PATIENT SAFETY
smartcard login would have been less practical. I’m happy about the decision to make this integrated.”
Anita Ghosh, IT enabler programme manager at Homerton, added that integration has been made straightforward by drawing on HealthShare, making it unproblematic as more local authorities have come on board. She observed: “Connecting to CP-IS in this way has offered the ability to use standard HL7 messaging. Because we are using standard messages, with standard architecture that connects to the Spine, it has made it very easy to take on board additional local authorities as they join up to CP-IS. Very little intervention was required at our end when the London Borough of Hackney connected to CP-IS. Integrating this information into our EPR has made a huge difference. Without it we would not have the adoption that we have.”
Connecting with minimal disruption
Several NHS organisations have been working with InterSystems in similar ways to make CP-IS implementation straightforward, overcoming technical issues cited elsewhere as adoption barriers. Some Trusts have been able to quickly connect to CP-IS by drawing on existing technology. Unlike Homerton, Calderdale and Huddersfield NHS Foundation Trust, already had HealthShare in place when it embarked on its mission to connect frontline staff to CP-IS. It is now using HealthShare for a real-time connection to the Spine 2 national patient demographics database, and direct access to CP-IS. Bernadette Hepper, project manager at Calderdale and Huddersfield NHS Foundation Trust, said: “Protecting young people in our care system is of utmost importance. We were already using InterSystems HealthShare to track NHS Numbers, so upgrading to include access to the CP-IS was possible with minimal disruption to the current workflow”.
Pushing for national acceleration
One Trust has started to drive CP-IS adoption throughout its region, following a go-live using HealthShare. The Pennine Acute Hospitals NHS Trust went live with CP-IS, flagging vulnerable children with a ‘Mr Bump’ lookalike on the Trust’s Symphony emergency department system. CP-IS is not replacing safeguarding responsibilities or the judgement of busy professionals, but it is making it that bit easier for busy staff to meet child protection obligations
John Astle, development and integration manager at the Trust, stated: “CP-IS is proving much more effective than using smartcards, and is minimising the risk of important information not being shared. It allows clinicians to access information on the child they are caring for through our existing A&E system, advising them who they need to contact if they feel
JUNE 2018
Having this system in place is much safer. We don’t rely solelyon parents informing the staff that they are known to children’s social care. Laura Stewart, Homerton University Hospital NHS Foundation Trust
social services should be notified.” The Trust’s safeguarding team has been positive about the rate neighbouring care organisations have been responding to CP-IS. Following Trust adoption, the team has actively driven local authorities to come on board, and entered into discussion with nearby Trusts to encourage the same. HealthShare has offered a means to
deploy CP-IS “out of the box”, and Pennine is keen to see much wider adoption quickly to join up the dots for co-ordinated multi- agency care. Staff believe the more organisations that use the system, the more
effective it will be, and that this is about safeguarding children wherever they are in the country and making sure health and care professionals do pick up on the most vulnerable. Policy makers, regulators, the NHS, local authorities and the Government can each play a role to make this happen.
References
1
https://www.gov.uk/government/publications/ independent-experts-set-out-recommendations-to- improve-children-and-young-people-s-health- results
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