APM Project Managements Conference, Manchester 2018

1. Learning from Local
Health & Care Records (LHCRs)
Hannah Eustace
National Engagement Lead
Benjamin Heap
Senior Project Manager
August 2018

2. A LHCR is a group of health and care organisations working collaboratively
to create an information sharing environment to help service improvement.
Shared records are not new, there are currently over 60 instances of
shared record solutions in operation today, but they vary in terms of the
scope of data and the range of their uses and not operating to
common standards.
In spring 2018, NHS England and the Local Government Association
(LGA), invited proposals from NHS and local government partner
organisations to participate in the Exemplar programme.
Five Exemplars were funded in the first wave, with further waves planned
throughout 2019/20 and 2020/12.
2
What is a Local Health & Care Record?

3. A Patient’s Story
https://understandingpatientdata.org.uk/case-study/tragic-case-data-mismanagement
In April 2015, 13 year old Tamara Mills had
a fatal asthma attack. She was seen by
medical professionals 47 times in different
parts of the NHS. Linking these records
could have allowed her doctors to better
understand her medical history, to treat her
differently and perhaps prevent her death.

4. The Current Landscape
• 207 clinical commissioning
groups
• 135 acute non-specialist trusts
• 17 acute specialist trusts
• 54 mental health trusts
• 35 community providers
• 10 ambulance trusts
• 7,454 GP practices
• 853 for-profit and not-for-profit
independent sector organisations
All with the power to purchase their own IT
system to manage their patients’ records
As of July 2017 - http://www.nhsconfed.org/resources/key-statistics-on-the-nhs

5. More precise intervention
Better population health
management
Research for development
of new treatments and
pathways for care
Sharing of good
practice
More effective joining up of
care
Citizen empowerment
Use of information across
geographical and/or
organisational boundaries
The Benefits of LHCRs

6. Does your organisation have a
Lessons Learned Repository?
Question

7. What is good?
What is…not so good?
What could we do better next time?
Lessons Learned

8. 8
Across the health and care community there are localities
trying to find answers to the challenges of interoperability,
fortunately lots of these problems have already been
solved by other localities.
Now all that’s needed is to connect those with questions,
to those who have the solutions.
Learning from Local works collaboratively to join
up by providing Tools, Assets & Opportunities all
through a single service.
Strong and Credible Evidence Base

9. Questions?
Hannah Eustace
National Engagement Lead
@HjEustace
hannah.eustace@nhs.net
Benjamin Heap
Senior Project Manager
@simplybenuk
benjamin.heap@nhs.net