The Information Sharing Gateway (ISG) led by University Hospitals of Morecambe Bay NHS Foundation Trust (UHMBT), was first developed in 2014 in partnership with 10 other public sector organisations in Cumbria and Lancashire.

The system has many benefits including:

  • Reducing the paper processes that organisations used previously
  • Greater security in line with General Protection Data Regulation (GPDR), privacy and data protection laws
  • The ability to manage risks around data sharing
  • Templates and common standards of working.

Nicola Briggs, ISG Programme Manager at UHMBT, said: “We aspire to deliver the benefits derived from using the system to as many people across the UK in a bid to support a joined up and more effective data sharing community.

“The ISG is a digitally collaborative way of working which organisations can contribute to the drawing up of agreements, risk assess and agree and sign them electronically.

“The ISG provides a simple answer to a big challenge for organisations trying to overcome information governance requirements when sharing information.”

Phillipa Nazari, Data Protection Officer and Head of Information Governance for Greater Manchester Combined Authority, said: “Greater Manchester (GM) is reforming public services and this reform needs to be insight led. Increased sharing of data and information to benefit citizens is integral to achieving this.

“The Information Sharing Gateway has been a key part of this important strategic agenda by not only enabling organisations in GM to work consistently and transparently in capturing the required information governance arrangements in relation to information sharing but also in the providing the opportunity for analysis of management information about where data flows across GM.”

Aaron Cummins, Chief Executive, UHMBT, said: “The ISG system now means that data is able to flow between organisations where there is a justified purpose.  This allows a much more seamless delivery of care and provides clinicians with complete and up-to-date information.”

You can find out more about the ISG at https://www.informationsharinggateway.org.uk/

A new Analytical Command Centre has been created at the Trust’s Royal Lancaster Infirmary site that is helping staff to improve patient management, care and experience.

The command centre has been designed to work in a similar way to airport Air Traffic Control and displays live information about patients throughout their hospital stay, from incoming patients travelling via ambulance to patients waiting for discharge home.

University Hospitals of Morecambe Bay NHS Foundation Trust (UHMBT) holds patient flow meetings every two hours and the new Analytic Command Centre will help teams to better analyse the emergency care setting and patient flow in and out of the hospital.

The new screens show live information including:

Which patients are due for discharge and themes of why there may be delays
The performance in the Emergency Departments (ED) which allows staff to see the status of ambulances, the number of walk-ins and if there has been a surge in patients
The amount of admissions to hospital through outpatient appointments and departments such as the Ambulatory Care Unit
The current bed state across the Trust which helps teams to manage the demand for beds across the hospital and ease the amount of patients in ED.
Stuart Hosking-Durn, Head of Resilience and Patient Flow for UHMBT, said: “Our great colleagues from the Informatics Team have given us the ability to have live information fed into the control room which will greatly improve our ability to manage patient flow, patient safety and the overall effectiveness of the services we offer to our patients.”

Rob O’Neill, Head of Information, UHMBT, added: “We’ve co-designed the solution with our clinical and operational colleagues and feedback tells us we’ve got a solution that’s making a positive impact to patient care. We’re attracting national and international interest and are looking forward to collaborating with other care systems to continue to innovate and support more efficient and safer care.”

Foluke Ajayi, Chief Operating Officer, UHMBT, said: “We are delighted to be able to invest in the new Analytic Command Centre and we welcome this new way of working at the Trust which will improve patients’ experience of our hospitals.”

You can find out more about our command centre at https://twitter.com/i/status/1073569841544642571

‹ Furness General Hospital welcomes the sound of music to Intensive Care UnitUHMBT to crown its Health Heroes ›
Tagged with: Analytic Command Centre, Featured, Foluke Ajayi, Patient Flow, Rob O’Neill, Stuart Hosking-Durn, UHMBT
Posted in General News

An increasing number of patients are getting treatment more quickly and many do not need to travel to hospital for an outpatient appointment thanks to Advice and Guidance.

The locally-developed system enables GPs to have a secure electronic ‘conversation’ with a hospital specialist. This enables them to obtain advice for individual patients, without the need to refer them to hospital.

