and others

For more information, go to: www.hollier-simulation-centre.co.uk

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The Institute of Digital Healthcare (IDH) is an institute within the University of Warwick, set
up in partnership with NHS West Midlands, WMG and Warwick Medical School (WMS). The
IDH aims to improve people’s health and wellbeing through the use of innovative digital
technologies.

By combining the talents and resources from WMG, WMS, NHS West Midlands, NHS
Trusts, private enterprises, charities and other bodies, the IDH will design and deliver
appropriate care solutions that will have a real benefit to patients and their care support
networks.

The aim is to put the West Midlands at the forefront of digital health technologies. Through
projects undertaken with collaboration partners and other enterprises the IDH will deliver
real and lasting benefits to patients and the public through the application of innovative
digital solutions to a wide range of healthcare scenarios.

For more information, go to: www.idh.warwick.ac.uk
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