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Some of my responsibilities
500,000 patients end of the line Total NHS spend 860m Two acute trusts 5 sites, 4 acute
Variable level of ePR Clinical & Financial Issues One combined Community/Mental Health Trust 13 Cottage Hospitals- 220 beds No Mental Health ePR 80 GP practices 900-17,000 patients
The justification
20,000
Dementia
Number of people
15,000
10,000
Severe depression (lowest estimate level)
5,000
Falls (hospital admission)
Care Homes
Liaison Nurse
DGH
Single point of access Community Step-up DGH Urgent Care Step-down beds Hub
Walk In
999 Ambulance
All Cat C, others diverted after discussion with PCAS Liaison Nurse
DGH
Obama Care?
COIN (FTTC), Wireless for all, Flat Networks Virtualisation Hardware Software Interoperable ePR Electronic postal service Air Traffic Control for patients/clients
Cumbria
Use CCG interoperability standards Expect standards of data extraction and reporting Focus on patient care Development of outcome based metrics Require common networks Require electronic messaging Meaningful patient access to ePR Engage in Cross Organisational Care Planning
Thank You
williamlumb@nhs.net