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NHS Number Programme               4


Colin Innes – Head of Programme
                                   9
                                   9
                                   5
       Overview Presentation for   8
      PACS and Teleradiology SIG   7
                                   6

            6th March 2009         9
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About the NHS Number                                   4
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              •   The NHS Number is a unique 10
                  digit number, allocated to every     4
                                                       5
                  individual registered with the       0

                  NHS in England and Wales and         5
                                                       5
                  is used to support healthcare.       7

                                                       7
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                                                       0
              •   In 1996 the new style unique 10      4

                  digit NHS Number was
                  introduced, replacing a variety of
                                                       9
                  inconsistent predecessors.           9
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Aims                                                               4
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                                                                   1

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“Getting to grips with the use of the NHS Number will:
   • Minimise the clinical risks caused through
                                                                   4
      misallocation of patient information.                        5
                                                                   0

   • Resolve some of the barriers to safely sharing                5
                                                                   5
      information across healthcare settings; and                  7

                                                                   7
   • Assist with long term follow up processes and Clinical        1
                                                                   0
      Audit.”                                                      4




                                                Sir Bruce Keogh    9
                                                                   9
                                            NHS Medical Director   5

                                                                   8
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Improved Patient Safety                                                      4
                                                                             2
                                                                             1

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                                                                             0
                                                                             5

Incidents resulting from confusion and errors, many involved around
duplications in local number systems, adversely affects a patient’s
                                                                             4
safety.                                                                      5
                                                                             0

                                                                             5
                                                                             5
                                                                             7

                                Recent reports to the National Patient       7
                                                                             1
                                Safety Agency (NPSA) about incidents         0
                                                                             4
                                arising from reliance on local hospital
                                number systems make clear that this
                                can create a real danger to patient
                                                                             9
                                safety, resulting in Safer Practice Notice   9
                                                                             5
                                NPSA/2008/SPN001
                                                                             8
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                                                                             6

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4
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                                                                            0
Reporting and Learning System                                               4
Quarterly Data Summary                                                      2
                                                                            1

Nov ‘08                                                                     5
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                                                                            0
                                                                            5
CT scan viewed for the wrong patient.
…same first and last name…Dr reported scheduled angiogram/angioplasty
  unnecessary but that pt had ovarian cancer.                               4
                                                                            5
Images assigned to another patient                                          0

… attendances of this pt can only be viewed on other pt’s history… Images   5
                                                                            5
  were available on PACS but had never been resourced or reported on        7

ID from another hospital                                                    7
                                                                            1
                                                                            0
…Infant…had been to theatre and had drugs since admission…no hospital       4

  number on any drug chart… still had previous hospital’s bands on.
Incorrect match                                                             9
…GP surgery chasing result…specimen had been matched to twin                9
                                                                            5
  brother…NHS Number available but not used. Member of staff used
                                                                            8
  DOB search                                                                7
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Priority Settings                                                     4
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                                                                      1

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  Priority Settings are environments where benefits are likely to
  deliver patient safety gains
   § General Practice Primary Care and Secondary Care NHS Providers   4
                                                                      5
   § Ambulance Trusts, Out of Hours, NHS Direct, Walk in Centres,     0

     Pharmacy, Mental Health and Community Care                       5
                                                                      5
   § Social Care                                                      7

                                                                      7
                                                                      1
                                                                      0
  Analysis of benefits case still required                            4

   § Dentistry, Opticians
   § Prisons                                                          9
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Projects                                                          4
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Published Standards:                                              5

General Practice (DSCN 31/2008)
Secondary Care (DSCN 32/2008)
                                                                  4
                                                                  5
                                                                  0
In Progress:                                                      5
Social Care Standard Development ( Requirements Standard Stage/   5
                                                                  7
  PID in development)
                                                                  7
   • Working in conjunction with the Health and Social Care       1
                                                                  0
     Integration Programme.                                       4

   • MS(H) has approved NHS Number can be used within social
     care.
                                                                  9
                                                                  9
                                                                  5
Public Awareness Campaign ( Planning stage)
                                                                  8
   • Links to Pandemic Influenza preparedness Programme           7
                                                                  6

