An Introduction to the Dorset Care Record Welcome to An Introduction to the Dorset Care Record
This is appropriate for health and social care professional staff across Dorset, who need to access the Dorset Care Record (DCR) as part of their role.
This module provides general information about the DCR including: who is involved, the key benefits, the types of information available, contacts and support information.
1. 2. 3. 4. This module can be Please step through At any time in the Please attempt the stopped and this module in order future, you can assessment at the end to restarted at any time. initially to familiarise return to this module check what you have learnt. yourself with all the and use the menu to Please remember to information navigate to the Please use the evaluation take regular screen available. topics you are link to give us feedback on breaks. interested in viewing this module, to help us again. improve the DCR training. Objectives
This module will help you to
Be aware of why the DCR was introduced
Understand the benefits of the DCR
Know who has access to the DCR
Discover the types of information available in the DCR
Know who to contact for support What is the Dorset Care Record?
The Dorset Care Record (DCR), launched in March 2018, is an electronic repository providing a consolidated view of information from health and social care systems across Dorset.
Through collaboration of the partner organisations, DCR is enabling better sharing of information for health and care professionals, to enable details of a person's medical or care needs, to be summarised in the same place and improve the care of people in Dorset.
DCR currently brings together information from Dorset hospitals and GPs.
Work is underway to bring in further information from hospitals, community health teams and social care information from Dorset councils. The Dorset Care Record
Dorset Care Record provides a joined up view of information from partner systems for the first time in Dorset.
Sharing appropriate information electronically to a single place offers direct access for authorised health and social care professionals, which includes Yeovil Hospital and Community Pharmacies to provide as full a picture as possible of a person’s history, needs, support and service contacts.
In the longer term, the aim is to offer the residents of Dorset access to their own record, through a citizen portal. Local Authorities Bournemouth, Christchurch and Poole Council Dorset Council
Acute Hospitals DCR Partner Dorset Healthcare Dorset County University Foundation Poole Trust Organisations Royal Bournemouth & Christchurch
The Dorset Care Record is a collaboration between these organisations: NHS Dorset Clinical Commissioning Group
GP practices Benefits of DCR
There are a number of benefits from linking health and social care records:
Citizens Staff Partner organisations
• Improving safety and care • Reduced time searching for • Enabler for integrated working through better decision making information • More effective workforce • Better continuity of care • Reduced time responding to • Faster provision of care • Better understanding of a queries • Better directing of public funds person’s situation • Quicker access to better • Better experience and information outcomes • Ability to make more informed • Information is secure and choices shared appropriately • Longer term: • Less time and worry for • Improved data quality individuals repeating basic • Reduce duplicate recording information to different • Help predict demands (plan professionals future services) • Access to their own record online Who will have a Dorset Care Record?
A DCR will be automatically generated for most people, with appropriate information about a person's health and social care needs shown in the DCR system - unless a person chooses to opt out. Opting Out is covered in the separate e-learning module “Information Sharing and Security”.
Initially a DCR will only be In phases, information will created for people who be brought in from local have a record on the authority social care, mental hospitals’ Patient health and community Administration System health systems Demographic data Hospital Assessments admission and and Care plans discharge information
WhatWhat Professionals Medical involved with appointments, InformationInformation the person attendances willwill bebe available?available?
Allergies Test results and reports
Diagnosis and Alerts medicines
Future phases of the DCR 2019/2020
Additional Hospital Information
Allergies Councils & Dorset Healthcare Discharge Medications Correspondence Social care information The Citizen Pathways Single Sign on Mental health services Community health services Maternity Pathway Cancer patients follow-up care Who can access the DCR?
The DCR should only be used by health and social care staff involved in the direct care, or support the delivery of direct care. It should not be used for research purposes.
The following roles are examples of approved NHS and Local Authority health and social care professionals who will have access to the Dorset Care Record:
• General Practitioner • Occupational Therapist • Doctor • Mental Health worker • Nurse • Pharmacist • Midwife • Care Assistant • Social Worker • Clinical Administrator Security and Confidentiality
All access to By law, everyone The DCR Partnership The DCR will keep information is via a working in, on behalf has signed up to the a record of highly secure of, the NHS and social Dorset Information everyone who has access portal care must follow strict Sharing Charter accessed a record, limited to approved information governance (DiSC) which governs the time and date NHS and Local rules designed to how we share when they have Authority health respect patient privacy personal data with accessed it and the and social care and keep information each other, in line with information they professionals. safe. legislation. were viewing.
The laws on data protection are clear and we take them very seriously. Please refer to the separate e-learning module “Information Sharing and Security” for more detailed information. What users are saying about DCR
“Using the Dorset Care “Shared records have the great “The Dorset Care Record enables me to Record is wonderfully potential to reduce harm and see when and which vaccine they’ve simple and is a great improve care.” had – very useful – as patients, achievement. It understandably tend not to have a clear compares favourably to Dr Rob Willington, Consultant, Royal recollection.” other GP and primary Bournemouth and Christchurch care systems” Hospitals Dr Paul Murray, Renal Consultant Dorset County Hospital. Dr Andrew Polkinghorn, Senior Dorset GP, “I have used it to find an official Verwood diagnosis and medical history for a lady regarding falls. This saved me time making several phone calls to gather information.”
