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You need to visit a client who is not good at managing his health or understanding medical conditions. He sees his GP regularly and his condition is under management, but your client is unlikely to fully understand it. You have asked for a relative to be present, but none are available. He is not known to be violent.

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Having insufficient information before a visit means that we cannot plan the interview and a desired outcome may be derailed when some unexpected comment is made by the client concerning his appointment with the General Practitioner.

This reduces your efficiency and may require follow up visits. It can also lead to:

  • Dissatisfaction of client and family over uninformed professionals.
  • Accusations of unprofessionalism or worse.
  • Missed opportunity for corrective action.

How could things change?

x-tention has worked across the Social Care and Healthcare information boundaries across Europe and has been instrumental in implementing systems that enable authorised social workers and care home workers to see relevant elements of the patient’s record, subject to their pre-approved consent. Social and care workers can add to the patient record, providing salient observations from their visit to assist the clinician with care pathway management.

This enables all professionals in the care pathway to be more informed as all parties are aware of the individual’s current situation and have up to date information on the interactions between the person and the health and social care professionals.

A link to the relevant patient record system can be added to existing system screens:

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  • The client and the relatives are happy.
  • The professionals time is saved, and efficiency is improved.
  • Potential cost savings by avoiding repeat visits.
  • Other clients can be seen more quickly.

We call this information liquidity

How quickly can this be achieved?

Technically, it can be achieved very quickly. However, we must consider information governance as this is the vital governing process that ensures patient confidentiality and prevents unauthorised individuals or organisations accessing the patient record:

From a technical perspective, this means:

  • The information is held within the UK.
  • It is accessible only via the HSCN.
  • Data Processors are ISO27001:2013 accredited, are registered with the Information Commissioner’s Office and have made a submission to the NHS’ DSP Toolkit.

From a contractual perspective:

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  • Information sharing agreements must be in place with other Trusts (we can help there too)
  • The patient’s wishes must be observed.
  • Need/right to the information must be established.

This is a Department of Health and Social Care objective so the political will is present, we are keen to work with you to make it a reality.

The earlier we start, the quicker we will have an interconnected healthcare and social care system.

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