From January 2018 – December 2018, nearly 10,000 ‘conversations’ took place between GPs and hospital specialists via the service with 71% of cases resulting in having their treatment changed by their GP.

Dr Marwan Bukhari, Consultant Rheumatologist at University Hospitals of Morecambe Bay NHS Foundation Trust, who uses the Advice and Guidance Service to offer advice to GPs, said: “This has been a service that has enabled the quick communication between primary and secondary care and enabled decisions about patient care to be made in a timely manner with reduction in waiting and travel time. It has also provided an educational resource for the GP’s and potentially reduced the number of referrals into the service in addition to allowing those referred to have had appropriate investigations prior to being seen, speeding up the diagnostic process.”

Dr William Lumb, a GP in Sedbergh and Chief Clinical Information Officer for Bay Health and Care Partners, said: “This progress is wonderful to see and will directly improve patient care which is what we are all about. Having a digitally mature hospital is an essential component of our bay wide approach where we meld electronic record sharing, navigation and patient facing apps into a single integrated solution of which we are justifiably proud. Real patients are benefiting on a daily basis-so digital health does matter in Morecambe Bay.”

The scheme was introduced as a pilot in Garstang in 2014 as part of Better Care Together and is now available across the Morecambe Bay area. It has expanded since its launch to cover 50 specialties areas including Rheumatology, Radiology, Diabetic Medicine and Endocrinology and Trauma and Orthopaedics.

Bay Health and Care Partners continue to introduce and support new models of care across Morecambe Bay to improve the way people receive health and care services within south Cumbria and North Lancashire. These new models of care developed over the last five years are integral in the delivery and implementation of the Better Care Together Strategy.

The innovative and imaginative use of technology to improve patient care by University Hospitals of Morecambe Bay Trust (UHMBT) has been featured by the Chief Medical Officer in her annual report as an example that healthcare providers should aspire to.

UHMBT uses a Lorenzo Electronic Patient Record system from the time that a patient enters the hospital until they are discharged back home.

Colin Brown, Chief Clinical Information Officer, UHMBT, said: “The pace and scale of digital change, led by our clinicians, nurses and IT team in recent years has been staggering.

“The Electronic Patient Record system is a fantastic tool to support the triage of our patients across many areas of our hospitals. It means that patients are treated more quickly and safely and it also reduces the number of patients waiting in our emergency departments.”

Other examples of staff using new IT for patient care include nurses carrying out ward rounds using iPods, and midwives using laptops to remotely access patient records when they are visiting women in the community.

Over 122,333 patient meals have been ordered at the Royal Lancaster Infirmary and Furness General Hospital via tablet computers thanks to an electronic eMeals system. The old paper processes could take ward staff up to an hour and a half to complete. This means that staffs on the wards have more time to spend on patient care and the system has reduced food wastage by 45%.

An innovative online system called STRATA has also helped to ease the movement of patients around the local healthcare system, for example the discharge of patients from UHMBT’s hospitals into community health and care services.

Community staff in South Cumbria and North Lancashire are also now delivering better integrated care thanks to the Emis web electronic record system which gives them the ability to book appointments for patients across different organisations.

The iPlato myGP app allows patients to book appointments with their GP practice and order prescriptions online.

An Advice and Guidance service enables GPs to access specialist advice from colleagues working in hospitals and enables patients to be seen more quickly and not have to travel to hospital for their care.

Staff using the Electronic Patient Record System access 250 GP records every day, and in 2017 100,000 letters and documents were sent electronically to GPs.

Dr William Lumb, a GP in Sedbergh and Chief Clinical Information Officer for Bay Health and Care Partners, said: “This progress is wonderful to see and will directly improve patient care which is what we are all about. Having a digitally mature hospital is an essential component of our bay wide approach where we meld electronic record sharing, navigation and patient facing apps into a single integrated solution of which we are justifiably proud. Real patients are benefiting on a daily basis-so digital health does matter in Morecambe Bay.”

Colin Brown added: “Technology really is revolutionising the way staff are working, strengthening partnerships between health and care organisations and giving patients a better experience of local healthcare.”