Anticipatory Care Forms from University Hospitals Dorset (UHD) are now available within the DCR. This document helps to make and record decisions a patient has made about their health and death in conjunction with the doctors and nurses looking after them and their friends and family if they wish. The form asks a number of questions that may impact how a patient is treated based on their own wishes.
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Dorset Council goes live with Community Treatment Orders
Community Treatment orders from Dorset Council have become the next social care document to be added to the Dorset Care Record, expanding the amount of social care information available. This document will now be more readily accessible by practitioners from other services, saving time in having to source the information and will join the Approved Mental Health Professional (AMHP) reports that went live in July 2024.
In the coming month, the Dorset Care Record is expecting to receive further social care information from Dorset Council in the form of care packages from Adult Services and relationships across both Adults and Children’s services.
Dorset Council goes live with Approved Mental Health Professional (AMHP) Reports
Approved Mental Health Professional (AMHP) reports from Dorset Council have become the first social care document to be added to the Dorset Care Record, expanding the amount of social care information available. This document will now be more readily accessible by practitioners from other services, saving time in having to source the information.
In the coming weeks, the Dorset Care Record is expecting to receive further social care information from Dorset Council in the form of care packages from Adult Services and relationships across both Adults and Children’s services.
Pathology reports now available from University Hospitals Dorset (UHD)
Pathology reports from UHD are now available alongside the reports from DCH that have been live since 2019. This will be particularly beneficial to senior clinicians, GPs, nurses and pharmacists and will provide much easier access to results and reports performed across the county, as well as ensuring there will be clearer decisions about people’s care.
In the coming months we will also be looking to deliver care packages from Adults social care at Dorset Council, substance misuse alerts from Halo and relationships from Dorset Council.
Dorset Council goes live with children’s referrals in the Dorset Care Record
Children’s referrals from Dorset Council (DC) have this week been added to the Dorset Care Record, expanding the amount of social care information available. The information will include the date the referral is received, the specialty/team referred to, the referral source and the referral status. An example is shown below.
The move will be particularly beneficial to other health professionals, who will be able to see details of the status of a child’s referral and their level of involvement with Children’s social care.
In the coming weeks, the Dorset Care Record is expecting to receive pathology feeds from UHD and further social care information in the form of care packages from Adult Services and relationships from Dorset Council.
Release 13 is here!
On Saturday 23 March 2024 we implemented our first release of 2024 and delivered before Easter as planned.
Release 13 introduces a number of key features:
- Infrastructure changes to allow substance misuse relationships and medications to be added to the system.
The DCR now has the ability accept Relationships and Medications information from the Halo caseload management system which is used by community drug and alcohol services across the county. We will be working with Reach (Dorset) and With You (Bournemouth, Christchurch and Poole) to deliver this information over the next few months.
- Infrastructure changes to upgrade the Medications viewer.
The medications viewer has been upgraded to the latest version. This has been necessary to accept the substance misuse medications and also delivers improvements to the layout and presentation of medications.
- Removal the Discussion to view functionality.
Following the DCR programme board and the pan Dorset data protection group’s approvals we have removed the requirement for a “Discussion to View” conversation. This has also been updated in our training materials.
- Relationships and Contacts space
In preparation for introduction of social care and substance misuse relationships a new section has been added. Relationships and Contacts sits in the left hand panel of DCR. Currently that will display emergency contacts and next of kin information that sits within the Additional Details section.
This release also includes a number of fixes.
New information
Since release 12 we have also gone live with:
- Dorset Healthcare’s mental health documents
- Halo (substance misuse) demographics, referrals and encounters
Over the coming weeks we are expecting to see the following information arrive into DCR:
- Care Packages from Dorset Council
- University Hospital Dorset’s pathology
- Children’s referrals from Dorset Council
Our next release will be R14 and is expected in summer 2024.
HALO Demographic, Referral and Encounter Feeds in the DCR
Substance Misuse Services Information Shown in the DCR
On Wednesday 28th February 2024 we implemented a new set of feeds into the DCR relating to engagement with substance misuse services.
The feeds originate from the HALO caseload management system, used by community substance misuse services in Dorset, and currently include:-
Demographics
Demographic data from HALO will include other known addresses and a HALO unique identifier (HALO ID), which will be visible in the DCR alongside other local identifiers.
Referrals
Referral data will provide information on the referral source into substance misuse services, length and outcome of treatment, plus discharge information including the reason for discharge.
Encounters
Encounter data will show past and upcoming appointments with substance misuse services, including the outcome of each appointment.
