About the Clinical Portal
What is it?
‘Clinical portal’ provides a simple and secure way for clinicians to view priority information about individual patients in a single online location, rather than having to access this information from a number of different clinical systems. Easier access to key information will support improved care delivery and decision making and patients can be reassured that clinical staff have the information they have prioritised for safe care.
The clinical portal itself is not a single product. It is delivered by joining together a series of products and services which work together to provide information for clinicians. An incremental approach to delivering portal has been taken, in line with the eHealth Strategy. This approach allows Boards that are forging ahead to continue to develop their approach while supporting other Boards to reach at least a minimum clinical portal baseline.
Although there is flexibility around the clinical portal ‘front-end’ selected by Boards, all Boards have agreed to use the national integration platform, Ensemble, to make defined information available from different clinical systems. The national Ensemble governance group is working to ensure that interoperability and re-use is optimised by use of agreed information standards.
Position at May 2012
The majority of NHS Boards now either have clinical portals in place or are actively planning for implementation.
South and East Boards
Clinical portal implementation continues to make progress across the South and East clinical portal consortium (NHS Lothian, Borders, Fife and Dumfries andGalloway).
In NHS Lothian, plans are currently underway to roll out clinical portal and SSO (Single Sign-on) to the rest ofSt John’sHospitaland the other main hospital sites, starting in May. Over 170 users have been set up for the first tranche atSt John’sHospital. NHS Borders and NHS Fife are both expected to go live in May, with testing and training currently in progress. NHS Dumfries and Galloway is scheduled to go live in June.
West of Scotland Boards
NHS Ayrshire andArranis in the early stages of its clinical portal delivery programme. The scope for the first phase will be the presentation of the priority data items to those clinical teams who will derive the most value from them, particularly Out of Hours, and is expected to be delivered within six months of start up.
NHS Lanarkshire is making steady progress with development of the portal and now has a working system that has been signed off as acceptable by the intended first tranche of users in Long Term Conditions management. The plan is to go-live with this cohort of users in September 2012. In addition, NHS Lanarkshire intends delivering scanned casenotes via the portal and the clinical community is fully engaged in designing the workflows associated with this paper-lite approach.
Golden Jubilee has now rolled out its clinical portal to approximately 80% of staff. Training the remaining staff groups is expected to be completed before the end of June 2012. Clinical feedback continues to be extremely positive.
The NHS Greater Glasgow and Clyde portal, the longest established clinical portal in NHSScotland now has over 17, 300 users. In a single week in May over 6,100 users logged into the portal, accessing more that 390,000 documents (results, letters, assessments, etc). Most users are in the acute setting with around 2000 now in the community.
NHSForthValleycontinues planning for implementation of the Tayside portal, with a view to making portal available to clinicians in the Autumn of 2012.
North of Scotland Boards
NHS Tayside is now making rapid progress with its in-house developed clinical portal. Rapid uptake of the portal has been demonstrated across NHS Tayside, with excellent clinician feedback.
NHS Grampian plans to use TrakCare PMS (Patient Management System) to provide access to the required clinical information, and work is ongoing to maximise the availability of electronic information in PMS.
NHS Orkney Highland, Shetland and Western Isles continue to consider their options in relation to portal. All of the island Boards are exploring options for partnership working and collaborative approaches with other Boards, and particularly those mainland Boards to which patients from the islands are referred.
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April 25th, 2008