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Trafford North Primary Care Trust Trafford South Primary Care Trust Electronic SAP solutions David Trafford North Primary Care Trust Trafford South Primary Care Trust Electronic SAP solutions David Mc. Nally

e-SAP Sub Group n Membership n n Aim n n To identify learning from e-SAP Sub Group n Membership n n Aim n n To identify learning from implementation of electronic SAP solutions: - success factors, barriers and plans. Methodology n n Gillian Crosby, Jan Hoogewerf and David Mc. Nally Short questionnaire sent to 15 localities. Why does it matter? n Implementation of integrated person-centered care constrained by the lack of shared care record or ways to easily share relevant information.

Systems Systems

Users Users

 Usage Usage

Client groups Client groups

Mobile working Mobile working

Interfaces Interfaces

Problems and Barriers (1) n Strategic solutions – no clarity n n Costs n Problems and Barriers (1) n Strategic solutions – no clarity n n Costs n n n Support for variety of assessment tools? Interface with social care systems? Timescales? Hardware Social care connections Engagement/commitment n n Exec level – lack of understanding and commitment GPs – limited involvement

Problems and Barriers (2) n Practice n n n Double entry n n n Problems and Barriers (2) n Practice n n n Double entry n n n Change for staff moving from paper-based to electronic recording - lack of basic computer skills Improved assessment practice leads to increased level of recording. SAP system separate from agency systems SAP electronic but profession separate (paper) Benefits not obvious n Perception that IT is an end in itself - solutions not led by clinical benefits.

Success factors n n n Process mapping CE/Director level buy in Training – multidisciplinary, Success factors n n n Process mapping CE/Director level buy in Training – multidisciplinary, practice, ‘handholding’ SAP core process for specialist practitioners - not an add on Long Term Conditions use of SAP

Benefits and dis-benefits n Benefits n n n Improved information sharing: - Access existing Benefits and dis-benefits n Benefits n n n Improved information sharing: - Access existing information; - Reduce duplication E-SAP solutions drive improved practice: - Better quality assessments; - Improved co-ordination; - Standardised referral processes Dis-benefits n n Short term - takes time to adjust to IT Better quality assessments take longer

Future Plans n Wider and deeper implementation n n Extension of e-SAP variously to: Future Plans n Wider and deeper implementation n n Extension of e-SAP variously to: - GPs, Hospitals, SSDs, LTC, Housing, Voluntary sector - More users Discussions with LSPs about migration or integration with NHS CRS? n Some discussions but no clarity.

Conclusions and Next Steps n Conclusions (tentative) n n Many constraints still apply More Conclusions and Next Steps n Conclusions (tentative) n n Many constraints still apply More to find out Opportunity to share & act on valuable learning Next steps n n n Capture more learning Workshop this afternoon Connecting for Health SAP Implementation Project