eHealth Strategy 2014-2017

The eHealth Strategy 2014 – 2017 sets a national direction through a common vision and set of key aims. The Strategy maintains a significant focus on healthcare and the needs of NHSScotland, but has been redeveloped to recognise the rapidly evolving environment of integrated health & social care and the need to address not only NHSScotland requirements, but also the expectations and requirements of partnership organisations, and citizens for electronic information and digital services.

8 Appendix 2: Roadmap

2017 and 2020 Milestones

eHealth Development

Expected capability by 2017

Expected capability by 2020

Comprehensive Electronic Patient Record for Clinicians.

  • Clinical portal available (or equivalent) in primary and secondary care.
  • Access to summary data: 14 clinical items, ECS / KIS / PCS; PMS, Test Results, Clinical Letters.
  • Access to summary of the GP record.
  • Clinical portal (or equivalent) available to all accredited clinicians.
  • Ability to access records for all patients where there is a legitimate relationship.
  • Patient summary information available (possibly utilising a record locator service) from all care sectors: GP summary, Community summary, Secondary care summary(s).
  • Drill down to detail information available.
  • Timeline view of patient events available.
  • Substantial clinical guidelines and decision support built into clinical systems with support for integrated care pathways.

Health and Social Care Integration.

  • Sharing of summary information between health and social care.
  • Electronic messaging and referral support within health and social care team.
  • Social care summary an integral part of the Electronic Patient Record view.
  • Sophisticated workflow and alerts to support integrated care pathways and referral and hand-offs between multi-disciplinary health and social care teams.

HEPMA and Medicines Reconciliation.

  • Defined strategic plan and, if required, completed procurement for HEPMA and medicines reconciliation solutions.
  • HEPMA implementation underway or complete in some NHS Boards.
  • Medicines reconciliation approach piloted in at least one NHS Board.
  • HEPMA solution implemented across a number of NHS Boards, with common data and messaging standards and national maintenance of drug, device and administration coding structures.
  • Medicines reconciliation implemented across a number of NHS Boards, with common notification and acceptance procedure, and all rekeying of prescription data eliminated.
  • View available of comprehensive patient current medications record and history.
  • ePharmacy systems integrated into the overall electronic medicines management structure.
  • Sophisticated clinical decision support and analysis capabilities from patient interaction through to national intelligence.

Primary and Community Care Systems Development.

  • Single sign-on implemented across Primary Care.
  • GP and community staff have access to the clinical portal for their patients.
  • Online repeat prescriptions, appointment booking and test results implemented in most practices across Scotland.
  • SMS widely used for appointment reminders and notification of other 'events'.
  • Some practices providing patients with a summary view of their GP record.
  • KIS data available to all health and social care staff for the majority of appropriate patients.
  • GP record summary view available in clinical portal.
  • New GP systems contractual arrangements in place addressing future functionality and integration requirements.
  • All GP systems moved, or in process of moving, to hosted server environment.
  • Community systems in process of being rolled-out across most of Scotland.
  • Widespread access in the community via mobile devices.
  • Completion of implementation of functionality and integration secured through the GP systems contractual arrangements.
  • Community systems support the entire health and social care team with sophisticated workflow to support co-ordination of care.
  • GP and Community record summary available through clinical portal.
  • All community staff equipped with mobile access.
  • Substantial clinical guidelines and decision support built into GP and community systems with support for integrated care pathways.

Personal Health Record.

  • National approach, business plan and development approach defined.
  • National portal with limited services in place.
  • Various partial and limited proof of concept projects implemented and evaluated to determine citizen usage and preferences.
  • Portal is single route to patient online services.
  • Route of access to GP systems for prescriptions and appointments.
  • Full suite of health information provided through portal.
  • View of Personal Health Record drawn from multiple sources, similar to EPR viewed through clinical portal.
  • Capability for patient contributions to be recorded.
  • Secure messaging for health correspondence.
  • Secure messaging with carers.
  • Capability to download data for personal use in applications and devices.


Email: Alan Milbourne

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