Scottish National Users’ Group (SNUG) Podcast

40 years in GP Information Technology

Dr Jim Campbell  is the Clinical Advisor to the @NHSNSS National GP IT Re- Provisioning Team @GPITScotland. He has been a key influencer in GP IT for nearly 40 years and describes his journey through the world of IT as a GP in Irvine, and GP IT advisor in Ayrshire, and also his roles with the GPASS Users Group, SNUG, and now NSS and GP IT Re-provisioning, with Dr Neil Kelly @NeilGKelly) of SNUG. Jim describes moving from a world in which all prescriptions and appointments were handwritten, and how he designed a Lunar Landing game, analysed orthopaedic discharges, asked if GPs were able to record disease incidence and prevalences, and then with the GPASS Users' Group, helped support other practices and share ideas, up to the present time, when he helps  clarify the requirements for the new GP systems by developing "User Stories" to illustrate these to suppliers.

How will GP IT need to up its game during the current Covid 19 pandemic? He thinks the telephone and remote access to systems will be vital. How will the current crisis change peoples' perceptions of what general practice is going to be? That will be an on-going question.

https://www.campbellsoftware.co.uk/    https://www.gpit.scot.nhs.uk/news-events/

Medication, medication, medication

A recent series of workshops called "Transforming the Primary Care Prescribing / Dispensing Pathway" was jointly sponsored by the Pharmacy and Medicines Division and Primary Care Division of the Scottish Government. We discussed some of the matters arising from these workshops and some potential  solutions for Primary Care prescribing with Dr Scott Jamieson (@DocScott82) of the RCGP and Tony McDavitt (@skepticine) a Primary Care pharmacist in Shetland.

Topics included polypharmacy, barcode problems, increases in non-medical prescribing, who should do those medication reviews, why do GPs sign thousands of paper prescriptions which could be sent electronically, how to increase serial prescribing from general practice, can smarter IT systems give us better warnings when prescribing, and how can better communication between GPs and pharmacists help everyone do things better in the future?

Thanks to Prof James McCormack (@medmyths) for use of his excellent Bohemian polypharmacy video! See also his Youtube channel  and listen to the BS medicine podcast  to be better informed about using medicines well.

When Neil met Lucy

When you or your relatives are ill or in need of care don't you want the people looking after you to have the right information to look after you properly? Sharing the right information securely and at the right time with all providers of health and social care is both extremely important and also suprisingly difficult to achieve. Dr Lucy Munro (@DrLucyMM) is a GP and  the Associate Medical Director for Primary Care at NHS National Services for Scotland (@NHSNSS). In a conversation with SNUG co-chairman Dr Neil Kelly (@NeilGKelly), she talks about her career and also how she has helped to develop the important new joint data controller arrangement recently negotiated between the Scottish General Practitioners Committee and the Primary Care Directorate of the Scottish government as part of the new GMS contract for Scottish General Practice. There is advice on what practices need to do now about completing the Joint Controller and Information Sharing Agreement document issued in November 2019. Just imagine you're in an Edinburgh coffee shop listening to them..

SNUG members check out https://www.snughealth.org.uk/events/into-the-future-of-digital-healthcare-in-scotland/ and the latest newsletter https://www.snughealth.org.uk/news/snug-winter-2019-newsletter-now-available/

Do give us some comments at https://twitter.com/snusersgroup or https://www.facebook.com/scottishnationalusersgroup

What SNUG wants for Christmas…and SPIRE

Dr Keith Moffett is a GP in Ayrshire and is a GP Clinical lead for NSS (National Services Scotland)  within the ISD (Information and Services Division) Primary Care programme  with NSS. This includes SPIRE (Scottish Primary Care Information Resource) which is a data extraction service for Scottish general practices. He is involved in planning and prioritising which reports will be developed and made available to practices, e.g. regarding high risk prescribing or identification of frail patients. The LIST (Local Intelligence Support Team) help practices, clusters and HSCPs to access and link different datasets  for comparative data to help with  quality improvement activities. Different extract requests can now be sent out and one new idea is to extract aggregate data relating to cancer and links to lifestyle factors data collected in general practice in order to plan cancer services better.

Keith and Dr Neil Kelly of SNUG discuss the rollout of SPIRE in general practice, plans to maximise its benefit,  also data quality in general practice and some ways that this can be improved. The new SCIMP 800 codes are available here. Information governance around data extraction and plans to facilitate the use and improve the quality of aggregate data are also discussed.

Find out more on Twitter: @SPIREScotland #GPclusters @NHSNSS and do give us some comments either at @SNUsersGroup or on our Facebook page.

We also hear from a number of SNUG members about what they really want for Christmas!

Developing ReSPECT

ReSPECT is a process that creates personalised recommendations for a person’s clinical care in a future emergency in which they are unable to make or express choices. It was introduced in Forth Valley in 2017 and we speak to Dr Lynsey Fielden of Forth Valley Royal Hospital to find out more about what these conversations with patients may involve,  some of the different settings they can take place in, and also how a new electronic version may help make this information more available in the future to health care professionals at the point of need.