Claire Collett, Occupational Therapist, Dorset Council. A man’s life has been saved thanks to the Dorset Care Record.
The middle-aged man, who has complex learning difficulties, a history of alcohol dependency and a form of psychosis, has in the past often presented himself to hospitals saying he had something in his heart or something was trying to get out of his stomach.
Anna Cosslett, Chief Clinical Information Officer at Dorset HealthCare, said she had noticed some weeks ago that the man also exhibited very high cholesterol levels: “We managed with his GP to add this information to the man’s Summary Care Record, which feed in to the Dorset Care Record (DCR). We said that he should be physically examined before being discharged if he presented himself again at hospital,” she told the DCR Programme Board.
DCR Case study: The man presented himself at Dorset County Hospital and the first consultant, who did not have access to the DCR, referred ‘Data Saves Lives’ him to a psychiatrist on mental health grounds. The second consultant looked on his Dorset Care Record as the first port of call and after tests realised he had suffered a heart attack. He has been treated in Dorchester and is recovering. A Bournemouth, Christchurch and Poole Council spokesperson told us:
An 84 year old gentleman was becoming dizzy in the shower and having trouble standing up.
He requested a seat, but did not meet the eligibility criteria through the line of questioning.
The DCR showed that he was on some medication which meant he was in fact eligible, DCR Case study: and was provided with the equipment he ‘Showered with Help’ needed. Public Engagement
Examples of how we keep the public informed about DCR include:
Public website DCR helpline Public Engagement Events
Providing regular news items, Dedicated telephone line for Over 170 events attended case studies and videos. enquiries and opt-outs. throughout 2018 and 2019.
Social Media Feeds Posters & Leaflets Accessible Leaflets
Including Twitter, YouTube and In public places such as GP Easy read, audio and large print LinkedIn. surgeries, hospitals and libraries. versions of our leaflets available.
Household Leaflet Local Radio News coverage
Delivered to every household in Radio advertising Jan 2019- Newspapers such as Dorset Echo, Dorset – Dec 2018/Jan 2019 Wessex, Breeze and Heart FM Lyme on Line, and radio interviews. Key Roles and Responsibilities
Key roles within the DCR to provide support include:
• Each organisation will provide support for their staff using the DCR system. Service Desks / • Contact details will be available on the DCR Staff IT Support Area website, which can be accessed below, or from the LINKS area on the main DCR menu
• Data security and ensuring Information You can use the link Governance compliance to the DCR Staff Privacy Officer • Person to contact for staff queries relating to data sharing, data protection and Subject Access Area and save this Requests as a “favourite” or “bookmark”, to make • Responsible for setting up accounts, permission it easier to check for levels unlocking accounts. Any account issues news and System Manager need to be raised with your own ICT Service / Help Desk. information. Information Links
If you would like further information, please use the details below (optional):
General DCR • For general DCR queries please use the email address: queries [email protected]
• For further information about the Dorset Care Record DCR Website please visit the website: www.dorsetforyou.com/dorset- care-record
• For further information about the Dorset Information DiSC Website Sharing please visit the website: https://www.dorsetforyou.gov.uk/disc
• For further information for STAFF about the Dorset Staff Website Information Sharing please visit the website: https://news.dorsetforyou.gov.uk/dcr-staff-area/ Other Shared Care Records
The UK Government has committed to a wide scale roll out of shared care records across the country. If you would like to know more about other organisations in the UK providing shared care records, please use the links below (optional):
Care and Health Information Connecting Care Northern Ireland Exchange Electronic Care Record Bristol, North Somerset and Hampshire Health Record South Gloucestershire
Leeds Care Record Care Integrated Digital Kent and Medway Record Camden, Islington boroughs Objectives Recap
Having completed this module, you should:
Be aware of why the DCR was introduced
Understand the benefits of the DCR
Know who has access to the DCR
Be aware of the types of information available in the DCR
Know who to contact for support Further Learning
Thank you for completing the “An Introduction to the Dorset Care Record” learning module.
To complete all of the training available for the Dorset Care Record, if you haven’t already, please view the additional DCR learning modules, to support your understanding of DCR:
An Introduction to DCR Information the Dorset Care Sharing & Security DCR Navigation Record (mandatory)
DCR Radiology, Pathology and DCR Allergies Referrals Next Steps
You have completed the module “An Introduction to the Dorset Care Record”!
In order to check your knowledge and Your comments and feedback are confirm you have undertaken this training, very important to us, so please please complete the short assessment complete a training evaluation for this which you can access using the link here: module.
An Introduction to the Dorset Care Record Training Evaluation Assessment The screenshots in this training guide are taken from a test system and as such may vary slightly to the live DCR system.
Screenshots in this training guide do not contain Disclaimer any real patient data. Data provided by source systems is read-only in DCR; e.g. the patient’s address from a source system will be shown in DCR but if this needs to be updated, this must be done in the source system.
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