The Derbyshire Shared Care Record: Integration in Adult Social Care

 
B2.2 Shared Care Record adoption in Adult Social
Care
 
The Derbyshire 
Shared Care Record
 
 
Andrew Muirhead, Head of Adults Commissioning, Integration and Market Development
 
 
16
th
 April 2024
 
Outline
 
Background and context
 
Development and implementation
 
Use and application in social care
 
Joined Up Care Derbyshire (JU
CD)
 
    Integrated Care System
 
Derby City Council
Derbyshire County Council
Chesterfield Royal Hospital NHS
Foundation Trust
University Hospitals of Derby and Burton
NHS Foundation Trust
NHS Derbyshire Healthcare NHS
Foundation Trust
Derbyshire Health United (DHU) Healthcare
East Midlands Ambulance Service
Derbyshire Community Health Services
NHS Foundation Trust
NHS Derby and Derbyshire Integrated Care
Board.
 
Local h
istory of data and
digital innovation
 
L
aunched a linked data initiative in
2014/15 to coincide with the introduction
of the Better Care Fund, driving
integration of health and social care that
puts people at the centre of decisions.
 
Analytical tool developed in partnership
with an external supplier, spanning 12
health and social care agencies in Derby
and Derbyshire, including both Derby City
and Derbyshire County Councils.
 
Laid some good foundations…
 
Digitising Social Care
 
Supporting the adult social care
system to make best use of digital
technology to improve the quality
and delivery of care
 
Central to meeting the ambitions
of the White Paper, ‘People at the
Heart of Care’
 
… but need to get the basics right
first!
Digital Social Care Records.
 
The journey
 
July 2020 - JUCD Board approved an accelerated
procurement to select a supplier and enable a
proof-of-concept DSCR inc. analytics platform.
 
January 2021 - contract awarded to Orion
Healthcare, but without the analytics…
 
Multiagency Board established to oversee delivery
and implementation across multiple phases, inv.
benefits realisation strategy.
 
Individual meetings held more frequently to pursue
the technical development (weekly for DCC).
 
Ambitions for Social Care to be integrated in Phase
2 (possibly by Jan 2022).
 
Intended benefits
 
April 2021 Benefits Workshop:
Why, who, how, ownership, and
connectivity with strategic objectives.
 
For social care, doorway open to NHS
records that would enable holistic
decisions and minimise sourcing of
information from multiple other
professionals/ settings.
 
Centred on our Home First, Carelink
(telecare), children’s residential, and
customer call centre (Derby Direct).
 
IG and IT critical to realising all of the
above.
 
Technical requirements
 
Derby City Council are users of Liquidlogic case management systems (LAS & LCS).
Derbyshire County Council use Mosaic.  Initially had to complete a detailed adults and
childrens data exporter specification and set role-based access for SSO for workers.
 
Implementation was not without its hitches!
 
We made some local assumptions and initially completed the spec in a manner that
made sense to us but caused duplicate/ unwanted data fields.  We adopted the MESH
mailbox instead of SFTP for transferring our daily updates, that provides additional
monitoring.  The DSCR opens as an I-frame rather than a new window, which resulted
in us changing the way we publish our apps.
 
Essential that we tested every aspect, specifically with social care workers who are
familiar with the system, know what to expect/ look for, and would recognise the value
in new data availability.
 
Social Care Data Exporter
 
D
erby City Council exports data to Orion
Health via an exporter tool provided by
Liquidlogic, on an overnight feed.
 
The exporter tool contains query builders
that point to appropriate SQL tables in
our data warehouses, and creates 10
individual csv files…
 
DATA FIELDS
 
Approx. 15,000 records in the initial Person Extract dataset…
 
- Referral
  
- Related Person
- Alerts
  
- Social Worker
- Disability
 
- Care Plan details
- Demographics
 
- Service Provision
- Events
  
- Event Type
 
Event Types
DOLS
Assessments
Safeguarding (inc. Quality)
Hospital admission/
discharge
 
Events
Description
Start/ end dates
Reason for event
Status, and latest status
change
 
Referral
Referrer
Responsible Team
Reason for referral
Description
Dates
 
Roll forward January 2023…
 
GO LIVE 
- 26
th
 January 2023 for adult
social care, still progressing for childrens
social care.
 
Used various comms channels to cascade
messaging and give practical hints & tips,
including via the JUCD delivery team who
gave demos and talks.
 
Important that colleagues felt supported
in accessing the DSCR and in being able to
feedback on any issues, both technical and
concerning information they were
accessing/ reading, to the appropriate
teams.
 
Demonstrations
 
Key message received from front-
line teams was the importance of
having drop-in sessions, to see
the system first-hand and
understand how to navigate
around it.
 
Facilitated by the JUCD DSCR
team over a couple of dates in the
Council House…
Generated long queues!
 
DSCR Dashboard
 
Usage Stats
 
Application in practice
 
F
undamentally, this is about normalising health content within our social
care case management systems.
 
the rule, not the exception…
 
T
hat said, the DSCR has provided opportunities in some significant areas of work:
Community Mental Health Transformation Programme
Support to Carers (Accelerating Reforms Fund for adult social care)
Integration - Home First and Reablement Services.
 
Whilst it is still an ambition, it has also provided a vehicle for a more
considered conversation about supporting the local care market to adopt
digital record solutions i.e. Digitising Social Care.
 