This is the first phase of substance misuse data populating the DCR and over the coming months we are expecting to add:-
Alert data
Prescribing information relating to opiate substitute therapy (OST)
Relationship data
We would value your feedback on this new information – please contact dorsetcarerecord@dorsetcouncil.gov.uk to send feedback.
How the Shared Care Record has revolutionised Continuing Health Care work – Catherine Ronzitti, Specialist Manager, Continuing Health Care Advisor
Early adopter Catherine Ronzitti believes the Dorset Care Record (DCR) has made a huge difference to her team’s working environment, enabling them to get information at a touch of a button.
Catherine works in the Continuing Health Care Hub, which assesses whether adults are eligible for Continuing Healthcare funding or Joint Funding for their ongoing care and support.
In the past, the hub – which includes staff from Dorset Council, Bournemouth Christchurch and Poole Council and NHS Dorset – had to rely on paper-based records and often needed to visit people in their own home following hospital discharge to see how they were coping.
“I am one of the DCR’s biggest fans – it has revolutionised the way we work. We had been asking for electronic records for some time as in the past we had to use a combination of paper-based records and GP records, sometimes going through up to 50 pages. Having health records provides us with comprehensive evidence of whether people need additional support.
“There are so many benefits – having all the information at the touch of a button, ensuring we can see if people have had specific treatment or medications, seeing from hospital discharge letters what additional care people need and viewing the medication records to see what has changed. All this has saved us huge amounts of time and resources.
“Sometimes when we talk to older people, they have forgotten the medication they are taking or information has gone missing, and the DCR is able to help us.”
The introduction of single sign on through the Mosaic system for DC staff has also been a significant benefit.
Residents too were benefitting from the DCR, no longer having to continually repeat their story when talking to staff. Viewing patient records, including end of life treatment, also made it easier to make decisions about whether it was appropriate or not to visit people.
Catherine highlights one recent case where the care record ensured that an elderly and frail patient was able to receive a Fast Track package of support after leaving hospital thanks to information on the DCR. Without that, the patient may eventually have received CHC funding, but it would have taken a longer time to set up and would have required the completion of additional paperwork.
Of course, there are areas where Catherine would like to see more records becoming available, particularly mental health information from Dorset HealthCare and cross-border information for Dorset residents receiving treatment in Hampshire, Wiltshire, Somerset and Devon.
But she says using DCR ought to be essential for front-line DC staff – “It’s made so much difference, it’s fantastic,” she said.
Release 12 is here!
Release 12 is here!
On Saturday 18th November 2023 we implemented a new release of DCR, 1 week earlier than originally planned for and our 3rd for 2023.
Release 12 introduces a number of key features:
Infrastructure changes to allow social care – relationships to be added to the system
The DCR now has the ability accept Relationships information from both Mosaic systems at Dorset Council and Bournemouth, Christchurch and Poole Council. We will be working with these partners over the coming months for them to start sending the information to the DCR.
Infrastructure changes to allow substance misuse information to be added to the system:
DCR now has the ability to accept Alerts from the Halo caseload management system, which is used by community drug and alcohol services across the county. We are working with Reach (Dorset) and With You (Bournemouth, Christchurch and Poole) to deliver this information over the next few months.
This release also includes a number of fixes including a fix to enable UHD Pathology to be delivered shortly.
Over the coming months we are expecting to see the following information arrive into DCR:
- Care Packages from Dorset Council
- Halo demographics, referrals and encounters
- University Hospital Dorset’s pathology and
- Dorset Health Care’s mental health documents
This is our final release of 2023 and our next release will be Release 13 aiming for before Easter 2024.
DCR trains over 7000 health and social care professionals
The Dorset Care Record (DCR) has just reached over 7,000 trained users across our health and social care partners. Over the last year alone over 2,000 additional users have gained access to the DCR after completing their mandatory training.
We are very proud of this achievement and it’s great to be able to share some recent feedback from the training: ‘It was quick and easy to fit into the day’, ‘having live demonstrations was very good’, ‘good to have the opportunity to ask questions’.
As a DCR user, you can have a comprehensive view of an individual’s information from across the Dorset Partner’s systems in one place at the point of care which will save you valuable time and give you a better understanding of a person’s needs.
To gain access to the DCR, you can either complete the DCR e-learning module or attend a 30-minute webinar run by Laura, DCR training manager – for more information please use – DCR Training – Dorset Care Record – Staff area (dorsetcouncil.gov.uk).
We also offer to organise training for your team at one of your team meetings – please contact dcrtraining@dorsetcouncil.gov.uk for more information.