IT solutions. Using technology to improve access and care. Dr Mike Hearne, Medical director, Taurus healthcare, Herefordshire.

1. Taurus Healthcare
Primary Care @ Scale
IT solutions
Dr Mike Hearne
GP & Medical Director

2. Taurus Healthcare
who are we?
• Formed 2011 with GP personal investment
• An independent company limited by share
• Owned by the partners of all 24 practices in
Herefordshire
• CQC, NHS Digital IG and N3 registered

3. About Taurus in 2016/17
• 7 day extended hours contract
• 2 hours evenings, 8-8 w/e
• 3 hubs: routine general practice
• Joint provider sexual health services
• Provider CEPN Herefordshire
• Public health contracts
• Chair Primary care STP workstream across Herefordshire and Worcestershire
• Leading on workforce transformation
• Equal member represented primary care Herefordshire Providers Integrated
Care Alliance: LA/ Mental health/ Hospital trust/ Taurus

4. Next steps

5. How do Taurus see next steps
• Chambers Model
• GPFV delivery
ongoing
• CEPN/ workforce
transformation
• Primary Care Home
then ACO

6. Data Sharing
What have we achieved
• “Legal” countywide Data Sharing arrangements in place
• Point of consent access to complete GP record across whole county of
185,000 patients
• Considered NHSE exemplar
• Mobile and hub N3 supported access
• Promotes continuity of care, communication, patient safety
• Key enabler for making ‘every contact count’
• The golden thread for all our projects.

7. What’s all the worry about?
w
GP Practices Patients
• Who is responsible if it goes wrong? • If not my GP who is responsible for
my data?
• Software company says just switch
on
• What happens when it goes wrong?
• Where does data sharing end? • Why is it different to summary care
record?
• How can I reassure my patient there
will be no breach?
• Does this not happen already?

8. How do you answer those concerns?
w
• Point of consent
• Herefordshire limit; local
• The IG Audit Process
• Appoint a SIRO & Caldicott Guardian
• Ensure all staff IG trained that use system
• Caldicott Principle: The duty to share information can be as
important as the duty to protect patient confidentiality.

9. Building Blocks
• Federation N3 registration & IG accreditation
• All practices & federation IG level 2 compliance
 Consider support to practices with training or support manual
• Professional Legal & IG advice for a comprehensive data sharing agreement.
• Practices need to go on a journey
• Patient information: local health record network
 Patient leaflet. Avoid confusion with other data sharing initiatives
 FAQs
 Waiting room
 Point of consent explanation
 Herefordshire limit
 Exception codes if choose not to.
N3
Registration
CQC
Registration
IG
Accreditation

10. How is it
structured?
Data Controller in Common
Phase 2
Data sharing other providers
GP Practice
1
GP Practice
2
GP Practice
3
GP Practice
4

11. Audit
• Monthly review
• All records accessed in
‘emergency’
• Access not consistent with
patient appointment
• Collate / Review / Investigate
• Report / Educate

12. Example

13. Critical Success Factors
1. Leadership – this is a complex changing environment, and
primary care needs “Leadership”
2. Early Legal advice
3. 3 month minimum for patient engagement
4. Support IG training and caldicott development practices
5. Comprehensive IG advice
6. Work with other federations
7. Time