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.

Jodie Crowfoot

Apprenticeships – Providing a rich experience of life

After viewing several universities, Jodie Crowfoot decided at 18 that higher education wasn’t for her and decided to apply for a two year business administration apprenticeship with Dorset Council.

“I also had a part-time job with Argos and I liked earning money, so felt this was a good route for me.”

She worked in the Chief Executive’s office under former DC boss David Jenkins, providing general secretarial support, before moving to Children’s Services.

Passing with distinction, Jodie had to provide evidence-based work, which included presentations and assignments, followed by a discussion with an assessor.

“I think the apprenticeship gave me structure and an understanding of why you were doing different things. It also gave me confidence and it was great to be doing this with a peer group of 20 other apprentices. We were able to ask one another questions, help each other out. One of my best friends is someone who was on that apprentice course and, like me, she still works at Dorset Council.” Continue reading “Apprenticeships – Providing a rich experience of life”

Lisa Trickey, Dorset Council apprentice

National Apprenticeship Week: Lisa Trickey – A 30 year career in digital

A clerical apprenticeship at Dorset Council has helped pave the way for a 30 year career in digital technology for Lisa Trickey.

Lisa, who is currently Head of Digital Strategy and Design, says the apprenticeship has been brilliant, helping progress her career while seeking new qualifications.

Her love of all things digital started at an early age and she remembers fondly the first BBC school’s computer introduced and fascinated as computer code turned into images.

Back in the early 1990’s, Lisa was a student at Purbeck School, she embarked on a City and Guilds for Business course at what’s now Bournemouth and Poole College and was studying for A level maths. Continue reading “National Apprenticeship Week: Lisa Trickey – A 30 year career in digital”

Joanna, new apprentice at Dorset Council

National Apprenticeship Week: A view from new digital apprentices

Working at Dorset Council is an ideal place for two new digital apprentices, Joanna Holmes and Jade House, who joined Dorset Council in the autumn.

Joanna has been really impressed with how friendly and helpful people have been in the Digital Team: “There’s no such thing as a stupid question and they encourage us to ask questions and learn.

“When we arrived, to help us settle in we had weekly apprentice catch-ups with our Senior Content Designers (Susie and Natalie), which was really helpful.”

And Jade, who has ADHD and Asperger’s, feels they have made reasonable adjustments to help her settle into the team well. Jade said: “If they send a message, they’ll put a smiley face, to show the tone.” Continue reading “National Apprenticeship Week: A view from new digital apprentices”

myDCR logo for the DCR patient portal

Piloting myDCR – Our Patient Portal: Mark’s story

Since the summer we have been piloting our patient portal, myDCR, involving more than 200 residents across Dorset, trialling different elements with specific patients. In our final case study of the year, Mark talks about how he has found myDCR and improvements he’d like to see.

Mark first heard about myDCR via an email invite to sign up from his Dorset County Hospital clinician Rebecca, who works at the Dorchester Diabetes Centre.

He was invited to trial the sharing of images and photographs, sent by the podiatry clinic, and found the initial sign-up process was simple to access from the link supplied in the invitation email. Continue reading “Piloting myDCR – Our Patient Portal: Mark’s story”

Beckly Jupp, UHD Stroke Consultant

DCR – Providing a full picture for clinicians treating stroke patients

Becky Jupp joined University Hospitals Dorset in January 2010 as a consultant physician, specialising in stroke and geriatric medicine – in particular patients who had suffered suspected transient ischaemic attacks – a mini stroke caused by temporary disruption in the blood supply to the brain.

Although she has only been using the Dorset Care Record (DCR) for a few months, she finds it extremely useful in clinic as the shared care record often has a fuller patient picture than the GP notes. Patients coming to clinic often are unsure of past and present medications and having a full picture of their history is particularly useful, especially if it’s necessary to alter the medication. Continue reading “DCR – Providing a full picture for clinicians treating stroke patients”

Katy George

Utilising the Dorset Care Record – a perspective from medicines management

University Hospitals Dorset (UHD) Medicines Management Technician Katy George has been using the Dorset Care Record for the past two years, after hearing of its benefits from colleagues.

Complementing the role of hospital pharmacists, Katy is involved in supplying medication to patients while they are in hospital, in preparation for their discharge; counselling patients on their past and current medication; carrying out technical checks and liaising with members of the multidisciplinary team to ensure a safe and efficient service.

Katy uses the DCR hundreds of times a month to complete medicine reconciliation and drug histories of patients, updating medicines data from GPs and discharge letters. Continue reading “Utilising the Dorset Care Record – a perspective from medicines management”

Kevin Barlow

Occupational Therapist finds Dorset Care Record an increasingly useful resource

Viewing the Dorset Care Record (DCR) enables Occupational Therapist (OT) Kevin Barlow to enhance client outcomes, saving time, preventing duplication of resources, and improving communication between health and social care services.

Kevin currently works as an OT in Adult Social Care Services for Bournemouth Christchurch and Poole Council (BCP) covering the Poole Town Locality. The OT work involves enabling clients, after illness or injury, to stay safe and independent in their own homes, through providing equipment and arranging home adaptations.

For example, if someone has had a stroke and is unable to use their bath, an OT would assess if equipment like a bath lift would meet the person’s need. If not, then an adaptation like a level access shower might be considered. Continue reading “Occupational Therapist finds Dorset Care Record an increasingly useful resource”

Julie Nicklin, Help and Care dementia triage coordinator

Dorset Care Record provides enhanced customer service for Dorset’s revised dementia care pathway

Patient waiting times have been cut and engagement enhanced with friends and family following the decision to give Help and Care dementia care staff access to the Dorset Care Record (DCR).

As part of Dorset HealthCare’s revised dementia care pathway service, health and care staff that were working for the Alzheimer’s Society were brought in last year to provide post-diagnostic support for people with a diagnosis of dementia, and their families and carers. This includes a dedicated early Onset (younger) dementia provision, as well as county-wide dementia roadshows, offering information on dementia to local people and agencies. Continue reading “Dorset Care Record provides enhanced customer service for Dorset’s revised dementia care pathway”