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First phase of the Nottinghamshire Health and Care Portal goes live

9 February 2018

Care providers in Nottinghamshire are sharing patient information as part of a community-wide programme designed to transform patient care.

The Nottinghamshire Health and Care Portal, built on Graphnet’s CareCentric shared record software, is being rolled out in phases across the county. 
 
The shared record is already live and in use, with acute information from both Nottingham University Hospitals NHS Trust (NUH) and Sherwood Forest NHS Foundation Trust. This is combined with a detailed summary view of patient records from 157 GP practices. 
 
The system is very secure and patient consent is ordinarily required to view records, unless the patient is too unwell to be able to give consent, when staff can access information in the best interests of the patient.
 
There are already over 2,500 uses of the portal each month.  
 
The CareCentric portal is embedded within System C’s Medway PAS/EPR. This enables health and care professionals to access the electronic record in patient context from within the core clinical system.
 
System C and Graphnet together form the System C & Graphnet Care Alliance, a strategic partnership offering IT solutions that allow for the integration of health and social care services across whole care communities and STP areas.
 
Response to the Nottinghamshire Health and Care Portal so far has been extremely positive, said Dr Jeremy Lewis, Consultant in Acute Medicine and Chief Clinical Information Officer at NUH. 
 
“Sharing information is central to our strategy for service transformation and the development of new integrated care pathways,” he said. 
 
“Every day I am hearing of cases where having access to wider records in the acute environment has been of immediate and direct benefit to patient care. Having the portal integrated within our core clinical system with no separate login has made the system much more popular than other standalone sources of information.”
 
“For example, our stroke consultants are finding it of massive benefit to be able to access GP information when they admit hyperacute stroke patients direct from the ambulance service.  This is particularly true when they are seeing patients for consideration of thrombolysis (potentially dangerous clot-busting medication) when rapid access to a patient’s medication history is critical.”
 
Next steps include integrating community and mental health users, via Nottinghamshire Healthcare Trust, and completing the roll-out across the acute trusts.  Longer term there are plans to integrate social care information into the shared record. 
 
The Nottinghamshire Health and Care Portal is a key part of the Connected Nottinghamshire transformation programme, a partnership project set up by the NHS locally to develop IT initiatives which support the integration of health and care services and the creation of new patient-centric care pathways.
 
Beverley Bryant, chief operating officer at System C & Graphnet Care Alliance, said: “The NHS has come a long way since we introduced the UK’s first shared care record in Hampshire.  The massive benefits of shared care records to clinicians and patients are now well recognised and we are very pleased to see more and more care communities sharing data in this way.  We’re very much looking forward to the next steps as we work with Nottinghamshire to deliver new models of care, integrated across the health economy.”