South and East Belfast South and East Belfast Trust Call Management Trust Call Management Centre and the PARIS Centre and the PARIS system system By Niall O’Kane Neill Rogers Birinder Singh
South and East Belfast Trust Call South and East Belfast Trust Call Management Centre and the PARIS Management Centre and the PARIS systemsystem
By Niall O’Kane Neill Rogers
Birinder Singh
Background on SEBTBackground on SEBT
One of the twelve health trusts in NI Since 1990 has worked with In4tek– Developing a shared health and social care
electronic record system– Patient Centred Information System– AKA PARIS– First NHS site to implement PARIS
More on PARIS…More on PARIS…
The core elements of PARIS:– Registration– Referral– Assessment– Care Planning– Activity– Review– And Discharge
More on PARIS…More on PARIS…
Further tools provided– Diary scheduling– Stock– Consumable ordering– Linked through care planning
Who uses PARIS?Who uses PARIS?
Currently 27 Professional groups Including– District Nursing– Occupational Therapy– Care Management– Hospital Social Workers– Podiatry– Physiotherapy– Mental Health– Children with disabilities
Who uses PARIS?Who uses PARIS?
Proposed professional group implementations include:–Mental Health South– Crisis response team– Regional secure unit (Shannon)
The list continues to grow.
How PARIS worksHow PARIS works
Using a step-by-step example:– GP refers patient after consultation to
e.g. a physiotherapist– GP contacts Call Management Centre
(CMC)
What is the CMC?What is the CMC?
Central department which handles telephonic referrals
62,000 referrals last year7 call handlers– Receive referrals–Making sure patient referral goes to the
relevant care team– Based in Knockbracken Healthcare park
Example of a PARIS referral formExample of a PARIS referral form
How PARIS worksHow PARIS works
Using a step-by-step example:– GP refers patient after consultation to
e.g. a physiotherapist– GP contacts Call Management Centre
(CMC)– CMC retrieves patient’s record held
within Central Index
What is Central Index?What is Central Index?
Electronic database holding information on patients within SEBT
Maintained by the IT department in Knockbracken Healthcare Park– Situated close to the CMC for more effective
inter-departmental communication
Maintenance includes:– System debugging– Input/update patient records
How PARIS worksHow PARIS works
Using a step-by-step example:– GP refers patient after consultation to
e.g. a physiotherapist– GP contacts Call Management Centre
(CMC)– CMC retrieves patient’s record held
within Central Index– CMC forwards the referral to the
relevant care team
How care teams use PARISHow care teams use PARIS
Care team manager assigns referral to individual health/social care professional
If a referral is wrongly assigned, care team can return the referral back to the CMC
Security measures of PARISSecurity measures of PARIS
Username and PasswordDifferent access rights for each user– e.g. Mental health record access
restricted to relevant professionPassword protected screensaverAll actions are recorded to prevent
staff misconductSystem backed-up daily
Drawbacks of PARISDrawbacks of PARIS
Currently only used in SEBT– Lack of integration with other health
trustsNo integration with Royal Hospitals
and Belfast City Hospital
Benefits of PARISBenefits of PARIS
Staff having access to core information about the user and easily identifying other staff involvement
Preventing the duplication of information with each separate referral
Shared assessment information used by staff across the trust
The ability to share critical risk/alert information
Benefits of PARIS continued…Benefits of PARIS continued…
The ability to share caseload information, particularly with evening and night staff
Sharing case load at short notice when staff are absent
Managing case load allocation and automatically sharing client information for onward referrals
Automation of referral letters
ConclusionConclusion
PARIS has fundamentally changed the way health and social care services are delivered
The efficiency of PARIS has been recognised and is being implemented in other NHS trusts, e.g. Swansea
And finally…And finally…
The ethos of PARIS is
Bringing care to people and not bringing people to care
THANK YOU FOR YOUR ATTENTION