IT budget for the JCM

WQ.210/2021

WRITTEN QUESTION TO THE MINISTER FOR HEALTH AND SOCIAL SERVICES

BY DEPUTY C.S. ALVES OF ST. HELIER  

QUESTION SUBMITTED ON TUESDAY 4th MAY 2021

ANSWER TO BE TABLED ON TUESDAY 11th MAY 2021

Question

Will the Minister provide details of the I.T. budget for the Jersey Care Model; and provide a breakdown of how it is being spent on verifiable, community-related activity?

Answer

The IT budget for the Jersey Care Model is £3.0m over the period of the 2021 – 2024 Government Plan. This is broken down over the four years of the plan as follows:

Foundation Services

It is important to invest in foundation services that will underpin digital services that support the Jersey Care Model. Primarily, this means establishing an effective demographic service to facilitate a principle of one person – one record, improving the integration and interoperability between systems, providing an accessible and audited central repository of information and building an effective presentation layer to access information and services, whether you are a healthcare provider or a patient.

£0.1m will be spent on developing a Jersey Demographics Service to create a "Golden Record" of people in the Island with a unique identifier to enable records in different systems to be joined up and health information to be shared across community services.

£0.4m will be spent on delivering the frameworks and infrastructure necessary to support the provision of information through the Jersey Care Record and a Care Hub. Investment has already been made in the Health Integration Layer which enables interoperability between systems and this development will continue. In addition, Health Information Repositories will be built to store clinical information in an international health data standard, which provides accessible central storage of care records from different systems. Work on this is underway and will support a first use case of presenting COVID status information in relation to vaccination records, and this foundation will then be built on to present other information. Finally, a presentation layer is required to be able to present this information in an accessible way for healthcare providers and patients, so that it can be used in community settings and through mobile infrastructure.

Jersey Care Record

We will spend £0.3m on developing the Jersey Summary Care Record beyond its initial implementation through EMIS in the hospital setting, which limits its use. Utilising the foundation services mentioned earlier, we will extract data from core record systems and consolidate in an integrated care record. The presentation layer will enable this to be provided across the wider healthcare estate, with healthcare information and patient preferences presented tailored to the healthcare providers' requirements.

Jersey Care Hub

£0.2m will be spent on the development of a Care Hub supported by the Summary Care Record and workflow, organisation and rules which enables referrals, appointment bookings, reminders, and other services such as self-assessments and sign posting to health and care services.

Core Record Systems

We will continue to support the development and expansion of the community and primary care core record system, EMIS, by spending £1.4m on core community record systems which will include the inward migration of Child Immunisation and Screening management and the inclusion of additional organisations – the Prison, Vulnerable Adults (Shelter) and Primary Care Safeguarding Hub to support GP safeguarding leads.

Telecare and Teleguidance

£0.3m will be spent on a new and improved Telecare and Teleguidance platform.

Telemedicine and Patient-facing applications

We have already implemented the myMhealth app which enables patients to self-manage certain conditions and for clinicians to manage patient populations remotely. We intend to spend £0.3m on continuing the development of telemedicine and patient-facing apps and expand this to additional care scenarios.