{"id":1469,"date":"2020-08-18T08:36:56","date_gmt":"2020-08-18T08:36:56","guid":{"rendered":"https:\/\/news.dorsetcouncil.gov.uk\/dorset-care-record\/?p=1469"},"modified":"2020-08-18T08:36:56","modified_gmt":"2020-08-18T08:36:56","slug":"what-community-pharmacy-access-to-shared-health-and-social-care-records-could-mean-for-patient-care","status":"publish","type":"post","link":"https:\/\/news.dorsetcouncil.gov.uk\/dorset-care-record\/2020\/08\/18\/what-community-pharmacy-access-to-shared-health-and-social-care-records-could-mean-for-patient-care\/","title":{"rendered":"What community pharmacy access to shared health and social care records could mean for patient care"},"content":{"rendered":"

In this blog, published in the industry periodical Pharmaceutical Journal, <\/i>Dorchester pharmacist Robin Mitchell writes about the openings available to pharmacies now that they have access to the Dorset Care Record.<\/span><\/p>\n

 <\/p>\n

When the Dorset Care Record (DCR) launched in March 2018, it brought with it the many potential benefits of having patient information in one place and available to a broad range of health and social care professionals.<\/span><\/p>\n

It is described as an electronic repository that provides a consolidated view of information from health and social care systems across the county of Dorset, and currently includes information from hospitals and GPs.<\/span><\/p>\n

In comparison with a typical Summary Care Record (SCR), the DCR contains much more details from hospitals, such as a history of hospital \u201cencounters\u201d, tests performed \u2013 from radiology and pathology – alerts, allergies, discharge medications, letters to GPs and referrals. Not all hospitals currently provide this information in full, but work is under way to increase the scope and consistency of information from hospitals.<\/span><\/p>\n

In April 2020, I was asked by Andrew Prowse, chief pharmacist at Dorset County Hospital, to support the team at the Dorset Integrated Care System working on the DCR ahead of a wider roll-out to Dorset pharmacies later in 2020.<\/span><\/p>\n

With the team we worked through the practical aspects of providing secure access to the system from my community pharmacy (Victoria Park Pharmacy in Dorchester) and how to establish read-only access for one or more individual users from there.<\/span><\/p>\n

And after the preliminary training, which covered patient consent and confidentiality in a similar vein to other pharmacy requirements, I had access to the DCR.<\/span><\/p>\n

Dorset Care Record<\/span><\/b><\/p>\n

Although the pandemic dampened the demand for clinical information, it is picking up now and my early impression of the DCR is very positive. For patients who have been discharged from hospital, or for those needing regular hospital interventions, there is a good deal of information that provides a chronological overview of events and the ability to drill down on detailed results. Medication history and related comments are easy to find and follow too.<\/span><\/p>\n

For most patients, only a small amount of the information available will be directly relevant in community pharmacy. But seeing the big picture and, where appropriate, taking a few minutes to absorb an overview, can improve even a simple intervention, making it that more personal, joined up and safer.<\/span><\/p>\n

Access to this kind of information will be key for the national and local clinical services coming our way in the community pharmacy contractual framework and for working in a primary care network.<\/span><\/p>\n

For the future, there is plenty of potential as the DCR continues to grow. Work is under way to bring in further information from hospitals, community health teams and social care from Dorset councils. Community mental health information is also expected to be incorporated in 2020. Eventually, the local healthcare authorities plan for information from broader sources \u2013 such as private hospitals, specialist clinics, maternity units and even community pharmacy \u2013 to appear in the DCR. To me, pharmacy interventions through NHS 111 and GP referrals would add significant value to the system.<\/span><\/p>\n

One Medication Record<\/span><\/b><\/p>\n

As part of the broader Wessex Care Record \u2013 one of the five local health and care records funded by government \u2013 the DCR is now part of the \u201cOne Medication Record\u201d project. This will give pharmacies access to a single log of patients\u2019 medicines, which is collated with the prescribing systems used across the whole health service. This should make it easier for pharmacists to spot and confirm medicines changes, track repeat medicines and make clinical assessments.<\/span><\/p>\n

The Wessex Care Record includes Hampshire and the Isle of Wight Health Record (Care and Health Information Exchange) and is therefore an important tool for pharmacies and GP practices in East Dorset that may be serving patients resident in Hampshire as well as Dorset.<\/span><\/p>\n

These types of shared care systems are being developed across England, from Bristol, North Somerset and South Gloucestershire\u2019s Connecting Care project and the North Central London Care Integrated Digital Record to the Leeds Care Record and Kent and Medway\u2019s Transforming health and social care.<\/span><\/p>\n

From August 2020, community pharmacists in Dorset are gaining access to the DCR with training webinars and technical support. Given what is already available and what is in store for the system, I would wholeheartedly recommend that pharmacists and pharmacy teams invest the time to gain access to and start using these systems wherever possible. <\/span><\/p>\n

The original article can be found in the link – <\/span>https:\/\/www.pharmaceutical-journal.com\/news-and-analysis\/opinion\/blogs\/what-community-pharmacy-access-to-shared-health-and-social-care-records-could-mean-for-patient-care\/20208255.blog?firstPass=false<\/a><\/p>\n

Ends<\/span><\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

In this blog, published in the industry periodical Pharmaceutical Journal, Dorchester pharmacist Robin Mitchell writes about the openings available to pharmacies now that they have access to the Dorset Care Record.   When the Dorset Care Record (DCR) launched in March 2018, it brought with it the many potential benefits of having patient information in […]<\/p>\n","protected":false},"author":1866,"featured_media":1470,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[10],"tags":[95,21,96,76,98,97],"jetpack_featured_media_url":"https:\/\/news.dorsetcouncil.gov.uk\/dorset-care-record\/files\/2020\/08\/victoriaparkpharmacy.jpg","_links":{"self":[{"href":"https:\/\/news.dorsetcouncil.gov.uk\/dorset-care-record\/wp-json\/wp\/v2\/posts\/1469"}],"collection":[{"href":"https:\/\/news.dorsetcouncil.gov.uk\/dorset-care-record\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/news.dorsetcouncil.gov.uk\/dorset-care-record\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/news.dorsetcouncil.gov.uk\/dorset-care-record\/wp-json\/wp\/v2\/users\/1866"}],"replies":[{"embeddable":true,"href":"https:\/\/news.dorsetcouncil.gov.uk\/dorset-care-record\/wp-json\/wp\/v2\/comments?post=1469"}],"version-history":[{"count":1,"href":"https:\/\/news.dorsetcouncil.gov.uk\/dorset-care-record\/wp-json\/wp\/v2\/posts\/1469\/revisions"}],"predecessor-version":[{"id":1471,"href":"https:\/\/news.dorsetcouncil.gov.uk\/dorset-care-record\/wp-json\/wp\/v2\/posts\/1469\/revisions\/1471"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/news.dorsetcouncil.gov.uk\/dorset-care-record\/wp-json\/wp\/v2\/media\/1470"}],"wp:attachment":[{"href":"https:\/\/news.dorsetcouncil.gov.uk\/dorset-care-record\/wp-json\/wp\/v2\/media?parent=1469"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/news.dorsetcouncil.gov.uk\/dorset-care-record\/wp-json\/wp\/v2\/categories?post=1469"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/news.dorsetcouncil.gov.uk\/dorset-care-record\/wp-json\/wp\/v2\/tags?post=1469"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}