1	Primary Care and IM&T in the UK Sheila Teasdale Editor, Informatics in Primary Care
2	Primary Care Four ‘home countries’ Four different strategies … Primary Care Trusts Shifting the Balance of Power Strategic Health Authorities … also Walk-in Centres … and NHS Direct … and Out-of-hours GP Contract But care delivery still at practice level
3	NHS IM&T Information for Health (1998) strategic importance of GP data NHS National Plan (1999) Building the Information Core (2000) National Service Frameworks (2000 onwards) clinical and service delivery standards Delivering IT in the 21st century - ICRS (2002)
4	Current Topics (1) In-consultation use Coding & classification - SNOMED CT Decision support Data quality and data accreditation Legitimisation of the electronic record Security and confidentiality authentication, attribution, encryption Communication of clinical data
5	Current Topics (2) NHSnet Electronic prescribing e-booking Datasets and registers National Accreditation and Procurement Process Service NHS Strategic Tracing Service NeLH Pathology messaging
6	Initiatives PRIMIS PRODIGY NHSnet / GPnet Pathology messaging Referrals / discharges / electronic booking Electronic Prescription transfer GP ® GP Record Transfer National electronic Library for Health …
7	Information requirements for PCTs Purposes Patient care Commissioning Clinical Governance NSFs NHS Direct and walk-in centres Out-of-hours care National Plan
8	Information Requirements PCTs to maintain “disease registers” Patient booking GP appointments online Patient online access to test results Linking prescribing to diagnoses GP registers of patients at risk of heart disease Referral rates monitored by GP Practices/ PCTs Extension of nurse prescribing Mandatory participation of GPs in clinical audit Closer integration between NHS Direct and GP OOH services Repeat dispensing schemes nationwide
9	Organisational issues Multi-agency working Care pathways Crossing organisational and professional boundaries Supporting the broader PHCT Primary Care Trusts - integrating with social care
10	Primary Care and IM&T in the UK Sheila Teasdale Editor, Informatics in Primary Care