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EMIS Web helps Liverpool PCT to share patient information to support new services

EMIS : 25 September, 2008  (Application Story)
EMIS Web software is helping to transform healthcare in Liverpool by enabling information sharing across organisational boundaries between GP practices and between primary and secondary care.
As part of the PCT’s ‘new health service for Liverpool’ strategy, where patients are treated outside hospital if appropriate, the product gives clinicians running three services – joint injection, anti-coagulant checks, and minor surgery clinics – access to a summary of the patient’s primary care record on-the-spot.

Details including medication, allergies and previous diagnoses can be viewed, improving consultation efficiency and continuity of care.

Dr Simon Bowers, a joint injection provider and GP Clinical IM and T Lead for Liverpool, explained: “As EMIS Web is easy to use, clinicians now have access to the right information at the right time, in a format that they are used to.”

“This has helped to standardise the quality of referrals and we can now give patients the convenience of being able to choose a provider for the services.”

For each service, a clinical record template enables each provider to record consultation notes, which can be viewed by the patient’s registered GP back at the practice. The GP can access EMIS Web via a desktop link from their EMIS LV or PCS clinical system.

Before the provider can access the patient’s clinical information, the patient must give verbal explicit informed consent. This is recorded in the clinical system and is fully auditable by the patient’s GP and service provider.

Sean Riddell, EMIS’ managing director, said: “By seamlessly joining up separate health organisations in primary and secondary care and bringing services out of hospitals and into the community, we are not only improving access to quality care for patients, but saving the NHS valuable resources.”

Nine practices in the Matchworks Practice Based Commissioning (PBC) consortium are currently offering the joint injection service.

Those who need to use the service are given an information leaflet by their GP containing a list of providers so they can call and book an appointment with their practice of choice.

An anti-coagulation nurse who is employed by the acute trust runs the anti-coagulant monitoring service locally for the Matchworks Consortium, so patients no longer have to attend an outpatient clinic at the Royal Liverpool Hospital. Two sites are currently live, but there are plans to extend this.

Minor surgery – how it works:
Commissioned by primary care, 12 practices will offer minor surgery services – two practices are live. All of the PCT’s 97 practices will be able to refer patients for the service.

From their existing EMIS clinical system, the patient’s GP selects the minor surgery referral option, confirming the patient’s details.

The information is transferred to EMIS Web, which can be viewed by a dedicated PCT team who will telephone the patient to offer them a choice of appointment. The team is able to view each provider’s appointment book and confirm an appointment directly via EMIS Web, in real time.

As with the joint injection and anti-coagulation service, the clinician at the minor surgery clinic can view the patient’s summarised Medical record by clicking into EMIS Web. During the consultation, notes are recorded in a consultation template which can be viewed by the patient’s registered GP back at the practice.

Kate Warriner, Primary Care IM and T programme manager, Liverpool PCT, said: “Breaking down barriers between health organisations with carefully developed record sharing is crucial to the future development of health care in Liverpool.“

“Alongside effective working partnerships between patients and practices, secondary care and the PCT, EMIS Web has been central to delivering these services successfully.”
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