1/5 In looking at the #frontline #digitisation #RFI for EPR suppliers I note that there isn’t any mention of requirements to populate #sharedcarerecords or support #interoperability standards such as #ukcore. After 20+ years, why doesn’t the NHS centre get this? A short 🧵
2/5 Interoperability is at least as important as the functional list of requirements. Regions (not Trusts and even not ICSs) are standardising on capability, not systems - e.g Maternity, #epma, specialist systems like ophthalmology. EPRs must be able to work with other systems
3/5 Also, how should an #EPR work within a #pathology and a #radiology network not co-terminus with an ICS? These are more organic and high data liquidity through interoperability is key. That’s another interoperability dimension we should be including.
4/5 Again, how do we support Patients crossing ICS boundaries? Another #interoperability problem. Many of the 10 priorities in the Planning Guidance for 2022-23 have underlying #Interoperability requirements. How come there is no mention of supporting real-world reqs?
5/5 we are told #sharedcarerecords are vital and that an #epr strategy cannot replace them, therefore why is there no mention of #eprs required capability to populate #sharedcarerecords. Having open interfaces using open standards is really important.
6/6 There is a lot of pressure on those c45 Trusts who need to implement an #epr by end of 2023. If you want to discuss your plans, concerns, and how to give yourselves the best chance of success come to stand B14 at @DHRewired and I’d be happy to talk to you @InterSystemsUKI

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More from @DavidHancock6

Mar 7
1/17 Been reflecting on the Joining up care for people, places and populations White Paper published 8th Feb 2022. The announcement on “Managed Convergence” of #EPRs last week has made me go over it again and it raises more questions for me on the Transformation Agenda - a 🧵
2/17 The White Paper’s intentions are laudable, who could disagree with what it is seeking to achieve? However the Digital and Data Section is extremely ambitious. Is it achievable and is it really focussing on the right things to deliver? assets.publishing.service.gov.uk/government/upl…
3/17 Each ICS will have a single health and social care record for each citizen by 2024. This relies on digitisation of existing 1/3 to 1/2 (70 - 100) of Trusts who have inadequate digitisation by end of 2023 and digitisation of all of #socialcare by end of 2024
Read 17 tweets
Mar 3
1/12 Yesterday, @NHSEngland #Transformation #Unit announced that #integratedcaresystems should, through a process of managed convergence, standardise on their #electronicpatientrecords #EPRs. What does that mean? How might this be achieved? A short🧵
2/12 Firstly this is intended to be managed convergence of EPRs across the same types of Trust. Convergence of an EPR for #Acutes, and it can be a different EPR for #Community and another EPR for #MentalHealth etc. So what are the options to achieve this convergence?
3/12 Every Acute could use the same EPR. However just because there may be multiple acutes in an ICS using the same #EPR it doesn’t the mean the #EPR works in the same way in each Acute.
Read 13 tweets

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