   • Exploring options for developing public awareness            9
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Your Healthcare, Your Record, Your Number
www.connectingforhealth.nhs.uk/systemsandservices/nhsnumber/   9
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nhsnumber@nhs.net                                              7
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NHS Number Programme

  • 1. 4 3 0 4 2 1 5 2 0 5 4 5 0 5 5 7 7 1 0 NHS Number Programme 4 Colin Innes – Head of Programme 9 9 5 Overview Presentation for 8 PACS and Teleradiology SIG 7 6 6th March 2009 9 4 5 5
  • 2. 4 3 0 About the NHS Number 4 2 1 5 2 0 5 • The NHS Number is a unique 10 digit number, allocated to every 4 5 individual registered with the 0 NHS in England and Wales and 5 5 is used to support healthcare. 7 7 1 0 • In 1996 the new style unique 10 4 digit NHS Number was introduced, replacing a variety of 9 inconsistent predecessors. 9 5 8 7 6 9 4 5 5
  • 3. 4 3 0 Aims 4 2 1 5 2 0 5 “Getting to grips with the use of the NHS Number will: • Minimise the clinical risks caused through 4 misallocation of patient information. 5 0 • Resolve some of the barriers to safely sharing 5 5 information across healthcare settings; and 7 7 • Assist with long term follow up processes and Clinical 1 0 Audit.” 4 Sir Bruce Keogh 9 9 NHS Medical Director 5 8 7 6 9 4 5 5
  • 4. 4 3 0 Improved Patient Safety 4 2 1 5 2 0 5 Incidents resulting from confusion and errors, many involved around duplications in local number systems, adversely affects a patient’s 4 safety. 5 0 5 5 7 Recent reports to the National Patient 7 1 Safety Agency (NPSA) about incidents 0 4 arising from reliance on local hospital number systems make clear that this can create a real danger to patient 9 safety, resulting in Safer Practice Notice 9 5 NPSA/2008/SPN001 8 7 6 9 4 5 5
  • 5. 4 3 0 Reporting and Learning System 4 Quarterly Data Summary 2 1 Nov ‘08 5 2 0 5 CT scan viewed for the wrong patient. …same first and last name…Dr reported scheduled angiogram/angioplasty unnecessary but that pt had ovarian cancer. 4 5 Images assigned to another patient 0 … attendances of this pt can only be viewed on other pt’s history… Images 5 5 were available on PACS but had never been resourced or reported on 7 ID from another hospital 7 1 0 …Infant…had been to theatre and had drugs since admission…no hospital 4 number on any drug chart… still had previous hospital’s bands on. Incorrect match 9 …GP surgery chasing result…specimen had been matched to twin 9 5 brother…NHS Number available but not used. Member of staff used 8 DOB search 7 6 9 4 5 5
  • 6. 4 3 0 Priority Settings 4 2 1 5 2 0 5 Priority Settings are environments where benefits are likely to deliver patient safety gains § General Practice Primary Care and Secondary Care NHS Providers 4 5 § Ambulance Trusts, Out of Hours, NHS Direct, Walk in Centres, 0 Pharmacy, Mental Health and Community Care 5 5 § Social Care 7 7 1 0 Analysis of benefits case still required 4 § Dentistry, Opticians § Prisons 9 9 5 8 7 6 9 4 5 5
  • 7. 4 3 0 Projects 4 2 1 5 2 0 Published Standards: 5 General Practice (DSCN 31/2008) Secondary Care (DSCN 32/2008) 4 5 0 In Progress: 5 Social Care Standard Development ( Requirements Standard Stage/ 5 7 PID in development) 7 • Working in conjunction with the Health and Social Care 1 0 Integration Programme. 4 • MS(H) has approved NHS Number can be used within social care. 9 9 5 Public Awareness Campaign ( Planning stage) 8 • Links to Pandemic Influenza preparedness Programme 7 6 • Exploring options for developing public awareness 9 4 5 5
  • 8. 4 3 0 4 2 1 5 2 0 5 4 5 0 5 5 7 7 1 0 4 Your Healthcare, Your Record, Your Number www.connectingforhealth.nhs.uk/systemsandservices/nhsnumber/ 9 9 5 8 nhsnumber@nhs.net 7 6 9 4 5 5