Integrated Care Records
Health and care organisations across BaNES, Swindon and Wiltshire are working to improve the care our population receives through a wide reaching programme of digital transformation designed to use digital technology to provide better care for local people and use our resources in a more effective and efficient way. Part of this digital transformation programme is focusing on the development of Integrated Care Records (ICRs).
An ICR enables the different health and care organisations involved in an individual’s care to access relevant information about them without the need to access multiple IT systems.
In this short film, local GP and BSW ICB’s Chief Clinical Information Officer Dr Shanil Mantri explains why Integrated Care Records are so important.
Frequently Asked Questions
The following frequently asked questions have been developed to give you more information about Integrated Care records.
For information on this subject for healthcare and other professionals, view our frequently asked questions.
What is an Integrated Care Record?
Health and Care organisations across Bath and North East Somerset, Swindon and Wiltshire (BSW) are working together to make Integrated Care Record (ICR) available. An Integrated Care Record is a system which interfaces with different digital health and social care records allowing secure access to key information by professionals involved in your care. These systems are being rolled out across England by the local health services. This includes your GP, hospital and other health and care organisations.
What is the benefit of sharing information?
You probably expect that the people who look after you already have instant access to relevant information about you, but that hasn’t been the case. Your GP, hospitals, community health, mental health and social care teams could each hold important information about your care, but it has not always been easily available to other parts of your local NHS and Social Care community.
Having an Integrated Care Record means that:
- Professionals can make quicker and more effective decisions about supporting you, and you may need to spend less time repeating the same information
- Members of your care team can access the information they need to look after you, even if they work for different organisations
- Organisations involved in planning health and care services can make more informed decisions based on the needs of individuals and how they use services
What does this mean for me and my family?
- If you are seeing someone in a clinical setting, such as in a clinic or a hospital, an Integrated Care Record may mean a reduction in assessments and tests. This is because clinicians can see more information about your condition, so this can potentially reduce delays to your treatment caused by a lack of information.
- In a social care setting this may mean a more joined up approach to the support you receive
- If you are at risk of being admitted into hospital we may be able to identify this more quickly and, if we can, put support in place to avoid this.
- If you are in hospital, knowing the support you have in place normally may enable professionals to get you home more quickly.
- If you need support from an out of hours clinician they will now be able to know which other services are involved in your care. This means they are in a better position to provide support that is more customised to your specific needs.
You do not need to do anything to start benefiting from an integrated care record.
How does it work?
The Integrated Care Record is a secure shared digital record that is only provided to health and social care organisations that are able to comply with the relevant laws about data protection.
Only those directly involved with your care and authorised to use the system can see your patient identifiable information, and records are kept of who accesses which records.
The Integrated Care Record system that is being used in BSW is supplied by Graphnet who provide a number of integrated care records systems, through their product Care Centric, across the UK. You can find more information here: https://www.graphnethealth.com/solutions/shared-care-records-/
What is shared about me?
Integrated Care Records information may include:
- Medication you’ve been prescribed and changes to your prescriptions
- Contact details for you and those involved in your care
- Medical conditions or allergies you may have
- Reports on X-rays and blood test results
- Key documents such as care plans and letters about treatment and referrals
- Details of the operations and medical procedures you’ve received
- Your hospital, GP and social care referrals and appointments
- Safeguarding alerts
Who is involved?
In the BSW area the following organisations so far are involved:
- BSW ICB
- Great Western Hospitals
- Salisbury Foundation Trust
- Oxford Health NHS Foundation Trust
- Wiltshire Council
- Swindon Council
- Wiltshire Health and Care
- Virgin Care, General Practices
- Bath and North East Somerset Council
- Royal United Hospitals NHS Foundation Trust
- Avon and Wiltshire mental Health Partnership NHS Foundation Trust
- Medvivo Out of Hours services.
It has always been the case that your health and social care records were shared between those care professionals supporting you. But in the past, this was done by fax, letter, email or even over the phone. This was not the most reliable, timely or secure way to share important personal information.
By law, people working in or on behalf of health or care organisations must respect your privacy and keep all information about you safe.
Not everyone looking after you is able to see every detail in your records. The detail that staff can see is linked to the job they do. If their job doesn’t require them to see specific information, they cannot see it.
This ensures that all staff with access to information are trained in data protection and patient confidentiality and are subject to disciplinary procedures if they break the code of conduct.
Will my personal information be sold or accessible to commercial organisations?
No. Your personal data will be used to support your direct care. Anonymised or pseudonymised information about the BSW population will be used to help plan health and care services as part of Population Health Management.
What is Population Health Management (PHM)?
PHM – is helping us understand our current, and predict our future, health and care needs so we can take action in tailoring better care and support with individuals, design more joined up and sustainable health and care services, and make better use of public resources.
Population Health Management uses anonymised/pseudonymised historical and current data to understand what factors are driving poor outcomes in different population groups and helps the ICB design new proactive models of care which will improve health and wellbeing today as well as in 20 years’ time. This could be by stopping people becoming unwell in the first place, or, where this isn’t possible, improving the way the system works together to support them.
For the public, it should mean that health and care services are more proactive in helping people to manage their health and wellbeing, provide more personalised care when it’s needed and that local services are working together to offer a wider range of support closer to people’s homes
What if I want some things changed?
If you find that any of the information held about you contains inaccuracies, please contact the relevant organisation as soon as possible, and ask for this to be corrected.
Our Health Our Future panel feedback
Bath and North East Somerset , Swindon and Wiltshire ICB recently asked local people what they thought about sharing health and care information digitally using the Our Health, Our Future panel.
People who are part of this panel are selected to be representative of the wider BSW population and receive regular surveys about a variety of topics through the year to which they respond anonymously.
A significant majority of panellists - over 90 per cent - agree that sharing information across Health and Care Professionals and analysing personal records anonymously is important. Just over three quarters of panellists also said they would find a personal health and care app useful.
The full results are available:
The overwhelming public support for our information sharing projects serves as a useful reminder of the importance of the work. These results also underline the importance that the views of those who are less enthusiastic about technology are considered when improvements to services are made possible through digital transformation.
Summary Care Records
Your Summary Care Record (SCR) is a short summary of your GP medical records. It tells other health and care staff who care for you about the medicines you take and your allergies.
SCRs are especially useful for patients who have a learning disability or find it difficult to communicate, but they can be beneficial to all people, especially in emergency situations in which patients are treated away from their usual hospital or GP surgery. Read more about SCR.
SCRs improve care, but if you don't want to have one you can opt out. Tell your GP or fill in an SCR opt-out form and give it to your GP practice.