This new ReSPECT application is being built on the NES Digital Platform, a new initiative to try and provide a single source of trusted truth for clinical care data. "We are building a care and health data repository  for use by clinicians and social workers and others across Scotland..." says Dr Paul Miller who is a GP and one of the clinical leads for the new NES Digital Service.

You can find out more about ReSPECT and also the NES Digital Service (NDS) at the following links:

https://www.resus.org.uk/respect

https://nds.nes.digital

https://nds.nes.digital/blog/a-little-bit-of-respect

https://www.youtube.com/watch?v=7tThnoOd_Ms

Facilitating information technology in Scottish general practices

In an interview with SNUG co-chairman Dr Neil Kelly, Louise McTaggart describes her experiences working with general practices in the West of Scotland over a number of years.  Louise started off as a practice manager in Glasgow in the 1990s and after working for a time as a trainer and IT facilitator for practices in Glasgow, she is now the National GP IT Re-deployment manager for the National Services Scotland GP IT Re-Provisioning team. She has a long involvement with the Scottish National Users Group and has garnered much knowledge about how best to help share ideas and tips to facilitate a variety of practices as they develop and use technology in a more effective way. As the challenge of helping practices move on to the next generation of IT systems grows closer, Louise will be involved with working with suppliers to carry out testing and assurance of the new systems before they are deployed to health boards.

Visit the SNUG website: https://www.snughealth.org.uk

or our Facebook page: https://www.facebook.com/scottishnationalusersgroup

What will health care be like in the future?

How will technologies like video consultations, artificial intelligence (AI) and virtual reality (VR) change the ways healthcare is delivered in the future? This episode features a conversation between Dr Andrew McElhinney, a GP and member of SNUG, with Dr Keith Grimes, who is also a GP and is currently the Clinical Innovation Director for Babylon Health (www.babylonhealth.com).

Keith discusses how after training in Scotland and working with electronic clinical communications implementation (ECCI) in the early 2000s, he later became involved with Babylon Health and is overseeing the safety aspects of their AI and patient triage development. Will we continue to need doctors in the future if technology keeps developing? Listen and see if you can decide.

There is also a description of how VR may be useful in some clinical settings, for pain relief and possibly in the future diagnosis of dementia. "If we have a technology that works very well and that patients control, it's surely important that we look into it more and find a way of delivering it..."

Search for VR doctors on Facebook or visit http://vrdoctors.net for more on clincial uses for VR. You can tweet Keith using @keithgrimes or visit his website www.drgrimes.co.uk.

Find out more about SNUG at our website Comments on this podcast are welcome on Twitter: https://twitter.com/snusersgroup or email alexandra.defranco@nhs.net

GP IT re-provisioning in Scotland

The re-procurement, renewal and modernisation of existing GP clinical systems in Scotland to the next generation of centrally hosted systems is called GP IT re-provisioning. The three suppliers who are on the Framework Contract Agreement are Vision, EMIS and Microtest, and they are currently developing their systems so they can be tested and validated against the Scottish specification and requirements.

What are the implications for Scottish GP practices? Dr Neil Kelly, co-chair of the Scottish National Users’ group (SNUG) speaks to Robert Hutton, who works for National Services Scotland as implementation manager for the GP IT re-provisioning project about current progress. Robert describes what practices will have to think about before they form into cohorts, which will be required before a new system can be chosen within a health board by mini-competition. Neil also speaks to Brian Ponton, a practice manager in North Surgery, Annan, Dumfries and Galloway, about what he understands about, and is expecting from the GP IT re-provisioning process.

SNUG members can get more information and see videos from our members' day about the latest re-provisioning progress at the SNUG website https://www.snughealth.org.uk

You can also find more information at the following links (please note - only available via NHS Net):

https://www.gpit.scot.nhs.uk/faqs/

https://www.gpit.scot.nhs.uk/news-events/

SNUG is keen to hear your comments and we will try and answer any queries about GP IT re-provisioning or any other question you think SNUG can help with.

You can leave comments or ask questions:

on Twitter: https://twitter.com/snusersgroup or email alexandra.defranco@nhs.net

What is SNUG?

This new series of podcasts is going to look at how technology supports health care in Scotland, and SNUG - the Scottish National Users group (https://www.snughealth.org.uk) - exists to try and ensure that people get the best healthcare through the best use of technology.

SNUG is a group of people who are involved in the delivery of health care through GP practices in Scotland. The SNUG Members' Day was held in May 2019 in Cumbernauld and a number of people gave short interviews about how SNUG provides a vital clinical voice to those who make decisions about what systems get used in general practice, and the day was also a great opportunity to see what current best practice is in GP IT and also to look at important new systems on display. Drs Bill Martin, Lucy Munro and Sean Kennedy, and Paul Hemsley describe how SNUG helps Scottish GP computer users.

We also hear from Sarah Everett, a practice nurse in Glasgow about how she designs templates to support better health care and can share these via the SNUG website.