Any questions?
 
Thank you for listening.
 
 
Andrew Muirhead, Head of Adults Commissioning, Integration and Market Development
 
 
16
th
 April 2024
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The Derbyshire Shared Care Record B2.2 adoption in Adult Social Care under the leadership of Andrew Muirhead is a significant initiative enhancing care quality and delivery. This project involves multiple agencies like Derby City Council, Derbyshire County Council, and healthcare trusts to integrate health and social care services. The focus is on digital innovation, linked data, and achieving holistic care decisions. The journey includes technical requirements and milestones such as the establishment of a Multiagency Board for benefits realization strategies and the importance of IG and IT in realizing project goals.


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  1. The Derbyshire Shared Care Record B2.2 Shared Care Record adoption in Adult Social Care Andrew Muirhead, Head of Adults Commissioning, Integration and Market Development 16th April 2024

  2. Outline Background and context Development and implementation Use and application in social care

  3. Joined Up Care Derbyshire (JUCD) Integrated Care System Derby City Council Derbyshire County Council Chesterfield Royal Hospital NHS Foundation Trust University Hospitals of Derby and Burton NHS Foundation Trust NHS Derbyshire Healthcare NHS Foundation Trust Derbyshire Health United (DHU) Healthcare East Midlands Ambulance Service Derbyshire Community Health Services NHS Foundation Trust NHS Derby and Derbyshire Integrated Care Board.

  4. Local history of data and digital innovation Digitising Social Care Supporting the adult social care system to make best use of digital technology to improve the quality and delivery of care Launched a linked data initiative in 2014/15 to coincide with the introduction of the Better Care Fund, driving integration of health and social care that puts people at the centre of decisions. Central to meeting the ambitions of the White Paper, People at the Heart of Care Analytical tool developed in partnership with an external supplier, spanning 12 health and social care agencies in Derby and Derbyshire, including both Derby City and Derbyshire County Councils. but need to get the basics right first! Digital Social Care Records. Laid some good foundations

  5. The journey Intended benefits April 2021 Benefits Workshop: Why, who, how, ownership, and connectivity with strategic objectives. July 2020 - JUCD Board approved an accelerated procurement to select a supplier and enable a proof-of-concept DSCR inc. analytics platform. For social care, doorway open to NHS records that would enable holistic decisions and minimise sourcing of information from multiple other professionals/ settings. January 2021 - contract awarded to Orion Healthcare, but without the analytics Multiagency Board established to oversee delivery and implementation across multiple phases, inv. benefits realisation strategy. Centred on our Home First, Carelink (telecare), children s residential, and customer call centre (Derby Direct). Individual meetings held more frequently to pursue the technical development (weekly for DCC). Ambitions for Social Care to be integrated in Phase 2 (possibly by Jan 2022). IG and IT critical to realising all of the above.

  6. Technical requirements Derby City Council are users of Liquidlogic case management systems (LAS & LCS). Derbyshire County Council use Mosaic. Initially had to complete a detailed adults and childrens data exporter specification and set role-based access for SSO for workers. Implementation was not without its hitches! We made some local assumptions and initially completed the spec in a manner that made sense to us but caused duplicate/ unwanted data fields. We adopted the MESH mailbox instead of SFTP for transferring our daily updates, that provides additional monitoring. The DSCR opens as an I-frame rather than a new window, which resulted in us changing the way we publish our apps. Essential that we tested every aspect, specifically with social care workers who are familiar with the system, know what to expect/ look for, and would recognise the value in new data availability.

  7. Social Care Data Exporter DATA FIELDS Derby City Council exports data to Orion Health via an exporter tool provided by Liquidlogic, on an overnight feed. Approx. 15,000 records in the initial Person Extract dataset - Referral - Alerts - Disability - Demographics - Events - Related Person - Social Worker - Care Plan details - Service Provision - Event Type The exporter tool contains query builders that point to appropriate SQL tables in our data warehouses, and creates 10 individual csv files Event Types DOLS Assessments Safeguarding (inc. Quality) Hospital admission/ discharge Events Referral Description Start/ end dates Reason for event Status, and latest status change Referrer Responsible Team Reason for referral Description Dates

  8. Roll forward January 2023 Demonstrations GO LIVE - 26th January 2023 for adult social care, still progressing for childrens social care. Key message received from front- line teams was the importance of having drop-in sessions, to see the system first-hand and understand how to navigate around it. Used various comms channels to cascade messaging and give practical hints & tips, including via the JUCD delivery team who gave demos and talks. Facilitated by the JUCD DSCR team over a couple of dates in the Council House Generated long queues! Important that colleagues felt supported in accessing the DSCR and in being able to feedback on any issues, both technical and concerning information they were accessing/ reading, to the appropriate teams.

  9. DSCR Dashboard

  10. Usage Stats

  11. Application in practice Fundamentally, this is about normalising health content within our social care case management systems. the rule, not the exception That said, the DSCR has provided opportunities in some significant areas of work: Community Mental Health Transformation Programme Support to Carers (Accelerating Reforms Fund for adult social care) Integration - Home First and Reablement Services. Whilst it is still an ambition, it has also provided a vehicle for a more considered conversation about supporting the local care market to adopt digital record solutions i.e. Digitising Social Care.

  12. Thank you for listening. Any questions? Andrew Muirhead, Head of Adults Commissioning, Integration and Market Development 16th April 2024

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